Victor A Balta, MD | |
4000 N Highway A1a Ph 2, Fort Pierce, FL 34949-8530 | |
(772) 359-9529 | |
Not Available |
Full Name | Victor A Balta |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4000 N Highway A1a Ph 2, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851350029 | NPI | - | NPPES |
265998100 | Medicaid | FL | |
62795 | Other | FL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME 83027 (Florida) | Primary |
207R00000X | Internal Medicine | ME83027 (Florida) | Secondary |
Entity Name | Mccd Psychiatry Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20220323001066 |
Entity Name | Mccd Fl Psychiatry Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230104002248 |
Mailing Address | Practice Location Address |
---|---|
Victor A Balta, MD 4000 N Highway A1a Ph 2, Fort Pierce, FL 34949-8530 Ph: (772) 359-9529 | Victor A Balta, MD 4000 N Highway A1a Ph 2, Fort Pierce, FL 34949-8530 Ph: (772) 359-9529 |
Dr. Bih Bikelle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 678-941-6191 | |
Leah N. Evangelista, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 Fax: 772-468-4077 | |
Dr. Richard Charles Callison Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd Ste 201, Fort Pierce, FL 34950 Phone: 772-460-8838 Fax: 772-460-8808 | |
Dr. Alan Ray Tesson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-467-3097 Fax: 772-467-4166 | |
Sureshchandra N. Desai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 | |
Scott Burgess Richards, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 | |
Dr. Kathie Kowalczyk, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 Phone: 772-595-5302 |