Michael D Ballard, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, Texas. His current practice location is
4215 Joe Ramsey Blvd E, Greenville, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 408-5000.
Michael D Ballard is licensed to practice in Texas (license number 1134895) 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 1467154500.
Provider's Profile
| Full Name | Michael D Ballard |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 4215 Joe Ramsey Blvd E, Greenville, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1467154500
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628424454
- Enrollment ID: I20231030002818
Medical Identifiers
Medical identifiers for Michael D Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467154500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 923608 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1134895 (Texas) | 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. Michael D Ballard allows following entities to bill medicare on his behalf.
| Entity Name | Northstar Anesthesia Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685 |
|---|
| Entity Name | Texas Regional Anesthesia Medical Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1457702201
PECOS PAC ID: 8325328628
Enrollment ID: O20161202000581 |
|---|
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. Michael D 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 |
|---|
Michael D Ballard,
372 County Road 1100,
Cooper, TX 75432-6804
Ph: (903) 450-6702 | Michael D Ballard,
4215 Joe Ramsey Blvd E,
Greenville, TX 75401-7852
Ph: (903) 408-5000 |
Reviews and Comments