Mrs Jessica L Ballouli, NP-C in Columbia, SC - Medicare Nurse Practitioner

Mrs Jessica L Ballouli, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. Her current practice location is 300 Palmetto Health Pkwy Ste 300, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 907-7700.

Mrs Jessica L Ballouli is licensed to practice in South Carolina (license number 22973) 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 1689236465.

Contact Information

	Mrs Jessica L Ballouli, NP-C
	300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763
	(803) 907-7700
	(803) 907-7309

Map and Direction

Provider's Profile

Full Name	Mrs Jessica L Ballouli
Gender	Female
Speciality	Nurse Practitioner - Family
Location	300 Palmetto Health Pkwy Ste 300, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689236465
Provider Enumeration Date: 07/02/2019
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 1759757271
Enrollment ID: I20221024002760

Medical Identifiers

Medical identifiers for Mrs Jessica L Ballouli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689236465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22973 (South Carolina)	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. Mrs Jessica L Ballouli allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Mrs Jessica L Ballouli 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
Mrs Jessica L Ballouli, NP-C 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Mrs Jessica L Ballouli, NP-C 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 Ph: (803) 907-7700

Reviews and Comments

Nurse Practitioner Nurses in Columbia, SC

Mr. Joseph Crawford Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-256-6511
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120
Latonya Brailsford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909

Mrs Jessica L Ballouli, NP-C - Medicare Nurse Practitioner in Columbia, SC