Ronald J Blaha, DC, RMT, RN is a medicare enrolled "Nurse Practitioner - Family" provider in Dallas, Texas. His current practice location is
3626 N Hall St, Ste 600, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 219-3260.
Ronald J Blaha is licensed to practice in Texas (license number 645587) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659399749.
Healthcare Provider's Profile
| Full Name | Ronald J Blaha |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3626 N Hall St, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659399749
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 06/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 7911220199
- Enrollment ID: I20141218002088
Medical Identifiers
Medical identifiers for Ronald J Blaha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659399749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 8792 (Texas) | Secondary |
| 225700000X | Massage Therapist | MT024335 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 645587 (Texas) | Primary |
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. Ronald J Blaha allows following entities to bill medicare on his behalf.
| Provider Name | Hephzibah Visiting Clinicians |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083101075
PECOS PAC ID: 1254688641
Enrollment ID: O20180717000196 |
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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. Ronald J Blaha 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 |
|---|
Ronald J Blaha, DC, RMT, RN
3626 N Hall St, Ste 600,
Dallas, TX 75219-5107
Ph: (214) 219-3260 | Ronald J Blaha, DC, RMT, RN
3626 N Hall St, Ste 600,
Dallas, TX 75219-5107
Ph: (214) 219-3260 |
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