Tadeo A Diaz Balderrama, MD in Fond Du Lac, WI - Medicare Cardiovascular Disease (cardiology)

Tadeo A Diaz Balderrama, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Agnesian Healthcare Inc and his current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8230.

Tadeo A Diaz Balderrama is licensed to practice in Wisconsin (license number 59901) 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 1437458817.

Contact Information

	Tadeo A Diaz Balderrama, MD
	420 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-8230
	(920) 926-8997

Map and Direction

Physician's Profile

Full Name	Tadeo A Diaz Balderrama
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	13 Years
Location	420 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tadeo A Diaz Balderrama graduated from medical school in 2011

NPI Data:

NPI Number: 1437458817
Provider Enumeration Date: 03/24/2011
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 3476875964
Enrollment ID: I20141212000504

Medical Identifiers

Medical identifiers for Tadeo A Diaz Balderrama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437458817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	59901 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital
Waupun Memorial Hospital	Waupun, WI	Hospital
Ripon Medical Center	Ripon, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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. Tadeo A Diaz Balderrama allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Tadeo A Diaz Balderrama 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 Address	Practice Location Address
Tadeo A Diaz Balderrama, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8230	Tadeo A Diaz Balderrama, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8230

Reviews and Comments

Internal Medicine Doctors in Fond Du Lac, WI

Balvindar S Sareen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 315-637-7800 Fax: 315-637-7808
Jay R Muller, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 Fax: 920-926-8913
Dana I Vasquez, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420
Adam P Karewicz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420
Punit Kumar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac Regional Clinic, Fond Du Lac, WI 54935 Phone: 920-926-8420
Dr. Steven Gregory Meress, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 180 Knights Way, Fond Du Lac, WI 54935 Phone: 920-922-5433 Fax: 920-273-0480
Dr. Crystal J Kleiber Balderrama, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8340 Fax: 414-805-6851

Tadeo A Diaz Balderrama, MD - Medicare Cardiovascular Disease (cardiology) in Fond Du Lac, WI