Matthew Ballenberger, MD - Medicare Internal Medicine in Riverside, RI

Matthew Ballenberger, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Riverside, Rhode Island. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 375 Wampanoag Trl, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 649-4070.

Matthew Ballenberger is licensed to practice in Rhode Island (license number MD19716) 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 1497296685.

Contact Information

Matthew Ballenberger, MD
375 Wampanoag Trl,
Riverside, RI 02915-2232
(401) 649-4070
(401) 649-4071

Map and Direction




Physician's Profile

Full NameMatthew Ballenberger
GenderMale
SpecialityInternal Medicine
Experience7 Years
Location375 Wampanoag Trl, Riverside, Rhode Island
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:
  • Matthew Ballenberger graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1497296685
  • Provider Enumeration Date: 03/20/2017
  • Last Update Date: 05/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507298882
  • Enrollment ID: I20210930003207

Medical Identifiers

Medical identifiers for Matthew Ballenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497296685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 73520 (Connecticut)Secondary
207R00000XInternal Medicine 306174 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD19716 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lenox Hill HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685099

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. Matthew Ballenberger allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Matthew Ballenberger 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
Matthew Ballenberger, MD
Dept 3010, Po Box 986524,
Boston, MA 02298-6524

Ph: (833) 924-5546
Matthew Ballenberger, MD
375 Wampanoag Trl,
Riverside, RI 02915-2232

Ph: (401) 649-4070

Reviews and Comments


Internal Medicine Doctors in Riverside, RI

Tonslyn Toure, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4090    Fax: 401-649-4091
Jonathan A Leviss, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4020    Fax: 401-649-4021
Thomas D Denucci, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915
Phone: 401-649-4030    Fax: 401-649-4031
Kristen Tillquist, DO
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Reginald Y Gohh, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915
Phone: 401-649-4060    Fax: 401-649-4061
Dr. Franklin D Mccool, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Dr. Lewena Maher, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4040    Fax: 401-649-4041

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.