| Daniel J Balog, MD | |
|
115 Fairchild St Ste 170, Daniel Island, SC 29492-7602 | |
| (803) 339-1563 | |
| Not Available |
| Full Name | Daniel J Balog |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 34 Years |
| Location | 115 Fairchild St Ste 170, Daniel Island, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710036470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9400240 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD37608 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Djb Md Llc | 8325467384 | 7 |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356397228 PECOS PAC ID: 9032021175 Enrollment ID: O20040303000705 |
| Entity Name | Djb Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366941148 PECOS PAC ID: 8325467384 Enrollment ID: O20200924003328 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Balog, MD 115 Fairchild St Ste 170, Daniel Island, SC 29492-7602 Ph: (803) 339-1563 | Daniel J Balog, MD 115 Fairchild St Ste 170, Daniel Island, SC 29492-7602 Ph: (803) 339-1563 |
Dr. Piave Pitisci Lake, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 115 Fairchild St Ste 170, Daniel Island, SC 29492 Phone: 803-339-1563 Fax: 803-746-7902 | |
Dr. Corey Hassell, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 115 Fairchild St Ste 170, Daniel Island, SC 29492 Phone: 803-339-1563 Fax: 803-746-7902 |