Kelly Ann Bennetto, FNP is a
Nurse Practitioner - Family based in Shepherd, Montana. Kelly Ann Bennetto is licensed to practice in Montana (license number NUR-APRN-LIC-219555) and her current practice location is
7814 Buckskin Dr, Shepherd, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 500-1858.
NPI number for Kelly Ann Bennetto is 1417738956 and her current mailing address is Po Box 101, Shepherd, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417738956.
Provider's Profile
| Full Name | Kelly Ann Bennetto |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 7814 Buckskin Dr, Shepherd, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417738956
- Provider Enumeration Date: 10/10/2023
- Last Update Date: 10/10/2023
Medical Identifiers
Medical identifiers for Kelly Ann Bennetto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417738956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-219555 (Montana) | Primary |
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. Kelly Ann Bennetto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Ann Bennetto, FNP
Po Box 101,
Shepherd, MT 59079-0101
Ph: (406) 500-1858 | Kelly Ann Bennetto, FNP
7814 Buckskin Dr,
Shepherd, MT 59079-4521
Ph: (406) 500-1858 |
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