| Shannon Ballard, PA-C | |
|
1124 Washington Blvd, Newcastle, WY 82701-2972 | |
| (307) 746-3700 | |
| Not Available |
| Full Name | Shannon Ballard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1124 Washington Blvd, Newcastle, Wyoming |
| 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 |
|---|---|---|---|
| 1962723130 | NPI | - | NPPES |
| 294465YN7Q | Other | CO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Weston County Health Services | Newcastle, WY | Hospital |
| Niobrara County Hospital District | Lusk, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weston County Hospital District | 0042293276 | 13 |
| Niobrara County Hospital District | 7012938780 | 7 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Ballard, PA-C 2801 Purcell St, Brighton, CO 80601-3551 Ph: (303) 659-9700 | Shannon Ballard, PA-C 1124 Washington Blvd, Newcastle, WY 82701-2972 Ph: (307) 746-3700 |
Jan Mason-manzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1121 Washington Ave, Newcastle, WY 82701 Phone: 307-746-3582 | |
Gordon E Steward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1124 Washington Blvd, Newcastle, WY 82701 Phone: 307-746-4491 | |
Mr. Michael Lee Carpenter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1121 Washington Ave, Newcastle, WY 82701 Phone: 307-746-3582 |