Ballard Jackson Mann, PA is a medicare enrolled "Physician Assistant" in Baker, Louisiana. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Our Lady Of The Lake Physician Group Llc and her current practice location is
6516 E Myrtle Ave, Baker, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 774-7320.
Ballard Jackson Mann is licensed to practice in Louisiana (license number 200461) 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 1942580048.
Provider's Profile
Full Name | Ballard Jackson Mann |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 13 Years |
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Location | 6516 E Myrtle Ave, Baker, Louisiana |
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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:
- Ballard Jackson Mann graduated from nursing school in 2011
NPI Data:
- NPI Number: 1942580048
- Provider Enumeration Date: 08/19/2011
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507039666
- Enrollment ID: I20111104000661
Medical Identifiers
Medical identifiers for Ballard Jackson Mann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942580048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 200461 (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
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. Ballard Jackson Mann 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 |
Ballard Jackson Mann, PA 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0006 | Ballard Jackson Mann, PA 6516 E Myrtle Ave, Baker, LA 70714-4348 Ph: (225) 774-7320 |
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