Jedidiah Amos Ballard, DO | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 724-6100 | |
Not Available |
Full Name | Jedidiah Amos Ballard |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023329976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 19065 (Montana) | Secondary |
207P00000X | Emergency Medicine | DO-05225 (Iowa) | Primary |
207P00000X | Emergency Medicine | 074216 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Emergency Medicine Billing Services, Llc | 3072823186 | 45 |
Entity Name | Inphynet Primary Care Physicians Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
Entity Name | Au Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
Mailing Address | Practice Location Address |
---|---|
Jedidiah Amos Ballard, DO 1499 Walton Way, Suite 1400, Augusta, GA 30901-2603 Ph: (706) 724-6100 | Jedidiah Amos Ballard, DO 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 724-6100 |
Stephen A. Shiver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. Anuj Pankaj Jani, BMBS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-0211 | |
Sunita Jena, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2613 | |
Dr. Joshua Berk, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 603-988-9611 | |
Richard B. Schwartz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. John Stanley Oester, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Road, Augusta, GA 30909 Phone: 706-651-2369 Fax: 706-651-2364 |