Marty Kyle Ballard Sr, FNP - Medicare Nurse Practitioner in Brookhaven, MS

Marty Kyle Ballard Sr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern Primary Care Pllc and his current practice location is 327 N Jackson St, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 833-3800.

Marty Kyle Ballard Sr is licensed to practice in Mississippi (license number 904046) 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 1023622081.

Contact Information

Marty Kyle Ballard Sr, FNP
327 N Jackson St,
Brookhaven, MS 39601-3041
(601) 833-3800
(601) 833-3847



Provider's Profile

Full NameMarty Kyle Ballard Sr
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location327 N Jackson St, Brookhaven, Mississippi
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:
  • Marty Kyle Ballard Sr graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1023622081
  • Provider Enumeration Date: 09/06/2020
  • Last Update Date: 05/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163830118
  • Enrollment ID: I20210413000887

Medical Identifiers

Medical identifiers for Marty Kyle Ballard Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023622081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904046 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceClinton, MSHome health agency
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Primary Care Pllc38707652582

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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. Marty Kyle Ballard Sr allows following entities to bill medicare on his behalf.
Entity NameSouthern Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891083135
PECOS PAC ID: 3870765258
Enrollment ID: O20111006000516

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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. Marty Kyle Ballard Sr 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
Marty Kyle Ballard Sr, FNP
698 Lower Brookhaven Rd,
Monticello, MS 39654-9627

Ph: (160) 145-5760
Marty Kyle Ballard Sr, FNP
327 N Jackson St,
Brookhaven, MS 39601-3041

Ph: (601) 833-3800

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A Johns Hopkins infectious disease expert is calling for all sexually active American women age 40 and older to get tested for the parasite Trichomonas vaginalis after new study evidence found that the sexually transmitted disease (STD) is more than twice as common in this age group than previously thought.

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› Verified 9 days ago


Nurse Practitioner Nurses in Brookhaven, MS

Miss Montoyae C Leavy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601
Phone: 601-833-4111    
Tonya C Hughey, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601
Phone: 601-823-5000    Fax: 601-823-4140
Mrs. Candace Laird Duckworth, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601
Phone: 601-757-9659    
Sally M Proffitt, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1024 D A Biglane Dr, Brookhaven, MS 39601
Phone: 601-823-8000    
Jennifer D Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1005 W Congress St, Brookhaven, MS 39601
Phone: 601-833-9388    Fax: 601-833-9495
Miss Brittany Griffin Mullins, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601
Phone: 601-833-5333    

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