Matthew T Ballo, MD | |
100 N Humphreys Blvd, Memphis, TN 38120-2146 | |
(901) 683-0055 | |
(901) 685-2969 |
Full Name | Matthew T Ballo |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 29 Years |
Location | 100 N Humphreys Blvd, Memphis, Tennessee |
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 |
---|---|---|---|
1013017094 | NPI | - | NPPES |
45529701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | L0014 (Texas) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 50791 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The West Clinic, Pllc | 2668360579 | 107 |
Entity Name | The West Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040315000610 |
Mailing Address | Practice Location Address |
---|---|
Matthew T Ballo, MD 100 N Humphreys Blvd, Memphis, TN 38120-2146 Ph: (901) 683-0055 | Matthew T Ballo, MD 100 N Humphreys Blvd, Memphis, TN 38120-2146 Ph: (901) 683-0055 |
Dr. Daniel Wakefield, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 920 Madison Ave, Suite 447, Memphis, TN 38103 Phone: 901-448-5814 | |
Madison H Buckley Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 50 Humphreys Ctr, Suite 23, Memphis, TN 38120 Phone: 901-226-0810 Fax: 901-383-8985 | |
Paul R Tanner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove, Memphis, TN 38120 Phone: 901-383-8860 Fax: 901-383-1194 | |
Martha E Glenn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120 Phone: 901-227-9650 | |
Terry L Thompson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-3212 | |
Stefan J Cowles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-1727 |