Balanced Flow Medical Llc is a medicare enrolled "General Practice" provider in Chicago, Illinois. Their current practice location is
2325 W North Ave, Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at
(312) 880-9697.
Balanced Flow Medical Llc is licensed to practice in Illinois (license number 038012628) and it also participates in the medicare program. Balanced Flow Medical Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1336656701.
Healthcare Provider's Profile
| Full Name | Balanced Flow Medical Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 2325 W North Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336656701
- Provider Enumeration Date: 01/06/2018
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022368000
- Enrollment ID: O20180912003212
Medical Identifiers
Medical identifiers for Balanced Flow Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336656701 | NPI | - | NPPES |
| 1225442502 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | 038012628 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Balanced Flow Medical Llc acts as a billing entity for following providers:
| Provider Name | Danish Haque |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1336193093
PECOS PAC ID: 0446235410
Enrollment ID: I20040623000385 |
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| Provider Name | Kenji Oyasu |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1487768552
PECOS PAC ID: 9739285941
Enrollment ID: I20070504000331 |
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| Provider Name | Lauralea Thomas |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1104393115
PECOS PAC ID: 3072933282
Enrollment ID: I20201008002347 |
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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. Balanced Flow Medical Llc 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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Balanced Flow Medical Llc
2325 W North Ave,
Chicago, IL 60647-5369
Ph: (312) 880-9697 | Balanced Flow Medical Llc
2325 W North Ave,
Chicago, IL 60647-5369
Ph: (312) 880-9697 |
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