Diana M Ball, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. Her current practice location is
9417 Saint Joe Center Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(859) 475-3247.
Diana M Ball is licensed to practice in Kentucky (license number 253974) 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 1083995773.
Healthcare Provider's Profile
Full Name | Diana M Ball |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9417 Saint Joe Center Rd, Fort Wayne, Indiana |
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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: 1083995773
- Provider Enumeration Date: 09/08/2011
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466785019
- Enrollment ID: I20240809000224
Medical Identifiers
Medical identifiers for Diana M Ball such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083995773 | NPI | - | NPPES |
300063943 | Medicaid | IN | |
0000468 | Medicaid | OH | |
1790731081 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6059 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 253974 (Kentucky) | 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. Diana M Ball allows following entities to bill medicare on her behalf.
Entity Name | Steadfast Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538935325 PECOS PAC ID: 0143767012 Enrollment ID: O20240809000141 |
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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. Diana M Ball 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 |
Diana M Ball, LCSW 10515 Hickory Tree Rd, Fort Wayne, IN 46845-1023 Ph: (859) 475-3247 | Diana M Ball, LCSW 9417 Saint Joe Center Rd, Fort Wayne, IN 46835-9259 Ph: (859) 475-3247 |
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