Mr Keith E Ballinger, PA C is a medicare enrolled "Urology" in Mattoon, Illinois. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is
1000 Health Center Dr Ste 305, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 258-4186.
Mr Keith E Ballinger is licensed to practice in Illinois (license number 085001872) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114934759.
Provider's Profile
| Full Name | Mr Keith E Ballinger |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 1000 Health Center Dr Ste 305, Mattoon, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Keith E Ballinger graduated from nursing school in 2002
NPI Data:
- NPI Number: 1114934759
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931197910
- Enrollment ID: I20040506000542
Medical Identifiers
Medical identifiers for Mr Keith E Ballinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114934759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 085001872 (Illinois) | Secondary |
| 208800000X | Urology | 085001872 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sarah Bush Lincoln Health Center | 5092614867 | 327 |
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. Mr Keith E Ballinger 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 |
|---|
Mr Keith E Ballinger, PA C
Po Box 372,
Mattoon, IL 61938-0372
Ph: () - | Mr Keith E Ballinger, PA C
1000 Health Center Dr Ste 305,
Mattoon, IL 61938-4644
Ph: (217) 258-4186 |
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