Ms Toni Marie Ballas-rowe, LCSW - Medicare Counselor in Lewes, DE

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Ms Toni Marie Ballas-rowe, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lewes, Delaware. She graduated from healthcare school in 1983 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 16529 Coastal Hwy Unit 120, Lewes, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 645-0633.

Ms Toni Marie Ballas-rowe is licensed to practice in Delaware (license number Q10000204) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124027537.

Contact Information

Ms Toni Marie Ballas-rowe, LCSW
16529 Coastal Hwy Unit 120,
Lewes, DE 19958-3697
(302) 645-0633
(302) 226-8681

Map and Direction


Healthcare Provider's Profile

Full NameMs Toni Marie Ballas-rowe
GenderFemale
SpecialityClinical Social Worker
Experience41 Years
Location16529 Coastal Hwy Unit 120, Lewes, Delaware
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Toni Marie Ballas-rowe graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1124027537
  • Provider Enumeration Date: 07/18/2005
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133243223
  • Enrollment ID: I20100826000262

Medical Identifiers

Medical identifiers for Ms Toni Marie Ballas-rowe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124027537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor Q10000204 (Delaware)Secondary
1041C0700XSocial Worker - Clinical Q10000204 (Delaware)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. Ms Toni Marie Ballas-rowe allows following entities to bill medicare on her behalf.
Entity NameToni M Ballas Rowe Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215241856
PECOS PAC ID: 2163546250
Enrollment ID: O20100826000063

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. Ms Toni Marie Ballas-rowe 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
Ms Toni Marie Ballas-rowe, LCSW
Po Box 681,
Lewes, DE 19958-0681

Ph: (302) 645-0633		Ms Toni Marie Ballas-rowe, LCSW
16529 Coastal Hwy Unit 120,
Lewes, DE 19958-3697

Ph: (302) 645-0633

Reviews and Comments


Social Worker in Lewes, DE


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.