| Theresa R Bensky Llc | |
|
813 N Lincoln St Apt 3 Creston IA 50801-1300 | |
| (641) 344-0913 | |
| Not Available |
| Full Name | Theresa R Bensky Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 813 N Lincoln St Apt 3, Creston, Iowa |
| Authorized Official Name and Position | Theresa R Bensky (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6413440913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa R Bensky Llc 813 N Lincoln St Apt 3 Creston IA 50801-1300 Ph: (641) 344-0913 | Theresa R Bensky Llc 813 N Lincoln St Apt 3 Creston IA 50801-1300 Ph: (641) 344-0913 |
| NPI Number | 1982941167 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 08/20/2015 |
| Medicare PECOS PAC ID | 3274842307 |
|---|---|
| Medicare Enrollment ID | O20151012001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982941167 | NPI | - | NPPES |
| 01199 | Other | IA | BLUE CROSS / BLUE SHIELD |
| 0010215 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01222 (Iowa) | Primary |
| Provider Name | Theresa Bensky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922011139 PECOS PAC ID: 4183933211 Enrollment ID: I20151012001777 |
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