Juan R Ballesteros, MD - Medicare Pediatrics in Philadelphia, PA

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Juan R Ballesteros, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 160 E Erie Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 427-5202.

Juan R Ballesteros is licensed to practice in Pennsylvania (license number MD055998L) 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 1114915139.

Contact Information

Juan R Ballesteros, MD
160 E Erie Ave,
Philadelphia, PA 19134-1011
(215) 427-5202
Not Available

Map and Direction




Physician's Profile

Full NameJuan R Ballesteros
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location160 E Erie Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114915139
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 02/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133023971
  • Enrollment ID: I20031122000003

Medical Identifiers

Medical identifiers for Juan R Ballesteros such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114915139NPI-NPPES
0017597080005MedicaidPA
001759708MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD055998L (Pennsylvania)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. Juan R Ballesteros allows following entities to bill medicare on his behalf.
Entity NameChildrens Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598869059
PECOS PAC ID: 1355253527
Enrollment ID: O20040216001108
Entity NameEinstein Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NamePhoenixville Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623
Entity NameStc Pediatrics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144864547
PECOS PAC ID: 7315372323
Enrollment ID: O20200122001254

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. Juan R Ballesteros 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
Juan R Ballesteros, MD
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 628-1324		Juan R Ballesteros, MD
160 E Erie Ave,
Philadelphia, PA 19134-1011

Ph: (215) 427-5202

Reviews and Comments


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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.

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