Balaishe Boakai Ballo, - Medicare Nurse Anesthetist, Certified Registered in Camden, NJ

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Balaishe Boakai Ballo, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camden, New Jersey. His current practice location is 1600 Haddon Ave Fl 3, Camden, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 988-6260.

Balaishe Boakai Ballo is licensed to practice in New Jersey (license number 26NJ15034400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003672346.

Contact Information

Balaishe Boakai Ballo,
1600 Haddon Ave Fl 3,
Camden, NJ 08103-3101
(856) 988-6260
(856) 988-6270

Map and Direction




Provider's Profile

Full NameBalaishe Boakai Ballo
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1600 Haddon Ave Fl 3, Camden, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003672346
  • Provider Enumeration Date: 02/26/2024
  • Last Update Date: 01/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618319773
  • Enrollment ID: I20240522000062

Medical Identifiers

Medical identifiers for Balaishe Boakai Ballo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003672346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 147728 (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered 26NJ15034400 (New Jersey)Primary

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. Balaishe Boakai Ballo allows following entities to bill medicare on his behalf.
Entity NameMid-atlantic Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366486508
PECOS PAC ID: 3779496047
Enrollment ID: O20031112000103
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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. Balaishe Boakai Ballo 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 AddressPractice Location Address
Balaishe Boakai Ballo,
301 Lippincott Dr Ste 410,
Marlton, NJ 08053-4197

Ph: (856) 988-6260		Balaishe Boakai Ballo,
1600 Haddon Ave Fl 3,
Camden, NJ 08103-3101

Ph: (856) 988-6260

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Camden, NJ

Winter E. Skelly, CRNA, APN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-342-2425    
Michael Phillip Hoess, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Camden, NJ 08103
Phone: 856-342-2425    
Amy Tsao, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-382-6500    
Maria Dinnah Eclavia-dy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103
Phone: 856-342-2425    
Laura Faust, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-342-2425    
Amy O'donnell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-342-2425    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.