Alexander Penaranda Balongoy, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Canyon Lake, Texas. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hill Country Community Mhmr Center and his current practice location is
230 Shepherd Hl, Canyon Lake, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 332-2160.
Alexander Penaranda Balongoy is licensed to practice in Texas (license number AP144436) 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 1073144358.
Provider's Profile
| Full Name | Alexander Penaranda Balongoy |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 230 Shepherd Hl, Canyon Lake, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexander Penaranda Balongoy graduated from nursing school in 2019
NPI Data:
- NPI Number: 1073144358
- Provider Enumeration Date: 01/27/2020
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365871084
- Enrollment ID: I20200401001214
Medical Identifiers
Medical identifiers for Alexander Penaranda Balongoy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073144358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP144436 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hill Country Community Mhmr Center | 3072599752 | 18 |
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. Alexander Penaranda Balongoy allows following entities to bill medicare on his behalf.
| Entity Name | Hill Country Community Mhmr Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841304201
PECOS PAC ID: 3072599752
Enrollment ID: O20040624001114 |
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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. Alexander Penaranda Balongoy 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 |
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Alexander Penaranda Balongoy, NP
819 Water St Ste 300,
Kerrville, TX 78028-5330
Ph: () - | Alexander Penaranda Balongoy, NP
230 Shepherd Hl,
Canyon Lake, TX 78133-5606
Ph: (210) 332-2160 |
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