| Kelly Ann Bennetto, FNP | |
|
7814 Buckskin Dr, Shepherd, MT 59079-4521 | |
| (406) 500-1858 | |
| Not Available |
| Full Name | Kelly Ann Bennetto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 7814 Buckskin Dr, Shepherd, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417738956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-219555 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health St Vincent Regional Hospital | Billings, MT | Hospital |
| Holy Rosary Healthcare | Miles city, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scl Health Medical Group - Billings Llc | 9638491574 | 291 |
| Entity Name | Scl Health Medical Group - Billings LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508289703 PECOS PAC ID: 9638491574 Enrollment ID: O20141204001495 |
| 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 |
Janel Naomi Barta, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7607 Buckskin Dr, Shepherd, MT 59079 Phone: 406-670-6957 |
Robert Bennetto, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7814 Buckskin Dr, Shepherd, MT 59079 Phone: 406-500-1859 |