Dr Lutissua D Ballard, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Green Valley, Arizona. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
210 W Continental Rd Ste 229, Green Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 329-1579.
Dr Lutissua D Ballard is licensed to practice in Arizona (license number 4480) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093135659.
Healthcare Provider's Profile
| Full Name | Dr Lutissua D Ballard |
|---|
| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 210 W Continental Rd Ste 229, Green Valley, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lutissua D Ballard graduated from medical school in 2007
NPI Data:
- NPI Number: 1093135659
- Provider Enumeration Date: 04/22/2014
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860770195
- Enrollment ID: I20161020001878
Medical Identifiers
Medical identifiers for Dr Lutissua D Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093135659 | NPI | - | NPPES |
| 914097 | Medicaid | AZ | |
| Z194557 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 4480 (Arizona) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4480 (Arizona) | 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. Dr Lutissua D 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 Address | Practice Location Address |
|---|
Dr Lutissua D Ballard, PSYD
Po Box 204,
Fort Mill, SC 29716-0204
Ph: (520) 329-1579 | Dr Lutissua D Ballard, PSYD
210 W Continental Rd Ste 229,
Green Valley, AZ 85622-3596
Ph: (520) 329-1579 |
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