Dana Michelle Ballewske, PSY D in Kenosha, WI - Medicare Psychologist Provider

Dana Michelle Ballewske, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 2108 63rd St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 652-2406.

Dana Michelle Ballewske is licensed to practice in Wisconsin (license number 3646) 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 1821345372.

Contact Information

	Dana Michelle Ballewske, PSY D
	2108 63rd St, Kenosha, WI 53143-4454
	(262) 652-2406
	Not Available

Healthcare Provider's Profile

Full Name	Dana Michelle Ballewske
Gender	Female
Speciality	Psychologist - Clinical
Location	2108 63rd St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821345372
Provider Enumeration Date: 08/14/2012
Last Update Date: 03/30/2020

Medicare PECOS Information:

PECOS PAC ID: 1557601408
Enrollment ID: I20190313000471

Medical Identifiers

Medical identifiers for Dana Michelle Ballewske such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821345372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3646 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dana Michelle Ballewske allows following entities to bill medicare on her behalf.

Entity Name	Professional Services Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742

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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. Dana Michelle Ballewske 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
Dana Michelle Ballewske, PSY D 2108 63rd St, Kenosha, WI 53143-4454 Ph: (262) 652-2406	Dana Michelle Ballewske, PSY D 2108 63rd St, Kenosha, WI 53143-4454 Ph: (262) 652-2406

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Psychologist in Kenosha, WI

Melissa A Wingate, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7815 Fax: 262-948-7816
Dr. Michael Matthew Mihajlovic, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Dr. Katherine M Flynn, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4780
Danielle Defreese, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6839
David T Marx, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Debra Johansen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142 Phone: 262-654-8366
Dr. Kristin Marie Keeler, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5024 Green Bay Rd, Suite 120, Kenosha, WI 53144 Phone: 262-652-2365 Fax: 262-652-2071

Dana Michelle Ballewske, PSY D - Medicare Psychologist in Kenosha, WI

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Psychologist in Kenosha, WI