Mrs Shanna Ann Bennett, RD is a medicare enrolled "Dietitian, Registered" provider in Bryant, Arkansas. Her current practice location is
1901 Encore Way, Bryant, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 219-7770.
Mrs Shanna Ann Bennett is licensed to practice in Arkansas (license number 2000) 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 1255931093.
Healthcare Provider's Profile
Full Name | Mrs Shanna Ann Bennett |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1901 Encore Way, Bryant, Arkansas |
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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: 1255931093
- Provider Enumeration Date: 10/30/2020
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406266865
- Enrollment ID: I20201113001513
Medical Identifiers
Medical identifiers for Mrs Shanna Ann Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255931093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2000 (Arkansas) | 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. Mrs Shanna Ann Bennett allows following entities to bill medicare on her behalf.
Provider Name | Baptist Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1578593067 PECOS PAC ID: 0648177949 Enrollment ID: O20031215000977 |
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Provider Name | Arkansas Heart Hospital Rural Health Services, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1548553811 PECOS PAC ID: 6204004815 Enrollment ID: O20110727000090 |
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Provider Name | Arkansas Heart Hospital Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558653212 PECOS PAC ID: 6002838653 Enrollment ID: O20110729000327 |
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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. Mrs Shanna Ann 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 |
Mrs Shanna Ann Bennett, RD 1901 Encore Way, Bryant, AR 72019-8896 Ph: (501) 219-7770 | Mrs Shanna Ann Bennett, RD 1901 Encore Way, Bryant, AR 72019-8896 Ph: (501) 219-7770 |
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