James Polly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. He graduated from healthcare school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Onhealthcare Llc and his current practice location is
1525 N Ritter Ave, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 359-5467.
James Polly is licensed to practice in Indiana (license number 34007026A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336459429.
Healthcare Provider's Profile
| Full Name | James Polly |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 1525 N Ritter Ave, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- James Polly graduated from medical school in 2010
NPI Data:
- NPI Number: 1336459429
- Provider Enumeration Date: 10/07/2010
- Last Update Date: 10/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 0143449611
- Enrollment ID: I20141120000335
Medical Identifiers
Medical identifiers for James Polly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336459429 | NPI | - | NPPES |
| 100270530 | Medicaid | IN | |
| 000000892238 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34007026A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Onhealthcare Llc | 8527221480 | 46 |
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. James Polly allows following entities to bill medicare on his behalf.
| Entity Name | Onhealthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417220369
PECOS PAC ID: 8527221480
Enrollment ID: O20120514000325 |
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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. James 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 |
|---|
James Polly, LCSW
6626 E 75th Street, Suite 500,
Indianapolis, IN 46250-2890
Ph: () - | James Polly, LCSW
1525 N Ritter Ave,
Indianapolis, IN 46219-3026
Ph: (317) 359-5467 |
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