Michelle Lynn Ballard, is a medicare enrolled "Social Worker - Clinical" provider in Ontario, California. Her current practice location is
3200 E Guasti Rd Ste 100, Ontario, California. You can reach out to her office (for appointments etc.) via phone at
(909) 248-4412.
Michelle Lynn Ballard is licensed to practice in California (license number 75676) 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 1982900783.
Healthcare Provider's Profile
Full Name | Michelle Lynn Ballard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3200 E Guasti Rd Ste 100, Ontario, California |
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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: 1982900783
- Provider Enumeration Date: 01/27/2011
- Last Update Date: 08/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688095318
- Enrollment ID: I20200604000210
Medical Identifiers
Medical identifiers for Michelle Lynn Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982900783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 75676 (California) | 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. Michelle Lynn Ballard 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 |
Michelle Lynn Ballard, 7353 Ellena W, Unit 82, Rancho Cucamonga, CA 91730-8367 Ph: (760) 946-8200 | Michelle Lynn Ballard, 3200 E Guasti Rd Ste 100, Ontario, CA 91761-8661 Ph: (909) 248-4412 |
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