James D Balshi, MD - Medicare Surgery in Easton, PA

James D Balshi, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Easton, Pennsylvania. His current practice location is 3735 Nazareth Rd, Suite 206, Easton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 252-8281.

James D Balshi is licensed to practice in Pennsylvania (license number MD026052E) 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 1164466546.

Contact Information

James D Balshi, MD
3735 Nazareth Rd, Suite 206,
Easton, PA 18045-8338
(610) 252-8281
(610) 253-5321

Map and Direction




Physician's Profile

Full NameJames D Balshi
GenderMale
SpecialitySurgery - Vascular Surgery
Location3735 Nazareth Rd, Easton, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164466546
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 04/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0244120285
  • Enrollment ID: I20040316000266

Medical Identifiers

Medical identifiers for James D Balshi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164466546NPI-NPPES
00961631MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD026052E (Pennsylvania)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. James D Balshi allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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. James D Balshi 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
James D Balshi, MD
3735 Nazareth Rd, Suite 206,
Easton, PA 18045-8338

Ph: (610) 252-8281
James D Balshi, MD
3735 Nazareth Rd, Suite 206,
Easton, PA 18045-8338

Ph: (610) 252-8281

Reviews and Comments


Surgery Doctors in Easton, PA

Timothy C Oskin, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3735 Nazareth Rd, Suite 206, Easton, PA 18045
Phone: 610-252-8281    Fax: 610-253-5321
Gregory S Domer, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3735 Nazareth Rd Ste 206, Easton, PA 18045
Phone: 484-503-8281    Fax: 833-866-5612
Francisco Benavides, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 S 21st St, Easton, PA 18042
Phone: 610-250-4375    
Jacquelyn Sara Carr, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1600 St Lukes Blvd, Easton, PA 18045
Phone: 484-503-4500    Fax: 484-503-4501
Mariam Keramati,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 S 21st St, Easton, PA 18042
Phone: 610-250-4375    
Valentina Marchese, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 250 S 21st St, Easton, PA 18042
Phone: 610-250-4375    
Briana Zablotney,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1872 St Lukes Blvd, Easton, PA 18045
Phone: 866-785-8537    

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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