Haidee Star Ballew, FNP-C is a medicare enrolled "Family Medicine" physician in Spencer, Tennessee. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cumberland Family Care P.c. and her current practice location is
817 College St # 3026, Spencer, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 946-2113.
Haidee Star Ballew is licensed to practice in Tennessee (license number F12240857) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639988157.
Physician's Profile
| Full Name | Haidee Star Ballew |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 817 College St # 3026, Spencer, Tennessee |
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| Accepts Medicare Assignments | Yes. She 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:
- Haidee Star Ballew graduated from medical school in 2024
NPI Data:
- NPI Number: 1639988157
- Provider Enumeration Date: 12/31/2024
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345760419
- Enrollment ID: I20250219001691
Medical Identifiers
Medical identifiers for Haidee Star Ballew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639988157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F12240857 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cumberland Family Care P.c. | 8729041835 | 4 |
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. Haidee Star Ballew allows following entities to bill medicare on her behalf.
| Entity Name | Cumberland Family Care P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225003809
PECOS PAC ID: 8729041835
Enrollment ID: O20041110000115 |
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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. Haidee Star Ballew 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 |
|---|
Haidee Star Ballew, FNP-C
520 Phifer Mine Rd,
Spencer, TN 38585-4410
Ph: () - | Haidee Star Ballew, FNP-C
817 College St # 3026,
Spencer, TN 38585-3436
Ph: (931) 946-2113 |
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