Carmen S Ballestas

M.D. | Pediatric Hematology-Oncology | Female

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Complete Profile:

Carmen S Ballestas basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Carmen S Ballestas
Credential :	M.D.
Gender :	Female

Business Address:

Carmen S Ballestas address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1150 N 35th Ave Ste 100 Hollywood, FL, 33021 United States
Phone Number :	954-265-2234
Fax Number :	954-985-2288

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1871667048
NPI Entity Type :	Individual
First Enrolment Date :	20 Nov, 2006
Last Updated On :	15 Mar, 2021

Medicare Participation:

Carmen S Ballestas participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5496756694
Medicare Enrollment ID :	I20120208000894
Primary Specialty :	Hematology/oncology
Medical School :	Other
Graduation Year :	1999
Accepts Medicare?	Yes. Carmen S Ballestas accepts medicare insurance.

Group Practice Association:

Carmen S Ballestas is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Carmen S Ballestas is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
South Broward Hospital District	8123927373	481	1150 N 35 Ave Hollywood, FL - 330215424	Yes
South Broward Hospital District	8123927373	481	1150 N 35th St Suite 135 Hollywood, FL - 330215424 Ph: 9549872000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carmen S Ballestas are as mentioned. Primary taxonomy code for Carmen S Ballestas, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	ME110936	FL

Legacy Identifiers:

Other legacy medical identifiers of Carmen S Ballestas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
004186500	MEDICAID	FL

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2900 Corporate Way, Door D Miramar, FL, 33025-3925 United States
Phone Number :	954-276-5685
Fax Number :	954-985-7074

Business Location:

Patients can refer following map for directions to Carmen S Ballestas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.