| Dr Alicia Lynn Ballard, DO | |
|
537 W. Main St Suite 102,, Ionia, MI 48846 | |
| (616) 523-1010 | |
| (616) 527-1131 |
| Full Name | Dr Alicia Lynn Ballard |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 537 W. Main St Suite 102,, Ionia, Michigan |
| 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 |
|---|---|---|---|
| 1093059388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101019555 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sparrow Ionia Hospital | Ionia, MI | Hospital |
| Sparrow Carson Hospital | Carson city, MI | Hospital |
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sparrow Ionia Hospital | 0042118887 | 37 |
| Sparrow Carson Hospital | 7113836701 | 49 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Entity Name | Sparrow Carson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20060322000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alicia Lynn Ballard, DO 537 W. Main St Suite 102,, Ionia, MI 48846 Ph: (616) 523-1010 | Dr Alicia Lynn Ballard, DO 537 W. Main St Suite 102,, Ionia, MI 48846 Ph: (616) 523-1010 |
Michael Anthony Vaccariello, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 537 W Main St, Ionia, MI 48846 Phone: 616-523-1010 Fax: 616-523-1407 |