Dr Nicole Ballinger, DO - Medicare Psychiatry & Neurology in Wauwatosa, WI

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Dr Nicole Ballinger, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Wauwatosa, Wisconsin. Her current practice location is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 454-6600.

Dr Nicole Ballinger is licensed to practice in Wisconsin (license number 52794-021) 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 1104914951.

Contact Information

Dr Nicole Ballinger, DO
1220 Dewey Ave,
Wauwatosa, WI 53213
(414) 454-6600
(414) 454-6766

Map and Direction




Physician's Profile

Full NameDr Nicole Ballinger
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location1220 Dewey Ave, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104914951
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 11/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577805795
  • Enrollment ID: I20190508001435

Medical Identifiers

Medical identifiers for Dr Nicole Ballinger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104914951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 52794-021 (Wisconsin)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 52794-021 (Wisconsin)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. Dr Nicole Ballinger allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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 Nicole Ballinger 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 AddressPractice Location Address
Dr Nicole Ballinger, DO
1220 Dewey Ave,
Wauwatosa, WI 53213-2504

Ph: (414) 454-6600		Dr Nicole Ballinger, DO
1220 Dewey Ave,
Wauwatosa, WI 53213

Ph: (414) 454-6600

Reviews and Comments


Psychiatry & Neurology Doctors in Wauwatosa, WI

Bernadette Demuri, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2600 N Mayfair Rd, Suite #305, Wauwatosa, WI 53226
Phone: 414-257-0233    Fax: 414-257-3588
Dr. Upton Thomas, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6754    Fax: 414-454-6789
Dr. Ashok R Bedi, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6610    Fax: 414-454-6644
Dr. Abdul Mateen Khazi, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6574    
Michael Fuller Mcbride, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6610    Fax: 414-454-6644
Dr. Karole Marie Kuslak, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6600    
Alexandra Kushnir, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-773-4312    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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