| Makenzie White Ballard, DNAP, CRNA | |
|
101 E Wood St, Spartanburg, SC 29303-3040 | |
| (828) 817-2420 | |
| Not Available |
| Full Name | Makenzie White Ballard |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 E Wood St, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316677461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 240327 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 29019 (South Carolina) | Primary |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Pelham Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Makenzie White Ballard, DNAP, CRNA 44 Summerset Bay Dr, Cross Hill, SC 29332-5792 Ph: () - | Makenzie White Ballard, DNAP, CRNA 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (828) 817-2420 |
Adam Keith Raynes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Christin Bailey Coggins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023 | |
Melissa E Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 | |
Mr. Richard Niles Vaught, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Mrs. Lori Saxon Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 Fax: 864-560-6276 | |
Seth Tyler House, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 | |
Zachary Scott Scarberry, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023 |