Tracy Ann Polly, MSW, LCSW in Little Rock Afb, AR - Medicare Social Worker Provider

Tracy Ann Polly, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Little Rock Afb, Arkansas. Her current practice location is 1090 Arnold Dr, Little Rock Afb, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 987-0941.

Tracy Ann Polly is licensed to practice in Arkansas (license number 8320-C) 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 1629426267.

Contact Information

	Tracy Ann Polly, MSW, LCSW
	1090 Arnold Dr, Little Rock Afb, AR 72099-4933
	(501) 987-0941
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Ann Polly
Gender	Female
Speciality	Social Worker - Clinical
Location	1090 Arnold Dr, Little Rock Afb, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629426267
Provider Enumeration Date: 05/24/2016
Last Update Date: 05/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2365782513
Enrollment ID: I20190326000211

Medical Identifiers

Medical identifiers for Tracy Ann Polly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629426267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8320-C (Arkansas)	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. Tracy Ann Polly allows following entities to bill medicare on her behalf.

Entity Name	Bokker Enterprises Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508040262 PECOS PAC ID: 8628153194 Enrollment ID: O20080307000218

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. Tracy Ann Polly 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
Tracy Ann Polly, MSW, LCSW 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-0941	Tracy Ann Polly, MSW, LCSW 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-0941

Reviews and Comments

Social Worker in Little Rock Afb, AR

Melrita Maechel Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080
Cara D Roth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7377
Ms. Katherine Milligan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 314 Mdos/sgoho 1090 Arnold Drive, Little Rock Afb, AR 72099 Phone: 501-987-7377 Fax: 501-987-8852
John D Mathews, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7338
Jeremy R Pallas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080
Joshua Routt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7096
Andre' P Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-0941

Tracy Ann Polly, MSW, LCSW - Medicare Clinical Social Worker in Little Rock Afb, AR