| Brandon M Ballard, PA-C | |
|
50505 Schoenherr Rd Ste 320, Shelby Twp, MI 48315-3141 | |
| (586) 580-3062 | |
| (586) 580-3143 |
| Full Name | Brandon M Ballard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 50505 Schoenherr Rd Ste 320, Shelby Twp, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588354138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601013175 (Michigan) | Primary |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon M Ballard, PA-C 50505 Schoenherr Rd Ste 320, Shelby Twp, MI 48315-3141 Ph: (586) 580-3062 | Brandon M Ballard, PA-C 50505 Schoenherr Rd Ste 320, Shelby Twp, MI 48315-3141 Ph: (586) 580-3062 |
Chelsea Beer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13717 23 Mile Rd, Shelby Twp, MI 48315 Phone: 586-580-9417 Fax: 586-884-8274 |
Mr. Robert Allen Parks, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6300 22 Mile Rd Ste 2, Shelby Twp, MI 48317 Phone: 586-726-9860 Fax: 586-726-9537 |
Carla-marie Shermetaro Hayden, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2177 Auburn Rd Ste A, Shelby Twp, MI 48317 Phone: 586-737-7520 Fax: 586-737-7591 |
Mrs. Danielle Nicole Ocampo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 46961 Van Dyke Ave, Shelby Twp, MI 48317 Phone: 586-991-5205 |
Kory Josephine Wells, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2177 Auburn Rd, Shelby Twp, MI 48317 Phone: 586-737-7520 |
Jennifer L Finos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51850 Dequindre Rd, Shelby Twp, MI 48316 Phone: 586-799-4082 |
Mr. Michael P Watta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 290, Shelby Twp, MI 48315 Phone: 586-314-0080 Fax: 877-673-3562 |