Shannon L Ballard, NP in Tupelo, MS - Medicare Nurse Practitioner

Shannon L Ballard, NP is a medicare enrolled "Nurse Practitioner" in Tupelo, Mississippi. Her current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (800) 893-9698.

Shannon L Ballard is licensed to practice in Mississippi (license number R870654) 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 1275836991.

Contact Information

	Shannon L Ballard, NP
	830 S Gloster St, Tupelo, MS 38801-4934
	(800) 893-9698
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon L Ballard
Gender	Female
Speciality	Nurse Practitioner
Location	830 S Gloster St, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275836991
Provider Enumeration Date: 12/20/2010
Last Update Date: 02/21/2011

Medicare PECOS Information:

PECOS PAC ID: 3779750948
Enrollment ID: I20120111000978

Medical Identifiers

Medical identifiers for Shannon L Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275836991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R870654 (Mississippi)	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. Shannon L Ballard allows following entities to bill medicare on her behalf.

Entity Name	Mississippi Emergency Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827

Entity Name	Caretime Medical Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700247855 PECOS PAC ID: 4587953096 Enrollment ID: O20160523000504

Entity Name	Boa Vida Hospital Of Aberdeen Ms Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460

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. Shannon L 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
Shannon L Ballard, NP 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Shannon L Ballard, NP 830 S Gloster St, Tupelo, MS 38801-4934 Ph: (800) 893-9698

Reviews and Comments

Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000

Shannon L Ballard, NP - Medicare Nurse Practitioner in Tupelo, MS