| Brianna Lee Ballard, | |
|
3535 Gallagher Rd, Dover, FL 33527-4740 | |
| (603) 733-8222 | |
| Not Available |
| Full Name | Brianna Lee Ballard |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 3535 Gallagher Rd, Dover, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194478974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9463460 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11019682 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Florida Baptist Hospital | Plant city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1539 |
| Lockwood And Steely, Md's, Pa | 9830090885 | 19 |
| Gulf-to-bay Anesthesiology Associates Llc | 5092628156 | 330 |
| Entity Name | Gulf-to-bay Anesthesiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Lockwood & Steely, Md's, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972697266 PECOS PAC ID: 9830090885 Enrollment ID: O20040114000323 |
| Entity Name | Zephyrhills Anesthesiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902064546 PECOS PAC ID: 8628145869 Enrollment ID: O20080930000292 |
| Entity Name | Greater Florida Anesthesiologists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942519657 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Lee Ballard, 3535 Gallagher Rd, Dover, FL 33527-4740 Ph: (603) 733-8222 | Brianna Lee Ballard, 3535 Gallagher Rd, Dover, FL 33527-4740 Ph: (603) 733-8222 |