Shemsu D Balker, MD - Medicare Hospitalist in Dallas, TX

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Shemsu D Balker, MD is a medicare enrolled "Hospitalist" physician in Dallas, Texas. His current practice location is 4500 S Lancaster Rd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 857-0000.

Shemsu D Balker is licensed to practice in Texas (license number N4277) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871545293.

Contact Information

Shemsu D Balker, MD
4500 S Lancaster Rd,
Dallas, TX 75216-7167
(214) 857-0000
Not Available

Map and Direction




Physician's Profile

Full NameShemsu D Balker
GenderMale
SpecialityHospitalist
Location4500 S Lancaster Rd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871545293
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709897028
  • Enrollment ID: I20101115000664

Medical Identifiers

Medical identifiers for Shemsu D Balker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871545293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E-11647 (Arkansas)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 200539 (Louisiana)Secondary
207R00000XInternal Medicine 200539 (Louisiana)Secondary
208M00000XHospitalist E-11647 (Arkansas)Secondary
208M00000XHospitalist N4277 (Texas)Primary

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. Shemsu D Balker allows following entities to bill medicare on his behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameQuestcare Hospitalists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265441620
PECOS PAC ID: 5799785119
Enrollment ID: O20070109000581
Entity NameApogee Medical Group Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558318071
PECOS PAC ID: 9436151792
Enrollment ID: O20070215000533
Entity NameSound Inpatient Physicians Of Texas I, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831424563
PECOS PAC ID: 8729133640
Enrollment ID: O20090828000300
Entity NameComprehensive Hospitalist Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295062198
PECOS PAC ID: 8022150036
Enrollment ID: O20100128000411
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameLittle Lantern Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114409133
PECOS PAC ID: 0446502322
Enrollment ID: O20181003001751
Entity NameHospitalist Medicine Physicians Of Texas-tcg Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902384464
PECOS PAC ID: 3678825312
Enrollment ID: O20181009000584
Entity NameHospitalist Medicine Physicians Of Texas - Rockwall, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033698147
PECOS PAC ID: 9234481870
Enrollment ID: O20181010001442

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. Shemsu D Balker 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
Shemsu D Balker, MD
4500 S Lancaster Rd,
Dallas, TX 75216-7167

Ph: (214) 875-2464		Shemsu D Balker, MD
4500 S Lancaster Rd,
Dallas, TX 75216-7167

Ph: (214) 857-0000

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).

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.