Dr Karen M Balzanto, MD in Naperville, IL

Dr Karen M Balzanto, MD is a medicare enrolled "Pediatrics" physician in Naperville, Illinois. Her current practice location is 801 S Washington St, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 527-3355.

Dr Karen M Balzanto is licensed to practice in Illinois (license number 036-090616) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124179882.

Contact Information

	Dr Karen M Balzanto, MD
	801 S Washington St, Naperville, IL 60540-7430
	(630) 527-3355
	(630) 527-5018

Map and Direction

Physician's Profile

Full Name	Dr Karen M Balzanto
Gender	Female
Speciality	Pediatrics
Location	801 S Washington St, Naperville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124179882
Provider Enumeration Date: 01/16/2007
Last Update Date: 03/19/2026

Medicare PECOS Information:

PECOS PAC ID: 1557418324
Enrollment ID: I20090414000105

Medical Identifiers

Medical identifiers for Dr Karen M Balzanto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124179882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-090616 (Illinois)	Primary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	036-090616 (Illinois)	Secondary

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 Karen M Balzanto allows following entities to bill medicare on her behalf.

Entity Name	Skilled Facility Health Care Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20191226001490

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 Karen M Balzanto 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 Address	Practice Location Address
Dr Karen M Balzanto, MD 35w301 Lambert Ave, St Charles, IL 60174-4918 Ph: (630) 587-0884	Dr Karen M Balzanto, MD 801 S Washington St, Naperville, IL 60540-7430 Ph: (630) 527-3355

Reviews and Comments

Pediatrics Doctors in Naperville, IL

Rajeev S Dixit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S Washington, Naperville, IL 60566 Phone: 847-991-0440 Fax: 847-991-0441
Lina Bourjas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 636 Raymond Dr Ste 205, Naperville, IL 60563 Phone: 630-717-2300
Mark Joseph Brinkman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 Raymond Drive, Suite 205, Naperville, IL 60563 Phone: 630-717-2300 Fax: 630-717-9638
Zankhana Master Desai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 S. Washington St., Nicu, Naperville, IL 60540 Phone: 630-527-3234
Stephen C Crotty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-527-3000
Dr. Nicole Kathryne Sather, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-527-3234 Fax: 630-527-3450
Dr. Chad Christopher Olsen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2712 Forgue Dr Ste 100, Naperville, IL 60564 Phone: 630-548-1100 Fax: 630-428-4211

Dr Karen M Balzanto, MD - Medicare Pediatrics in Naperville, IL