Jennifer Balliet, is a
Licensed Practical Nurse based in Ephrata, Pennsylvania. Jennifer Balliet is licensed to practice in Pennsylvania (license number PN304535) and her current practice location is
11 S State St, Ephrata, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 761-4500.
NPI number for Jennifer Balliet is 1881350411 and her current mailing address is 67 Mill Rd, Myerstown, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881350411.
Provider's Profile
Full Name | Jennifer Balliet |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 11 S State St, Ephrata, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881350411
- Provider Enumeration Date: 11/09/2021
- Last Update Date: 09/15/2022
Medical Identifiers
Medical identifiers for Jennifer Balliet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881350411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN304535 (Pennsylvania) | Primary |
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. Jennifer Balliet is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Balliet, 67 Mill Rd, Myerstown, PA 17067-1937 Ph: () - | Jennifer Balliet, 11 S State St, Ephrata, PA 17522-2410 Ph: (717) 761-4500 |
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