Nicolette Lee Ballou, MD in Beverly Hills, CA

Nicolette Lee Ballou, MD is a medicare enrolled "Pediatrics" physician in Beverly Hills, California. Her current practice location is 8920 Wilshire Blvd, Ste 604, Beverly Hills, California. You can reach out to her office (for appointments etc.) via phone at (310) 659-7867.

Nicolette Lee Ballou is licensed to practice in California (license number G53313) 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 1457420077.

Contact Information

	Nicolette Lee Ballou, MD
	8920 Wilshire Blvd, Ste 604, Beverly Hills, CA 90211
	(310) 659-7867
	(310) 659-0804

Map and Direction

Physician's Profile

Full Name	Nicolette Lee Ballou
Gender	Female
Speciality	Pediatrics
Location	8920 Wilshire Blvd, Beverly Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457420077
Provider Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062814775
Enrollment ID: I20210716001067

Medical Identifiers

Medical identifiers for Nicolette Lee Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457420077	NPI	-	NPPES
00G53313	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G53313 (California)	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. Nicolette Lee Ballou allows following entities to bill medicare on her behalf.

Entity Name	Prime Wellness Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083251532 PECOS PAC ID: 3375944150 Enrollment ID: O20210630002908

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. Nicolette Lee Ballou 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
Nicolette Lee Ballou, MD 8920 Wilshire Blvd, Ste 604, Beverly Hills, CA 90211 Ph: (310) 659-7867	Nicolette Lee Ballou, MD 8920 Wilshire Blvd, Ste 604, Beverly Hills, CA 90211 Ph: (310) 659-7867

Reviews and Comments

Pediatrics Doctors in Beverly Hills, CA

Dr. Jeffrey P Brown, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 N Robertson Blvd, Beverly Hills, CA 90211 Phone: 310-385-3345 Fax: 310-248-7050
Dr. Anita Sabeti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9735 Wilshire Blvd, Suite 123, Beverly Hills, CA 90212 Phone: 310-248-2829
Dr. Samuel Sungwon Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211 Phone: 310-659-8687 Fax: 310-659-2420
Carolyn Lee Kipper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 609 N Arden Dr, Beverly Hills, CA 90210 Phone: 310-278-4004 Fax: 310-278-6798
Reut Ron Pagi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8500 Wilshire Blvd Ste 917, Beverly Hills, CA 90211 Phone: 310-789-2058
Dr. Vicki Y Shimoyama, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8501 Wilshire Blvd, #205, Beverly Hills, CA 90211 Phone: 310-385-3345 Fax: 310-248-7010
Dr. Henry R Shinefield, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1858 N Beverly Dr, Beverly Hills, CA 90210 Phone: 415-519-8613

Nicolette Lee Ballou, MD - Medicare Pediatrics in Beverly Hills, CA