Silera Mercedes Holguin Balbuena, MD - Medicare Internal Medicine in Charleston, WV

Silera Mercedes Holguin Balbuena, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Charleston, West Virginia. Her current practice location is 3100 Maccorkle Ave Ste 205, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 388-2303.

Silera Mercedes Holguin Balbuena is licensed to practice in West Virginia (license number 31018) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447780614.

Contact Information

Silera Mercedes Holguin Balbuena, MD
3100 Maccorkle Ave Ste 205,
Charleston, WV 25304-1223
(304) 388-2303
Not Available

Map and Direction




Physician's Profile

Full NameSilera Mercedes Holguin Balbuena
GenderFemale
SpecialityInternal Medicine - Rheumatology
Location3100 Maccorkle Ave Ste 205, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447780614
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 05/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860863123
  • Enrollment ID: I20230124001801

Medical Identifiers

Medical identifiers for Silera Mercedes Holguin Balbuena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447780614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 31018 (West Virginia)Primary
390200000XStudent In An Organized Health Care Education/training Program 00000000000000000000 (* (Not Available))Secondary

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. Silera Mercedes Holguin Balbuena allows following entities to bill medicare on her behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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. Silera Mercedes Holguin Balbuena 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
Silera Mercedes Holguin Balbuena, MD
1220 E Cumberland Ave Unit 123,
Tampa, FL 33602-4253

Ph: (019) 534-0262
Silera Mercedes Holguin Balbuena, MD
3100 Maccorkle Ave Ste 205,
Charleston, WV 25304-1223

Ph: (304) 388-2303

Reviews and Comments


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George Zaldivar, M.D
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Practice Location: 3100 Maccorkle Avenue Se, Suite 404, Charleston, WV 25304
Phone: 304-346-1811    Fax: 304-343-3086

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.