Dr Dvorah Balsam, MD - Medicare Diagnostic Radiology in Stony Brook, NY

Dr Dvorah Balsam, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Stony Brook, New York. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1966 and has 58 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Stony Brook Radiology, University Faculty Practice Corporation and her current practice location is University Hospital At Stony Brook, Level 4, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-6919.

Dr Dvorah Balsam is licensed to practice in New York (license number 101354) 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 1871539155.

Contact Information

Dr Dvorah Balsam, MD
University Hospital At Stony Brook, Level 4,
Stony Brook, NY 11794-0001
(631) 444-6919
Not Available

Map and Direction




Physician's Profile

Full NameDr Dvorah Balsam
GenderFemale
SpecialityDiagnostic Radiology
Experience58 Years
LocationUniversity Hospital At Stony Brook, Stony Brook, New York
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:
  • Dr Dvorah Balsam attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1966
  NPI Data:
  • NPI Number: 1871539155
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638192206
  • Enrollment ID: I20060110000270

Medical Identifiers

Medical identifiers for Dr Dvorah Balsam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871539155NPI-NPPES
74R981OtherNYEMP B/C B/S
4518803OtherNYAETNA
00778547MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology 101354 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Suny/stony Brook University HospitalStony brook, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Radiology, University Faculty Practice Corporation458755519863

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 Dvorah Balsam allows following entities to bill medicare on her behalf.
Entity NameStony Brook Radiology, University Faculty Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366497448
PECOS PAC ID: 4587555198
Enrollment ID: O20040323001029

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 Dvorah Balsam 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 Dvorah Balsam, MD
Po Box 1559,
Stony Brook, NY 11790-0989

Ph: (631) 444-6919
Dr Dvorah Balsam, MD
University Hospital At Stony Brook, Level 4,
Stony Brook, NY 11794-0001

Ph: (631) 444-6919

Reviews and Comments


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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.