Dr Daryl Duane Ballard, DDS in Connell, WA

Dr Daryl Duane Ballard, DDS is a medicare enrolled "Dentist" provider in Connell, Washington. His current practice location is 1051 Columbia Ave, Connell, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 488-5256.

Dr Daryl Duane Ballard is licensed to practice in Washington (license number 60196099) 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 1932212727.

Contact Information

	Dr Daryl Duane Ballard, DDS
	1051 Columbia Ave, Connell, WA 99326-8702
	(509) 488-5256
	(509) 488-9939

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daryl Duane Ballard
Gender	Male
Speciality	Dentist
Location	1051 Columbia Ave, Connell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932212727
Provider Enumeration Date: 08/16/2006
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 7113238551
Enrollment ID: I20150625001668

Medical Identifiers

Medical identifiers for Dr Daryl Duane Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932212727	NPI	-	NPPES
2095670	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	60196099 (Washington)	Primary

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. Dr Daryl Duane Ballard 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
Dr Daryl Duane Ballard, DDS 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256	Dr Daryl Duane Ballard, DDS 1051 Columbia Ave, Connell, WA 99326-8702 Ph: (509) 488-5256

Reviews and Comments

Dentist in Connell, WA

Carol Stockhausen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5800
Ahmed Bashir Raddad, Dentist Medicare: Medicare Enrolled Practice Location: 1051 Columbia Ave, Connell, WA 99326 Phone: 509-488-5256 Fax: 509-488-9939
Dr. Cassidy Ryan Blount, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5800
Timothy Michael Hall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N Ephrata Ave, Connell, WA 99326 Phone: 509-543-5978

Dr Daryl Duane Ballard, DDS - Medicare Dentist in Connell, WA