Shannon Elizabeth Balue, LMT is a medicare enrolled "Speech-language Pathologist" provider in Albuquerque, New Mexico. She went to University Of New Mexico School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
5924 Anaheim Ave Ne Ste B, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 881-4618.
Shannon Elizabeth Balue is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1841636297.
Healthcare Provider's Profile
| Full Name | Shannon Elizabeth Balue |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 6 Years |
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| Location | 5924 Anaheim Ave Ne Ste B, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Elizabeth Balue attended and graduated from University Of New Mexico School Of Medicine in 2020
NPI Data:
- NPI Number: 1841636297
- Provider Enumeration Date: 05/13/2013
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385162114
- Enrollment ID: I20250515002479
Medical Identifiers
Medical identifiers for Shannon Elizabeth Balue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841636297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | 19720 (Oregon) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Shannon Elizabeth Balue allows following entities to bill medicare on her behalf.
| Provider Name | Autism Specialists Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104066463
PECOS PAC ID: 3870011653
Enrollment ID: O20250515001391 |
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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. Shannon Elizabeth Balue 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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Shannon Elizabeth Balue, LMT
628 Ne Roselawn St,
Portland, OR 97211-3830
Ph: (323) 371-4829 | Shannon Elizabeth Balue, LMT
5924 Anaheim Ave Ne Ste B,
Albuquerque, NM 87113-1879
Ph: (505) 881-4618 |
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