Shelley Balls, MDA, RDN, LDN is a
Dietitian, Registered based in Smoot, Wyoming. Shelley Balls is licensed to practice in Wyoming (license number 222) and her current practice location is
206 Cottonwood Drive, Smoot, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 799-4048.
NPI number for Shelley Balls is 1518749514 and her current mailing address is Po Box 141, Smoot, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518749514.
Healthcare Provider's Profile
| Full Name | Shelley Balls |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 206 Cottonwood Drive, Smoot, Wyoming |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518749514
- Provider Enumeration Date: 10/16/2023
- Last Update Date: 10/16/2023
Medical Identifiers
Medical identifiers for Shelley Balls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518749514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 222 (Wyoming) | 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. Shelley Balls is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shelley Balls, MDA, RDN, LDN Po Box 141, Smoot, WY 83126-0141 Ph: (307) 799-4048 | Shelley Balls, MDA, RDN, LDN 206 Cottonwood Drive, Smoot, WY 83126 Ph: (307) 799-4048 |
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