Jorge M Balaguer, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Stony Brook, NY

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Jorge M Balaguer, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Stony Brook, New York. His current practice location is 101 Nicolls Rd Rm 80, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at (631) 444-1820.

Jorge M Balaguer is licensed to practice in Tennessee (license number MD39371) 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 1649218934.

Contact Information

Jorge M Balaguer, MD
101 Nicolls Rd Rm 80,
Stony Brook, NY 11794-6110
(631) 444-1820
Not Available

Map and Direction




Physician's Profile

Full NameJorge M Balaguer
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location101 Nicolls Rd Rm 80, Stony Brook, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649218934
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 08/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688625890
  • Enrollment ID: I20180723000154

Medical Identifiers

Medical identifiers for Jorge M Balaguer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649218934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 152790 (Massachusetts)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD39371 (Tennessee)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. Jorge M Balaguer allows following entities to bill medicare on his behalf.
Entity NameUniversity of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883
Entity NameUPMC Altoona Regional Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396724217
PECOS PAC ID: 5395659312
Enrollment ID: O20040312000257

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. Jorge M Balaguer 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
Jorge M Balaguer, MD
101 Nicolls Rd Rm 80,
Stony Brook, NY 11794-8191

Ph: (631) 444-1820		Jorge M Balaguer, MD
101 Nicolls Rd Rm 80,
Stony Brook, NY 11794-6110

Ph: (631) 444-1820

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Stony Brook, NY

Dr. Vinay Manohar Tak, MD, FRCS(ED), FACS
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: Stony Brook Hospital, 100 Nichols Road, Stony Brook, NY 11794
Phone: 631-444-2034    Fax: 631-444-8947
Dr. James Roy Taylor Jr., M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 100 Nicolls Rd, Hsc L19-080, Stony Brook, NY 11794
Phone: 631-444-1820    Fax: 631-444-8963
Dr. Frank Seifert, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: University Hospital, L5, Stony Brook, NY 11794
Phone: 631-444-2565    
Dr. Jonathan Price, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 101 Nicolls Road, Hsc L19, Room 080, Stony Brook, NY 11794
Phone: 631-444-3875    
Dr. Allison J Mclarty, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: University Hospital, L5, Stony Brook, NY 11794
Phone: 631-444-2565    
Dr. Harold Alberto Fernandez, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 100 Nicolls Rd, Hsc L19-080, Stony Brook, NY 11794
Phone: 631-444-1820    Fax: 631-444-8963

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.