Willie Benjamin Ballou, NP-C - Medicare Nurse Practitioner in Tempe, AZ

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Willie Benjamin Ballou, NP-C is a medicare enrolled "Nurse Practitioner" in Tempe, Arizona. His current practice location is 4041 S Mcclintock Dr, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 233-7111.

Willie Benjamin Ballou is licensed to practice in Arizona (license number 229136) 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 1548657802.

Contact Information

Willie Benjamin Ballou, NP-C
4041 S Mcclintock Dr,
Tempe, AZ 85282-5879
(520) 233-7111
Not Available

Map and Direction




Provider's Profile

Full NameWillie Benjamin Ballou
GenderMale
SpecialityNurse Practitioner
Location4041 S Mcclintock Dr, Tempe, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548657802
  • Provider Enumeration Date: 04/23/2015
  • Last Update Date: 07/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385908086
  • Enrollment ID: I20180504001120

Medical Identifiers

Medical identifiers for Willie Benjamin Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548657802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AP127755 (Texas)Secondary
363L00000XNurse Practitioner 229136 (Arizona)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. Willie Benjamin Ballou allows following entities to bill medicare on his behalf.
Entity NameVpa Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486
Entity NameGreat Health Aftx Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174384259
PECOS PAC ID: 5193168938
Enrollment ID: O20240208001109

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. Willie Benjamin Ballou 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
Willie Benjamin Ballou, NP-C
4041 S Mcclintock Dr, Ste 311,
Tempe, AZ 85282-5879

Ph: (520) 233-7111		Willie Benjamin Ballou, NP-C
4041 S Mcclintock Dr,
Tempe, AZ 85282-5879

Ph: (520) 233-7111

Reviews and Comments


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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.