Amanda L Ballard, SAC-IT, OT is a
Counselor - Addiction (substance Use Disorder) based in Janesville, Wisconsin. Amanda L Ballard is licensed to practice in Wisconsin (license number 18847-130) and her current practice location is
2600 Humes Rd Ste 100, Janesville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 741-2117.
NPI number for Amanda L Ballard is 1851546667 and her current mailing address is 2600 Humes Rd Ste 100, Janesville, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851546667.
Healthcare Provider's Profile
| Full Name | Amanda L Ballard |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 2600 Humes Rd Ste 100, Janesville, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851546667
- Provider Enumeration Date: 11/20/2008
- Last Update Date: 06/15/2020
Medical Identifiers
Medical identifiers for Amanda L Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851546667 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 103657 (Minnesota) | Secondary |
| 225X00000X | Occupational Therapist | 5202-26 (Wisconsin) | Secondary |
| 225X00000X | Occupational Therapist | 056008907 (Illinois) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18847-130 (Wisconsin) | 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. Amanda L Ballard 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 |
|---|
Amanda L Ballard, SAC-IT, OT
2600 Humes Rd Ste 100,
Janesville, WI 53545-0491
Ph: (608) 741-2117 | Amanda L Ballard, SAC-IT, OT
2600 Humes Rd Ste 100,
Janesville, WI 53545
Ph: (608) 741-2117 |
Reviews and Comments