Balaishe Boakai Ballo, in Camden, NJ - Medicare Nurse Anesthetist, Certified Registered

Balaishe Boakai Ballo, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camden, New Jersey. His current practice location is 1600 Haddon Ave, Camden, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 757-3500.

Balaishe Boakai Ballo is licensed to practice in Pennsylvania (license number 147728) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003672346.

Contact Information

	Balaishe Boakai Ballo,
	1600 Haddon Ave, Camden, NJ 08103-3101
	(856) 757-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Balaishe Boakai Ballo
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1600 Haddon Ave, Camden, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003672346
Provider Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7618319773
Enrollment ID: I20240522000062

Medical Identifiers

Medical identifiers for Balaishe Boakai Ballo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003672346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	147728 (Pennsylvania)	Primary

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. Balaishe Boakai Ballo allows following entities to bill medicare on his behalf.

Entity Name	Mid-atlantic Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366486508 PECOS PAC ID: 3779496047 Enrollment ID: O20031112000103

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. Balaishe Boakai Ballo 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 Address	Practice Location Address
Balaishe Boakai Ballo, 1925 Lawrence Rd Apt 11e, Havertown, PA 19083-1757 Ph: (148) 466-7331	Balaishe Boakai Ballo, 1600 Haddon Ave, Camden, NJ 08103-3101 Ph: (856) 757-3500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Camden, NJ

Winter E. Skelly, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425
Michael Phillip Hoess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2425
Amy Tsao, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-382-6500
Maria Dinnah Eclavia-dy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103 Phone: 856-342-2425
Laura Faust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425
Amy O'donnell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103 Phone: 856-342-2425

Balaishe Boakai Ballo, - Medicare Nurse Anesthetist, Certified Registered in Camden, NJ