Samuel Quinn Ballard, DO - Medicare Internal Medicine in Two Rivers, WI

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Samuel Quinn Ballard, DO is a medicare enrolled "Internal Medicine" physician in Two Rivers, Wisconsin. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Froedtert Manitowoc Medical Group, Llc and his current practice location is 800 Lakefront Way, Two Rivers, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 320-2436.

Samuel Quinn Ballard is licensed to practice in Wisconsin (license number 81102-21) 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 1578191763.

Contact Information

Samuel Quinn Ballard, DO
800 Lakefront Way,
Two Rivers, WI 54241-3301
(920) 320-2436
Not Available

Map and Direction




Physician's Profile

Full NameSamuel Quinn Ballard
GenderMale
SpecialityInternal Medicine
Experience5 Years
Location800 Lakefront Way, Two Rivers, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Quinn Ballard graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1578191763
  • Provider Enumeration Date: 04/01/2020
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709249196
  • Enrollment ID: I20230901001054

Medical Identifiers

Medical identifiers for Samuel Quinn Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578191763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 81102-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Family Memorial Home CareManitowoc, WIHome health agency
Homecare Health ServicesManitowoc, WIHome health agency
Aurora At HomeGreen bay, WIHome health agency
Sharon S Richardson Community HospiceSheboygan falls, WIHospice
Homecare Health Services HospiceManitowoc, WIHospice
Holy Family MemorialManitowoc, WIHospital
St Marys Home For The AgedManitowoc, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Manitowoc Medical Group, Llc2365836954137

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. Samuel Quinn Ballard allows following entities to bill medicare on his behalf.
Entity NameFroedtert Manitowoc Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282

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. Samuel Quinn Ballard 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
Samuel Quinn Ballard, DO
800 Lakefront Way,
Two Rivers, WI 54241-3301

Ph: (906) 241-7131		Samuel Quinn Ballard, DO
800 Lakefront Way,
Two Rivers, WI 54241-3301

Ph: (920) 320-2436

Reviews and Comments


Internal Medicine Doctors in Two Rivers, WI

Dr. Cedric V Thayer, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2219 Garfield St, Two Rivers, WI 54241
Phone: 920-793-2281    Fax: 920-794-7553
Dr. Tresa A Teehan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241
Phone: 920-793-7400    
Brian P Laliberte, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2219 Garfield St, Two Rivers, WI 54241
Phone: 920-793-2281    
Andrew W Yetter, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241
Phone: 920-793-7300    
Dr. Dale Edwin Asche, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 900 17th St, Two Rivers, WI 54241
Phone: 920-242-7202    
Dr. Rajesh Sharma, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241
Phone: 920-793-7548    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.