Amory Ew Ballantine, LICSW in Olympia, WA - Medicare Social Worker Provider

Amory Ew Ballantine, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Olympia, Washington. Her current practice location is 413 Lilly Rd Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 491-9480.

Amory Ew Ballantine is licensed to practice in Washington (license number LW61652720) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023748407.

Contact Information

	Amory Ew Ballantine, LICSW
	413 Lilly Rd Ne, Olympia, WA 98506-5133
	(360) 491-9480
	(360) 456-2413

Map and Direction

Healthcare Provider's Profile

Full Name	Amory Ew Ballantine
Gender	Female
Speciality	Social Worker - Clinical
Location	413 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023748407
Provider Enumeration Date: 06/16/2022
Last Update Date: 05/28/2025

Medicare PECOS Information:

PECOS PAC ID: 6901316207
Enrollment ID: I20250606000656

Medical Identifiers

Medical identifiers for Amory Ew Ballantine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023748407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61652720 (Washington)	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. Amory Ew Ballantine allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Amory Ew Ballantine 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
Amory Ew Ballantine, LICSW 413 Lilly Rd Ne, Olympia, WA 98506-5166 Ph: (360) 491-9480	Amory Ew Ballantine, LICSW 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 491-9480

Reviews and Comments

Social Worker in Olympia, WA

Lauren Mallory, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3435 Martin Way E Ste H-1, Olympia, WA 98506 Phone: 360-480-5388
Dylan Jennings Shearer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 5th Ave Se, Olympia, WA 98501 Phone: 360-316-6777
Sharon E Boyle-connelly, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000
Ms. Patricia A Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 4th Ave E Ste 200, Olympia, WA 98506 Phone: 360-570-1161 Fax: 360-786-1089
Toni Principe, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2222 State Ave Ne # A, Olympia, WA 98506 Phone: 360-259-7179 Fax: 360-878-8953
Crystal Elizabeth Garcia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4932 Siskiyou Loop Se, Olympia, WA 98501 Phone: 360-790-8602 Fax: 360-925-3037

Amory Ew Ballantine, LICSW - Medicare Clinical Social Worker in Olympia, WA