Dr Virginia Marian Balderston, MD - Medicare Internal Medicine in Gibsonia, PA

Dr Virginia Marian Balderston, MD is a medicare enrolled "Internal Medicine" physician in Gibsonia, Pennsylvania. She went to University Of Pittsburgh School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Upmc Community Medicine Inc and her current practice location is 5318 Ranalli Dr, Gibsonia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 449-9355.

Dr Virginia Marian Balderston is licensed to practice in Pennsylvania (license number MD045329L) 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 1487632311.

Contact Information

Dr Virginia Marian Balderston, MD
5318 Ranalli Dr,
Gibsonia, PA 15044-9653
(724) 449-9355
(724) 449-2727

Map and Direction




Physician's Profile

Full NameDr Virginia Marian Balderston
GenderFemale
SpecialityInternal Medicine
Experience35 Years
Location5318 Ranalli Dr, Gibsonia, Pennsylvania
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 Virginia Marian Balderston attended and graduated from University Of Pittsburgh School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1487632311
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 01/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365345899
  • Enrollment ID: I20040130000714

Medical Identifiers

Medical identifiers for Dr Virginia Marian Balderston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487632311NPI-NPPES
001536060000MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD045329L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upmc PassavantPittsburgh, PAHospital
Magee Womens Hospital Of Upmc Health SystemPittsburgh, PAHospital
Butler Memorial HospitalButler, PAHospital
Upmc St MargaretPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Community Medicine Inc2062318975679

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 Virginia Marian Balderston allows following entities to bill medicare on her behalf.
Entity NameUpmc Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388
Entity NameHealthquest Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780706465
PECOS PAC ID: 2961466248
Enrollment ID: O20041116000974

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 Virginia Marian Balderston 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 Virginia Marian Balderston, MD
5318 Ranalli Dr,
Gibsonia, PA 15044-9653

Ph: (724) 449-9355
Dr Virginia Marian Balderston, MD
5318 Ranalli Dr,
Gibsonia, PA 15044-9653

Ph: (724) 449-9355

Reviews and Comments


Internal Medicine Doctors in Gibsonia, PA

Dr. Sanford Martin Reich, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10478 Olde Villa Dr, Gibsonia, PA 15044
Phone: 724-444-6034    
Dr. Nita Rai Gohel, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5375 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-4700    Fax: 724-444-4730
Dr. Susan L Deakin, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5375 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-4700    Fax: 724-444-4730
Dr. Thomas Arthur Mcclure, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5375 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-4700    Fax: 724-444-4730
Dr. Kathleen E Holleran, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5375 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-4700    Fax: 724-444-4730
Dr. Mary Lori Certo-rossetti, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5375 William Flynn Hwy, Richland Mall, Gibsonia, PA 15044
Phone: 724-444-4700    Fax: 724-444-4730

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.