Mrs Patricia J Balducci, LCSWC - Medicare Clinical Social Worker in Millsboro, DE

Mrs Patricia J Balducci, LCSWC is a medicare enrolled "Social Worker - Clinical" provider in Millsboro, Delaware. She graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Premier Wellness Healthcare and her current practice location is 29787 John J Williams Hwy Unit 8, Millsboro, Delaware. You can reach out to her office (for appointments etc.) via phone at (800) 818-8680.

Mrs Patricia J Balducci is licensed to practice in Delaware (license number Q1-0001330) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558421909.

Contact Information

Mrs Patricia J Balducci, LCSWC
29787 John J Williams Hwy Unit 8,
Millsboro, DE 19966-4097
(800) 818-8680
(800) 818-8680

Map and Direction




Healthcare Provider's Profile

Full NameMrs Patricia J Balducci
GenderFemale
SpecialityClinical Social Worker
Experience45 Years
Location29787 John J Williams Hwy Unit 8, Millsboro, Delaware
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Patricia J Balducci graduated from medical school in 1979
  NPI Data:
  • NPI Number: 1558421909
  • Provider Enumeration Date: 12/08/2006
  • Last Update Date: 09/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9931265345
  • Enrollment ID: I20090311000116

Medical Identifiers

Medical identifiers for Mrs Patricia J Balducci such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558421909NPI-NPPES
KC83K1OtherMDBLUE CROSS BLUE SHIELD
100026715001OtherMDAPS
T460OtherMDBLUE CHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 03640 (Maryland)Secondary
1041C0700XSocial Worker - Clinical Q1-0001330 (Delaware)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Wellness Healthcare10526883894

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. Mrs Patricia J Balducci allows following entities to bill medicare on her behalf.
Entity NamePremier Wellness Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376087635
PECOS PAC ID: 1052688389
Enrollment ID: O20170517000801

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. Mrs Patricia J Balducci 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
Mrs Patricia J Balducci, LCSWC
Po Box 99,
Conowingo, MD 21918-0099

Ph: (410) 378-9696
Mrs Patricia J Balducci, LCSWC
29787 John J Williams Hwy Unit 8,
Millsboro, DE 19966-4097

Ph: (800) 818-8680

Reviews and Comments


Social Worker in Millsboro, DE

Keina Tirrell, LCSW
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Phone: 302-841-8985    

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.