Mary Ellen Bennett, LPN is a
Licensed Practical Nurse based in Douglas, Wyoming. Mary Ellen Bennett is licensed to practice in Wyoming (license number 6611) and her current practice location is
1200 Griffith Way, Lot # 6, Douglas, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 389-0984.
NPI number for Mary Ellen Bennett is 1285805390 and her current mailing address is 1200 Griffith Way, Lot # 6, Douglas, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285805390.
Provider's Profile
| Full Name | Mary Ellen Bennett |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1200 Griffith Way, Douglas, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285805390
- Provider Enumeration Date: 03/17/2008
- Last Update Date: 03/17/2008
Medical Identifiers
Medical identifiers for Mary Ellen Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285805390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 6611 (Wyoming) | Primary |
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. Mary Ellen Bennett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Ellen Bennett, LPN
1200 Griffith Way, Lot # 6,
Douglas, WY 82633-2372
Ph: (307) 389-0984 | Mary Ellen Bennett, LPN
1200 Griffith Way, Lot # 6,
Douglas, WY 82633-2372
Ph: (307) 389-0984 |
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