Jennifer P Balasko, MD | |
550 S Landmark Ave, Bloomington, IN 47403-3239 | |
(812) 330-3689 | |
(812) 355-3290 |
Full Name | Jennifer P Balasko |
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Gender | Female |
Speciality | Family Medicine |
Location | 550 S Landmark Ave, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821625070 | NPI | - | NPPES |
300039270 | Medicaid | IN | |
090540883 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01088877A (Indiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 11021080A (Indiana) | Secondary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
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Jennifer P Balasko, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Jennifer P Balasko, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 330-3689 |
Mahesh Kumar Sreedasyam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-353-3060 Fax: 812-353-3070 | |
Thomas W. Sharp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 S Landmark Ave, Bloomington, IN 47403 Phone: 812-333-3300 Fax: 812-331-3311 | |
Dr. Howis Yvette Aros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Winford Robert Erwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Curry Pike, Bloomington, IN 47404 Phone: 812-339-9980 Fax: 812-349-4007 | |
Diana Ebling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-4055 Fax: 812-855-4628 | |
Heather A Dickerson, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5921 W State Road 46, Bloomington, IN 47404 Phone: 812-835-8866 | |
Cathy Ann Snyder, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-0619 |