Mr Paul Allen Ballard, PA-C, ATC - Medicare Physician Assistant in Bossier City, LA

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Mr Paul Allen Ballard, PA-C, ATC is a medicare enrolled "Physician Assistant" in Bossier City, Louisiana. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Highland Clinic, A Prof Med Corp, Arklatex Medical Consultants A Medical Corporation, Cornerstone Therapy And Balance Center, Llc and his current practice location is 5025 Shed Rd, Bossier City, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 798-4623.

Mr Paul Allen Ballard is licensed to practice in Louisiana (license number 307181) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114445798.

Contact Information

Mr Paul Allen Ballard, PA-C, ATC
5025 Shed Rd,
Bossier City, LA 71111-5434
(318) 798-4623
(318) 795-4742

Map and Direction




Provider's Profile

Full NameMr Paul Allen Ballard
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location5025 Shed Rd, Bossier City, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Paul Allen Ballard graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1114445798
  • Provider Enumeration Date: 09/05/2017
  • Last Update Date: 02/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5496020844
  • Enrollment ID: I20171011000478

Medical Identifiers

Medical identifiers for Mr Paul Allen Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114445798NPI-NPPES
2457578MedicaidLA
14219851OtherCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 307181 (Louisiana)Primary
363AS0400XPhysician Assistant - Surgical (Louisiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Shreveport-bossier Health SystemShreveport, LAHospital
Willis Knighton Medical Center, IncShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Highland Clinic, A Prof Med Corp387049346360
Arklatex Medical Consultants A Medical Corporation559700109916
Cornerstone Therapy And Balance Center, Llc034539789998

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. Mr Paul Allen Ballard allows following entities to bill medicare on his behalf.
Entity NameHighland Clinic, a Prof Med Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053315846
PECOS PAC ID: 3870493463
Enrollment ID: O20040220000551
Entity NameCross Lake Emergency Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013497114
PECOS PAC ID: 5395096440
Enrollment ID: O20180928000987
Entity NameArklatex Medical Consultants a Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710466628
PECOS PAC ID: 5597001099
Enrollment ID: O20190103002111

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. Mr Paul Allen 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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Bossier City, LA

Amy J Roks, PA-C
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Phone: 318-212-7280    Fax: 318-212-7278
Charles Wayne Culpepper, PA
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Lucas Moncla, PA
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Kerri Lucken Tynes, P.A.
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Practice Location: 2300 Hospital Dr, Suite 450, Bossier City, LA 71111
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Abigail Davis Bogan, PA-C
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Practice Location: 5341 Airline Dr, Bossier City, LA 71111
Phone: 318-935-1820    
Kayce Nichols Jones, P.A.
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Practice Location: 2120 Airline Dr, Bossier City, LA 71111
Phone: 318-742-6900    Fax: 318-742-3900
Mrs. Sarah Tucker Allen, P.A.
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Practice Location: 2449 Hospital Dr Ste 420, Bossier City, LA 71111
Phone: 318-212-7839    Fax: 318-212-7837

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.