Individual ProviderRichard D BallPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy St SE Ste 100, Grand Rapids, MI 49503-5229(616) 840-8000PECOS EnrollmentBased on the most recent information from CMS, provider Richard D Ball does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1679523765Provider TypeIndividualFull NameBall, Richard DTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/11/2006Last Updated3/30/2021Contact InformationPractice LocationPractice Address235 Wealthy St SE Ste 100, Grand Rapids, MI 49503-5229Phone(616) 840-8000Fax(616) 840-9640Mailing LocationMailing Address235 Wealthy St SE Ste 100, Grand Rapids, MI 49503-5229Phone(616) 840-8000Fax(616) 840-9640Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense4301041158MichiganProvider IdentifiersIDDescriptionIssuerID4158980DescriptionMedicaidIssuerUnlistedMichigan