Wendy Michelle Ballenger, DO is a
Pediatrics physician based in Olive Branch, Mississippi. Wendy Michelle Ballenger is licensed to practice in Kentucky (license number R2208) and her current practice location is 7148 Kerr Street Place, Suite 110, Olive Branch, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 222-6724.
NPI number for Wendy Michelle Ballenger is 1710111372 and her current mailing address is 7148 Kerr Street Place, Suite 110, Olive Branch, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710111372.
Physician's Profile
Full Name | Wendy Michelle Ballenger |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 7148 Kerr Street Place, Olive Branch, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710111372
- Provider Enumeration Date: 05/12/2009
- Last Update Date: 02/10/2023
Medical Identifiers
Medical identifiers for Wendy Michelle Ballenger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710111372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | R2208 (Kentucky) | Secondary |
207R00000X | Internal Medicine | MS25393 (Mississippi) | Secondary |
208000000X | Pediatrics | MS29353 (Mississippi) | Secondary |
208000000X | Pediatrics | R2208 (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. Wendy Michelle Ballenger 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 |
Wendy Michelle Ballenger, DO 7148 Kerr Street Place, Suite 110, Olive Branch, MS 38654 Ph: (662) 222-6724 | Wendy Michelle Ballenger, DO 7148 Kerr Street Place, Suite 110, Olive Branch, MS 38654-3865 Ph: (662) 222-6724 |
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