Miranda Swados Balkin, MD - Medicare Family Practice in Worthington, MA

  1. Home
  2. Family Medicine
  3. MA
  4. Worthington
Miranda Swados Balkin, MD is a medicare enrolled "Family Medicine" physician in Worthington, Massachusetts. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mass General Brigham Medical Group Western Massachusetts Inc and her current practice location is 58 Old North Rd, Worthington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 238-5511.

Miranda Swados Balkin is licensed to practice in Massachusetts (license number 254019) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467763581.

Contact Information

Miranda Swados Balkin, MD
58 Old North Rd,
Worthington, MA 01098-9753
(413) 238-5511
(413) 238-5358

Map and Direction




Physician's Profile

Full NameMiranda Swados Balkin
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location58 Old North Rd, Worthington, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miranda Swados Balkin attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2010
  NPI Data:
  • NPI Number: 1467763581
  • Provider Enumeration Date: 06/23/2010
  • Last Update Date: 08/04/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7618104191
  • Enrollment ID: I20161121001551

Medical Identifiers

Medical identifiers for Miranda Swados Balkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467763581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 254019 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna & Hospice Of Cooley DickinsonNorthampton, MAHome health agency
Cooley Dickinson Hospital Inc,theNorthampton, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mass General Brigham Medical Group Western Massachusetts Inc2567359839230

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. Miranda Swados Balkin allows following entities to bill medicare on her behalf.
Entity NameMass General Brigham Medical Group Western Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295787919
PECOS PAC ID: 2567359839
Enrollment ID: O20040302000290
Entity NameHilltown Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740268051
PECOS PAC ID: 7315830148
Enrollment ID: O20040915000815

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. Miranda Swados Balkin 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
Miranda Swados Balkin, MD
58 Old North Rd,
Worthington, MA 01098-9753

Ph: (413) 238-5511		Miranda Swados Balkin, MD
58 Old North Rd,
Worthington, MA 01098-9753

Ph: (413) 238-5511

Reviews and Comments


Family Medicine Doctors in Worthington, MA

Elizabeth A. Coates, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 58 Old North Rd, Worthington, MA 01098
Phone: 413-238-5511    Fax: 413-238-5358
Mary Elizabeth Chmura, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 58 Old North Rd, Worthington, MA 01098
Phone: 413-238-5511    Fax: 413-238-5358

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.