| Mr Paul Allen Ballard, PA-C, ATC | |
|
5025 Shed Rd, Bossier City, LA 71111-5434 | |
| (318) 798-4623 | |
| (318) 795-4742 |
| Full Name | Mr Paul Allen Ballard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 5025 Shed Rd, Bossier City, Louisiana |
| 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 |
|---|---|---|---|
| 1114445798 | NPI | - | NPPES |
| 2457578 | Medicaid | LA | |
| 14219851 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 307181 (Louisiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Therapy And Balance Center Llc | 0345397899 | 75 |
| Highland Clinic, A Prof Med Corp | 3870493463 | 55 |
| Arklatex Medical Consultants A Medical Corporation | 5597001099 | 13 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Allen Ballard, PA-C, ATC 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6000 Ph: (318) 798-4500 | Mr Paul Allen Ballard, PA-C, ATC 5025 Shed Rd, Bossier City, LA 71111-5434 Ph: (318) 798-4623 |
Amy J Roks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2449 Hospital Dr Ste 210, Bossier City, LA 71111 Phone: 318-212-7280 Fax: 318-212-7278 | |
Charles Wayne Culpepper, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1518 Doctors Dr, Bossier City, LA 71111 Phone: 318-746-1094 Fax: 318-746-2808 | |
Lucas Moncla, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr Ste 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995 | |
Kerri Lucken Tynes, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 450, Bossier City, LA 71111 Phone: 318-752-2328 Fax: 318-746-0160 | |
Abigail Davis Bogan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5341 Airline Dr, Bossier City, LA 71111 Phone: 318-935-1820 | |
Kayce Nichols Jones, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2120 Airline Dr, Bossier City, LA 71111 Phone: 318-742-6900 Fax: 318-742-3900 |