Ashley Erin Balaker, MD - Medicare Otolaryngology in Laguna Hills, CA

Ashley Erin Balaker, MD is a medicare enrolled "Otolaryngology" physician in Laguna Hills, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Head And Neck Associates Of Orange County An Incorprate and her current practice location is 24411 Health Center Dr Ste 370, Laguna Hills, California. You can reach out to her office (for appointments etc.) via phone at (949) 364-4361.

Ashley Erin Balaker is licensed to practice in California (license number A108296) 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 1427387547.

Contact Information

Ashley Erin Balaker, MD
24411 Health Center Dr Ste 370,
Laguna Hills, CA 92653-3687
(949) 364-4361
(949) 364-4495

Map and Direction




Physician's Profile

Full NameAshley Erin Balaker
GenderFemale
SpecialityOtolaryngology
Experience17 Years
Location24411 Health Center Dr Ste 370, Laguna Hills, California
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:
  • Ashley Erin Balaker attended and graduated from University Of Southern California Keck School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1427387547
  • Provider Enumeration Date: 12/19/2009
  • Last Update Date: 01/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0547429425
  • Enrollment ID: I20120313000314

Medical Identifiers

Medical identifiers for Ashley Erin Balaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427387547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0901XOtolaryngology - Otology & Neurotology A108296 (California)Secondary
207Y00000XOtolaryngology A108296 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hoag Memorial Hospital PresbyterianNewport beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Head And Neck Associates Of Orange County An Incorprate054721151814

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. Ashley Erin Balaker allows following entities to bill medicare on her behalf.
Entity NameHead And Neck Associates Of Orange County An Incorprate
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427093046
PECOS PAC ID: 0547211518
Enrollment ID: O20050207000933

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. Ashley Erin Balaker 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
Ashley Erin Balaker, MD
26726 Crown Valley Pkwy Ste 200,
Mission Viejo, CA 92691-8003

Ph: (949) 364-4361
Ashley Erin Balaker, MD
24411 Health Center Dr Ste 370,
Laguna Hills, CA 92653-3687

Ph: (949) 364-4361

Reviews and Comments


Otolaryngology Doctors in Laguna Hills, CA

Dr. Esrafil Abedi, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 23961 Calle De La Magdalena, Suite # 430, Laguna Hills, CA 92653
Phone: 949-470-0600    Fax: 949-830-1096

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.