Haidee Star Ballew, FNP-C is a
Family Medicine physician based in Spencer, Tennessee. Haidee Star Ballew is licensed to practice in Tennessee (license number F12240857) and her current practice location is 817 College St # 3026, Spencer, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 946-2113.
NPI number for Haidee Star Ballew is 1639988157 and her current mailing address is 520 Phifer Mine Rd, Spencer, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639988157.
Physician's Profile
Full Name | Haidee Star Ballew |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 817 College St # 3026, Spencer, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639988157
- Provider Enumeration Date: 12/31/2024
- Last Update Date: 12/31/2024
Medical Identifiers
Medical identifiers for Haidee Star Ballew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639988157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F12240857 (Tennessee) | Primary |
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. Haidee Star Ballew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Haidee Star Ballew, FNP-C 520 Phifer Mine Rd, Spencer, TN 38585-4410 Ph: () - | Haidee Star Ballew, FNP-C 817 College St # 3026, Spencer, TN 38585-3436 Ph: (931) 946-2113 |
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