Brian M Ballard, is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Pomona, California. He went to Kansas City College Of Medicine And Surgery and graduated in 2019 and has 7 years of diverse experience with area of expertise as Preventive Medicine. He is a member of the group practice Premier Orthopaedic Trauma Specialists Pmc and his current practice location is
160 E Artesia St Ste 255, Pomona, California. You can reach out to his office (for appointments etc.) via phone at
(095) 964-3469.
Brian M Ballard is licensed to practice in California (license number 20A19811) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497218739.
Physician's Profile
| Full Name | Brian M Ballard |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 7 Years |
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| Location | 160 E Artesia St Ste 255, Pomona, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian M Ballard attended and graduated from Kansas City College Of Medicine And Surgery in 2019
NPI Data:
- NPI Number: 1497218739
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002141108
- Enrollment ID: I20220801002131
Medical Identifiers
Medical identifiers for Brian M Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497218739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A19811 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premier Orthopaedic Trauma Specialists Pmc | 4082992623 | 36 |
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. Brian M Ballard allows following entities to bill medicare on his behalf.
| Entity Name | Premier Orthopaedic Trauma Specialists Pmc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407304439
PECOS PAC ID: 4082992623
Enrollment ID: O20161101002657 |
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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. Brian M 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 |
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Brian M Ballard,
27100 Chardon Rd,
Richmond Heights, OH 44143-1116
Ph: Not Available | Brian M Ballard,
160 E Artesia St Ste 255,
Pomona, CA 91767-2921
Ph: (095) 964-3469 |
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