Balanced Well Medical is a medicare enrolled "Internal Medicine" provider in Fair Lawn, New Jersey. Their current practice location is
26-01 Pellack Dr, Fair Lawn, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 794-4500.
Balanced Well Medical is licensed to practice in New Jersey (license number ) and it also participates in the medicare program. Balanced Well Medical
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154704831.
Healthcare Provider's Profile
| Full Name | Balanced Well Medical |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 26-01 Pellack Dr, Fair Lawn, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154704831
- Provider Enumeration Date: 06/30/2015
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294042719
- Enrollment ID: O20150916001635
Medical Identifiers
Medical identifiers for Balanced Well Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154704831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Balanced Well Medical acts as a billing entity for following providers:
| Provider Name | Douglas Kaner |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1366578213
PECOS PAC ID: 5890734735
Enrollment ID: I20050429000060 |
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| Provider Name | Roth Riley |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1831241264
PECOS PAC ID: 6608814827
Enrollment ID: I20150521002290 |
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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. Balanced Well Medical 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 Address | Practice Location Address |
|---|
Balanced Well Medical
26-01 Pellack Dr,
Fair Lawn, NJ 07410-3723
Ph: (973) 742-6206 | Balanced Well Medical
26-01 Pellack Dr,
Fair Lawn, NJ 07410-3723
Ph: (201) 794-4500 |
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