Dr Matthew Gene Balderston, MD - Medicare Family Practice in Virginia Beach, VA

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Dr Matthew Gene Balderston, MD is a medicare enrolled "Family Medicine" physician in Virginia Beach, Virginia. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tidewater Physicians Multispecialty Group Pc, Ivyrehab Sept, Llc and his current practice location is 351 Edwin Dr Ste 102, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 499-5550.

Dr Matthew Gene Balderston is licensed to practice in Nebraska (license number 28301) 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 1316386394.

Contact Information

Dr Matthew Gene Balderston, MD
351 Edwin Dr Ste 102,
Virginia Beach, VA 23462-4559
(757) 499-5550
Not Available

Map and Direction




Physician's Profile

Full NameDr Matthew Gene Balderston
GenderMale
SpecialityFamily Practice
Experience11 Years
Location351 Edwin Dr Ste 102, Virginia Beach, Virginia
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 Matthew Gene Balderston graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1316386394
  • Provider Enumeration Date: 06/22/2013
  • Last Update Date: 10/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779800966
  • Enrollment ID: I20200429002833

Medical Identifiers

Medical identifiers for Dr Matthew Gene Balderston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316386394NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 28301 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Home Care Services-virginia BeachChesapeake, VAHome health agency
Kindred At HomeVirginia beach, VAHome health agency
Sentara Princess Anne HospitalVirginia beach, VAHospital
Sentara Leigh HospitalNorfolk, VAHospital
Sentara Virginia Beach General HospitalVirginia beach, VAHospital
Sentara Norfolk General HospitalNorfolk, VAHospital
Chesapeake Regional Medical CenterChesapeake, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidewater Physicians Multispecialty Group Pc2860398526252
Ivyrehab Sept, Llc79119909081173

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 Matthew Gene Balderston allows following entities to bill medicare on his behalf.
Entity NameTidewater Physicians Multispecialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980

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 Matthew Gene Balderston 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 Matthew Gene Balderston, MD
351 Edwin Dr Ste 102,
Virginia Beach, VA 23462-4559

Ph: (757) 225-7630		Dr Matthew Gene Balderston, MD
351 Edwin Dr Ste 102,
Virginia Beach, VA 23462-4559

Ph: (757) 499-5550

Reviews and Comments


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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).

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.