Dawn Balcom, in Louisville, KY - Medicare Nurse Practitioner

Dawn Balcom, is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 401 E Chestnut St Unit 310, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 588-4600.

Dawn Balcom is licensed to practice in Kentucky (license number 30009692) 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 1811366404.

Contact Information

	Dawn Balcom,
	401 E Chestnut St Unit 310, Louisville, KY 40202-5703
	(502) 588-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Dawn Balcom
Gender	Female
Speciality	Nurse Practitioner - Family
Location	401 E Chestnut St Unit 310, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811366404
Provider Enumeration Date: 09/24/2015
Last Update Date: 09/24/2015

Medicare PECOS Information:

PECOS PAC ID: 0648570978
Enrollment ID: I20151118001479

Medical Identifiers

Medical identifiers for Dawn Balcom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811366404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	30009692 (Kentucky)	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. Dawn Balcom allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Research Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477580942 PECOS PAC ID: 1153234265 Enrollment ID: O20031106000087

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. Dawn Balcom 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
Dawn Balcom, 6610 Shelburn Dr, Crestwood, KY 40014-8945 Ph: (502) 744-7439	Dawn Balcom, 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 Ph: (502) 588-4600

Reviews and Comments

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Dawn Balcom, - Medicare Nurse Practitioner in Louisville, KY