Reatha W Ballard, CRNA | |
35 Miles St, Damariscotta, ME 04543-4047 | |
(207) 563-4904 | |
Not Available |
Full Name | Reatha W Ballard |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 35 Miles St, Damariscotta, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336106616 | NPI | - | NPPES |
009933232 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1-025847 (Alabama) | Primary |
Entity Name | Cahaba Medical Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170516000950 |
Mailing Address | Practice Location Address |
---|---|
Reatha W Ballard, CRNA 1414 Golden Springsroad, #305, Anniston, AL 36207 Ph: (256) 239-0569 | Reatha W Ballard, CRNA 35 Miles St, Damariscotta, ME 04543-4047 Ph: (207) 563-4904 |
Ms. Ann E Misterovich, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4837 | |
Kevin James Culpepper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-4837 | |
Kathleen E Donnelly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 35 Miles St, Miles Medical Group, Damariscotta, ME 04543 Phone: 207-563-4383 Fax: 207-563-3717 | |
Mr. William J Garske Jr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-921-8400 | |
Lisa Susan Davis, CRNA, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 35 Miles St, Damariscotta, ME 04543 Phone: 207-563-1234 Fax: 603-228-2113 | |
Wendy S Nichols, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 35 Miles St., Miles Medical Group, Damariscotta, ME 04543 Phone: 207-563-4511 Fax: 207-563-4103 |