Luis Balbuena Jr, MD is a medicare enrolled "Otolaryngology" physician in Marshall, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1991 and has 33 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Christus Trinity Clinic and his current practice location is
703 S Washington Ave, Marshall, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 927-6880.
Luis Balbuena Jr is licensed to practice in Texas (license number J5538) 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 1649254749.
Physician's Profile
| Full Name | Luis Balbuena Jr |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 33 Years |
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| Location | 703 S Washington Ave, Marshall, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Luis Balbuena Jr attended and graduated from University Of Texas Medical School At San Antonio in 1991
NPI Data:
- NPI Number: 1649254749
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 06/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 2860497773
- Enrollment ID: I20100915000635
Medical Identifiers
Medical identifiers for Luis Balbuena Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649254749 | NPI | - | NPPES |
| 041854301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | J5538 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Christus Trinity Clinic | 3072426741 | 1217 |
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. Luis Balbuena Jr allows following entities to bill medicare on his behalf.
| Entity Name | Christus Trinity Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091 |
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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. Luis Balbuena Jr 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 |
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Luis Balbuena Jr, MD
Po Box 1325,
Marshall, TX 75671-1325
Ph: (903) 927-6880 | Luis Balbuena Jr, MD
703 S Washington Ave,
Marshall, TX 75670-5337
Ph: (903) 927-6880 |
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