Dr Lori Beth Bennett, MD/PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mccall, Idaho. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice St Lukes Clinic - Mccall Llc and her current practice location is
301 Deinhard Ln, Mccall, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 630-2450.
Dr Lori Beth Bennett is licensed to practice in Idaho (license number M-14694) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093007304.
Physician's Profile
| Full Name | Dr Lori Beth Bennett |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 14 Years |
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| Location | 301 Deinhard Ln, Mccall, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lori Beth Bennett graduated from medical school in 2011
NPI Data:
- NPI Number: 1093007304
- Provider Enumeration Date: 05/04/2011
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244471340
- Enrollment ID: I20190829004364
Medical Identifiers
Medical identifiers for Dr Lori Beth Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093007304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 266363 (New York) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 266363 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-14694 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic - Mccall Llc | 7618127994 | 41 |
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 Lori Beth Bennett allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic - Mccall Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881982510
PECOS PAC ID: 7618127994
Enrollment ID: O20121120000225 |
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| Entity Name | St Joseph Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205368404
PECOS PAC ID: 8325325806
Enrollment ID: O20170606002496 |
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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 Lori Beth 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 Lori Beth Bennett, MD/PHD
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 381-8752 | Dr Lori Beth Bennett, MD/PHD
301 Deinhard Ln,
Mccall, ID 83638-4703
Ph: (208) 630-2450 |
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