Dr Karen M Balzanto, MD - Medicare Emergency Medicine in Naperville, IL

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Dr Karen M Balzanto, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Naperville, Illinois. Her current practice location is 801 S Washington St, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 527-3355.

Dr Karen M Balzanto is licensed to practice in Illinois (license number 036-090616) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124179882.

Contact Information

Dr Karen M Balzanto, MD
801 S Washington St,
Naperville, IL 60540-7430
(630) 527-3355
(630) 527-5018

Map and Direction




Physician's Profile

Full NameDr Karen M Balzanto
GenderFemale
SpecialityEmergency Medicine - Pediatric Emergency Medicine
Location801 S Washington St, Naperville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124179882
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 08/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557418324
  • Enrollment ID: I20090414000105

Medical Identifiers

Medical identifiers for Dr Karen M Balzanto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124179882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036-090616 (Illinois)Secondary
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 036-090616 (Illinois)Primary

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 Karen M Balzanto allows following entities to bill medicare on her behalf.
Entity NameSkilled Facility Health Care Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104018423
PECOS PAC ID: 9032299144
Enrollment ID: O20191226001490

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 Karen M Balzanto 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 Karen M Balzanto, MD
2913 Turnberry Ct,
St Charles, IL 60174-8786

Ph: (630) 587-0884		Dr Karen M Balzanto, MD
801 S Washington St,
Naperville, IL 60540-7430

Ph: (630) 527-3355

Reviews and Comments


Emergency Medicine Doctors in Naperville, IL

Mohamed I Jabri, MD
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Practice Location: 1149 Dickens Ave, Naperville, IL 60563
Phone: 630-548-1407    
Dr. Sangita X Rangala, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Washington St, Naperville, IL 60540
Phone: 630-527-3288    Fax: 630-527-5018
Jordan B Moskoff, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4003 S Route 59, Naperville, IL 60564
Phone: 888-693-6437    Fax: 815-730-6368
Dr. Thomas H Oh, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Washington St, Naperville, IL 60540
Phone: 630-527-3000    
Dr. Alan S. Kaplan, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Washington St, Naperville, IL 60540
Phone: 630-527-3000    
Dr. Edward Parker, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Washington St, Naperville, IL 60540
Phone: 630-527-3000    
Dr. Scott L Sims, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Washington St, Naperville, IL 60540
Phone: 630-527-3000    

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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