Katherine C Ballard, in Portland, OR - Medicare Nurse Practitioner

Katherine C Ballard, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd # Dch9n, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (713) 412-8285.

Katherine C Ballard is licensed to practice in Oregon (license number 10004790) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578233169.

Contact Information

	Katherine C Ballard,
	3181 Sw Sam Jackson Park Rd # Dch9n, Portland, OR 97239-3011
	(713) 412-8285
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine C Ballard
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3181 Sw Sam Jackson Park Rd # Dch9n, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578233169
Provider Enumeration Date: 09/15/2021
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3577921154
Enrollment ID: I20230614003264

Medical Identifiers

Medical identifiers for Katherine C Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578233169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201909224RN (Oregon)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	10004790 (Oregon)	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. Katherine C Ballard allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Katherine C Ballard 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
Katherine C Ballard, 3833 S Bond Ave Apt 412, Portland, OR 97239-4740 Ph: (713) 412-8285	Katherine C Ballard, 3181 Sw Sam Jackson Park Rd # Dch9n, Portland, OR 97239-3011 Ph: (713) 412-8285

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Katherine C Ballard, - Medicare Nurse Practitioner in Portland, OR