Dr Susan Wanda Balke, DO is a medicare enrolled "Family Medicine" physician in Marianna, Arkansas. She went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Webber Medical Complex and her current practice location is
171 Cherry St, Marianna, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 295-6205.
Dr Susan Wanda Balke is licensed to practice in Arkansas (license number N6963) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124013925.
Physician's Profile
| Full Name | Dr Susan Wanda Balke |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 41 Years |
|---|
| Location | 171 Cherry St, Marianna, Arkansas |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Susan Wanda Balke attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1983
NPI Data:
- NPI Number: 1124013925
- Provider Enumeration Date: 09/18/2005
- Last Update Date: 09/07/2007
Medicare PECOS Information:
- PECOS PAC ID: 8628063229
- Enrollment ID: I20040414001672
Medical Identifiers
Medical identifiers for Dr Susan Wanda Balke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124013925 | NPI | - | NPPES |
| 111863003 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | N6963 (Arkansas) | Primary |
Medical Facilities Affiliation
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. Dr Susan Wanda Balke allows following entities to bill medicare on her behalf.
| Entity Name | David Lee Webber D.o. P.a. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205826575
PECOS PAC ID: 5799737821
Enrollment ID: O20050321000886 |
|---|
| Entity Name | Webber Medical Complex |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043202476
PECOS PAC ID: 7517919954
Enrollment ID: O20050413000514 |
|---|
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 Susan Wanda Balke 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 |
|---|
Dr Susan Wanda Balke, DO
171 Cherry St,
Marianna, AR 72360-1938
Ph: (870) 295-6205 | Dr Susan Wanda Balke, DO
171 Cherry St,
Marianna, AR 72360-1938
Ph: (870) 295-6205 |
Reviews and Comments