Dr Samuel Jackson Balin, MD, PHD in Los Angeles, CA

Dr Samuel Jackson Balin, MD, PHD is a medicare enrolled "Dermatology" physician in Los Angeles, California. He went to Mayo Medical School and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain West Derm - Blackhart Pllc, Troy Richey Md Pc and his current practice location is 200 Medical Plz Ste 450, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 825-6911.

Dr Samuel Jackson Balin is licensed to practice in California (license number A123273) 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 1518254481.

Contact Information

	Dr Samuel Jackson Balin, MD, PHD
	200 Medical Plz Ste 450, Los Angeles, CA 90095
	(310) 825-6911
	(310) 794-7005

Map and Direction

Physician's Profile

Full Name	Dr Samuel Jackson Balin
Gender	Male
Speciality	Dermatology
Experience	13 Years
Location	200 Medical Plz Ste 450, Los Angeles, California
Accepts Medicare Assignments	Yes. 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 Samuel Jackson Balin attended and graduated from Mayo Medical School in 2011

NPI Data:

NPI Number: 1518254481
Provider Enumeration Date: 06/29/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3870863319
Enrollment ID: I20200721001294

Medical Identifiers

Medical identifiers for Dr Samuel Jackson Balin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518254481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	A123273 (California)	Secondary
207N00000X	Dermatology	A123273 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain West Derm - Blackhart Pllc	1153609813	105
Troy Richey Md Pc	8123193471	4

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 Samuel Jackson Balin allows following entities to bill medicare on his behalf.

Entity Name	Troy Richey Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467559286 PECOS PAC ID: 8123193471 Enrollment ID: O20080820000681

Entity Name	Oregon Healthcare Resources Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220

Entity Name	Mountain West Derm - Blackhart Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764741 PECOS PAC ID: 1153609813 Enrollment ID: O20171219002516

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 Samuel Jackson Balin 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 Address	Practice Location Address
Dr Samuel Jackson Balin, MD, PHD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Dr Samuel Jackson Balin, MD, PHD 200 Medical Plz Ste 450, Los Angeles, CA 90095 Ph: (310) 825-6911

Reviews and Comments

Dermatology Doctors in Los Angeles, CA

Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514
Marie-josee Thibault, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045 Phone: 310-301-8708 Fax: 310-301-8751
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420
Dr. Eric Joel Meinhardt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025 Phone: 310-275-1170 Fax: 310-275-1076

Dr Samuel Jackson Balin, MD, PHD - Medicare Dermatology in Los Angeles, CA