Dr Ofelia C Balta, MD - Medicare Internal Medicine in Sylva, NC

Dr Ofelia C Balta, MD is a medicare enrolled "Internal Medicine" physician in Sylva, North Carolina. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is 98 Cope Creek Rd Ste A-b, Sylva, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 586-7798.

Dr Ofelia C Balta is licensed to practice in North Carolina (license number 2003-00220) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912980178.

Contact Information

Dr Ofelia C Balta, MD
98 Cope Creek Rd Ste A-b,
Sylva, NC 28779-9508
(828) 586-7798
(866) 282-0679

Map and Direction




Physician's Profile

Full NameDr Ofelia C Balta
GenderFemale
SpecialityInternal Medicine
Experience34 Years
Location98 Cope Creek Rd Ste A-b, Sylva, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ofelia C Balta graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1912980178
  • Provider Enumeration Date: 11/22/2005
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880745207
  • Enrollment ID: I20100520000966

Medical Identifiers

Medical identifiers for Dr Ofelia C Balta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912980178NPI-NPPES
89133YPMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2003-00220 (North Carolina)Secondary
207R00000XInternal Medicine 2003-00220 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harris Regional HospitalSylva, NCHospital
Dlp Swain County Hospital LlcBryson city, NCHospital
Memorial Mission Hospital And Asheville Surgery CeAsheville, NCHospital

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 Ofelia C Balta allows following entities to bill medicare on her behalf.
Entity NameWnc Internal Medicine, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467435040
PECOS PAC ID: 8527086099
Enrollment ID: O20051103000728
Entity NameOnly One Hub
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386373041
PECOS PAC ID: 4284019688
Enrollment ID: O20240212000786

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 Ofelia C Balta 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 Ofelia C Balta, MD
98 Cope Creek Rd Ste A-b,
Sylva, NC 28779-9508

Ph: (828) 586-7798
Dr Ofelia C Balta, MD
98 Cope Creek Rd Ste A-b,
Sylva, NC 28779-9508

Ph: (828) 586-7798

Reviews and Comments


Internal Medicine Doctors in Sylva, NC

Randall Provost, MD
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Practice Location: 98 Doctors Dr, Suite 200, Sylva, NC 28779
Phone: 828-586-8971    Fax: 828-586-4083
Dr. Joshua Douglas Patton, DO
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Practice Location: 80 Healthcare Dr Ste 203, Sylva, NC 28779
Phone: 828-586-5531    
Maria Garcia Moore, M.D.
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Practice Location: 141 Willets Rd, Sylva, NC 28779
Phone: 828-243-1999    
David S Thomas, MD PA
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Medicare: Not Enrolled in Medicare
Practice Location: 14 Medical Park Loop, Sylva, NC 28779
Phone: 828-586-7610    Fax: 828-586-7615
Philip Arlis Neiheisel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 132 Sylva Plz, Sylva, NC 28779
Phone: 828-586-2377    Fax: 828-586-5888
Jodi Balderrama,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 98 Cope Creek Rd, Sylva, NC 28779
Phone: 706-982-9641    
Mr. David R Dennison, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 68 Hospital Rd, Sylva, NC 28779
Phone: 828-586-7428    Fax: 828-586-7427

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.