Perpemelo Balasta Iii, DO is a medicare enrolled "Family Medicine" physician in Thermal, California. He went to Kansas City University Of Physicians And Surgeons and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice County Of Riverside and his current practice location is
55497 Van Buren St, Thermal, California. You can reach out to his office (for appointments etc.) via phone at
(760) 399-4526.
Perpemelo Balasta Iii is licensed to practice in California (license number 13544) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548580624.
Physician's Profile
Full Name | Perpemelo Balasta Iii |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 14 Years |
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Location | 55497 Van Buren St, Thermal, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Perpemelo Balasta Iii attended and graduated from Kansas City University Of Physicians And Surgeons in 2010
NPI Data:
- NPI Number: 1548580624
- Provider Enumeration Date: 06/11/2010
- Last Update Date: 04/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062698269
- Enrollment ID: I20150202001219
Medical Identifiers
Medical identifiers for Perpemelo Balasta Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548580624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 13544 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
County Of Riverside | 6507754488 | 97 |
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. Perpemelo Balasta Iii allows following entities to bill medicare on his behalf.
Entity Name | Borrego Community Health Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
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Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
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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. Perpemelo Balasta Iii 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 |
Perpemelo Balasta Iii, DO 4480 Utica Ridge Rd, Suite 160, Bettendorf, IA 52722 Ph: (563) 742-4850 | Perpemelo Balasta Iii, DO 55497 Van Buren St, Thermal, CA 92274-9412 Ph: (760) 399-4526 |
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