Mr James Joseph Balza, LCSW - Medicare Clinical Social Worker in Green Bay, WI

Mr James Joseph Balza, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Innovative Counseling Inc and his current practice location is 1499 6th St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 497-6161.

Mr James Joseph Balza is licensed to practice in Wisconsin (license number 998-123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720242555.

Contact Information

Mr James Joseph Balza, LCSW
1499 6th St,
Green Bay, WI 54304-2252
(920) 497-6161
(920) 498-0476

Map and Direction




Healthcare Provider's Profile

Full NameMr James Joseph Balza
GenderMale
SpecialityClinical Social Worker
Experience40 Years
Location1499 6th St, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr James Joseph Balza graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1720242555
  • Provider Enumeration Date: 07/10/2008
  • Last Update Date: 02/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658417373
  • Enrollment ID: I20091012000216

Medical Identifiers

Medical identifiers for Mr James Joseph Balza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720242555NPI-NPPES
43739400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 998-123 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Counseling Inc802215474911

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. Mr James Joseph Balza allows following entities to bill medicare on his behalf.
Entity NameInnovative Counseling Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093869588
PECOS PAC ID: 8022154749
Enrollment ID: O20091012000203

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. Mr James Joseph Balza 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 AddressPractice Location Address
Mr James Joseph Balza, LCSW
1160 Kepler Dr,
Green Bay, WI 54311-8321

Ph: (920) 288-5500
Mr James Joseph Balza, LCSW
1499 6th St,
Green Bay, WI 54304-2252

Ph: (920) 497-6161

Reviews and Comments


Social Worker in Green Bay, WI

Holly Sage, MSW, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2851 University Ave, Green Bay, WI 54311
Phone: 920-431-2500    
Jayne E Von Der Linden, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 300 Crooks St, Green Bay, WI 54301
Phone: 920-436-6800    Fax: 920-432-5966
Kavita Carlson, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2680 Vernon Dr, Green Bay, WI 54304
Phone: 920-496-4700    
Joseph David Hoelscher, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 760 Pilgrim Way, Green Bay, WI 54304
Phone: 920-496-4700    Fax: 920-496-4705
Rebecca Marie Barrett, MSW APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 300 Crooks St, Green Bay, WI 54301
Phone: 920-436-6800    Fax: 920-437-3540
Shannon M Anderson,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1499 6th St, Green Bay, WI 54304
Phone: 920-497-6161    Fax: 888-974-5769
Lorelle Berglund,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1499 6th St, Green Bay, WI 54304
Phone: 920-497-6161    Fax: 888-974-5769

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.