Lee Adam Balaklaw, MD is a
Anesthesiology physician based in Louisa, Kentucky. Lee Adam Balaklaw is licensed to practice in Kentucky (license number 29892) and his current practice location is 1057 Meadowbrook Ln, Louisa, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 638-4300.
NPI number for Lee Adam Balaklaw is 1396739736 and his current mailing address is 1057 Meadowbrook Ln, Louisa, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396739736.
Physician's Profile
| Full Name | Lee Adam Balaklaw |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 1057 Meadowbrook Ln, Louisa, Kentucky |
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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: 1396739736
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 03/13/2013
Medical Identifiers
Medical identifiers for Lee Adam Balaklaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396739736 | NPI | - | NPPES |
| 0060588000 | Medicaid | WV | |
| 3257452 | Other | | CIGNA |
| 64298920 | Medicaid | KY | |
| 1019052 | Medicaid | VT | |
| 000000050355 | Other | | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 29892 (Kentucky) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 042-0008748 (Vermont) | Secondary |
| 207L00000X | Anesthesiology | 29892 (Kentucky) | 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. Lee Adam Balaklaw 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 |
|---|
Lee Adam Balaklaw, MD
1057 Meadowbrook Ln,
Louisa, KY 41230-9658
Ph: (606) 638-4300 | Lee Adam Balaklaw, MD
1057 Meadowbrook Ln,
Louisa, KY 41230-9658
Ph: (606) 638-4300 |
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