Dr Brett Daniel Baloun, MD - Medicare Gastroenterology in Sioux Falls, SD

Dr Brett Daniel Baloun, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Sioux Falls, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Sanford Medical Center and his current practice location is 1205 S Grange Ave Ste 104, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 328-8500.

Dr Brett Daniel Baloun is licensed to practice in South Dakota (license number 8463) 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 1245448869.

Contact Information

Dr Brett Daniel Baloun, MD
1205 S Grange Ave Ste 104,
Sioux Falls, SD 57105-0414
(605) 328-8500
(605) 328-8501

Map and Direction




Physician's Profile

Full NameDr Brett Daniel Baloun
GenderMale
SpecialityGastroenterology
Experience20 Years
Location1205 S Grange Ave Ste 104, Sioux Falls, South Dakota
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:
  • Dr Brett Daniel Baloun attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2004
  NPI Data:
  • NPI Number: 1245448869
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 02/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2466523824
  • Enrollment ID: I20121025000108

Medical Identifiers

Medical identifiers for Dr Brett Daniel Baloun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245448869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 000000 (Minnesota)Secondary
207RG0100XInternal Medicine - Gastroenterology 8463 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Usd Medical CenterSioux falls, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center8325950215707

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. Dr Brett Daniel Baloun allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532
Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

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. Dr Brett Daniel Baloun 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
Dr Brett Daniel Baloun, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
Dr Brett Daniel Baloun, MD
1205 S Grange Ave Ste 104,
Sioux Falls, SD 57105-0414

Ph: (605) 328-8500

Reviews and Comments


Internal Medicine Doctors in Sioux Falls, SD

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Lloyd E Solberg, M.D.
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Ismail Omran,
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Practice Location: 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105
Phone: 605-238-8100    
Francine Vanessa Arneson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 911 E. 20th St., Ste. 509, Sioux Falls, SD 57105
Phone: 605-322-8993    

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.

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