Toni Ballard, NP - Medicare Nurse Practitioner in Pearl City, HI

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Toni Ballard, NP is a medicare enrolled "Nurse Practitioner - Family" in Pearl City, Hawaii. Her current practice location is 941 Kamehameha Hwy Ste 204, Pearl City, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 829-1244.

Toni Ballard is licensed to practice in Hawaii (license number APRN-3388-0) 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 1730773177.

Contact Information

Toni Ballard, NP
941 Kamehameha Hwy Ste 204,
Pearl City, HI 96782-2516
(808) 829-1244
Not Available

Map and Direction




Provider's Profile

Full NameToni Ballard
GenderFemale
SpecialityNurse Practitioner - Family
Location941 Kamehameha Hwy Ste 204, Pearl City, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730773177
  • Provider Enumeration Date: 02/25/2021
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244604221
  • Enrollment ID: I20230314001084

Medical Identifiers

Medical identifiers for Toni Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730773177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN-96985 (Hawaii)Secondary
363LF0000XNurse Practitioner - Family APRN-3388-0 (Hawaii)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. Toni Ballard allows following entities to bill medicare on her behalf.
Entity NameWorkstar Occupational Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619989597
PECOS PAC ID: 8729978176
Enrollment ID: O20040318000732

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. Toni 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 AddressPractice Location Address
Toni Ballard, NP
1253 Makalapa Gate Rd,
Pearl Harbor, HI 96860-4479

Ph: () -		Toni Ballard, NP
941 Kamehameha Hwy Ste 204,
Pearl City, HI 96782-2516

Ph: (808) 829-1244

Reviews and Comments


Nurse Practitioner Nurses in Pearl City, HI

Hannah Seyler, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 98-1238 Kaahumanu St Ste 300, Pearl City, HI 96782
Phone: 808-840-0301    
Nichole Reyes,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1245 Kuala St, Suite 103, Pearl City, HI 96782
Phone: 808-456-2273    
Ashley Cerezo Rivera, APRN-RX
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1790 Paailuna Way, Pearl City, HI 96782
Phone: 808-466-9113    Fax: 808-427-3131
Mrs. Mary Jane P Harris, RN, BSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 98-1238 Kaahumanu St # 403, Pearl City, HI 96782
Phone: 703-650-5163    
Sara Kei Silva, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7266 Elm Pl, Pearl City, HI 96782
Phone: 408-600-8387    
Syriece Jones Francis, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 98-1238 Kaahumanu St Ste 300, Pearl City, HI 96782
Phone: 808-840-0301    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.