Marty Kyle Ballard Sr, FNP in Brookhaven, MS - Medicare Nurse Practitioner

Marty Kyle Ballard Sr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 327 N Jackson St, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 833-3800.

Marty Kyle Ballard Sr is licensed to practice in Mississippi (license number 904046) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023622081.

Contact Information

	Marty Kyle Ballard Sr, FNP
	327 N Jackson St, Brookhaven, MS 39601-3041
	(601) 833-3800
	(601) 833-3847

Map and Direction

Provider's Profile

Full Name	Marty Kyle Ballard Sr
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	327 N Jackson St, Brookhaven, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marty Kyle Ballard Sr graduated from nursing school in 2020

NPI Data:

NPI Number: 1023622081
Provider Enumeration Date: 09/06/2020
Last Update Date: 05/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2163830118
Enrollment ID: I20210413000887

Medical Identifiers

Medical identifiers for Marty Kyle Ballard Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023622081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904046 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sta Home Health And Hospice	Clinton, MS	Home health agency
St Luke Home Health Services	Mccomb, MS	Home health agency
King's Daughters Medical Center-brookhaven	Brookhaven, MS	Hospital

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. Marty Kyle Ballard Sr allows following entities to bill medicare on his behalf.

Entity Name	Southern Primary Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891083135 PECOS PAC ID: 3870765258 Enrollment ID: O20111006000516

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. Marty Kyle Ballard Sr 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
Marty Kyle Ballard Sr, FNP 698 Lower Brookhaven Rd, Monticello, MS 39654-9627 Ph: (160) 145-5760	Marty Kyle Ballard Sr, FNP 327 N Jackson St, Brookhaven, MS 39601-3041 Ph: (601) 833-3800

Reviews and Comments

Nurse Practitioner Nurses in Brookhaven, MS

Miss Montoyae C Leavy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601 Phone: 601-833-4111
Tonya C Hughey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-5000 Fax: 601-823-4140
Mrs. Candace Laird Duckworth, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601 Phone: 601-757-9659
Jennifer D Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 W Congress St, Brookhaven, MS 39601 Phone: 601-833-9388 Fax: 601-833-9495
Maranda Jordan Guess, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301c Highway 51 S, Brookhaven, MS 39601 Phone: 601-835-1062
Miss Brittany Griffin Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601 Phone: 601-833-5333

Marty Kyle Ballard Sr, FNP - Medicare Nurse Practitioner in Brookhaven, MS