Lynda Dianne Bentley, PA is a medicare enrolled "Physician Assistant" in Cheyenne, Oklahoma. Her current practice location is
101 Fk Buster Ave, Cheyenne, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 497-3333.
Lynda Dianne Bentley is licensed to practice in Oklahoma (license number PA912) 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 1720003189.
Provider's Profile
Full Name | Lynda Dianne Bentley |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 101 Fk Buster Ave, Cheyenne, Oklahoma |
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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: 1720003189
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 04/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 2062540552
- Enrollment ID: I20100504000146
Medical Identifiers
Medical identifiers for Lynda Dianne Bentley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720003189 | NPI | - | NPPES |
100161610A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA912 (Oklahoma) | 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. Lynda Dianne Bentley 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 |
Lynda Dianne Bentley, PA Po Box 490, Cheyenne, OK 73628-0490 Ph: (580) 497-3333 | Lynda Dianne Bentley, PA 101 Fk Buster Ave, Cheyenne, OK 73628 Ph: (580) 497-3333 |
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