| Dr Robert Todd Bennett, PHD | |
|
1755 Westgate Dr, Suite 260, Boise, ID 83704-7174 | |
| (208) 373-0790 | |
| (208) 373-0816 |
| Full Name | Dr Robert Todd Bennett |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 30 Years |
| Location | 1755 Westgate Dr, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962490474 | NPI | - | NPPES |
| 00010031804 | Other | ID | REGENCE BLUE SHIELD |
| N5491 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-411 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Psychological Associates, Pllc | 6103801683 | 6 |
| Entity Name | Cornerstone Psychological Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184766396 PECOS PAC ID: 6103801683 Enrollment ID: O20040619000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Todd Bennett, PHD 1755 Westgate Dr, Suite 260, Boise, ID 83704-7174 Ph: (208) 373-0790 | Dr Robert Todd Bennett, PHD 1755 Westgate Dr, Suite 260, Boise, ID 83704-7174 Ph: (208) 373-0790 |
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 | |
Michaela Shields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 600 N Robbins Rd Ste 100, Boise, ID 83702 Phone: 208-381-9037 Fax: 208-385-3616 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 |