Kelly Ann Bennetto, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shepherd, Montana. Her current practice location is
7814 Buckskin Dr, Shepherd, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 500-1858.
Kelly Ann Bennetto is licensed to practice in Montana (license number NUR-APRN-LIC-219555) 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 1417738956.
Provider's Profile
Full Name | Kelly Ann Bennetto |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7814 Buckskin Dr, Shepherd, Montana |
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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: 1417738956
- Provider Enumeration Date: 10/10/2023
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092236216
- Enrollment ID: I20250304003597
Medical Identifiers
Medical identifiers for Kelly Ann Bennetto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417738956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-219555 (Montana) | 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. Kelly Ann Bennetto allows following entities to bill medicare on her behalf.
Entity Name | Scl Health Medical Group - Billings Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508289703 PECOS PAC ID: 9638491574 Enrollment ID: O20141204001495 |
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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. Kelly Ann Bennetto 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 |
Kelly Ann Bennetto, FNP Po Box 101, Shepherd, MT 59079-0101 Ph: (406) 500-1858 | Kelly Ann Bennetto, FNP 7814 Buckskin Dr, Shepherd, MT 59079-4521 Ph: (406) 500-1858 |
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