Elizabeth Dakelman Balog, OTR/L is a
Occupational Therapist based in Germantown, Maryland. Elizabeth Dakelman Balog is licensed to practice in Maryland (license number 03037) and her current practice location is
11690 Neelsville Church Rd, Germantown, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 353-0972.
NPI number for Elizabeth Dakelman Balog is 1750859062 and her current mailing address is 11690 Neelsville Church Rd, Germantown, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750859062.
Healthcare Provider's Profile
Full Name | Elizabeth Dakelman Balog |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 11690 Neelsville Church Rd, Germantown, Maryland |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750859062
- Provider Enumeration Date: 11/05/2018
- Last Update Date: 11/05/2018
Medical Identifiers
Medical identifiers for Elizabeth Dakelman Balog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750859062 | NPI | - | NPPES |
03037 | Other | MD | MD STATE BOARD OF OCCUPATIONAL THERY PRACTITIONERS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 0062 (Maryland) | Secondary |
225X00000X | Occupational Therapist | 03037 (Maryland) | 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. Elizabeth Dakelman Balog is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Dakelman Balog, OTR/L 11690 Neelsville Church Rd, Germantown, MD 20876-4127 Ph: (301) 353-0972 | Elizabeth Dakelman Balog, OTR/L 11690 Neelsville Church Rd, Germantown, MD 20876-4127 Ph: (301) 353-0972 |
Reviews and Comments