Andrew Peter Balbaugh, MD - Medicare Internal Medicine in Georgetown, KY

Andrew Peter Balbaugh, MD is a medicare enrolled "Internal Medicine" physician in Georgetown, Kentucky. He went to Northeastern Ohio University College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kentucky Mso Llc and his current practice location is 196 Bevins Ln, Suite F, Georgetown, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 863-2818.

Andrew Peter Balbaugh is licensed to practice in Kentucky (license number 41057) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265640411.

Contact Information

Andrew Peter Balbaugh, MD
196 Bevins Ln, Suite F,
Georgetown, KY 40324-8534
(502) 863-2818
(502) 863-2764

Map and Direction




Physician's Profile

Full NameAndrew Peter Balbaugh
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location196 Bevins Ln, Georgetown, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Peter Balbaugh attended and graduated from Northeastern Ohio University College Of Medicine in 2003
  NPI Data:
  • NPI Number: 1265640411
  • Provider Enumeration Date: 05/20/2007
  • Last Update Date: 02/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4880789841
  • Enrollment ID: I20071005000097

Medical Identifiers

Medical identifiers for Andrew Peter Balbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265640411NPI-NPPES
7100011650MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 41057 (Kentucky)Secondary
207R00000XInternal Medicine 41057 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Georgetown Community HospitalGeorgetown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Mso Llc074945063350

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. Andrew Peter Balbaugh allows following entities to bill medicare on his behalf.
Entity NameKentucky Mso Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164867883
PECOS PAC ID: 0749450633
Enrollment ID: O20110901000380

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. Andrew Peter Balbaugh 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 AddressPractice Location Address
Andrew Peter Balbaugh, MD
330 Seven Springs Way,
Brentwood, TN 37027-5098

Ph: (615) 920-7906
Andrew Peter Balbaugh, MD
196 Bevins Ln, Suite F,
Georgetown, KY 40324-8534

Ph: (502) 863-2818

Reviews and Comments


Internal Medicine Doctors in Georgetown, KY

Dr. Kent Edward Taylor, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1140 Lexington Rd, Suite 202, Georgetown, KY 40324
Phone: 502-868-1100    Fax: 502-868-5612
Dr. Matthew C Birdwhistell, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Rd, Suite 290, Georgetown, KY 40324
Phone: 502-863-0721    Fax: 502-863-6104
Robert Craig Martin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Rd, Suite 290, Georgetown, KY 40324
Phone: 502-863-0721    Fax: 502-863-6104
Kristen R Stakelin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Rd, Ste 290, Georgetown, KY 40324
Phone: 502-863-0721    Fax: 502-863-6104
Dr. Hugh Harrison Loeffler, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Rd Ste 290, Georgetown, KY 40324
Phone: 502-863-0721    Fax: 502-863-6104
Naba Saeed, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1140 Lexington Rd, Georgetown, KY 40324
Phone: 502-868-1100    
Benjamin P Lyon, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1138 Lexington Rd, Ste 290, Georgetown, KY 40324
Phone: 502-863-0721    Fax: 502-863-6104

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.