Katie Bennett, is a medicare enrolled "Social Worker - Clinical" provider in Riverdale, Utah. Her current practice location is
4933 S 1500 W Ste 200, Riverdale, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 510-8676.
Katie Bennett is licensed to practice in Utah (license number 9582076-3501) 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 1558827683.
Healthcare Provider's Profile
Full Name | Katie Bennett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4933 S 1500 W Ste 200, Riverdale, Utah |
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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: 1558827683
- Provider Enumeration Date: 02/13/2019
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214278951
- Enrollment ID: I20231010001583
Medical Identifiers
Medical identifiers for Katie Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558827683 | NPI | - | NPPES |
8760003008007 | Medicaid | UT | |
260022408 | Other | UT | RAILROAD MEDICARE |
000055266 | Other | UT | MEDICARE PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 9582076-3501 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 9582076-3501 (Utah) | 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. Katie Bennett allows following entities to bill medicare on her behalf.
Entity Name | Renew Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548955479 PECOS PAC ID: 5698133726 Enrollment ID: O20230622001752 |
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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. Katie 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 |
Katie Bennett, 1847 E 5750 S, South Ogden, UT 84403-4929 Ph: (801) 510-8676 | Katie Bennett, 4933 S 1500 W Ste 200, Riverdale, UT 84405-7738 Ph: (801) 510-8676 |
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