Dr Michael W Balbus, MD - Medicare Pediatrics in Bloomington, IN

Dr Michael W Balbus, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Bloomington, Indiana. His current practice location is 2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 353-9852.

Dr Michael W Balbus is licensed to practice in Indiana (license number 01060372A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245298041.

Contact Information

Dr Michael W Balbus, MD
2651 E Discovery Pkwy,
Bloomington, IN 47408-9059
(812) 353-9852
(812) 353-9278

Map and Direction




Physician's Profile

Full NameDr Michael W Balbus
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location2651 E Discovery Pkwy, Bloomington, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245298041
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 08/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385651488
  • Enrollment ID: I20060315000156

Medical Identifiers

Medical identifiers for Dr Michael W Balbus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245298041NPI-NPPES
021622158OtherILGROUP BLUE SHIELD NUMBER
036091626MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036-091626 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 0101259640 (Virginia)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 168666-01 (New York)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 01060372A (Indiana)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 Michael W Balbus allows following entities to bill medicare on his behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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 Michael W Balbus 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 Michael W Balbus, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Dr Michael W Balbus, MD
2651 E Discovery Pkwy,
Bloomington, IN 47408-9059

Ph: (812) 353-9852

Reviews and Comments


Pediatrics Doctors in Bloomington, IN

Lisa Helene Smith, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 813 W 2nd St, Bloomington, IN 47403
Phone: 812-353-3470    
Audra Janice Kunzman-mazdzer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 S Landmark Ave, Bloomington, IN 47403
Phone: 812-335-2434    Fax: 812-335-7604
Dr. John Stephen Schechter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 719 W 1st St, Bloomington, IN 47403
Phone: 812-339-6151    Fax: 812-339-8884
Jennifer Noel Lennington, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 S Landmark Ave, Bloomington, IN 47403
Phone: 812-335-2435    Fax: 812-330-2306
Minxin Fu, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 651 S Clarizz Blvd, Bloomington, IN 47401
Phone: 812-333-2304    Fax: 812-330-2306
Dr. Sandra C. Castro, MD, FAAP, CHCQM
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 S Landmark Ave, Bloomington, IN 47403
Phone: 812-335-2434    Fax: 812-335-7604

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.