Mrs Kelly S Benedict, MS | |
720 N Marr Rd, Columbus, IN 47201-6660 | |
(812) 314-3400 | |
(812) 378-8367 |
Full Name | Mrs Kelly S Benedict |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 720 N Marr Rd, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376632109 | NPI | - | NPPES |
000000222727 | Other | IN | ANTHEM PIN # |
278804000 | Other | IN | MAGELLAN PIN# |
7075431 | Other | IN | AETNA PIN |
100177270A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 35000784A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly S Benedict, MS 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Mrs Kelly S Benedict, MS 720 N Marr Rd, Columbus, IN 47201-6660 Ph: (812) 314-3400 |
Shawn Frederick, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 424 Washington St, Suite 7, Columbus, IN 47201 Phone: 812-799-1350 | |
Jessica Foster, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3500 | |
Jill Zimmer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3240 30th St, Columbus, IN 47203 Phone: 812-343-7248 | |
Janice Kiel, LMFT, LMHC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 927 4th St, Columbus, IN 47201 Phone: 812-799-3530 Fax: 844-718-0101 | |
Mrs. Siobhan K Nelson, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1531 13th St, Columbus, IN 47201 Phone: 812-376-6501 Fax: 812-331-6700 |