Philip J Balikian, MD - Medicare Orthopedic Surgery in Poway, CA

Philip J Balikian, MD is a medicare enrolled "Orthopaedic Surgery" physician in Poway, California. He went to University Of Massachusetts Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Arch Health Partners Inc and his current practice location is 15611 Pomerado Rd, Poway, California. You can reach out to his office (for appointments etc.) via phone at (858) 613-8900.

Philip J Balikian is licensed to practice in Kentucky (license number 35679) 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 1407803687.

Contact Information

Philip J Balikian, MD
15611 Pomerado Rd,
Poway, CA 92064-2437
(858) 613-8900
Not Available

Map and Direction




Physician's Profile

Full NamePhilip J Balikian
GenderMale
SpecialityOrthopedic Surgery
Experience30 Years
Location15611 Pomerado Rd, Poway, California
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:
  • Philip J Balikian attended and graduated from University Of Massachusetts Medical School in 1994
  NPI Data:
  • NPI Number: 1407803687
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 03/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0143239491
  • Enrollment ID: I20070201000657

Medical Identifiers

Medical identifiers for Philip J Balikian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407803687NPI-NPPES
64016215MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 35679 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pomerado HospitalPoway, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arch Health Partners Inc9931239027222

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. Philip J Balikian allows following entities to bill medicare on his behalf.
Entity NameArch Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649500141
PECOS PAC ID: 9931239027
Enrollment ID: O20100616000715

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. Philip J Balikian 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
Philip J Balikian, MD
Po Box 28199,
San Diego, CA 92198-0199

Ph: (858) 613-8900
Philip J Balikian, MD
15611 Pomerado Rd,
Poway, CA 92064-2437

Ph: (858) 613-8900

Reviews and Comments


Orthopaedic Surgery Doctors in Poway, CA

Philip Gregory Bohart, M.D
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15525 Pomerado Rd, Suite A-1, Poway, CA 92064
Phone: 858-485-0050    Fax: 858-485-9510
Dr. James Francis Marino, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 12630 Monte Vista Rd, Suite 105, Poway, CA 92064
Phone: 858-487-6440    Fax: 858-487-7281
William W Winternitz Jr., MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 12630 Monte Vista Rd, #105, Poway, CA 92064
Phone: 858-487-6440    Fax: 858-487-7281
Brad Steven Cohen, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15525 Pomerado Rd, Suite A-1, Poway, CA 92064
Phone: 858-485-0050    Fax: 858-485-9510
Regis Francis Fallon, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 14229 Palisades Dr, Poway, CA 92064
Phone: 858-679-9201    Fax: 858-486-1741
Dr. Paul C Milling, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 13221 Valle Verde Ter, Poway, CA 92064
Phone: 760-522-4383    

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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