Dr Danelle Marie Carrillo Bennett, PHD is a medicare enrolled "Psychologist" provider in Meadville, Pennsylvania. Her current practice location is
18201 Conneaut Lake Rd, Meadville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 333-5061.
Dr Danelle Marie Carrillo Bennett is licensed to practice in Pennsylvania (license number PS017424) 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 1912214750.
Healthcare Provider's Profile
Full Name | Dr Danelle Marie Carrillo Bennett |
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Gender | Female |
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Speciality | Psychologist |
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Location | 18201 Conneaut Lake Rd, Meadville, Pennsylvania |
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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: 1912214750
- Provider Enumeration Date: 08/31/2010
- Last Update Date: 08/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 5193953941
- Enrollment ID: I20140124000845
Medical Identifiers
Medical identifiers for Dr Danelle Marie Carrillo Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912214750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC005567 (Pennsylvania) | Secondary |
103T00000X | Psychologist | PS017424 (Pennsylvania) | 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. Dr Danelle Marie Carrillo Bennett allows following entities to bill medicare on her behalf.
Entity Name | Meadville Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124083928 PECOS PAC ID: 4284535790 Enrollment ID: O20040726001392 |
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Entity Name | Titusville Area Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1962964981 PECOS PAC ID: 8022907575 Enrollment ID: O20190603002047 |
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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. Dr Danelle Marie Carrillo Bennett 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 |
Dr Danelle Marie Carrillo Bennett, PHD 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 Ph: (814) 333-5061 | Dr Danelle Marie Carrillo Bennett, PHD 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 Ph: (814) 333-5061 |
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