Mark C Ballard, MD | |
901 Montgomery St, Decorah, IA 52101-2325 | |
(563) 382-2911 | |
(563) 382-1507 |
Full Name | Mark C Ballard |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 901 Montgomery St, Decorah, Iowa |
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 |
---|---|---|---|
1801909718 | NPI | - | NPPES |
117665000 | Medicaid | WY | |
0008113 | Other | SD | BC/BS PROVIDER # |
6200920 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD52141 (Iowa) | Secondary |
207V00000X | Obstetrics & Gynecology | 4683 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Winneshiek Medical Center | Decorah, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rural Health Care Inc | 3476447541 | 130 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
Entity Name | Rural Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076441 PECOS PAC ID: 3476447541 Enrollment ID: O20040210000648 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1134140825 PECOS PAC ID: 6800707100 Enrollment ID: O20061104000503 |
Entity Name | Ballard Gynecology Prof Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336589936 PECOS PAC ID: 0840434239 Enrollment ID: O20130925000677 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
Mailing Address | Practice Location Address |
---|---|
Mark C Ballard, MD 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 | Mark C Ballard, MD 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 |
Dr. Randall J Bremner, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 |