Octavia Balan, MD - Medicare Internal Medicine in Buffalo, NY

Octavia Balan, MD is a medicare enrolled "Internal Medicine" physician in Buffalo, New York. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sisters Of Charity Hospital Of Buffalo New York, Buffalo Medical Group, P.c. and her current practice location is 85 High St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 630-1000.

Octavia Balan is licensed to practice in New York (license number 238626) 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 1649236134.

Contact Information

Octavia Balan, MD
85 High St,
Buffalo, NY 14203-1149
(716) 630-1000
(716) 630-1254

Map and Direction




Physician's Profile

Full NameOctavia Balan
GenderFemale
SpecialityInternal Medicine
Experience29 Years
Location85 High St, Buffalo, New York
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:
  • Octavia Balan graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1649236134
  • Provider Enumeration Date: 04/24/2006
  • Last Update Date: 12/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234140534
  • Enrollment ID: I20060530000204

Medical Identifiers

Medical identifiers for Octavia Balan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649236134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 238626 (New York)Secondary
207R00000XInternal Medicine 238626 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sisters Of Charity HospitalBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sisters Of Charity Hospital Of Buffalo New York6204749153106
Buffalo Medical Group, P.c.7012820301237

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. Octavia Balan allows following entities to bill medicare on her behalf.
Entity NameBuffalo Medical Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881659506
PECOS PAC ID: 7012820301
Enrollment ID: O20031112000213
Entity NameSisters Of Charity Hospital Of Buffalo New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790727543
PECOS PAC ID: 6204749153
Enrollment ID: O20031126000557
Entity NameMercy Hospital Of Buffalo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253

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. Octavia Balan 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
Octavia Balan, MD
425 Essjay Rd Ste 170,
Williamsville, NY 14221-8235

Ph: (716) 630-1219
Octavia Balan, MD
85 High St,
Buffalo, NY 14203-1149

Ph: (716) 630-1000

Reviews and Comments


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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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