| Alissa Ballard, DO | |
|
2630 State Highway K, Ste 100, O'fallon, MO 63368 | |
| (636) 240-5454 | |
| Not Available |
| Full Name | Alissa Ballard |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 2630 State Highway K, O'fallon, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508359100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2021017793 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Home Care Services | Saint louis, MO | Home health agency |
| Aw Health Care | Saint louis, MO | Home health agency |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Progress West Hospital | O fallon, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 526 |
| Aging Well Health Care, Llc | 1153232038 | 236 |
| Entity Name | Physician Groups LC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Alissa Ballard, DO 2630 State Highway K, Ste 100, O'fallon, MO 63368 Ph: (636) 240-5454 | Alissa Ballard, DO 2630 State Highway K, Ste 100, O'fallon, MO 63368 Ph: (636) 240-5454 |
Dr. Michael L Williams, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Ultra Wellness Medical, Llc, 3026 Winghaven Blvd., O'fallon, MO 63368 Phone: 636-333-9820 Fax: 636-228-0039 |
Mr. Michael E Engel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Technology Drive, O'fallon, MO 63368 Phone: 636-261-1600 Fax: 636-492-3060 |
George P. Stachecki, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2630 State Highway K, Ste 100, O'fallon, MO 63368 Phone: 636-240-5454 |