R S Balboa Mdpc in Port Huron, MI - Medicare Internal Medicine

R S Balboa Mdpc is a medicare enrolled primary clinic (Internal Medicine) in Port Huron, Michigan. The current practice location for R S Balboa Mdpc is 1201 Stone St Ste 5, Port Huron, Michigan. For appointments, you can reach them via phone at (810) 966-9556. The mailing address for R S Balboa Mdpc is 1201 Stone St Ste 5, Port Huron, Michigan and phone number is (810) 966-9556.

R S Balboa Mdpc is licensed to practice in Michigan (license number RB028997). The clinic also participates in the medicare program and its NPI number is 1801024807. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (810) 966-9556.

Contact Information

	R S Balboa Mdpc
	1201 Stone St Ste 5 Port Huron MI 48060-3563
	(810) 966-9556
	(810) 966-4898

Map and Direction

Primary Care Clinic Profile

Full Name	R S Balboa Mdpc
Speciality	Internal Medicine
Location	1201 Stone St Ste 5, Port Huron, Michigan
Authorized Official Name and Position	Ronaldo S Balboa (OWNER)
Authorized Official Contact	8109669556
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
R S Balboa Mdpc 1201 Stone St Ste 5 Port Huron MI 48060-3563 Ph: (810) 966-9556	R S Balboa Mdpc 1201 Stone St Ste 5 Port Huron MI 48060-3563 Ph: (810) 966-9556

NPI Details:

NPI Number	1801024807
Provider Enumeration Date	06/29/2009
Last Update Date	12/15/2009

Medicare PECOS Information:

Medicare PECOS PAC ID	8022161793
Medicare Enrollment ID	O20090728000359

Medical Identifiers

Medical identifiers for R S Balboa Mdpc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801024807	NPI	-	NPPES
110094613	Other	MI	RAILROAD MEDICARE
1006297	Medicaid	MI
0740374	Other	MI	BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	RB028997 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. R S Balboa Mdpc acts as a billing entity for following providers:

Provider Name	Ronaldo Salcedo Balboa
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1417941055 PECOS PAC ID: 7012826886 Enrollment ID: I20090728000335

Reviews and Comments

Internal Medicine in Port Huron, MI

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R S Balboa Mdpc - Medicare Primary Care in Port Huron, MI