Miranda Dianne Ballard, FNP-BC in Thousand Oaks, CA

Miranda Dianne Ballard, FNP-BC is a medicare enrolled "Nurse Practitioner" in Thousand Oaks, California. Her current practice location is 215 W Janss Rd, Thousand Oaks, California. You can reach out to her office (for appointments etc.) via phone at (805) 370-4435.

Miranda Dianne Ballard is licensed to practice in California (license number 95029217) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144086109.

Contact Information

	Miranda Dianne Ballard, FNP-BC
	215 W Janss Rd, Thousand Oaks, CA 91360-1847
	(805) 370-4435
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda Dianne Ballard
Gender	Female
Speciality	Nurse Practitioner
Location	215 W Janss Rd, Thousand Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144086109
Provider Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8325487267
Enrollment ID: I20240411003982

Medical Identifiers

Medical identifiers for Miranda Dianne Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144086109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95029217 (California)	Primary

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. Miranda Dianne Ballard allows following entities to bill medicare on her behalf.

Entity Name	Los Robles Emergency Physicians Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469

Entity Name	Team Physicians Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880

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. Miranda Dianne Ballard 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
Miranda Dianne Ballard, FNP-BC 2116 Vanguard Dr, Camarillo, CA 93010-2132 Ph: (805) 233-0242	Miranda Dianne Ballard, FNP-BC 215 W Janss Rd, Thousand Oaks, CA 91360-1847 Ph: (805) 370-4435

Reviews and Comments

Nurse Practitioner Nurses in Thousand Oaks, CA

Mrs. Sara Houck, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 891 Emerson St, Thousand Oaks, CA 91362 Phone: 862-576-0051
Mr. Steffan Matthew Weiner, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2594 Manchester Ct, Thousand Oaks, CA 91362 Phone: 530-219-6060
Darlyn Grace Bano Lopez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 187 E Wilbur Rd Ste 101, Thousand Oaks, CA 91360 Phone: 805-328-7173
Arianna Tang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 E Thousand Oaks Blvd, Thousand Oaks, CA 91360 Phone: 805-309-9797
Ms. Robin Suzanne Hull, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2791 Agoura Rd, Thousand Oaks, CA 91361 Phone: 805-495-4938
Anna Santos, RN, MSN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Rolling Oaks Dr Ste 201, Thousand Oaks, CA 91361 Phone: 805-413-9099
Mrs. Tabitha Carnevale, RN, BSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 Rolling Oaks Dr Ste 106, Thousand Oaks, CA 91361 Phone: 805-494-4600 Fax: 805-222-1887

Miranda Dianne Ballard, FNP-BC - Medicare Nurse Practitioner in Thousand Oaks, CA