Dr Percy Balderia, MD - Medicare Rheumatology in Seattle, WA

Dr Percy Balderia, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Seattle, Washington. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice The Polyclinic and his current practice location is 904 7th Ave Fl 4, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 860-5800.

Dr Percy Balderia is licensed to practice in Washington (license number 60628991) 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 1407296585.

Contact Information

Dr Percy Balderia, MD
904 7th Ave Fl 4,
Seattle, WA 98104
(206) 860-5800
(206) 860-5484

Map and Direction




Physician's Profile

Full NameDr Percy Balderia
GenderMale
SpecialityRheumatology
Experience14 Years
Location904 7th Ave Fl 4, Seattle, Washington
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 Percy Balderia graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1407296585
  • Provider Enumeration Date: 07/03/2013
  • Last Update Date: 08/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4789982646
  • Enrollment ID: I20180705001246

Medical Identifiers

Medical identifiers for Dr Percy Balderia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407296585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 60628991 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson HealthcarePort townsend, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Polyclinic2163328196332

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 Percy Balderia allows following entities to bill medicare on his behalf.
Entity NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788

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 Percy Balderia 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 Percy Balderia, MD
904 7th Ave Fl 4,
Seattle, WA 98104-1132

Ph: (206) 860-5580
Dr Percy Balderia, MD
904 7th Ave Fl 4,
Seattle, WA 98104

Ph: (206) 860-5800

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).

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