Amy L Balog, NP in Rockledge, FL - Medicare Nurse Practitioner

Amy L Balog, NP is a medicare enrolled "Nurse Practitioner - Family" in Rockledge, Florida. Her current practice location is 661 Eyster Blvd Ste 2, Rockledge, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 806-1874.

Amy L Balog is licensed to practice in Florida (license number 11010379) 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 1720346869.

Contact Information

	Amy L Balog, NP
	661 Eyster Blvd Ste 2, Rockledge, FL 32955-8119
	(321) 806-1874
	(321) 806-1875

Map and Direction

Provider's Profile

Full Name	Amy L Balog
Gender	Female
Speciality	Nurse Practitioner - Family
Location	661 Eyster Blvd Ste 2, Rockledge, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720346869
Provider Enumeration Date: 04/26/2012
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2365690302
Enrollment ID: I20120917000166

Medical Identifiers

Medical identifiers for Amy L Balog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720346869	NPI	-	NPPES
03457292	Medicaid	NY
120719000037	Other	NY	FIDELIS CARE NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	609756 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	337302 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	11010379 (Florida)	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. Amy L Balog allows following entities to bill medicare on her behalf.

Entity Name	Gloversville Emergency Medicine Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518205491 PECOS PAC ID: 7517107881 Enrollment ID: O20130710000069

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. Amy L Balog 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
Amy L Balog, NP 661 Eyster Blvd Ste 2, Rockledge, FL 32955-8119 Ph: (337) 349-5824	Amy L Balog, NP 661 Eyster Blvd Ste 2, Rockledge, FL 32955-8119 Ph: (321) 806-1874

Reviews and Comments

Nurse Practitioner Nurses in Rockledge, FL

Wieslaw Faliszewski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500
Ms. Christy Lynne Powell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Barton Blvd Unit C14, Rockledge, FL 32955 Phone: 321-241-6800 Fax: 321-241-6890
Alison Wolff Singer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Barton Blvd Unit C-14, Rockledge, FL 32955 Phone: 321-639-5177
Eryn Preston, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 S Woods Dr, Rockledge, FL 32955 Phone: 321-636-3066 Fax: 321-636-2545
Mary Elizabeth Nave, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Longwood Ave, Rockledge, FL 32955 Phone: 321-632-6963 Fax: 321-632-6983
Richard Arthur Bernard Jr., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Longwood Ave, Rockledge, FL 32955 Phone: 321-632-6963 Fax: 321-632-6983
Michael D. Griffin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Sloan Ct, Rockledge, FL 32955 Phone: 321-200-0471

Amy L Balog, NP - Medicare Nurse Practitioner in Rockledge, FL