Dr Kenneth H Ballentine, OD in San Jose, CA - Medicare Optometrist Provider

Dr Kenneth H Ballentine, OD is a medicare enrolled "Optometrist" provider in San Jose, California. His current practice location is 5275 Prospect Rd, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 255-0576.

Dr Kenneth H Ballentine is licensed to practice in California (license number 6863T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548230071.

Contact Information

	Dr Kenneth H Ballentine, OD
	5275 Prospect Rd, San Jose, CA 95129-5031
	(408) 255-0576
	(408) 255-0577

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth H Ballentine
Gender	Male
Speciality	Optometrist
Location	5275 Prospect Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548230071
Provider Enumeration Date: 01/26/2006
Last Update Date: 02/03/2010

Medicare PECOS Information:

PECOS PAC ID: 7416130026
Enrollment ID: I20120130000723

Medical Identifiers

Medical identifiers for Dr Kenneth H Ballentine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548230071	NPI	-	NPPES
94-2710370	Other	CA	FEDERAL TAXPAYER ID
SD0068630	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	6863T (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth H Ballentine allows following entities to bill medicare on his behalf.

Provider Name	Kenneth H. Ballentine Od Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649448507 PECOS PAC ID: 1557544160 Enrollment ID: O20120130000576

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. Dr Kenneth H Ballentine 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
Dr Kenneth H Ballentine, OD 5275 Prospect Rd, San Jose, CA 95129-5031 Ph: (408) 255-0576	Dr Kenneth H Ballentine, OD 5275 Prospect Rd, San Jose, CA 95129-5031 Ph: (408) 255-0576

Reviews and Comments

Optometrist in San Jose, CA

Cyndi C Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1558 S Bascom Ave, San Jose, CA 95125 Phone: 408-371-5180
Christopher Ngo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1080 S White Rd, A, San Jose, CA 95127 Phone: 408-272-3002
Kari Tran, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2380 Montpelier Dr, Ste 300, San Jose, CA 95116 Phone: 408-272-3706 Fax: 408-254-4094
Shinmori Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 214 Jackson St, San Jose, CA 95112 Phone: 408-293-3730 Fax: 408-293-2131
Dr. Duc Minh Bui, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4095 Evergreen Village Sq Ste 110, San Jose, CA 95135 Phone: 408-532-1308
Ms. Cecilia K Imamura, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 55 E Julian St, San Jose, CA 95112 Phone: 408-918-2618 Fax: 408-795-1129
Shirley Quicho, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 590 Blossom Hill Rd, San Jose, CA 95123 Phone: 408-227-2020 Fax: 206-338-0411

Dr Kenneth H Ballentine, OD - Medicare Optometrist in San Jose, CA