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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