Mr Samuel Edward Balla, LISW-S in Delaware, OH - Medicare Social Worker Provider

Mr Samuel Edward Balla, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Delaware, Ohio. His current practice location is 88 N. Sandusky St, Delaware, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 203-3800.

Mr Samuel Edward Balla is licensed to practice in Ohio (license number I1500113SUPV) 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 1851744403.

Contact Information

	Mr Samuel Edward Balla, LISW-S
	88 N. Sandusky St, Delaware, OH 43015
	(740) 203-3800
	(740) 203-3799

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Samuel Edward Balla
Gender	Male
Speciality	Social Worker - Clinical
Location	88 N. Sandusky St, Delaware, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851744403
Provider Enumeration Date: 07/19/2016
Last Update Date: 07/19/2016

Medicare PECOS Information:

PECOS PAC ID: 2365719424
Enrollment ID: I20170522002274

Medical Identifiers

Medical identifiers for Mr Samuel Edward Balla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851744403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I1500113SUPV (Ohio)	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. Mr Samuel Edward Balla allows following entities to bill medicare on his behalf.

Entity Name	Wellqor Psychological Services Of California, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093173742 PECOS PAC ID: 6103122171 Enrollment ID: O20170324000526

Entity Name	Wellqor Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063920841 PECOS PAC ID: 1658633292 Enrollment ID: O20180329001808

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

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. Mr Samuel Edward Balla 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
Mr Samuel Edward Balla, LISW-S 1791 Alum Creek Dr, Columbus, OH 43207-1708 Ph: (614) 445-8131	Mr Samuel Edward Balla, LISW-S 88 N. Sandusky St, Delaware, OH 43015 Ph: (740) 203-3800

Reviews and Comments

Social Worker in Delaware, OH

Amber Hellwig, MSW LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Maple Vista Dr, Delaware, OH 43015 Phone: 801-319-3384
Kellie Jean Dawson, L.I.S.W-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 163 N Sandusky St Ste 104, Delaware, OH 43015 Phone: 614-946-7571 Fax: 740-879-2826
Mr. Gregg Alan Stephens, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 244 Paddock Ct, Delaware, OH 43015 Phone: 567-674-1886 Fax: 740-362-5073
Mary Valerie Wolff, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 W Winter St Ste 208, Delaware, OH 43015 Phone: 740-369-4008
Shelley Davis, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Henry St, Delaware, OH 43015 Phone: 740-369-4482 Fax: 740-369-4908
Cassandra Lucy, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 422 York Ave, Delaware, OH 43015 Phone: 740-803-0324
Mr. Jason Allen Counts, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 250 S Henry St, Delaware, OH 43015 Phone: 740-369-4482

Mr Samuel Edward Balla, LISW-S - Medicare Clinical Social Worker in Delaware, OH