Nicholas E Ballweg, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. His current practice location is
815 Forward Dr., Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 268-6530.
Nicholas E Ballweg is licensed to practice in Wisconsin (license number 11205-123) 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 1982221933.
Healthcare Provider's Profile
| Full Name | Nicholas E Ballweg |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 815 Forward Dr., Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982221933
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507258118
- Enrollment ID: I20220111001847
Medical Identifiers
Medical identifiers for Nicholas E Ballweg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982221933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19314-130 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 132396-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11205-123 (Wisconsin) | 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. Nicholas E Ballweg allows following entities to bill medicare on his behalf.
| Entity Name | Anesis Center For Marriage And Family Therapy |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720586761
PECOS PAC ID: 8628491297
Enrollment ID: O20200715001056 |
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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. Nicholas E Ballweg 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 |
|---|
Nicholas E Ballweg, LCSW
815 Forward Dr.,
Madison, WI 53711
Ph: (608) 268-6530 | Nicholas E Ballweg, LCSW
815 Forward Dr.,
Madison, WI 53711
Ph: (608) 268-6530 |
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