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 yesterday at 10:10 AM.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