MARY JO BALDUC
NPI 1033827217
Social Worker - Clinical in Wakefield, MI

Q: What is Mary Jo Balduc's NPI number?

The NPI number for Mary Jo Balduc is 1033827217. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Q: What is Mary Jo Balduc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jo Balduc was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2022PECOS EnrolledAccepts Medicare Assignment

103 W US HIGHWAY 2, WAKEFIELD, MI 49968(906) 229-6120(906) 229-6191 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2025, Nov 7, 2022 (2 updates tracked since 2022).

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About Mary Jo Balduc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JO BALDUC (NPI 1033827217) is an individual clinical provider in Wakefield, Michigan, licensed in Michigan (6401225698) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1033827217

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY JO BALDUC

Location Address103 W US HIGHWAY 2Wakefield, MI 49968-9515

Mailing Address1612 S Woolsey StBessemer, MI 49911-1830 · (906) 364-0538

Phone(906) 229-6120

Fax(906) 229-6191

Sole ProprietorNo

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2022

Enumeration DateNovember 7, 2022

Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1033827217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6401225698

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6451022588 (MI)

103 W US HIGHWAY 2, Wakefield, MI 49968

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Jo Balduc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890281083

PECOS Enrollment IDI20251224002594

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Jo Balduc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gogebic County Community Mental Health Authority

Same address

Mental Health

103 W US HIGHWAY 2
Wakefield, MI 49968

Reassigned Medicare billing, Michigan enrollment
7 clinicians in this Medicare group

NPI 1912957143 (906) 229-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49968 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNA MAE KOIVISTO

Case Manager/Care Coordinator