Nicholas Ballay, MD - Medicare General Surgery in Athens, TN

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Nicholas Ballay, MD is a medicare enrolled "Surgery" physician in Athens, Tennessee. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Advanced Diagnostic Imaging Pc and his current practice location is 719 Cook Dr, Athens, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 745-2344.

Nicholas Ballay is licensed to practice in Tennessee (license number MD0000056407) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1295093052.

Contact Information

Nicholas Ballay, MD
719 Cook Dr,
Athens, TN 37303
(423) 745-2344
(423) 745-2314

Map and Direction




Physician's Profile

Full NameNicholas Ballay
GenderMale
SpecialityGeneral Surgery
Experience12 Years
Location719 Cook Dr, Athens, Tennessee
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Ballay graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1295093052
  • Provider Enumeration Date: 04/30/2012
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385881804
  • Enrollment ID: I20190108001320

Medical Identifiers

Medical identifiers for Nicholas Ballay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295093052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD0000056407 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Starr Regional Medical Center AthensAthens, TNHospital
Sweetwater Hospital AssociationSweetwater, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Diagnostic Imaging Pc7315848140547

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Ballay allows following entities to bill medicare on his behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677

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. Nicholas Ballay is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Ballay, MD
3024 Business Park Cir,
Goodlettsville, TN 37072-3132

Ph: (615) 239-2018		Nicholas Ballay, MD
719 Cook Dr,
Athens, TN 37303

Ph: (423) 745-2344

Reviews and Comments


Surgery Doctors in Athens, TN

Preston W Brown, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 719 Cook Dr, Ste 109, Athens, TN 37303
Phone: 423-745-2344    Fax: 423-745-2314
Thomas S Layman, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 719 Cook Dr, Suite 110, Athens, TN 37303
Phone: 423-745-2344    Fax: 423-745-2314
Michael P Sumida, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 719 Cook Dr, Ste 109, Athens, TN 37303
Phone: 423-745-2344    Fax: 423-745-2314
Harold Joseph Holliday, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1005 W Madison Ave, Athens, TN 37303
Phone: 423-744-7540    Fax: 423-745-4898

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.