| Dr Brad R Ballard, MD | |
|
Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | |
| (301) 400-1339 | |
| Not Available |
| Full Name | Dr Brad R Ballard |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 17 Years |
| Location | Naval Medical Center Portsmouth, Portsmouth, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437386737 | NPI | - | NPPES |
| 25936 | Other | NE | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD61561497 (Washington) | Primary |
| 207W00000X | Ophthalmology | 56524 (Colorado) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1519 |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Yakima Valley Memorial Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad R Ballard, MD 5821 S Sprague Ct, Tacoma, WA 98409-6903 Ph: (800) 664-9225 | Dr Brad R Ballard, MD Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Ph: (301) 400-1339 |
Roger W Newsom, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 |
John T Edmonds, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 |
Mark A Pavilack, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 |
Dr. Kori A Elkins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 |
Mark John Iacobucci, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 Fax: 757-548-9563 |
Dr. Elizabeth Ann Tonon, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Center Ophthalmology Dept, Portsmouth, VA 23708 Phone: 757-953-2682 Fax: 757-953-0855 |
Wayne R Devantier, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 |