Boniface Gbalazeh, MD - Medicare Emergency Medicine in Victoria, TX

Boniface Gbalazeh, MD is a medicare enrolled "Emergency Medicine" physician in Victoria, Texas. His current practice location is 114 Sandstone Ct, Victoria, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 212-4806.

Boniface Gbalazeh is licensed to practice in Texas (license number E8260) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316076482.

Contact Information

Boniface Gbalazeh, MD
114 Sandstone Ct,
Victoria, TX 77904-2952
(361) 212-4806
(361) 212-7683

Map and Direction




Physician's Profile

Full NameBoniface Gbalazeh
GenderMale
SpecialityEmergency Medicine
Location114 Sandstone Ct, Victoria, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316076482
  • Provider Enumeration Date: 03/05/2007
  • Last Update Date: 02/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0840370185
  • Enrollment ID: I20071228000036

Medical Identifiers

Medical identifiers for Boniface Gbalazeh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316076482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E8260 (Texas)Secondary
207P00000XEmergency Medicine E8260 (Texas)Primary

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. Boniface Gbalazeh allows following entities to bill medicare on his behalf.
Entity NameJackson County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215971478
PECOS PAC ID: 2365423795
Enrollment ID: O20040601000224
Entity NameSouthwest Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831299122
PECOS PAC ID: 6204882947
Enrollment ID: O20050325000524
Entity NameVictoria Emergency Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407917164
PECOS PAC ID: 7911005087
Enrollment ID: O20070613000507
Entity NameLone Star Emergency Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457709040
PECOS PAC ID: 7113054446
Enrollment ID: O20100419000563
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821327321
PECOS PAC ID: 3678602802
Enrollment ID: O20101013000177
Entity NameCahrmc Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1205164928
PECOS PAC ID: 6608916879
Enrollment ID: O20110330000977
Entity NameVictoria Emergency Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164770996
PECOS PAC ID: 7012165939
Enrollment ID: O20120919000322
Entity NameEl Campo Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427334077
PECOS PAC ID: 6406021765
Enrollment ID: O20140813001385
Entity NamePreferred Hospital Leasing Muleshoe Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609328806
PECOS PAC ID: 6901124114
Enrollment ID: O20170509002209
Entity NameEmergency Hospital Systems Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992172019
PECOS PAC ID: 2567765761
Enrollment ID: O20170607000131

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. Boniface Gbalazeh 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
Boniface Gbalazeh, MD
114 Sandstone Ct,
Victoria, TX 77904-2952

Ph: (361) 212-4806
Boniface Gbalazeh, MD
114 Sandstone Ct,
Victoria, TX 77904-2952

Ph: (361) 212-4806

Reviews and Comments


Emergency Medicine Doctors in Victoria, TX

Dr. Matias Relos Medina, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 506 E San Antonio St, Victoria, TX 77901
Phone: 361-788-6113    
Clyde Walrod, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2701 Hospital Dr, Victoria, TX 77901
Phone: 361-576-3680    Fax: 361-576-4219
Dr. John W Vaughan, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 506 E San Antonio St, Victoria, TX 77901
Phone: 361-575-7441    
Dr. Julia A. Flores, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Hospital Dr, Victoria, TX 77901
Phone: 361-582-5685    Fax: 361-582-5613
Dr. James Rutland Brand, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 506 E San Antonio St, Victoria, TX 77901
Phone: 361-788-6113    

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.