Mary Beth Balle, PMHCNS-BC, RN - Medicare Clinical Nurse Specialist in Bloomington, IN

Mary Beth Balle, PMHCNS-BC, RN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Bloomington, Indiana. Her current practice location is 350 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 335-2434.

Mary Beth Balle is licensed to practice in Indiana (license number 71003908A) 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 1841575735.

Contact Information

Mary Beth Balle, PMHCNS-BC, RN
350 S Landmark Ave,
Bloomington, IN 47403-5001
(812) 335-2434
(812) 335-7604

Map and Direction




Provider's Profile

Full NameMary Beth Balle
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent
Location350 S Landmark Ave, Bloomington, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841575735
  • Provider Enumeration Date: 10/11/2011
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123262599
  • Enrollment ID: I20130925000368

Medical Identifiers

Medical identifiers for Mary Beth Balle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841575735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28160285A (Indiana)Secondary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 2010016860 (Indiana)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 71003908A (Indiana)Secondary
364SP0807XClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent 71003908A (Indiana)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. Mary Beth Balle allows following entities to bill medicare on her behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556

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. Mary Beth Balle 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
Mary Beth Balle, PMHCNS-BC, RN
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Mary Beth Balle, PMHCNS-BC, RN
350 S Landmark Ave,
Bloomington, IN 47403-5001

Ph: (812) 335-2434

Reviews and Comments


Clinical Nurse Specialist Nurses in Bloomington, IN

Thelma Lynn Young-bolden, RN, MSN, CS
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Medicare: Accepting Medicare Assignments
Practice Location: 4323 E 3rd St, Bloomington, IN 47401
Phone: 812-334-3342    
Leslie Dawn Bryant, RN
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Practice Location: 3043 N Lintel Dr, Bloomington, IN 47404
Phone: 812-333-7622    
Ursula Sue Mccormick, CNS
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Practice Location: 645 S Rogers St, Bloomington, IN 47403
Phone: 812-339-1691    Fax: 812-337-2438
Vincent William Holly, RN, APRN, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 601 W 2nd St, Bloomington, IN 47403
Phone: 812-353-5593    

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.