Ralph E Ballentine, MD is a
Psychiatry & Neurology - Psychiatry physician based in Fern Park, Florida. Ralph E Ballentine is licensed to practice in Florida (license number ME17742) and his current practice location is 237 Fernwood Blvd, Fern Park, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 831-2411.
NPI number for Ralph E Ballentine is 1124154943 and his current mailing address is 1840 Lake Emma Rd, Longwood, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124154943.
Physician's Profile
| Full Name | Ralph E Ballentine |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
|---|
| Location | 237 Fernwood Blvd, Fern Park, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124154943
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 04/07/2011
Medical Identifiers
Medical identifiers for Ralph E Ballentine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124154943 | NPI | - | NPPES |
| 280555300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME17742 (Florida) | 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. Ralph E Ballentine 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 |
|---|
Ralph E Ballentine, MD
1840 Lake Emma Rd,
Longwood, FL 32750-7137
Ph: (321) 695-0157 | Ralph E Ballentine, MD
237 Fernwood Blvd,
Fern Park, FL 32730-2116
Ph: (407) 831-2411 |
Reviews and Comments