Dr Guillermo Jose Ballarino, MD - Medicare Pulmonary Disease in Danbury, CT

Dr Guillermo Jose Ballarino, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Danbury, Connecticut. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Nuvance Health Medical Practice Ct Inc and his current practice location is 24 Hospital Ave, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 739-7070.

Dr Guillermo Jose Ballarino is licensed to practice in Connecticut (license number 050532) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386810802.

Contact Information

Dr Guillermo Jose Ballarino, MD
24 Hospital Ave,
Danbury, CT 06810-6099
(203) 739-7070
Not Available

Map and Direction




Physician's Profile

Full NameDr Guillermo Jose Ballarino
GenderMale
SpecialityPulmonary Disease
Experience21 Years
Location24 Hospital Ave, Danbury, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Guillermo Jose Ballarino graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1386810802
  • Provider Enumeration Date: 05/05/2008
  • Last Update Date: 07/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7416025630
  • Enrollment ID: I20120606000723

Medical Identifiers

Medical identifiers for Dr Guillermo Jose Ballarino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386810802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 050532 (Connecticut)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 050532 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Danbury HospitalDanbury, CTHospital
Putnam Hospital CenterCarmel, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nuvance Health Medical Practice Ct Inc4789597691648

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. Dr Guillermo Jose Ballarino allows following entities to bill medicare on his behalf.
Entity NameNuvance Health Medical Practice Ct Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407898117
PECOS PAC ID: 4789597691
Enrollment ID: O20031205000130

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. Dr Guillermo Jose Ballarino 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
Dr Guillermo Jose Ballarino, MD
24 Hospital Ave,
Danbury, CT 06810-6099

Ph: (203) 739-7070
Dr Guillermo Jose Ballarino, MD
24 Hospital Ave,
Danbury, CT 06810-6099

Ph: (203) 739-7070

Reviews and Comments


Internal Medicine Doctors in Danbury, CT

Dr. Shivayogi V Magavi, MD
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David D Weinshel, MD
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Dr. Michael Spiegel, M.D.
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Phone: 203-794-5600    Fax: 203-794-5611
Michael Cohenuram, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 24 Hospital Ave, Danbury, CT 06810
Phone: 203-797-7742    Fax: 203-830-2090

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.