Amy Balot, DO is a medicare enrolled "Hospitalist" physician in Forest Hills, New York. Her current practice location is
10201 66th Rd, Forest Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 830-4359.
Amy Balot is licensed to practice in New York (license number 329739) 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 1144803578.
Physician's Profile
Full Name | Amy Balot |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 10201 66th Rd, Forest Hills, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144803578
- Provider Enumeration Date: 05/03/2021
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577000496
- Enrollment ID: I20240808003117
Medical Identifiers
Medical identifiers for Amy Balot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144803578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 329739 (New York) | 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. Amy Balot allows following entities to bill medicare on her behalf.
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Amy Balot 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 |
Amy Balot, DO 10201 66th Rd, Forest Hills, NY 11375-2029 Ph: (718) 830-4359 | Amy Balot, DO 10201 66th Rd, Forest Hills, NY 11375-2029 Ph: (718) 830-4359 |
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