Mrs Donna G Balgavy, NP - Medicare Nurse Practitioner in Norfolk, VA

Mrs Donna G Balgavy, NP is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Norfolk, Virginia. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sentara Medical Group and her current practice location is 100 Kingsley Ln, Suite 200, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 889-5351.

Mrs Donna G Balgavy is licensed to practice in Virginia (license number 0024165422) 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 1659381697.

Contact Information

Mrs Donna G Balgavy, NP
100 Kingsley Ln, Suite 200,
Norfolk, VA 23505-4604
(757) 889-5351
(757) 962-1254

Map and Direction




Physician's Profile

Full NameMrs Donna G Balgavy
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location100 Kingsley Ln, Norfolk, Virginia
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:
  • Mrs Donna G Balgavy graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1659381697
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 10/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6800950916
  • Enrollment ID: I20090204000401

Medical Identifiers

Medical identifiers for Mrs Donna G Balgavy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659381697NPI-NPPES
58865NOtherVAOPTIMA HEALTH PLAN
177186OtherVAANTHEM MEDIGAP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 0024165422 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Leigh HospitalNorfolk, VAHospital
Sentara Norfolk General HospitalNorfolk, VAHospital
Sentara Princess Anne HospitalVirginia beach, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentara Medical Group89219039231091

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. Mrs Donna G Balgavy allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466

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. Mrs Donna G Balgavy 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
Mrs Donna G Balgavy, NP
205 Business Park Dr, Suite 200,
Virginia Beach, VA 23462-6335

Ph: (757) 962-1083
Mrs Donna G Balgavy, NP
100 Kingsley Ln, Suite 200,
Norfolk, VA 23505-4604

Ph: (757) 889-5351

Reviews and Comments


Internal Medicine Doctors in Norfolk, VA

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Abbas Asgher Ali, M.D.
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Peter B Laplace, MD
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Dr. Dace Auzins, M.D.
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Dr. John S Carrick, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 850 Kempsville Rd, 1st Fl, Norfolk, VA 23502
Phone: 757-261-5283    Fax: 757-261-5849
Dr. Rajden Kutelia, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507
Phone: 757-388-3198    Fax: 757-388-4242

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.