| J Bennett Group Psc | |
|
1169 Eastern Pkwy Ste 2238 Louisville KY 40217-1444 | |
| (502) 376-7552 | |
| (502) 425-5540 |
| Full Name | J Bennett Group Psc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1169 Eastern Pkwy Ste 2238, Louisville, Kentucky |
| Authorized Official Name and Position | Jeanne M Bennett (PRES/CEO) |
| Authorized Official Contact | 5023767552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Bennett Group Psc 1603 Stevens Ave Suite 202 Louisville KY 40205-1087 Ph: (502) 376-7552 | J Bennett Group Psc 1169 Eastern Pkwy Ste 2238 Louisville KY 40217-1444 Ph: (502) 376-7552 |
| NPI Number | 1790955334 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1052342672 |
|---|---|
| Medicare Enrollment ID | O20050824000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790955334 | NPI | - | NPPES |
| 89900344 | Medicaid | KY | |
| 000000376780 | Other | KY | ANTHEM |
| 50107908 | Other | KY | PASSPORT HEALTH |
| 7944828 | Other | KY | AETNA |
| Provider Name | Jeanne Marie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164429320 PECOS PAC ID: 8820070246 Enrollment ID: I20040601000957 |
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