Dr Crystal J Kleiber Balderrama, MD - Medicare Rheumatology in Fond Du Lac, WI

Dr Crystal J Kleiber Balderrama, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Fond Du Lac, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2010 and has 14 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-8340.

Dr Crystal J Kleiber Balderrama is licensed to practice in Wisconsin (license number 56510) 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 1144545559.

Contact Information

Dr Crystal J Kleiber Balderrama, MD
420 E Division St,
Fond Du Lac, WI 54935-4560
(920) 926-8340
(414) 805-6851

Map and Direction




Physician's Profile

Full NameDr Crystal J Kleiber Balderrama
GenderFemale
SpecialityRheumatology
Experience14 Years
Location420 E Division St, Fond Du Lac, Wisconsin
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:
  • Dr Crystal J Kleiber Balderrama attended and graduated from Medical College Of Wisconsin in 2010
  NPI Data:
  • NPI Number: 1144545559
  • Provider Enumeration Date: 03/30/2010
  • Last Update Date: 10/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638313984
  • Enrollment ID: I20130926000491

Medical Identifiers

Medical identifiers for Dr Crystal J Kleiber Balderrama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144545559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 56510 (Wisconsin)Secondary
207RR0500XInternal Medicine - Rheumatology 56510 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital
Waupun Memorial HospitalWaupun, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624335

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 Crystal J Kleiber Balderrama allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

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 Crystal J Kleiber 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 AddressPractice Location Address
Dr Crystal J Kleiber Balderrama, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340
Dr Crystal J Kleiber Balderrama, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340

Reviews and Comments


Internal Medicine Doctors in Fond Du Lac, WI

Balvindar S Sareen, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 315-637-7800    Fax: 315-637-7808
Jay R Muller, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8420    Fax: 920-926-8913
Dana I Vasquez, MD
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8420    
Adam P Karewicz, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8420    
Punit Kumar, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac Regional Clinic, Fond Du Lac, WI 54935
Phone: 920-926-8420    
Dr. Steven Gregory Meress, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 180 Knights Way, Fond Du Lac, WI 54935
Phone: 920-922-5433    Fax: 920-273-0480

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.