Dr David Adrian Ballack, DO | |
400 Health Park Blvd, St Augustine, FL 32086-5784 | |
(904) 819-5155 | |
Not Available |
Full Name | Dr David Adrian Ballack |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 400 Health Park Blvd, St Augustine, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386134419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 17707 (Florida) | Primary |
Entity Name | Florida Health Care Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
Entity Name | Hni Medical Services Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
Entity Name | Sgmp Southland, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20231024001078 |
Mailing Address | Practice Location Address |
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Dr David Adrian Ballack, DO Po Box 100183, Gainesville, FL 32610-0183 Ph: (352) 392-0104 | Dr David Adrian Ballack, DO 400 Health Park Blvd, St Augustine, FL 32086-5784 Ph: (904) 819-5155 |
Dr. James Gregory Dent, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4565 Fax: 904-819-4999 | |
Dr. Robert W Olds Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Health Park Blvd Ste 326, St Augustine, FL 32086 Phone: 904-819-5155 | |
Dr. Manuel B Meza, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086 Phone: 904-209-6059 Fax: 904-209-6002 | |
Gerard Michael Gerling, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd, Suite 4002, St Augustine, FL 32086 Phone: 904-825-1114 Fax: 904-829-1546 | |
Jueyang Wei, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 208 Southpark Cir E, St Augustine, FL 32086 Phone: 904-824-2201 Fax: 904-824-2353 | |
Eneida Gomez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1750 Tree Blvd, Ste 5, St Augustine, FL 32084 Phone: 904-342-0672 Fax: 904-342-0673 |