Mr James Edward Ballenger, LCSW | |
4200 South Fwy Ste 2325, Fort Worth, TX 76115-1400 | |
(817) 975-8015 | |
(817) 361-9958 |
Full Name | Mr James Edward Ballenger |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4200 South Fwy Ste 2325, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730202466 | NPI | - | NPPES |
1594087-01 | Medicaid | TX | |
159408703 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23853 (Texas) | Primary |
171M00000X | Case Manager/care Coordinator | 23853 (Texas) | Secondary |
Entity Name | Deer Oaks Geriatric Services P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
Mailing Address | Practice Location Address |
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Mr James Edward Ballenger, LCSW Po Box 331581, Fort Worth, TX 76163-1581 Ph: (817) 975-8015 | Mr James Edward Ballenger, LCSW 4200 South Fwy Ste 2325, Fort Worth, TX 76115-1400 Ph: (817) 975-8015 |
Scharlyn R Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Catherine Collier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Tremont Ave, Fort Worth, TX 76107 Phone: 817-732-4035 | |
Miss Bethany Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4686 Bristol Trace Trl, Fort Worth, TX 76244 Phone: 817-705-1586 | |
Catherine Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6778 Camp Bowie Blvd Ste 229, Fort Worth, TX 76116 Phone: 682-703-1311 | |
Yolanda Wilson Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4300 | |
Tela Hedberg Thornton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3200 Sanguinet St, Fort Worth, TX 76107 Phone: 817-255-2652 Fax: 817-255-2657 | |
Ms. Mara Lynn Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6421 Camp Bowie Blvd, Suite 417, Fort Worth, TX 76116 Phone: 817-919-6957 Fax: 817-919-9287 |