Ms Dina Marie Balzano, DNP is a medicare enrolled "Nurse Practitioner - Family" physician in Paradise Valley, Arizona. Her current practice location is
10599 N Tatum Blvd Ste F151, Paradise Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 991-9271.
Ms Dina Marie Balzano is licensed to practice in Texas (license number AP141593) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861019390.
Physician's Profile
Full Name | Ms Dina Marie Balzano |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10599 N Tatum Blvd Ste F151, Paradise Valley, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861019390
- Provider Enumeration Date: 06/30/2020
- Last Update Date: 11/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133549678
- Enrollment ID: I20220722000946
Medical Identifiers
Medical identifiers for Ms Dina Marie Balzano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861019390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 243256 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP141593 (Texas) | 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. Ms Dina Marie Balzano allows following entities to bill medicare on her behalf.
Entity Name | Clp Regency Of Texas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679152656 PECOS PAC ID: 7214006477 Enrollment ID: O20130723000805 |
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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. Ms Dina Marie Balzano 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 |
Ms Dina Marie Balzano, DNP 10599 N Tatum Blvd Ste F151, Paradise Valley, AZ 85253-1053 Ph: (480) 991-9271 | Ms Dina Marie Balzano, DNP 10599 N Tatum Blvd Ste F151, Paradise Valley, AZ 85253-1053 Ph: (480) 991-9271 |
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