Dr Stanley Richard Balon, MD - Medicare Internal Medicine in Cumberland, RI

Dr Stanley Richard Balon, MD is a medicare enrolled "Internal Medicine" physician in Cumberland, Rhode Island. He went to Boston University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vmd Primary Providers Of Rhode Island Pc and his current practice location is 175 Nate Whipple Hwy, Suite 204, Cumberland, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 658-1744.

Dr Stanley Richard Balon is licensed to practice in Rhode Island (license number 5801) 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 1003860172.

Contact Information

Dr Stanley Richard Balon, MD
175 Nate Whipple Hwy, Suite 204,
Cumberland, RI 02864-1416
(401) 658-1744
(401) 658-1750

Map and Direction




Physician's Profile

Full NameDr Stanley Richard Balon
GenderMale
SpecialityInternal Medicine
Experience45 Years
Location175 Nate Whipple Hwy, Cumberland, Rhode Island
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 Stanley Richard Balon attended and graduated from Boston University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1003860172
  • Provider Enumeration Date: 05/21/2006
  • Last Update Date: 06/19/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8325147432
  • Enrollment ID: I20080709000624

Medical Identifiers

Medical identifiers for Dr Stanley Richard Balon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003860172NPI-NPPES
9001130MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5801 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home & Hospice Care Of Rhode IslandProvidence, RIHospice
The Miriam HospitalProvidence, RIHospital
Landmark Medical CenterWoonsocket, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vmd Primary Providers Of Rhode Island Pc307291371455

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 Stanley Richard Balon allows following entities to bill medicare on his behalf.
Entity NameVmd Primary Providers Of Rhode Island Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598341067
PECOS PAC ID: 3072913714
Enrollment ID: O20210616003189

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 Stanley Richard Balon 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 Stanley Richard Balon, MD
175 Nate Whipple Hwy, Suite 204,
Cumberland, RI 02864-1416

Ph: (401) 658-1744
Dr Stanley Richard Balon, MD
175 Nate Whipple Hwy, Suite 204,
Cumberland, RI 02864-1416

Ph: (401) 658-1744

Reviews and Comments


Internal Medicine Doctors in Cumberland, RI

Dr. Michael Klufas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 Broad St, Suite 103, Cumberland, RI 02864
Phone: 401-726-1048    Fax: 401-724-0896
Dr. Thomas Joel Myers, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7 Barn Dr, Cumberland, RI 02864
Phone: 401-573-8955    
Mohammad D Khamiees, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3353 Mendon Rd Ste 3, Cumberland, RI 02864
Phone: 401-405-0899    Fax: 401-405-0890
Constantine Pagonis, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 350 West Wrentham Road, Cumberland, RI 02864
Phone: 401-658-0834    Fax: 401-658-0834
Dr. Mary L Czymbor-hepburn, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Scenic View Dr, Cumberland, RI 02864
Phone: 401-770-9546    
Dr. Avanish Mehta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2138 Mendon Rd, Suite 101, Cumberland, RI 02864
Phone: 401-333-8500    Fax: 401-333-5711

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.