| Balance Tms, Esketamine, And Psychiatry Pllc | |
|
1517 N Ankeny Blvd Ste E Ankeny IA 50023-4120 | |
| (814) 720-5669 | |
| Not Available |
| Full Name | Balance Tms, Esketamine, And Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1517 N Ankeny Blvd Ste E, Ankeny, Iowa |
| Authorized Official Name and Position | Ahmar Butt (OWNER) |
| Authorized Official Contact | 8147205669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Tms, Esketamine, And Psychiatry Pllc 1517 N Ankeny Blvd Ste E Ankeny IA 50023-4120 Ph: (814) 720-5669 | Balance Tms, Esketamine, And Psychiatry Pllc 1517 N Ankeny Blvd Ste E Ankeny IA 50023-4120 Ph: (814) 720-5669 |
| NPI Number | 1649975681 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 02/01/2025 |
| Certification Date | 02/01/2025 |
| Medicare PECOS PAC ID | 2062878218 |
|---|---|
| Medicare Enrollment ID | O20230515001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649975681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ahmar Mannan Butt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275871485 PECOS PAC ID: 7911135348 Enrollment ID: I20150604002388 |
| Provider Name | Holly E Labertew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517125 PECOS PAC ID: 6103180625 Enrollment ID: I20180510000261 |
| Provider Name | Jennifer R Stromgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013525054 PECOS PAC ID: 0941614358 Enrollment ID: I20210126002660 |
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