Ian C Balfour, MD - Medicare Pediatrics in Lawrenceville, GA

Ian C Balfour, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Lawrenceville, Georgia. His current practice location is 738 Old Norcross Rd, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 256-2593.

Ian C Balfour is licensed to practice in Missouri (license number R4D25) 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 1649375874.

Contact Information

Ian C Balfour, MD
738 Old Norcross Rd,
Lawrenceville, GA 30046-4462
(404) 256-2593
Not Available

Map and Direction




Physician's Profile

Full NameIan C Balfour
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location738 Old Norcross Rd, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649375874
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789758699
  • Enrollment ID: I20080811000109

Medical Identifiers

Medical identifiers for Ian C Balfour such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649375874NPI-NPPES
201961901MedicaidMO
700216987AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R4D25 (Missouri)Secondary
2080P0202XPediatrics - Pediatric Cardiology R4D25 (Missouri)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. Ian C Balfour allows following entities to bill medicare on his behalf.
Entity NameNorth Atlanta Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316959869
PECOS PAC ID: 0840291944
Enrollment ID: O20070116000197

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. Ian C Balfour 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
Ian C Balfour, MD
2835 Brandywine Rd Ste 300,
Atlanta, GA 30341-5540

Ph: (404) 256-2593
Ian C Balfour, MD
738 Old Norcross Rd,
Lawrenceville, GA 30046-4462

Ph: (404) 256-2593

Reviews and Comments


Pediatrics Doctors in Lawrenceville, GA

Howard Ross Ellis, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046
Phone: 678-312-5250    
Anuradha N Sheth, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045
Phone: 770-277-6725    Fax: 770-277-9169
Dr. Venkateswara Rao Dikkala, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044
Phone: 678-380-9199    Fax: 908-634-2861
Navneet Kaur Brar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-3356    
Dr. Claire Dudley Wilkiemeyer, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043
Phone: 678-646-0404    
Scott Darby, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046
Phone: 770-995-0823    Fax: 770-995-7018
Keyana Renee Washington, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046
Phone: 770-995-0823    Fax: 770-995-7018

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.