Stephanie Nicole Polan, LCSW in Springfield, IL - Medicare Social Worker Provider

Stephanie Nicole Polan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Illinois. Her current practice location is 2501 Chatham Rd Ste N, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 219-0922.

Stephanie Nicole Polan is licensed to practice in Illinois (license number 149.017469) 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 1205295557.

Contact Information

	Stephanie Nicole Polan, LCSW
	2501 Chatham Rd Ste N, Springfield, IL 62704-4188
	(630) 219-0922
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Nicole Polan
Gender	Female
Speciality	Social Worker - Clinical
Location	2501 Chatham Rd Ste N, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205295557
Provider Enumeration Date: 02/15/2016
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6608249826
Enrollment ID: I20230308001715

Medical Identifiers

Medical identifiers for Stephanie Nicole Polan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205295557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017469 (Illinois)	Primary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary

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. Stephanie Nicole Polan allows following entities to bill medicare on her behalf.

Entity Name	Lotus Behavioral Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558944512 PECOS PAC ID: 3476952565 Enrollment ID: O20210521001214

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Stephanie Nicole Polan 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
Stephanie Nicole Polan, LCSW 11013 N Woodstock St, #276, Huntley, IL 60142-6957 Ph: (630) 219-0922	Stephanie Nicole Polan, LCSW 2501 Chatham Rd Ste N, Springfield, IL 62704-4188 Ph: (630) 219-0922

Reviews and Comments

Social Worker in Springfield, IL

Sophie R Horner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1220 S 7th St, Springfield, IL 62703 Phone: 217-679-5379 Fax: 217-679-5349
Mrs. Amanda B Henson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000
Mrs. Jami Lynn Jamieson, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 215 S Grand Ave West, Springfield, IL 62704 Phone: 217-744-3525 Fax: 217-744-3535
Christina Margaret White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Springcreek Dr, Springfield, IL 62702 Phone: 217-801-3990
Mr. David Stanley Brown, M.A.., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2325 W White Oaks Dr, Springfield, IL 62704 Phone: 217-793-3949 Fax: 217-793-3995
Dr. Alesha Nicole Morrison, EDD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2320 Lillian Dr, Springfield, IL 62704 Phone: 217-553-8361
Ms. Bernetta A Andrewin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711 Phone: 217-717-4733 Fax: 217-679-5981

Stephanie Nicole Polan, LCSW - Medicare Clinical Social Worker in Springfield, IL