Dr Witni Balthazar, MD is a medicare enrolled "General Practice" physician in Vero Beach, Florida. His current practice location is
1900 27th St, Vero Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 794-7400.
Dr Witni Balthazar is licensed to practice in Florida (license number ACN280) 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 1164625935.
Physician's Profile
| Full Name | Dr Witni Balthazar |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1900 27th St, Vero Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164625935
- Provider Enumeration Date: 06/07/2007
- Last Update Date: 08/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012078397
- Enrollment ID: I20081204000755
Medical Identifiers
Medical identifiers for Dr Witni Balthazar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164625935 | NPI | - | NPPES |
| 000551400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | ACN280 (Florida) | 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 Witni Balthazar allows following entities to bill medicare on his behalf.
| Entity Name | Florida Department of Children and Families |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710945118
PECOS PAC ID: 5092613570
Enrollment ID: O20031222000351 |
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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 Witni Balthazar 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 Witni Balthazar, MD
1900 27th St,
Vero Beach, FL 32960-3383
Ph: (772) 794-7400 | Dr Witni Balthazar, MD
1900 27th St,
Vero Beach, FL 32960-3383
Ph: (772) 794-7400 |
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