Robert Balliet, MSW in Mishawaka, IN - Medicare Counselor Provider

Robert Balliet, MSW is a medicare enrolled "Counselor" provider in Mishawaka, Indiana. His current practice location is 1411 Lincolnway W, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 533-1234.

Robert Balliet is licensed to practice in * (Not Available) (license number ) 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 1710550603.

Contact Information

	Robert Balliet, MSW
	1411 Lincolnway W, Mishawaka, IN 46544-1626
	(574) 533-1234
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Balliet
Gender	Male
Speciality	Counselor
Location	1411 Lincolnway W, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710550603
Provider Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 9638529274
Enrollment ID: I20231222002103

Medical Identifiers

Medical identifiers for Robert Balliet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710550603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Robert Balliet allows following entities to bill medicare on his behalf.

Entity Name	Oaklawn Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647

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. Robert Balliet 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
Robert Balliet, MSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234	Robert Balliet, MSW 1411 Lincolnway W, Mishawaka, IN 46544-1626 Ph: (574) 533-1234

Reviews and Comments

Counselor in Mishawaka, IN

Krista Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Lincolnway E, Mishawaka, IN 46544 Phone: 574-807-6009
Melissa Boyll, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Sandy Imanse, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-255-5669 Fax: 574-537-2652
Seth Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882
Carolyn Logue, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Dennis A Fehr, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Rozi P Wax, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincoln Way East, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882

Robert Balliet, MSW - Medicare Counselor in Mishawaka, IN