Dr Josue Rey Flores Balderas, MD - Medicare Internal Medicine in Lawrenceville, GA

Dr Josue Rey Flores Balderas, MD is a medicare enrolled "Internal Medicine" physician in Lawrenceville, Georgia. He went to University Of Wisconsin School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Iora Health Georgia Pc and his current practice location is 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 490-8300.

Dr Josue Rey Flores Balderas is licensed to practice in Georgia (license number 86430) 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 1831621986.

Contact Information

Dr Josue Rey Flores Balderas, MD
4850 Sugarloaf Pkwy Ste 101,
Lawrenceville, GA 30044-2860
(678) 490-8300
Not Available

Map and Direction




Physician's Profile

Full NameDr Josue Rey Flores Balderas
GenderMale
SpecialityInternal Medicine
Experience8 Years
Location4850 Sugarloaf Pkwy Ste 101, Lawrenceville, Georgia
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 Josue Rey Flores Balderas attended and graduated from University Of Wisconsin School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1831621986
  • Provider Enumeration Date: 03/29/2017
  • Last Update Date: 06/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052741667
  • Enrollment ID: I20210222001030

Medical Identifiers

Medical identifiers for Dr Josue Rey Flores Balderas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831621986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 86430 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Home Health Care, An Amedisys CompanyTucker, GAHome health agency
Northside Hospital GwinnettLawrenceville, GAHospital
Northside Hospital ForsythCumming, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iora Health Georgia Pc185064439429

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 Josue Rey Flores Balderas allows following entities to bill medicare on his behalf.
Entity NameIora Senior Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518446194
PECOS PAC ID: 0143520189
Enrollment ID: O20181029003060
Entity NameIora Health Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457846727
PECOS PAC ID: 1850644394
Enrollment ID: O20181030001712

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 Josue Rey Flores Balderas 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 Josue Rey Flores Balderas, MD
4850 Sugarloaf Pkwy Ste 101,
Lawrenceville, GA 30044-2860

Ph: () -
Dr Josue Rey Flores Balderas, MD
4850 Sugarloaf Pkwy Ste 101,
Lawrenceville, GA 30044-2860

Ph: (678) 490-8300

Reviews and Comments


Internal Medicine Doctors in Lawrenceville, GA

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Dr. Karuna Kusan, M.D.
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Mr. Spencer I Rozin, MD FACP
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Praveen Sivakumaran, MD
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Phone: 770-963-8030    Fax: 770-339-9577
Dr. Yan Lin, MD
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Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-3294    Fax: 678-312-3294

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.