Dr Richard Baltisberger, MD - Medicare Pediatrics in Newark, OH

Dr Richard Baltisberger, MD is a medicare enrolled "Pediatrics" physician in Newark, Ohio. His current practice location is 1865 Tamarack Rd, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (220) 564-4940.

Dr Richard Baltisberger is licensed to practice in Ohio (license number 35071353) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467450668.

Contact Information

Dr Richard Baltisberger, MD
1865 Tamarack Rd,
Newark, OH 43055-1350
(220) 564-4940
(220) 564-4930

Map and Direction




Physician's Profile

Full NameDr Richard Baltisberger
GenderMale
SpecialityPediatrics
Location1865 Tamarack Rd, Newark, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467450668
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 03/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264804764
  • Enrollment ID: I20230209002034

Medical Identifiers

Medical identifiers for Dr Richard Baltisberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467450668NPI-NPPES
2109971MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35071353 (Ohio)Primary

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 Richard Baltisberger allows following entities to bill medicare on his behalf.
Entity NameLicking Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072265
PECOS PAC ID: 6204740731
Enrollment ID: O20031203000131

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 Richard Baltisberger 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 Richard Baltisberger, MD
1865 Tamarack Rd,
Newark, OH 43055-1350

Ph: (220) 564-4940
Dr Richard Baltisberger, MD
1865 Tamarack Rd,
Newark, OH 43055-1350

Ph: (220) 564-4940

Reviews and Comments


Pediatrics Doctors in Newark, OH

Dr. Hanaa Abdelmessih, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1865 Tamarack Rd, Newark, OH 43055
Phone: 220-564-4934    Fax: 220-564-4944
Jimisha Patel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1864 Tamarack Road, Newark, OH 43055
Phone: 220-564-4939    Fax: 220-564-4944
Priyanshi Patel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 399 E Main St, Newark, OH 43055
Phone: 220-564-1840    Fax: 220-564-1841
Dr. Tiffany Jane Owens, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 14 Westgate Dr, Newark, OH 43055
Phone: 220-564-7510    Fax: 220-564-7511
Allison Bosse, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1671 W Main St, Newark, OH 43055
Phone: 740-522-5437    Fax: 740-522-9609
Donna Jean Mcdonald, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1960 Tamarack Rd, Newark, OH 43055
Phone: 740-344-8687    Fax: 740-522-5110

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.