Blythe Ballaao, PMHNP - Medicare Nurse Practitioner in Santa Cruz, CA

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Blythe Ballaao, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Cruz, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice County Of Santa Cruz and her current practice location is 1080 Emeline Ave, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 454-4100.

Blythe Ballaao is licensed to practice in California (license number 95008756) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669975777.

Contact Information

Blythe Ballaao, PMHNP
1080 Emeline Ave,
Santa Cruz, CA 95060-1966
(831) 454-4100
Not Available

Map and Direction




Provider's Profile

Full NameBlythe Ballaao
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1080 Emeline Ave, Santa Cruz, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blythe Ballaao graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1669975777
  • Provider Enumeration Date: 03/14/2018
  • Last Update Date: 08/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406181031
  • Enrollment ID: I20190718000784

Medical Identifiers

Medical identifiers for Blythe Ballaao such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669975777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP136980 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95008756 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Santa Cruz761887291257

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. Blythe Ballaao allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000251
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000370
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770709149
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000402

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. Blythe Ballaao 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
Blythe Ballaao, PMHNP
1400 Emeline Ave,
Santa Cruz, CA 95060-1976

Ph: () -		Blythe Ballaao, PMHNP
1080 Emeline Ave,
Santa Cruz, CA 95060-1966

Ph: (831) 454-4100

Reviews and Comments


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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.