Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lori Beth Bennett, MD/PHD

Individual provider Psychiatry Physician · NPI 1093007304

Dr. Lori Beth Bennett, MD/PHD is a Psychiatry in McCall, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic - McCall LLC, a 44-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and New York.

Years since qualifying
15
Licensed in
ID, NY
In the registry since
2011
Specialties on file
3

Practice location Address checks out

301 Deinhard Ln
McCall, ID 83638-4703
Phone: (208) 630-2450
Fax: (208) 634-4055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 415 6th St, Lewiston, ID 83501-2434 — (208) 750-7445
  • 276 5th Ave, New York, NY 10001-4509 — (215) 200-5110

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-14694 (ID)
Psychiatry Physician Taxonomy 2084P0800X · Licence 266363 (NY)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 266363 (NY)

Record details

NPI number1093007304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedMay 4, 2011
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic - McCall Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in McCall