Dana S Balderrama, MD - Medicare Plastic And Reconstructive Surgery in Lake Havasu City, AZ

Dana S Balderrama, MD is a medicare enrolled "Plastic Surgery" physician in Lake Havasu City, Arizona. He went to University Of New Mexico School Of Medicine and graduated in 1996 and has 23 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is 1945 Mesquite Ave, D, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 453-9487.

Dana S Balderrama is licensed to practice in Arizona (license number 32551) 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 1326087206.

Contact Information

1945 Mesquite Ave
D
Lake Havasu City
AZ 86403
(928) 453-9487
(928) 453-9562

Map and Direction




Physician's Profile

Full NameDana S Balderrama
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience23 Years
LocationLake Havasu City, Arizona
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:
  • Dana S Balderrama attended and graduated from University Of New Mexico School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1326087206
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 02/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3072504570
  • Enrollment ID: I20040522000332

Medical Identifiers

Medical identifiers for Dana S Balderrama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326087206NPI-NPPES
857625MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 32551 (Arizona)Primary
2082S0105XPlastic Surgery - Surgery Of The Hand 32551 (Arizona)Secondary

Hospital Affiliation

Hospital NameLocationType
Havasu Regional Medical CenterLake havasu city, AZAcute Care Hospital

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. Dana S Balderrama allows following entities to bill medicare on his behalf.
Entity NameDana Balderrama Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932110137
PECOS PAC ID: 5496757486
Enrollment ID: O20070205000059

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. Dana S Balderrama is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) No
Used Electronic Health Record (EHR) No
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dana S Balderrama, MD
1945 Mesquite Ave
D
Lake Havasu City
AZ 86403

Ph: (928) 453-9487
Dana S Balderrama, MD
1945 Mesquite Ave
D
Lake Havasu City
AZ 86403

Ph: (928) 453-9487

Reviews and Comments

Plastic Surgery Doctors in Lake Havasu City, AZ

Burt I Faibisoff, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2035 Mesquite Ave, Suite A, Lake Havasu City, AZ 86403
Phone: 928-680-7707    Fax: 928-680-7773

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.