Valeska Balderas, MD - Medicare Gastroenterology in Mcallen, TX

Valeska Balderas, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Mcallen, Texas. She went to University Of Texas Medical Branch At Galveston and graduated in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Texas Gastroenterology Institute Pa and her current practice location is 801 E Nolana Ave, Suite 4, Mcallen, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 686-2626.

Valeska Balderas is licensed to practice in Texas (license number M6034) 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 1588866370.

Contact Information

Valeska Balderas, MD
801 E Nolana Ave, Suite 4,
Mcallen, TX 78504
(956) 686-2626
(956) 686-1616

Map and Direction




Physician's Profile

Full NameValeska Balderas
GenderFemale
SpecialityGastroenterology
Experience20 Years
Location801 E Nolana Ave, Mcallen, Texas
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:
  • Valeska Balderas attended and graduated from University Of Texas Medical Branch At Galveston in 2004
  NPI Data:
  • NPI Number: 1588866370
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 08/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961527403
  • Enrollment ID: I20100921000484

Medical Identifiers

Medical identifiers for Valeska Balderas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588866370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology M6034 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rio Grande Regional HospitalMcallen, TXHospital
Knapp Medical CenterWeslaco, TXHospital
Doctors Hospital At RenaissanceEdinburg, TXHospital
Mission Regional Medical CenterMission, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Gastroenterology Institute Pa99313705905

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. Valeska Balderas allows following entities to bill medicare on her behalf.
Entity NameTexas Gastroenterology Institute Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194020453
PECOS PAC ID: 9931370590
Enrollment ID: O20110913000057
Entity NameMrg Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881342947
PECOS PAC ID: 4789070764
Enrollment ID: O20220330001907

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. Valeska Balderas 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
Valeska Balderas, MD
110 E Savannah Ave Bldg C101,
Mcallen, TX 78503-1242

Ph: (956) 686-2626
Valeska Balderas, MD
801 E Nolana Ave, Suite 4,
Mcallen, TX 78504

Ph: (956) 686-2626

Reviews and Comments


Internal Medicine Doctors in Mcallen, TX

Dona E Cooper-dockery, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 801 E Nolana Ave, Ste 12, Mcallen, TX 78504
Phone: 956-686-8802    Fax: 956-686-3083
Jasmine Gowarty,
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Medicare: Accepting Medicare Assignments
Practice Location: 1901 S Col Rowe Blvd, Mcallen, TX 78503
Phone: 956-687-5150    
Dr. Juan Jose Salazar, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 801 E Nolana Ave Ste 2, Mcallen, TX 78504
Phone: 956-687-1177    Fax: 956-687-3290
Daniela Hernandez, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 205 E Toronto Ave, Mcallen, TX 78503
Phone: 956-296-3990    Fax: 956-665-6837
Dr. Encarnacion Rodriguez, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 4300 N Mccoll Rd, Mcallen, TX 78504
Phone: 956-630-1170    
Diane Duyen T Nguyen, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 205 E Toronto Ave, Mcallen, TX 78503
Phone: 956-296-3990    Fax: 956-665-6837
Rodrigo Erana, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Us Expressway 83, Mcallen, TX 78503
Phone: 956-661-9840    Fax: 956-661-9841

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.