Daniel W Balcerak, PA-C is a medicare enrolled "Physician Assistant - Medical" in Hammond, Indiana. His current practice location is
2250 173rd St, Hammond, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 494-0111.
Daniel W Balcerak is licensed to practice in Indiana (license number 10001437A) 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 1356602460.
Provider's Profile
| Full Name | Daniel W Balcerak |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 2250 173rd St, Hammond, Indiana |
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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: 1356602460
- Provider Enumeration Date: 06/05/2012
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476702432
- Enrollment ID: I20121005000701
Medical Identifiers
Medical identifiers for Daniel W Balcerak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356602460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | 10001437A (Indiana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 10001437A (Indiana) | Primary |
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. Daniel W Balcerak 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 |
Daniel W Balcerak, PA-C 2250 173rd St, Hammond, IN 46323-2074 Ph: (765) 494-0111 | Daniel W Balcerak, PA-C 2250 173rd St, Hammond, IN 46323-2074 Ph: (765) 494-0111 |
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