Alison Juliete Ball, D.O.
Individual provider Active NPI Family Medicine Physician · O Fallon, MO
NPI 1427345263 · NPPES record last updated Jul 10, 2014
Key facts
- NPI
- 1427345263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2013030576 (MO)
- Practice address
- 2223 Technology Dr
Suite 40
O Fallon, MO 63368-7272 - Phone
- (636) 755-4400
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
2223 Technology Dr
O Fallon, MO 63368-7272
300 Winding Woods Dr
O Fallon, MO 63366-4773
621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335
621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital St Louis
- Mercy Hospital Lincoln
- St Lukes Hospital
- SSM St Joseph Hospital West
- SSM Health Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140522001055 | MO | Practitioner - Family Practice | 9931322864 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013030576 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Hospitals East Communities | Current |
Accepting new patients | |
| Mercy Hospitals East Communities | Family Medicine | Current |
Accepting new patients |
Locations
17701 Edison Ave
Ste 101
Chesterfield, MO 63005
Phone (636) 735-4122
2223 Technology Dr
Ste 40
O Fallon, MO 63368
Phone (636) 755-4400
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Interoperability endpoints
- aball183718@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013030576 | MO | Yes |
Addresses
Primary practice location
2223 Technology Dr
Suite 40
O Fallon, MO 63368-7272
Mailing address
2223 Technology Dr
Suite 40
O Fallon, MO 63368-7272
Phone (636) 755-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427345263 | Medicaid | MO |
Other providers in O Fallon, MO
- Jeanine M Badwan
- Jason Baechle
- Kristin D Bagby
- Victor Beau Bailey
- Balanced Health Center, LLC
- Maggie Banal
- Brent Dee Bankhead
- Barrett Enterprise
- Dustin Frank Barrett
- Taylor Ann Barry
All providers in O Fallon, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.