Larry T Balentine (NPI# 1578658043, PAC ID# 0446243166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1578658043 |
| PAC ID by PECOS | 0446243166 |
| Professional Enrollment ID | I20081217000413 |
| Full Name | Larry T Balentine |
| Address |
20700 Bond Rd Ne Suite 104 Poulsbo WA 98370-9099 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | RHEUMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500072 | OLYMPIC MEDICAL CENTER |
| 501323 | JEFFERSON HEALTHCARE |
| 500039 | HARRISON MEDICAL CENTER |
| 501325 | FORKS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20700 Bond Rd Ne, Suite 104, Poulsbo, WA 98370-9099 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_177_overall | Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity | 100% | |
| MIPS_EC_178_overall | Rheumatoid Arthritis (RA): Functional Status Assessment | 95% | |
| MIPS_EC_179_overall | Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis | 20% | |
| MIPS_EC_180_overall | Rheumatoid Arthritis (RA): Glucocorticoid Management | 100% |
| Street Address |
20700 BOND RD NE SUITE 104 |
| City | POULSBO |
| State | WA |
| Zip | 98370-9099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur S Watanabe | Diagnostic Radiology | Inhealth Imaging, LLC | 20700 Bond Rd Ne, Poulsbo, WA 98370-9099 |
| Joseph M Yetto Jr. | Diagnostic Radiology | Inhealth Imaging, LLC | 20700 Bond Rd Ne, Poulsbo, WA 98370-9099 |
| Karen Skidmore | Podiatry | 20700 Bond Rd Ne, Poulsbo, WA 98370-9099 | |
| Manfred Henne | Diagnostic Radiology | Inhealth Imaging, LLC | 20700 Bond Rd Ne, Poulsbo, WA 98370-9099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Bissell Low | Psychologist, Clinical | Seatac Senior Psychology LLC | 19160 Front St Ne, Poulsbo, WA 98370 |
| Elaine Mary Giniewicz | Psychologist, Clinical | Seatac Senior Psychology LLC | 19160 Front St Ne, Poulsbo, WA 98370 |
| James T Ryan | Chiropractic | 19425 7th Ave Ne, Suite 103, Poulsbo, WA 98370-5100 | |
| William C Krutch | Clinical Social Worker | 19980 10th Ave Ne, Suite 204d, Poulsbo, WA 98370-6321 | |
| Viola G Medina | Nurse Practitioner | Chymiymattymd LLC | 19980 10th Ave Ne, Suite 202, Poulsbo, WA 98370-6322 |
| Marie E Matty | Family Medicine | Chymiymattymd LLC | 19980 10th Ave Ne, Suite 202, Poulsbo, WA 98370-6322 |
| Andrea L Chymiy | Family Medicine | Chymiymattymd LLC | 19980 10th Ave Ne, Suite 202, Poulsbo, WA 98370-6322 |
| Debra S Morris | Nurse Practitioner | Franciscan Medical Group | 19500 10th Ave Ne, Suite 100, Poulsbo, WA 98370-6331 |
| Dennis M Willerford | Medical Oncology | Franciscan Medical Group | 19500 10th Ave Ne, Suite 100, Poulsbo, WA 98370-6331 |
| Prakash Vishnu | Hematology/oncology | Franciscan Medical Group | 19500 10th Ave Ne, Suite 100, Poulsbo, WA 98370-6331 |
| Find all physicians in zip 98370 | |||
| City | POULSBO |
| Zip Code | 98370 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | POULSBO + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Larry T Balentine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.