Dr Kimberly Sierra Balay, MD - Medicare Pediatrics in Rapid City, SD

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Dr Kimberly Sierra Balay, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Rapid City, South Dakota. Her current practice location is 4140 Penrose Pl, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 430-3176.

Dr Kimberly Sierra Balay is licensed to practice in South Dakota (license number 8287) 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 1881917078.

Contact Information

Dr Kimberly Sierra Balay, MD
4140 Penrose Pl,
Rapid City, SD 57702-6828
(605) 430-3176
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly Sierra Balay
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location4140 Penrose Pl, Rapid City, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881917078
  • Provider Enumeration Date: 03/02/2010
  • Last Update Date: 08/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3779753454
  • Enrollment ID: I20181218002643

Medical Identifiers

Medical identifiers for Dr Kimberly Sierra Balay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881917078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 8287 (South Dakota)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 Kimberly Sierra Balay allows following entities to bill medicare on her behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameMonument Health Rapid City Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144

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 Kimberly Sierra Balay 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 Kimberly Sierra Balay, MD
Po Box 1198,
Abilene, TX 79604-1198

Ph: (325) 670-4372		Dr Kimberly Sierra Balay, MD
4140 Penrose Pl,
Rapid City, SD 57702-6828

Ph: (605) 430-3176

Reviews and Comments


Pediatrics Doctors in Rapid City, SD

Kimberly Hushagen, MD
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Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    
Sam L Mortimer, M.D.
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Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    Fax: 605-341-2447
Stephen M Kovarik, M.D.
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Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    Fax: 605-341-2447
Rachel C Edelen, MD
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Practice Location: 640 Flormann St, Rapid City, SD 57701
Phone: 605-718-3300    Fax: 605-718-3426
Dr. Elizabeth S Farnsworth, MD, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 2820 Mount Rushmore Rd # Rs, Rapid City, SD 57701
Phone: 605-342-3280    
Gregory Anderson, D.O.
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Medicare: Medicare Enrolled
Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    Fax: 605-341-2447
Ms. Mary Sibert Fox, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2423    Fax: 605-355-2403

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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