Dr Douglas A Ballan, MD is a
Family Medicine physician based in Fanwood, New Jersey. Dr Douglas A Ballan is licensed to practice in New Jersey (license number MA57331) and his current practice location is 45 Elm Ave, This Is Doctor's Home; There Is No Office., Fanwood, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 279-3477.
NPI number for Dr Douglas A Ballan is 1508893199 and his current mailing address is Po Box 122, Scotch Plains, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508893199.
Physician's Profile
| Full Name | Dr Douglas A Ballan |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 45 Elm Ave, Fanwood, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508893199
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 09/06/2011
Medical Identifiers
Medical identifiers for Dr Douglas A Ballan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508893199 | NPI | - | NPPES |
| 733566 | Other | | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MA57331 (New Jersey) | 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. Dr Douglas A Ballan 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 |
|---|
Dr Douglas A Ballan, MD
Po Box 122,
Scotch Plains, NJ 07076-0122
Ph: (908) 279-3477 | Dr Douglas A Ballan, MD
45 Elm Ave, This Is Doctor's Home; There Is No Office.,
Fanwood, NJ 07023-1203
Ph: (908) 279-3477 |
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