| Michael D Ballard, | |
|
4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | |
| (903) 408-5000 | |
| Not Available |
| Full Name | Michael D Ballard |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 4215 Joe Ramsey Blvd E, Greenville, Texas |
| 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 |
|---|---|---|---|
| 1467154500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 923608 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1134895 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hunt Regional Medical Center | Greenville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Pa | 7315907128 | 202 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Texas Regional Anesthesia Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702201 PECOS PAC ID: 8325328628 Enrollment ID: O20161202000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Ballard, 372 County Road 1100, Cooper, TX 75432-6804 Ph: (903) 450-6702 | Michael D Ballard, 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 Ph: (903) 408-5000 |
Brynn Marie Steward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4215 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 903-408-5000 | |
Mr. Joel Schop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4215 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 903-408-1218 |