Dr Shannon Marie Balaban, PHD in Phoenix, AZ - Medicare Psychologist Provider

Dr Shannon Marie Balaban, PHD is a medicare enrolled "Psychologist - Clinical" provider in Phoenix, Arizona. Her current practice location is 9327 N 3rd St Ste 200, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 595-5500.

Dr Shannon Marie Balaban is licensed to practice in Arizona (license number PSY-005745) 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 1093425985.

Contact Information

	Dr Shannon Marie Balaban, PHD
	9327 N 3rd St Ste 200, Phoenix, AZ 85020-2473
	(520) 595-5500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shannon Marie Balaban
Gender	Female
Speciality	Psychologist - Clinical
Location	9327 N 3rd St Ste 200, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093425985
Provider Enumeration Date: 12/01/2022
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 3072953520
Enrollment ID: I20240430004345

Medical Identifiers

Medical identifiers for Dr Shannon Marie Balaban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093425985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY-005745 (Arizona)	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. Dr Shannon Marie Balaban allows following entities to bill medicare on her behalf.

Entity Name	Ganesha Institute Of Neurology And Psychiatry Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134979644 PECOS PAC ID: 0042432296 Enrollment ID: O20240412002477

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 Shannon Marie Balaban 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 Shannon Marie Balaban, PHD 9327 N 3rd St Ste 200, Phoenix, AZ 85020-2473 Ph: (520) 595-5500	Dr Shannon Marie Balaban, PHD 9327 N 3rd St Ste 200, Phoenix, AZ 85020-2473 Ph: (520) 595-5500

Reviews and Comments

Psychologist in Phoenix, AZ

Dr. Carolyn J Cavanaugh Toft, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 E Earll Dr, Suite 420, Phoenix, AZ 85012 Phone: 480-329-6791 Fax: 602-279-0297
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Dr. Brian M Mcdonald, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-957-2507 Fax: 602-265-8533
Efrat Eichenbaum, LP, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 222 W Thomas Rd Ste 401, Phoenix, AZ 85013 Phone: 602-406-3473 Fax: 602-406-4406
Amanda Aaron Hackwell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11431 N 39th Pl, Phoenix, AZ 85028 Phone: 541-646-6442
Dr. Ronald L. Willcoxon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18647 N 20th Street, Phoenix, AZ 85024 Phone: 602-867-9660 Fax: 602-867-2762

Dr Shannon Marie Balaban, PHD - Medicare Psychologist in Phoenix, AZ