Dr Charles Frederick Balbuena Heath, MD - Medicare General Practice in Green Cove Springs, FL

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Dr Charles Frederick Balbuena Heath, MD is a medicare enrolled "General Practice" physician in Green Cove Springs, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Rural Health Care Inc and his current practice location is 1305 N Orange Ave, Green Cove Springs, Florida. You can reach out to his office (for appointments etc.) via phone at (787) 644-1472.

Dr Charles Frederick Balbuena Heath is licensed to practice in Puerto Rico (license number 16184) 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 1851389076.

Contact Information

Dr Charles Frederick Balbuena Heath, MD
1305 N Orange Ave,
Green Cove Springs, FL 32043-2547
(787) 644-1472
(866) 412-8287

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Physician's Profile

Full NameDr Charles Frederick Balbuena Heath
GenderMale
SpecialityGeneral Practice
Experience22 Years
Location1305 N Orange Ave, Green Cove Springs, Florida
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:
  • Dr Charles Frederick Balbuena Heath graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1851389076
  • Provider Enumeration Date: 10/11/2005
  • Last Update Date: 07/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840217964
  • Enrollment ID: I20220223000902

Medical Identifiers

Medical identifiers for Dr Charles Frederick Balbuena Heath such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851389076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 16184 (Puerto Rico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Health Care Inc721484952030

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. Dr Charles Frederick Balbuena Heath allows following entities to bill medicare on his behalf.
Entity NameRural Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871569061
PECOS PAC ID: 7214849520
Enrollment ID: O20031219000375

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. Dr Charles Frederick Balbuena Heath 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
Dr Charles Frederick Balbuena Heath, MD
1302 River St,
Palatka, FL 32177-5042

Ph: (386) 328-0108		Dr Charles Frederick Balbuena Heath, MD
1305 N Orange Ave,
Green Cove Springs, FL 32043-2547

Ph: (787) 644-1472

Reviews and Comments


General Practice Doctors in Green Cove Springs, FL

Dr. Wanda I Villanueva Gonzalez, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 1305 N Orange Ave, Green Cove Springs, FL 32043
Phone: 904-284-5904    Fax: 904-284-5905
Dr. Randall Scott, D.O.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3189 Highway 17, Green Cove Springs, FL 32043
Phone: 904-621-0643    Fax: 904-621-0644

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.