Alec Ballesteros, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Grand Rapids, Michigan. His current practice location is
300 68th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 456-0857.
Alec Ballesteros is licensed to practice in Michigan (license number 5151015439) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104217413.
Healthcare Provider's Profile
Full Name | Alec Ballesteros |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 300 68th St Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104217413
- Provider Enumeration Date: 02/09/2015
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507246436
- Enrollment ID: I20220708001960
Medical Identifiers
Medical identifiers for Alec Ballesteros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104217413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 5151015439 (Michigan) | Primary |
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. Alec Ballesteros 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 |
Alec Ballesteros, DO 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 456-0857 | Alec Ballesteros, DO 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 456-0857 |
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