| Mr Steven R Ballard, ANP | |
|
1050 W 10th St, Rolla, MO 65401-2905 | |
| (573) 364-9000 | |
| (573) 426-2108 |
| Full Name | Mr Steven R Ballard |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 1050 W 10th St, Rolla, Missouri |
| 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 |
|---|---|---|---|
| 1043454564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 105523 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Texas County Memorial Hospital | Houston, MO | Hospital |
| Salem Memorial District Hospital | Salem, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phelps County Regional Medical Center | 2860391158 | 110 |
| Pcrmc Medical Group Inc | 1557454063 | 114 |
| Entity Name | Phelps County Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
| Entity Name | Pcrmc Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Steven R Ballard, ANP 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 364-9000 | Mr Steven R Ballard, ANP 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 364-9000 |
Mr. Raymond E. Bruno, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 603 S Bishop Ave, Rolla, MO 65401 Phone: 573-426-4411 Fax: 573-426-4403 | |
Alyssa Michelle Bland, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-8822 | |
Priti Giri, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11425 Flagstone Cir, Rolla, MO 65401 Phone: 573-612-4500 | |
Ms. Candy Sadler, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-2108 | |
Tiffany Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1060 W 10th St, Rolla, MO 65401 Phone: 855-406-3324 Fax: 573-458-8363 | |
Ms. Y'vonda Darlene Holmes, APRN, FNP, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 573-458-6326 |