Cynthia Ann Ballenger, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Smithfield, North Carolina. Her current practice location is
514 N Brightleaf Blvd Ste 1200, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 209-3555.
Cynthia Ann Ballenger is licensed to practice in North Carolina (license number 96-01555) 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 1811095771.
Physician's Profile
| Full Name | Cynthia Ann Ballenger |
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| Gender | Female |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 514 N Brightleaf Blvd Ste 1200, Smithfield, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811095771
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 03/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820996713
- Enrollment ID: I20031230000355
Medical Identifiers
Medical identifiers for Cynthia Ann Ballenger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811095771 | NPI | - | NPPES |
| 205504 | Other | NC | MEDCOST |
| P00612671 | Other | NC | RAILROAD MEDICARE |
| 8912773 | Medicaid | NC | |
| 8373963 | Other | NC | CIGNA |
| 12773 | Other | NC | BCBS |
| 7331362 | Other | NC | AETNA |
| P01619309 | Other | NC | RR MEDICARE |
| 1811095771 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | 0101 230080 (Virginia) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 051907 (Georgia) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 96-01555 (North Carolina) | 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. Cynthia Ann Ballenger allows following entities to bill medicare on her behalf.
| Entity Name | Watauga Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528134194
PECOS PAC ID: 2668377474
Enrollment ID: O20040210000805 |
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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. Cynthia Ann Ballenger 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 |
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Cynthia Ann Ballenger, MD
2234 Colonial Blvd, Attn: Payer Contracting & Relations,
Fort Myers, FL 33907-1412
Ph: (239) 931-7342 | Cynthia Ann Ballenger, MD
514 N Brightleaf Blvd Ste 1200,
Smithfield, NC 27577-4486
Ph: (919) 209-3555 |
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