| Evan A Ballard, MD | |
|
4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | |
| (336) 835-6300 | |
| (336) 835-4761 |
| Full Name | Evan A Ballard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4000 S Swaim Street Ext, Jonesville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538275912 | NPI | - | NPPES |
| 12850 | Other | NC | BCBSNC |
| 2484 | Other | NC | PARTNERS |
| 38573 | Other | NC | MEDCOST |
| 8912850 | Medicaid | NC | |
| 4254752 | Other | NC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22085 (North Carolina) | Primary |
| Entity Name | Wake Forest Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan A Ballard, MD 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 Ph: (336) 835-6300 | Evan A Ballard, MD 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 Ph: (336) 835-6300 |
Thomas M. Shelburne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 S Swaim Street Ext, Jonesville, NC 28642 Phone: 336-835-6300 Fax: 336-835-4761 | |
Dr. Christopher W Groner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 N Swaim St, Jonesville, NC 28642 Phone: 336-526-7282 Fax: 336-526-7283 | |
William Evan Ballard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 S Swaim Street Ext, Jonesville, NC 28642 Phone: 336-835-6300 Fax: 336-835-4761 | |
Kim Marie Kinsley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 S Swaim Street Ext, Jonesville, NC 28642 Phone: 336-835-6300 Fax: 336-835-4761 | |
Eugene Wilson Griffin Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4000 S Swaim Street Ext, Jonesville, NC 28642 Phone: 336-835-6300 Fax: 336-835-4761 | |
Mr. James E Hubbs, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 S Swaim Street Ext, Jonesville, NC 28642 Phone: 336-835-6300 Fax: 336-835-4761 |