Mr Edward Balzer, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mastic Beach, New York. His current practice location is
51 Riviera Dr, Mastic Beach, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 681-5584.
Mr Edward Balzer is licensed to practice in New York (license number F405071-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720763196.
Provider's Profile
| Full Name | Mr Edward Balzer |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 51 Riviera Dr, Mastic Beach, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720763196
- Provider Enumeration Date: 06/21/2023
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507201902
- Enrollment ID: I20240226000780
Medical Identifiers
Medical identifiers for Mr Edward Balzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720763196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F405071-01 (New York) | 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. Mr Edward Balzer allows following entities to bill medicare on his behalf.
| Entity Name | Priyadarshan Bajpayi Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629534474
PECOS PAC ID: 6608118179
Enrollment ID: O20190502001387 |
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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. Mr Edward Balzer 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 |
|---|
Mr Edward Balzer, PMHNP-BC
Po Box 601,
Mastic Beach, NY 11951-0601
Ph: (631) 681-5584 | Mr Edward Balzer, PMHNP-BC
51 Riviera Dr,
Mastic Beach, NY 11951-6024
Ph: (631) 681-5584 |
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