Kristi Theresa Balavage, MD - Medicare Obstetrics & Gynecology in Charlotte, NC

Kristi Theresa Balavage, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Charlotte, North Carolina. Her current practice location is 6324 Fairview Rd Ste 430, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-3148.

Kristi Theresa Balavage is licensed to practice in North Carolina (license number 238018) 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 1104320563.

Contact Information

Kristi Theresa Balavage, MD
6324 Fairview Rd Ste 430,
Charlotte, NC 28210-3372
(704) 316-3148
(704) 316-3149



Physician's Profile

Full NameKristi Theresa Balavage
GenderFemale
SpecialityObstetrics & Gynecology
Location6324 Fairview Rd Ste 430, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104320563
  • Provider Enumeration Date: 03/21/2018
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123375284
  • Enrollment ID: I20220818001944

Medical Identifiers

Medical identifiers for Kristi Theresa Balavage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104320563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 238018 (North Carolina)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. Kristi Theresa Balavage allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028

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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. Kristi Theresa Balavage 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
Kristi Theresa Balavage, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -
Kristi Theresa Balavage, MD
6324 Fairview Rd Ste 430,
Charlotte, NC 28210-3372

Ph: (704) 316-3148

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Obstetrics & Gynecology Doctors in Charlotte, NC

Jackie Alan Lucas, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204
Phone: 704-446-7800    
Lynn Amy Boardman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    
Dr. Simon Vivian Ward Iii, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207
Phone: 704-384-1620    Fax: 704-384-1626
Curtis Lee Flood, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6331 Carmel Rd Ste 102, Charlotte, NC 28226
Phone: 980-367-4363    Fax: 704-316-2558
Grant Blanchard, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    
Roland Pixley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204
Phone: 704-446-1700    
Katherine Elizabeth Akeley, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-1544    

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