| Connie Ball Md Llc | |
|
84 N Main St Springboro OH 45066 | |
| (937) 748-5346 | |
| (937) 748-5369 |
| Full Name | Connie Ball Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 84 N Main St, Springboro, Ohio |
| Authorized Official Name and Position | Connie Sue Ball (PHYSICIAN OWNER) |
| Authorized Official Contact | 9377485346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Ball Md Llc 84 N Main St Springboro OH 45066 Ph: (937) 748-5346 | Connie Ball Md Llc 84 N Main St Springboro OH 45066 Ph: (937) 748-5346 |
| NPI Number | 1679765663 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 7810972510 |
|---|---|
| Medicare Enrollment ID | O20040618000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679765663 | NPI | - | NPPES |
| 363899941026 | Other | CARESOURCE | |
| 3996090680 | Other | WORKERS COMPENSATION | |
| 399609068003 | Other | MEDICAL MUTUAL | |
| 0112593 | Other | UNITED HEALTH CARE | |
| 5668002 | Other | AETNA | |
| DE3333 | Other | RR MCR | |
| 000000338258 | Other | ANTHEM | |
| P00286099 | Other | RR MCR | |
| D67559 | Other | HUMANA | |
| 0168894 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35067559 (Ohio) | Primary |
| Provider Name | Connie S Ball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528176393 PECOS PAC ID: 2668457367 Enrollment ID: I20040621000242 |
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