Dana S Balderrama, MD is a medicare enrolled "Plastic Surgery" physician in Topeka, Kansas. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Cotton O'neil Clinic Revocable Trust and his current practice location is
2902 Sw Asbury Dr, Topeka, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 354-9591.
Dana S Balderrama is licensed to practice in Kansas (license number 04-48701) 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 1326087206.
Physician's Profile
| Full Name | Dana S Balderrama |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 28 Years |
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| Location | 2902 Sw Asbury Dr, Topeka, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dana S Balderrama graduated from medical school in 1996
NPI Data:
- NPI Number: 1326087206
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072504570
- Enrollment ID: I20231211002720
Medical Identifiers
Medical identifiers for Dana S Balderrama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326087206 | NPI | - | NPPES |
| 30005054300001 | Medicaid | KS | |
| 857625 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 32551 (Arizona) | Secondary |
| 208200000X | Plastic Surgery | 32551 (Arizona) | Secondary |
| 208200000X | Plastic Surgery | 04-48701 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cotton O'neil Clinic Revocable Trust | 5496659195 | 588 |
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. Dana S Balderrama allows following entities to bill medicare on his behalf.
| Entity Name | Cotton O'neil Clinic Revocable Trust |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811944457
PECOS PAC ID: 5496659195
Enrollment ID: O20031124000674 |
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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. Dana S Balderrama 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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Dana S Balderrama, MD
2902 Sw Asbury Dr,
Topeka, KS 66614-4466
Ph: (785) 354-9591 | Dana S Balderrama, MD
2902 Sw Asbury Dr,
Topeka, KS 66614-4466
Ph: (785) 354-9591 |
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