Leah A Balonzo, PT is a medicare enrolled "Physical Therapist" provider in Cahokia, Illinois. Her current practice location is
3354 Jerome Ln, Rehab Dept, Cahokia, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 381-7666.
Leah A Balonzo is licensed to practice in Illinois (license number 070.015613) 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 1841442936.
Healthcare Provider's Profile
| Full Name | Leah A Balonzo |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 3354 Jerome Ln, Cahokia, Illinois |
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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: 1841442936
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 01/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 6406208222
- Enrollment ID: I20240117003184
Medical Identifiers
Medical identifiers for Leah A Balonzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841442936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070.015613 (Illinois) | Primary |
| 225100000X | Physical Therapist | 2006032817 (Missouri) | Secondary |
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. Leah A Balonzo allows following entities to bill medicare on her behalf.
| Provider Name | Comprehensive Therapeutics Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699094102
PECOS PAC ID: 8921230137
Enrollment ID: O20140422000663 |
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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. Leah A Balonzo 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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Leah A Balonzo, PT
3354 Jerome Ln, Rehab Dept,
Cahokia, IL 62206-2604
Ph: (217) 381-7666 | Leah A Balonzo, PT
3354 Jerome Ln, Rehab Dept,
Cahokia, IL 62206-2604
Ph: (217) 381-7666 |
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