| Michael Ballard, PA-C | |
|
319 S Manning Blvd Ste 106, Albany, NY 12208-1743 | |
| (518) 438-1019 | |
| Not Available |
| Full Name | Michael Ballard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 319 S Manning Blvd Ste 106, Albany, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407665136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peter's Hospital | Albany, NY | Hospital |
| Samaritan Hospital | Troy, NY | Hospital |
| Columbia Memorial Hospital | Hudson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Peter's Health Partners Medical Associates, P.c. | 6103061189 | 480 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ballard, PA-C Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634 | Michael Ballard, PA-C 319 S Manning Blvd Ste 106, Albany, NY 12208-1743 Ph: (518) 438-1019 |
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