Dr Mariel Liane Balboa, DO - Medicare Family Medicine in Mill Creek, WA

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Dr Mariel Liane Balboa, DO is a medicare enrolled "Family Medicine" physician in Mill Creek, Washington. Her current practice location is 15418 Main St Ste 200, Mill Creek, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 225-8000.

Dr Mariel Liane Balboa is licensed to practice in Washington (license number OP61416306) 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 1326676248.

Contact Information

Dr Mariel Liane Balboa, DO
15418 Main St Ste 200,
Mill Creek, WA 98012-9030
(425) 225-8000
(142) 522-5802

Map and Direction




Physician's Profile

Full NameDr Mariel Liane Balboa
GenderFemale
SpecialityFamily Medicine
Location15418 Main St Ste 200, Mill Creek, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326676248
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941654081
  • Enrollment ID: I20230923000708

Medical Identifiers

Medical identifiers for Dr Mariel Liane Balboa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326676248NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP61416306 (Washington)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 Mariel Liane Balboa allows following entities to bill medicare on her behalf.
Entity NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameOptum Care Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

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 Mariel Liane Balboa 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 Mariel Liane Balboa, DO
15418 Main St Ste 200,
Mill Creek, WA 98012-9030

Ph: (425) 225-8042		Dr Mariel Liane Balboa, DO
15418 Main St Ste 200,
Mill Creek, WA 98012-9030

Ph: (425) 225-8000

Reviews and Comments


Family Medicine Doctors in Mill Creek, WA

Thuy Quynh Nguyen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1508 166th Pl Se, Mill Creek, WA 98012
Phone: 425-398-8554    
Mark T Anderson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1025 153rd St Se, Suite 200, Mill Creek, WA 98012
Phone: 425-745-4750    Fax: 425-745-6158
William W Bacon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012
Phone: 425-338-4000    Fax: 425-338-4090
Laura Renee Sobieck, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16000 Bothell Everett Hwy Ste 240, Mill Creek, WA 98012
Phone: 425-224-3209    
Stephen Stewart Stukovsky, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1025 153rd St Se Ste 200, Mill Creek, WA 98012
Phone: 425-338-4000    
Dr. Christian Herter, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 148th St Se, Mill Creek, WA 98012
Phone: 425-332-6948    Fax: 425-304-1102

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.