Paula Balogh, - Medicare Nurse Practitioner in North Huntingdon, PA

Paula Balogh, is a medicare enrolled "Nurse Practitioner - Family" in North Huntingdon, Pennsylvania. Her current practice location is 11057 Hunters Woods Ln, Suite Ag70.15, North Huntingdon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (412) 916-6008.

Paula Balogh is licensed to practice in Pennsylvania (license number UP004331B) 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 1982000956.

Contact Information

Paula Balogh,
11057 Hunters Woods Ln, Suite Ag70.15,
North Huntingdon, PA 15642-1940
(412) 916-6008
Not Available

Map and Direction




Provider's Profile

Full NamePaula Balogh
GenderFemale
SpecialityNurse Practitioner - Family
Location11057 Hunters Woods Ln, North Huntingdon, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982000956
  • Provider Enumeration Date: 11/18/2014
  • Last Update Date: 04/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385950807
  • Enrollment ID: I20150828002003

Medical Identifiers

Medical identifiers for Paula Balogh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982000956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family UP004331B (Pennsylvania)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. Paula Balogh allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883

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. Paula Balogh 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
Paula Balogh,
11057 Hunters Woods Ln, Suite Ag70.15,
North Huntingdon, PA 15642-1940

Ph: () -
Paula Balogh,
11057 Hunters Woods Ln, Suite Ag70.15,
North Huntingdon, PA 15642-1940

Ph: (412) 916-6008

Reviews and Comments


Nurse Practitioner Nurses in North Huntingdon, PA

Linda Pfeifer,
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Phone: 724-834-1463    
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Mckenna Crawford, CRNP
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Phone: 724-864-1830    
Mrs. Kaitland Nicole Shuster, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 25 N Thompson Ln Ste E, North Huntingdon, PA 15642
Phone: 724-382-4941    
Danielle Lynn Kavel,
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Medicare: Not Enrolled in Medicare
Practice Location: 27 N Thompson Ln # A, North Huntingdon, PA 15642
Phone: 724-864-1830    
Heather Penzera-ulicne, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 8775 Norwin Ave, Suite 108, North Huntingdon, PA 15642
Phone: 724-765-1225    Fax: 724-765-1227
Maria T Orkwis, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8775 Norwin Ave, North Huntingdon, PA 15642
Phone: 724-765-7277    Fax: 724-863-0046

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.