Individual
DR. PAULA ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HIGHWAY 75/77, WINNEBAGO PHS HOSPITAL,, WINNEBAGO, NE 68071-0767
(402) 878-2231
(402) 878-2535
Mailing address
P.O. BOX HH, HWY 75/77, WINNEBAGO, NE 68071
(402) 878-2231
(402) 878-2535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007011369
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10068419
CDPHP
NY
01
—
2875073
AETNA HMO
NY
01
—
326043511
MISSOURI MEDICARE
MO
01
—
5286A
EMPIRE BC BS
NY
01
—
5797739
AETNA NON HMO
NY
01
—
58211
GHI
NY
01
—
603347
MVP
NY
01
—
P2644327
OXFORD HEALTH PLANS
NY
Enumeration date
11/13/2006
Last updated
07/27/2012
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