| Mrs Marianna Boyles Ballard, NP | |
|
1 Medical Center Blvd, Cookeville, TN 38501-4294 | |
| (931) 783-2770 | |
| (931) 525-1176 |
| Full Name | Mrs Marianna Boyles Ballard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1 Medical Center Blvd, Cookeville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871979856 | NPI | - | NPPES |
| Q016299 | Medicaid | TN | |
| 6047498 | Other | TN | BCBS |
| 7100421080 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 20392 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Och Regional Medical Center | Starkville, MS | Hospital |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Clay County Medical Corporation | West point, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Relias Emergency Medicine Specialists Of West Point, Llc | 0042648594 | 19 |
| Hospitalist Services Of Meridian Pa | 3274818042 | 45 |
| Relias Hospitalist Medicine Specialists Of West Point Llc | 4688002322 | 11 |
| Rh Hospitalist Medicine Of Och Regional Llc | 8325573074 | 8 |
| Entity Name | Anderson Physician Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
| Entity Name | Keystone Hospitalist Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
| Entity Name | Hospitalist Services Of Meridian Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639629777 PECOS PAC ID: 3274818042 Enrollment ID: O20170316002383 |
| Entity Name | Relias Hospitalist Medicine Specialists Of Amory Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205470796 PECOS PAC ID: 0143656165 Enrollment ID: O20200210002414 |
| Entity Name | Relias Hospitalist Medicine Specialists Of West Point Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821638578 PECOS PAC ID: 4688002322 Enrollment ID: O20200312000355 |
| Entity Name | Relias Emergency Medicine Specialists Of West Point, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275172736 PECOS PAC ID: 0042648594 Enrollment ID: O20200316000656 |
| Entity Name | Relias Hospitalist Medicine Specialists Of Pontotoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972189330 PECOS PAC ID: 0143629592 Enrollment ID: O20210604001444 |
| Entity Name | Relias Hospitalist Medicine Specialists Of Tupelo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710622832 PECOS PAC ID: 8022498781 Enrollment ID: O20220712001702 |
| Entity Name | Rh Emergency Medicine Of Och Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093532889 PECOS PAC ID: 0941734990 Enrollment ID: O20241113001644 |
| Entity Name | Rh Hospitalist Medicine Of Och Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104652494 PECOS PAC ID: 8325573074 Enrollment ID: O20241119001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marianna Boyles Ballard, NP 127 N Oak Ave, Suite D, Cookeville, TN 38501-2435 Ph: (931) 783-5857 | Mrs Marianna Boyles Ballard, NP 1 Medical Center Blvd, Cookeville, TN 38501-4294 Ph: (931) 783-2770 |
Amy Jo Emerick, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Cedar Ave, Cookeville, TN 38501 Phone: 931-520-8435 | |
Cathleen Delane Stewart, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 758 S Willow Ave., Cookeville, TN 38501 Phone: 931-526-6173 Fax: 931-526-5084 | |
Laura June Young, FAMILY PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-8593 | |
Sarah Brady, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 3rd St, Cookeville, TN 38501 Phone: 931-528-9047 | |
Mrs. Karen Candace Norrod, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S Willow Ave, Cookeville, TN 38506 Phone: 931-349-4603 | |
Joseph C Archer, ANP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 S Willow Ave, Cookeville, TN 38501 Phone: 931-526-9518 Fax: 931-372-0087 | |
Japheth F Harding, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 931-528-5121 |