Sandra K Balmoria, MD - Medicare Family Practice in New Church, VA

Sandra K Balmoria, MD is a medicare enrolled "Family Medicine" physician in New Church, Virginia. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cmh Physician Services Llc and her current practice location is 5219 Lankford Highway, New Church, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 414-0400.

Sandra K Balmoria is licensed to practice in Virginia (license number 0116024489) 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 1023379153.

Contact Information

Sandra K Balmoria, MD
5219 Lankford Highway,
New Church, VA 23415-1715
(757) 414-0400
Not Available

Map and Direction




Physician's Profile

Full NameSandra K Balmoria
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location5219 Lankford Highway, New Church, 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:
  • Sandra K Balmoria graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1023379153
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 05/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658515200
  • Enrollment ID: I20150819006762

Medical Identifiers

Medical identifiers for Sandra K Balmoria such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023379153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101254483 (Virginia)Secondary
207Q00000XFamily Medicine 0116024489 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Virginia Regional Home HealthEmporia, VAHome health agency
Amedisys Home HealthMidlothian, VAHome health agency
Commonwealth Home Health IncSouth boston, VAHome health agency
Community Memorial HospitalSouth hill, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cmh Physician Services Llc3779551445110

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. Sandra K Balmoria allows following entities to bill medicare on her behalf.
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559
Entity NameCmh Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171

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. Sandra K Balmoria 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
Sandra K Balmoria, MD
20280 Market Street,
Onancock, VA 23417

Ph: (757) 414-0400
Sandra K Balmoria, MD
5219 Lankford Highway,
New Church, VA 23415-1715

Ph: (757) 414-0400

Reviews and Comments


Family Medicine Doctors in New Church, VA

David Hoshino, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5219 Lankford Hwy, New Church, VA 23415
Phone: 757-824-5676    Fax: 757-824-5872
Erin Mccall,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5219 Lankford Hwy, New Church, VA 23415
Phone: 757-824-5676    Fax: 757-824-5872

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.