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

Mr Samuel Edward Balla, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Delaware, Ohio. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sondermind Provider Network Llc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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	Clinical Social Worker
Experience	16 Years
Location	88 N. Sandusky St, Delaware, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Samuel Edward Balla graduated from medical school in 2008

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	501

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

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: Medicare Enrolled 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
Amanda Price, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 824 Bowtown Rd, Delaware, OH 43015 Phone: 740-369-7688 Fax: 740-363-6415
Mr. Jason Allen Counts, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 S Henry St, Delaware, OH 43015 Phone: 740-369-4482
Ruth Emerson, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 W Central Ave, Delaware, OH 43015 Phone: 740-990-8270

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