Paul R Balash, MD - Medicare General Surgery in Oak Lawn, IL

Paul R Balash, MD is a medicare enrolled "Surgery" physician in Oak Lawn, Illinois. He went to Rush Medical College Of Rush University and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 4400 W 95th St Ste 413, Oak Lawn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 346-4055.

Paul R Balash is licensed to practice in Illinois (license number 036129228) 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 1073741625.

Contact Information

Paul R Balash, MD
4400 W 95th St Ste 413,
Oak Lawn, IL 60453-2662
(708) 346-4055
(708) 499-0948

Map and Direction




Physician's Profile

Full NamePaul R Balash
GenderMale
SpecialityGeneral Surgery
Experience15 Years
Location4400 W 95th St Ste 413, Oak Lawn, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul R Balash attended and graduated from Rush Medical College Of Rush University in 2009
  NPI Data:
  • NPI Number: 1073741625
  • Provider Enumeration Date: 06/22/2009
  • Last Update Date: 12/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981916970
  • Enrollment ID: I20150713001444

Medical Identifiers

Medical identifiers for Paul R Balash such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073741625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036129228 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital
Advocate Trinity HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocate Health And Hospitals Corporation78108009352484

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. Paul R Balash allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1629441027
PECOS PAC ID: 7810800935
Enrollment ID: O20151211000056

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. Paul R Balash 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
Paul R Balash, MD
4400 W 95th St Ste 413,
Oak Lawn, IL 60453-2662

Ph: (708) 346-4055
Paul R Balash, MD
4400 W 95th St Ste 413,
Oak Lawn, IL 60453-2662

Ph: (708) 346-4055

Reviews and Comments


Surgery Doctors in Oak Lawn, IL

Dr. Jamie Clementi, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 4440 W 95th St, Oak Lawn, IL 60453
Phone: 708-684-8000    
Jason Zimmermann, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4400 W 95th St Ste 413, Oak Lawn, IL 60453
Phone: 708-499-0034    
Steven Lance Salzman, DO
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4440 W 95th St, Dept. Of Trauma 183s, Oak Lawn, IL 60453
Phone: 708-684-4015    Fax: 708-684-3049
Rodney Howard Thill, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 W 95th Street, Suite 413, Oak Lawn, IL 60452
Phone: 708-346-4055    Fax: 708-499-0948
Dr. David R. Stern, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4400 W 95th St Ste 308, Oak Lawn, IL 60453
Phone: 708-346-4040    Fax: 708-346-3287
Dr. Bryce Joseph Chalmar Bardezbanian, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4440 W 95th St, Physician's Office Pavilion 207, Oak Lawn, IL 60453
Phone: 708-684-1562    

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.