Dr Samuel James Ballentine, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Wethersfield, Connecticut. He went to New York University School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Washington University and his current practice location is
1290 Silas Deane Hwy Ste 101, Wethersfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 859-9061.
Dr Samuel James Ballentine is licensed to practice in Missouri (license number 2019024601) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881038735.
Physician's Profile
| Full Name | Dr Samuel James Ballentine |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 13 Years |
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| Location | 1290 Silas Deane Hwy Ste 101, Wethersfield, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel James Ballentine attended and graduated from New York University School Of Medicine in 2013
NPI Data:
- NPI Number: 1881038735
- Provider Enumeration Date: 04/22/2013
- Last Update Date: 12/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426392044
- Enrollment ID: I20190829003428
Medical Identifiers
Medical identifiers for Dr Samuel James Ballentine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881038735 | NPI | - | NPPES |
| 200071078 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2019024601 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Washington University | 9830008770 | 2782 |
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 Samuel James Ballentine allows following entities to bill medicare on his behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316987746
PECOS PAC ID: 9830008770
Enrollment ID: O20040406001038 |
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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. Dr Samuel James Ballentine 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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Dr Samuel James Ballentine, MD
Po Box 7412011,
Chicago, IL 60674-2011
Ph: (314) 362-5641 | Dr Samuel James Ballentine, MD
1290 Silas Deane Hwy Ste 101,
Wethersfield, CT 06109-4337
Ph: (860) 859-9061 |
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