Dr Peter Gregory Baltusnik, MD - Medicare Family Medicine in Petersburg, WV

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Dr Peter Gregory Baltusnik, MD is a medicare enrolled "Family Medicine" physician in Petersburg, West Virginia. His current practice location is 117 Hospital Dr, Petersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 257-1026.

Dr Peter Gregory Baltusnik is licensed to practice in West Virginia (license number 23383) 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 1598962193.

Contact Information

Dr Peter Gregory Baltusnik, MD
117 Hospital Dr,
Petersburg, WV 26847
(304) 257-1026
Not Available

Map and Direction




Physician's Profile

Full NameDr Peter Gregory Baltusnik
GenderMale
SpecialityFamily Medicine
Location117 Hospital Dr, Petersburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598962193
  • Provider Enumeration Date: 06/28/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244396976
  • Enrollment ID: I20090305000000

Medical Identifiers

Medical identifiers for Dr Peter Gregory Baltusnik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598962193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0101267025 (Virginia)Secondary
207Q00000XFamily Medicine 0101267025 (Virginia)Secondary
207Q00000XFamily Medicine 23383 (West Virginia)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 Peter Gregory Baltusnik allows following entities to bill medicare on his behalf.
Entity NamePotomac Valley Hospital Of Wva, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316054919
PECOS PAC ID: 8123917788
Enrollment ID: O20040311001344
Entity NameHealth Care Alliance, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730128760
PECOS PAC ID: 5799689105
Enrollment ID: O20050816000292
Entity NameHampshire Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881735660
PECOS PAC ID: 2466558390
Enrollment ID: O20090611000685
Entity NameWar Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780904961
PECOS PAC ID: 1355479460
Enrollment ID: O20100707000462
Entity NameJmh Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730482449
PECOS PAC ID: 8022299759
Enrollment ID: O20110228000929
Entity NameUniversity Healthcare Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659625739
PECOS PAC ID: 8325291404
Enrollment ID: O20130124000127

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 Peter Gregory Baltusnik 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 Peter Gregory Baltusnik, MD
117 Hospital Dr,
Petersburg, WV 26847-9566

Ph: (304) 257-1026		Dr Peter Gregory Baltusnik, MD
117 Hospital Dr,
Petersburg, WV 26847

Ph: (304) 257-1026

Reviews and Comments


Family Medicine Doctors in Petersburg, WV

Larry Calvin Rogers, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7 Memorial Drive, Petersburg, WV 26847
Phone: 304-257-4511    Fax: 304-257-4511
Mark W Puffenberger, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Grove St Ste 1, Petersburg, WV 26847
Phone: 304-257-2451    Fax: 304-257-1263
Dr. Dewey F Bensenhaver, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Dr Ste 1, Petersburg, WV 26847
Phone: 304-257-1944    Fax: 304-257-9524
Solomon Mapeto Mutetwa, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 S Grove St Ste 1, Petersburg, WV 26847
Phone: 304-257-2451    

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.