Kelly Ballou, PA-C is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Frisco, Colorado. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
60 Main Street, Ste F,g,h Beaver Plaza Condo, Frisco, Colorado. You can reach out to her office (for appointments etc.) via phone at
(309) 287-1909.
Kelly Ballou is licensed to practice in Colorado (license number PA0004388) 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 1366467805.
Physician's Profile
| Full Name | Kelly Ballou |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 60 Main Street, Frisco, Colorado |
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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. |
Medical Education and Training:
- Kelly Ballou graduated from medical school in 2003
NPI Data:
- NPI Number: 1366467805
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 06/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 5496658528
- Enrollment ID: I20160119001431
Medical Identifiers
Medical identifiers for Kelly Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366467805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207NS0135X | Dermatology - Procedural Dermatology | PA0004388 (Colorado) | Primary |
| 363A00000X | Physician Assistant | PA0004388 (Colorado) | Secondary |
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. Kelly Ballou 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 |
Kelly Ballou, PA-C 400 N Park Ave, Ste 12-b #1178, Breckenridge, CO 80424 Ph: (970) 409-4000 | Kelly Ballou, PA-C 60 Main Street, Ste F,g,h Beaver Plaza Condo, Frisco, CO 80443 Ph: (309) 287-1909 |
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