Stephanie Ann Bennington, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gillette, Wyoming. Her current practice location is
201 W Lakeway Rd Ste 700, Gillette, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 387-9850.
Stephanie Ann Bennington is licensed to practice in Wyoming (license number 17508A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619453040.
Physician's Profile
Full Name | Stephanie Ann Bennington |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 201 W Lakeway Rd Ste 700, Gillette, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619453040
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426300872
- Enrollment ID: I20230918001825
Medical Identifiers
Medical identifiers for Stephanie Ann Bennington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619453040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 8352 (Nebraska) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036167028 (Illinois) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 17508A (Wyoming) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Ann Bennington allows following entities to bill medicare on her behalf.
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Ann Bennington is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Ann Bennington, DO 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 Ph: (307) 387-9850 | Stephanie Ann Bennington, DO 201 W Lakeway Rd Ste 700, Gillette, WY 82718-6346 Ph: (307) 387-9850 |
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