Terry Balagna, MD - Medicare Emergency Medicine in Decatur, IL

Terry Balagna, MD is a medicare enrolled "Emergency Medicine" physician in Decatur, Illinois. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Midwest Emergency Department Specialists Ltd and his current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-3000.

Terry Balagna is licensed to practice in Illinois (license number ) 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 1114022183.

Contact Information

Terry Balagna, MD
2300 N Edward St,
Decatur, IL 62526-4163
(217) 876-3000
Not Available

Map and Direction




Physician's Profile

Full NameTerry Balagna
GenderMale
SpecialityEmergency Medicine
Experience40 Years
Location2300 N Edward St, Decatur, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terry Balagna graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1114022183
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274435896
  • Enrollment ID: I20120103000146

Medical Identifiers

Medical identifiers for Terry Balagna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114022183NPI-NPPES
036073894-2MedicaidIL
273601OtherILHEALTH LINK
05823820OtherILBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Emergency Department Specialists Ltd519362772749

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. Terry Balagna allows following entities to bill medicare on his behalf.
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845
Entity NameIhc-decatur Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972010403
PECOS PAC ID: 0547520454
Enrollment ID: O20180213002871

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. Terry Balagna 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
Terry Balagna, MD
Po Box 587,
Decatur, IL 62525-0587

Ph: (800) 815-3365
Terry Balagna, MD
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-3000

Reviews and Comments


Emergency Medicine Doctors in Decatur, IL

Gabriel Munoz, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-3000    
Gerald A Snyder, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-3000    
Phillip Barnell, M.D., FAAFP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    
Dr. Edward Leon, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Emergency Dept, Decatur, IL 62526
Phone: 217-876-3000    
Koleen Barnell, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    
Jose Reyes, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    

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.