Ms Lisa Patrice Polak-dean, LCSW in Englewood, NJ - Medicare Social Worker Provider

Ms Lisa Patrice Polak-dean, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Englewood, New Jersey. Her current practice location is 263 Knickerbocker Rd, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (347) 543-3182.

Ms Lisa Patrice Polak-dean is licensed to practice in New Jersey (license number 44SC06017300) 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 1265195275.

Contact Information

	Ms Lisa Patrice Polak-dean, LCSW
	263 Knickerbocker Rd, Englewood, NJ 07631-1527
	(347) 543-3182
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lisa Patrice Polak-dean
Gender	Female
Speciality	Social Worker - Clinical
Location	263 Knickerbocker Rd, Englewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265195275
Provider Enumeration Date: 10/17/2021
Last Update Date: 10/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4082091947
Enrollment ID: I20220513001834

Medical Identifiers

Medical identifiers for Ms Lisa Patrice Polak-dean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265195275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06017300 (New Jersey)	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. Ms Lisa Patrice Polak-dean allows following entities to bill medicare on her behalf.

Entity Name	Bergen County Improvement Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578641924 PECOS PAC ID: 9032104047 Enrollment ID: O20040701000471

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. Ms Lisa Patrice Polak-dean 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
Ms Lisa Patrice Polak-dean, LCSW 263 Knickerbocker Rd, Englewood, NJ 07631-1527 Ph: (347) 543-3182	Ms Lisa Patrice Polak-dean, LCSW 263 Knickerbocker Rd, Englewood, NJ 07631-1527 Ph: (347) 543-3182

Reviews and Comments

Social Worker in Englewood, NJ

Ms. Muriel T Reid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 Engle St, Englewood, NJ 07631 Phone: 201-833-9683 Fax: 484-970-8941
Nancy Faltas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Presidential Dr, Englewood, NJ 07631 Phone: 201-227-8517
Ms. Barbara M. Friedman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Grand Ave, Suite #2, Englewood, NJ 07631 Phone: 201-568-1659 Fax: 201-894-1491
Lorna Scales Goldberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 171 Meadowbrook Rd, Englewood, NJ 07631 Phone: 201-894-8515 Fax: 201-871-4674
Mr. Cory David Chargo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 69 Chester Pl Apt 4a, Englewood, NJ 07631 Phone: 203-300-2705 Fax: 888-315-1209
Ms. Judy Wimpfheimer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Dana Place, Englewood, NJ 07631 Phone: 201-568-2216 Fax: 253-550-1259
Ms. Lisa Jean Castrianni, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 N Dean St, Englewood, NJ 07631 Phone: 201-894-0510

Ms Lisa Patrice Polak-dean, LCSW - Medicare Clinical Social Worker in Englewood, NJ