Frank Balloqui, MD - Medicare Family Practice in Quakertown, PA

Frank Balloqui, MD is a medicare enrolled "Family Medicine" physician in Quakertown, Pennsylvania. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lehigh Valley Physician Group and his current practice location is 320 W Pumping Station Rd Ste 3, Quakertown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 529-4240.

Frank Balloqui is licensed to practice in Pennsylvania (license number MD455617) 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 1346503315.

Contact Information

Frank Balloqui, MD
320 W Pumping Station Rd Ste 3,
Quakertown, PA 18951-2345
(215) 529-4240
Not Available

Map and Direction




Physician's Profile

Full NameFrank Balloqui
GenderMale
SpecialityFamily Practice
Experience13 Years
Location320 W Pumping Station Rd Ste 3, Quakertown, Pennsylvania
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:
  • Frank Balloqui graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1346503315
  • Provider Enumeration Date: 06/24/2012
  • Last Update Date: 02/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072828060
  • Enrollment ID: I20150820010050

Medical Identifiers

Medical identifiers for Frank Balloqui such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346503315NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MT202795 (Pennsylvania)Secondary
207Q00000XFamily Medicine MD455617 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley HospitalAllentown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251231892

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. Frank Balloqui allows following entities to bill medicare on his behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameSchuylkill Health System Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197

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. Frank Balloqui 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
Frank Balloqui, MD
101 E Olney Ave Ste 400,
Philadelphia, PA 19120-2470

Ph: (215) 456-1825
Frank Balloqui, MD
320 W Pumping Station Rd Ste 3,
Quakertown, PA 18951-2345

Ph: (215) 529-4240

Reviews and Comments


Family Medicine Doctors in Quakertown, PA

Nicholas Dimartino, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5724 Clymer Rd, Quakertown, PA 18951
Phone: 215-536-1890    Fax: 215-529-9034
Daniel J Stauffer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1021 Park Ave, Suite 203, Quakertown, PA 18951
Phone: 215-536-7998    Fax: 215-536-7476
Dr. Marcy Ann Haas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 320 W Pumping Station Rd Ste 3, Quakertown, PA 18951
Phone: 215-529-4240    
Robert Henry Schmidt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5724 Clymer Rd, Quakertown, PA 18951
Phone: 215-536-1890    Fax: 215-529-9034
Robert J Roberts, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 401 W Broad St, Quakertown, PA 18951
Phone: 215-538-2580    Fax: 215-529-9726
Dr. Giovanni Catalano, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5724 Clymer Road, Quakertown, PA 18951
Phone: 215-536-1890    Fax: 215-529-9034
Dr. Raquel M Tomaine, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 99 N West End Blvd, Suite 102, Quakertown, PA 18951
Phone: 215-538-0202    Fax: 215-538-9580

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.