Debra Janette Balkman, MD - Medicare Family Practice in Clearwater, FL

Debra Janette Balkman, MD is a medicare enrolled "Family Medicine" physician in Clearwater, Florida. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Optumcare Florida, Llc and her current practice location is 2730 Mcmullen Booth Road, Suite 201, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 725-5224.

Debra Janette Balkman is licensed to practice in Florida (license number ME97195) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740361583.

Contact Information

Debra Janette Balkman, MD
2730 Mcmullen Booth Road, Suite 201,
Clearwater, FL 33761
(727) 725-5224
(727) 799-2183

Map and Direction




Physician's Profile

Full NameDebra Janette Balkman
GenderFemale
SpecialityFamily Practice
Experience21 Years
Location2730 Mcmullen Booth Road, Clearwater, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Debra Janette Balkman graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1740361583
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 08/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537265731
  • Enrollment ID: I20070504000255

Medical Identifiers

Medical identifiers for Debra Janette Balkman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740361583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME97195 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optumcare Florida, Llc3072403476263

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. Debra Janette Balkman allows following entities to bill medicare on her behalf.
Entity NameOptumcare Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053384214
PECOS PAC ID: 3072403476
Enrollment ID: O20040318001123

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. Debra Janette Balkman 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
Debra Janette Balkman, MD
2730 N Mcmullen Booth Rd Ste 201,
Clearwater, FL 33761-3302

Ph: (727) 725-5224
Debra Janette Balkman, MD
2730 Mcmullen Booth Road, Suite 201,
Clearwater, FL 33761

Ph: (727) 725-5224

Reviews and Comments


Family Medicine Doctors in Clearwater, FL

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Dr. Ralph A Rophie, M.D.
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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.