Nathan Shane Balusik, - Medicare Family Practice in Waterville, OH

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Nathan Shane Balusik, is a medicare enrolled "Family Medicine" physician in Waterville, Ohio. He went to University Of Toledo College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Health Physicians-north Llc and his current practice location is 900 Waterville Monclova Rd, Suite A, Waterville, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 878-3010.

Nathan Shane Balusik is licensed to practice in Ohio (license number 35.120628) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407174576.

Contact Information

Nathan Shane Balusik,
900 Waterville Monclova Rd, Suite A,
Waterville, OH 43566-1099
(419) 878-3010
(419) 878-3236

Map and Direction




Physician's Profile

Full NameNathan Shane Balusik
GenderMale
SpecialityFamily Practice
Experience14 Years
Location900 Waterville Monclova Rd, Waterville, Ohio
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nathan Shane Balusik attended and graduated from University Of Toledo College Of Medicine in 2010
  NPI Data:
  • NPI Number: 1407174576
  • Provider Enumeration Date: 05/13/2010
  • Last Update Date: 06/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6002055423
  • Enrollment ID: I20130829000913

Medical Identifiers

Medical identifiers for Nathan Shane Balusik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407174576NPI-NPPES
35 120628OtherOHSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35.120628 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohioans Home Healthcare, IncPerrysburg, OHHome health agency
Mercy St Vincent Medical CenterToledo, OHHospital
University Of Toledo Medical CenterToledo, OHHospital
Promedica Toledo HospitalToledo, OHHospital
Henry County Hospital, IncNapoleon, OHHospital
Wood County HospitalBowling green, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians-north Llc2668522400114

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. Nathan Shane Balusik allows following entities to bill medicare on his behalf.
Entity NameAnne Grady Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639252901
PECOS PAC ID: 3476445305
Enrollment ID: O20040326000148
Entity NameWellcare Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558567636
PECOS PAC ID: 1456442771
Enrollment ID: O20070801000094
Entity NameMercy Health Physicians-north Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609000769
PECOS PAC ID: 2668522400
Enrollment ID: O20090616000750

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. Nathan Shane Balusik 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
Nathan Shane Balusik,
900 Waterville Monclova Rd, Suite A,
Waterville, OH 43566-1099

Ph: (419) 878-3010		Nathan Shane Balusik,
900 Waterville Monclova Rd, Suite A,
Waterville, OH 43566-1099

Ph: (419) 878-3010

Reviews and Comments


Family Medicine Doctors in Waterville, OH

Dr. Andrea Kathryn Bruss, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 900 Waterville Monclova Rd, Suite A, Waterville, OH 43566
Phone: 419-878-3010    Fax: 419-878-3236
Dr. Stephen P. Bazeley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Waterville Monclova Rd, Ste A, Waterville, OH 43566
Phone: 419-878-2026    Fax: 416-878-3236
Lindsey J Bostelman, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 900 Waterville Monclova Rd, Ste. A, Waterville, OH 43566
Phone: 419-878-3010    Fax: 419-878-3236
Dr. Crystal R. Goveia, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 900 Waterville Monclova Rd, Ste A, Waterville, OH 43566
Phone: 419-878-2026    Fax: 419-878-3236
Dr. Mark R Bruss, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 900 Waterville Monclova Rd, Ste A, Waterville, OH 43566
Phone: 419-878-2026    Fax: 419-878-3236
Dr. Esther Njeri Mburu, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1222 Pray Blvd, Waterville, OH 43566
Phone: 419-441-4252    

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.