Dr Len Douglas Balke, MD | |
143 N Mccormick St Ste 103, Prescott, AZ 86301-2725 | |
(928) 235-6346 | |
Not Available |
Full Name | Dr Len Douglas Balke |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 143 N Mccormick St Ste 103, Prescott, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992787527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 46880 (Arizona) | Primary |
Entity Name | L Douglas Balke Md Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093449761 PECOS PAC ID: 6507247616 Enrollment ID: O20220721000266 |
Mailing Address | Practice Location Address |
---|---|
Dr Len Douglas Balke, MD 143 N Mccormick St Ste 103, Prescott, AZ 86301-2725 Ph: (928) 235-6346 | Dr Len Douglas Balke, MD 143 N Mccormick St Ste 103, Prescott, AZ 86301-2725 Ph: (928) 235-6346 |
Dr. Paul M Malczak, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1001 Willow Creek Rd Ste 3300, Prescott, AZ 86301 Phone: 928-778-0827 Fax: 928-778-5622 | |
Jeffrey Freeman Penney, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 141 South Mccormick, Suite 200, Prescott, AZ 86303 Phone: 928-445-8400 Fax: 928-776-0208 | |
Edward Gogek, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315g S. Cortez St, Prescott, AZ 86303 Phone: 928-443-0032 | |
Paul B Tilyou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3112 Clearwater Dr, Suite B, Prescott, AZ 86205 Phone: 928-541-9885 Fax: 928-776-8484 | |
Dr. James Frederick Cahill Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1050 Gail Gardner Way, Ste 300, Prescott, AZ 86305 Phone: 928-717-5240 Fax: 928-717-5238 | |
Dr. Katherine J Cheeves, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 141 S Mccormick St Ste 200, Prescott, AZ 86303 Phone: 928-445-8400 Fax: 928-776-0208 | |
Laura Ann Pieri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211 |