Abigail Nicole Baltazar, MSN, APRN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Galveston, Texas. Her current practice location is
712 Texas Avenue, Galveston, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 772-1011.
Abigail Nicole Baltazar is licensed to practice in Texas (license number 1158837) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548018849.
Physician's Profile
| Full Name | Abigail Nicole Baltazar |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 712 Texas Avenue, Galveston, 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: 1548018849
- Provider Enumeration Date: 05/10/2024
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961941992
- Enrollment ID: I20240822001179
Medical Identifiers
Medical identifiers for Abigail Nicole Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548018849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0011X | Internal Medicine - Interventional Cardiology | S6858 (Texas) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 1158837 (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. Abigail Nicole Baltazar allows following entities to bill medicare on her behalf.
| Entity Name | Utmb Faculty Group Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438 |
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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. Abigail Nicole Baltazar 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 |
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Abigail Nicole Baltazar, MSN, APRN, AGPCNP-BC
2753 Panzano Ln,
League City, TX 77573-6853
Ph: (713) 530-1498 | Abigail Nicole Baltazar, MSN, APRN, AGPCNP-BC
712 Texas Avenue,
Galveston, TX 77555-0001
Ph: (409) 772-1011 |
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