Dr Matthew Scott Bennett, PHD | |
1222 S Vista Ave, Boise, ID 83705-2530 | |
(208) 837-5121 | |
(208) 906-8234 |
Full Name | Dr Matthew Scott Bennett |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1222 S Vista Ave, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316149792 | NPI | - | NPPES |
BEN28274 | Other | ND | BCBS OF ND |
14194 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 394 (North Dakota) | Primary |
Entity Name | Palmetto Psych Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427650050 PECOS PAC ID: 0143634972 Enrollment ID: O20220929003557 |
Mailing Address | Practice Location Address |
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Dr Matthew Scott Bennett, PHD 1222 S Vista Ave, Boise, ID 83705-2530 Ph: (208) 837-5121 | Dr Matthew Scott Bennett, PHD 1222 S Vista Ave, Boise, ID 83705-2530 Ph: (208) 837-5121 |
Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048 | |
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008 | |
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850 | |
Dr. Heidi Rachelle Tennyson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1755 N Westgate Dr Ste 260, Boise, ID 83704 Phone: 208-373-0790 Fax: 208-373-0816 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 |