Balance Tms, Esketamine, And Psychiatry Pllc | |
1517 N Ankeny Blvd Ste E Ankeny IA 50023-4120 | |
(814) 720-5669 | |
Not Available |
Full Name | Balance Tms, Esketamine, And Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1517 N Ankeny Blvd Ste E, Ankeny, Iowa |
Authorized Official Name and Position | Ahmar Butt (OWNER) |
Authorized Official Contact | 8147205669 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Balance Tms, Esketamine, And Psychiatry Pllc 1517 N Ankeny Blvd Ste E Ankeny IA 50023-4120 Ph: (814) 720-5669 | Balance Tms, Esketamine, And Psychiatry Pllc 1517 N Ankeny Blvd Ste E Ankeny IA 50023-4120 Ph: (814) 720-5669 |
NPI Number | 1649975681 |
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Provider Enumeration Date | 03/31/2023 |
Last Update Date | 03/31/2023 |
Certification Date | 03/31/2023 |
Medicare PECOS PAC ID | 2062878218 |
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Medicare Enrollment ID | O20230515001401 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649975681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Ahmar Mannan Butt |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275871485 PECOS PAC ID: 7911135348 Enrollment ID: I20150604002388 |
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