Dr Gayle Phadungchai Balba, MD - Medicare Infectious Disease in Washington, DC

Dr Gayle Phadungchai Balba, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Washington, District Of Columbia. She went to Georgetown University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice Mgmc Llc and her current practice location is 3800 Reservoir Rd Nw, Kober-cogan Bld Suite110, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 687-6845.

Dr Gayle Phadungchai Balba is licensed to practice in District Of Columbia (license number MD31818) 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 1073570354.

Contact Information

Dr Gayle Phadungchai Balba, MD
3800 Reservoir Rd Nw, Kober-cogan Bld Suite110,
Washington, DC 20007-2113
(202) 687-6845
(202) 687-6476

Map and Direction




Physician's Profile

Full NameDr Gayle Phadungchai Balba
GenderFemale
SpecialityInfectious Disease
Experience26 Years
Location3800 Reservoir Rd Nw, Washington, District Of Columbia
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 Gayle Phadungchai Balba attended and graduated from Georgetown University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1073570354
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 06/26/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3274538103
  • Enrollment ID: I20080325000457

Medical Identifiers

Medical identifiers for Dr Gayle Phadungchai Balba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073570354NPI-NPPES
P00706930OtherDCRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease MD31818 (District Of Columbia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Georgetown University HospitalWashington, DCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mgmc Llc9537073119385

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 Gayle Phadungchai Balba allows following entities to bill medicare on her behalf.
Entity NameMgmc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891797148
PECOS PAC ID: 9537073119
Enrollment ID: O20031220000056

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 Gayle Phadungchai Balba 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 Gayle Phadungchai Balba, MD
3800 Reservoir Rd Nw, Kober-cogan Bld Suite110,
Washington, DC 20007-2113

Ph: (202) 687-6845
Dr Gayle Phadungchai Balba, MD
3800 Reservoir Rd Nw, Kober-cogan Bld Suite110,
Washington, DC 20007-2113

Ph: (202) 687-6845

Reviews and Comments


Internal Medicine Doctors in Washington, DC

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Erica Nakajima,
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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).

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