Gemma Dulosa Balcita, - Medicare Nurse Practitioner in Carlsbad, CA

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Gemma Dulosa Balcita, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Carlsbad, California. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advantage Neuropsychiatric Associates A P C, Memory Check Psychological Services, A Professional Corporation, Datnguyen, M.d., Inc. and her current practice location is 5838 Edison Pl, Carlsbad, California. You can reach out to her office (for appointments etc.) via phone at (888) 515-3834.

Gemma Dulosa Balcita is licensed to practice in California (license number 95019380) 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 1750033155.

Contact Information

Gemma Dulosa Balcita,
5838 Edison Pl,
Carlsbad, CA 92008-5520
(888) 515-3834
Not Available

Map and Direction




Provider's Profile

Full NameGemma Dulosa Balcita
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location5838 Edison Pl, Carlsbad, California
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:
  • Gemma Dulosa Balcita graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1750033155
  • Provider Enumeration Date: 01/26/2022
  • Last Update Date: 12/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638565443
  • Enrollment ID: I20220404002309

Medical Identifiers

Medical identifiers for Gemma Dulosa Balcita such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750033155NPI-NPPES
529902MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95019380 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Foothill Regional Medical CenterTustin, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advantage Neuropsychiatric Associates A P C054739504816
Memory Check Psychological Services, A Professional Corporation741685642278
Datnguyen, M.d., Inc.458766873616

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. Gemma Dulosa Balcita allows following entities to bill medicare on her behalf.
Entity NameMemory Check Psychological Services, a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021
Entity NameDatnguyen, M.D., Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215977723
PECOS PAC ID: 4587668736
Enrollment ID: O20060831000265
Entity NameAdvantage Neuropsychiatric Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043455850
PECOS PAC ID: 0547395048
Enrollment ID: O20100323000710
Entity NameCarbon Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609678226
PECOS PAC ID: 9537672167
Enrollment ID: O20250627001483

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. Gemma Dulosa Balcita 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
Gemma Dulosa Balcita,
Po Box 2443,
Garden Grove, CA 92842-2443

Ph: (657) 256-8354		Gemma Dulosa Balcita,
5838 Edison Pl,
Carlsbad, CA 92008-5520

Ph: (888) 515-3834

Reviews and Comments


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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).

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