Samuel Quinn Ballard, DO in Two Rivers, WI - Medicare Internal Medicine

Samuel Quinn Ballard, DO is a medicare enrolled "Internal Medicine" physician in Two Rivers, Wisconsin. His current practice location is 800 Lakefront Way, Two Rivers, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 320-2436.

Samuel Quinn Ballard is licensed to practice in Wisconsin (license number 81102-21) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578191763.

Contact Information

	Samuel Quinn Ballard, DO
	800 Lakefront Way, Two Rivers, WI 54241-3301
	(920) 320-2436
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Quinn Ballard
Gender	Male
Speciality	Internal Medicine
Location	800 Lakefront Way, Two Rivers, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578191763
Provider Enumeration Date: 04/01/2020
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6709249196
Enrollment ID: I20230901001054

Medical Identifiers

Medical identifiers for Samuel Quinn Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578191763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	81102-21 (Wisconsin)	Primary

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. Samuel Quinn Ballard allows following entities to bill medicare on his behalf.

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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. Samuel Quinn Ballard 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
Samuel Quinn Ballard, DO 800 Lakefront Way, Two Rivers, WI 54241-3301 Ph: (906) 241-7131	Samuel Quinn Ballard, DO 800 Lakefront Way, Two Rivers, WI 54241-3301 Ph: (920) 320-2436

Reviews and Comments

Internal Medicine Doctors in Two Rivers, WI

Dr. Cedric V Thayer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-794-7553
Brian P Laliberte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281
Andrew W Yetter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300
Dr. Dale Edwin Asche, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Two Rivers, WI 54241 Phone: 920-242-7202
Dr. Barbara J Gonzales, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000
Ganna V Oosting, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000

Samuel Quinn Ballard, DO - Medicare Internal Medicine in Two Rivers, WI