Dr Carlos Enrique Ballestas, MD - Medicare Family Practice in Sunrise, FL

Dr Carlos Enrique Ballestas, MD is a medicare enrolled "Family Medicine" physician in Sunrise, Florida. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice East Florida Primary Care Llc and his current practice location is 12651 W Sunrise Blvd Ste 202, Sunrise, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 838-8801.

Dr Carlos Enrique Ballestas is licensed to practice in Florida (license number ME110974) 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 1609812437.

Contact Information

Dr Carlos Enrique Ballestas, MD
12651 W Sunrise Blvd Ste 202,
Sunrise, FL 33323-0906
(954) 838-8801
(954) 838-8807

Map and Direction




Physician's Profile

Full NameDr Carlos Enrique Ballestas
GenderMale
SpecialityFamily Practice
Experience25 Years
Location12651 W Sunrise Blvd Ste 202, Sunrise, Florida
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 Carlos Enrique Ballestas graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1609812437
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597770941
  • Enrollment ID: I20120113000395

Medical Identifiers

Medical identifiers for Dr Carlos Enrique Ballestas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609812437NPI-NPPES
1791238-02MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M2549 (Texas)Secondary
207Q00000XFamily Medicine ME110974 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Florida Primary Care Llc73150918994

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 Carlos Enrique Ballestas allows following entities to bill medicare on his behalf.
Entity NameEast Florida Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811121205
PECOS PAC ID: 7315091899
Enrollment ID: O20090818000570

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 Carlos Enrique Ballestas 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 Carlos Enrique Ballestas, MD
12651 W Sunrise Blvd Ste 202,
Sunrise, FL 33323-0906

Ph: (954) 838-8801
Dr Carlos Enrique Ballestas, MD
12651 W Sunrise Blvd Ste 202,
Sunrise, FL 33323-0906

Ph: (954) 838-8801

Reviews and Comments


Family Medicine Doctors in Sunrise, FL

Ms. Paola Zaldumbide, ARNP
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Phone: 754-235-0558    
Dr. Martin Marenus, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 2057 N University Dr, Sunrise, FL 33322
Phone: 954-742-0330    Fax: 954-742-8183
Mr. Gray Matthew Fenton, DO
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Practice Location: 12651 W Sunrise Blvd, Suite 202, Sunrise, FL 33323
Phone: 954-838-7200    Fax: 954-838-9192
Mr. Richard Michael Roistacher, MD
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Medicare: Medicare Enrolled
Practice Location: 8397 W Oakland Park Blvd, Sunrise, FL 33351
Phone: 954-741-5000    Fax: 954-741-1177
Jason Navarro, D.O.
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Practice Location: 1257 Nw 125th Ter, Sunrise, FL 33323
Phone: 954-663-6271    
Dr. Anne Marie Nunez, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 13630 Nw 8th St Ste 205, Sunrise, FL 33325
Phone: 888-412-6681    
Dr. Zoie T Goldstein, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12651 W Sunrise Blvd, Suite 202, Sunrise, FL 33323
Phone: 954-838-8801    Fax: 954-838-8807

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.