Mr Jon S Polen, MS, LPC in Pawhuska, OK - Medicare Counselor Provider

Mr Jon S Polen, MS, LPC is a medicare enrolled "Counselor - Mental Health" provider in Pawhuska, Oklahoma. His current practice location is 606 Kihekah Ave, Pawhuska, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 287-5426.

Mr Jon S Polen is licensed to practice in Oklahoma (license number 6120) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285909705.

Contact Information

	Mr Jon S Polen, MS, LPC
	606 Kihekah Ave, Pawhuska, OK 74056-4225
	(918) 287-5426
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jon S Polen
Gender	Male
Speciality	Counselor - Mental Health
Location	606 Kihekah Ave, Pawhuska, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285909705
Provider Enumeration Date: 03/16/2012
Last Update Date: 01/29/2018

Medicare PECOS Information:

PECOS PAC ID: 7719410125
Enrollment ID: I20241023004156

Medical Identifiers

Medical identifiers for Mr Jon S Polen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285909705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6120 (Oklahoma)	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. Mr Jon S Polen allows following entities to bill medicare on his behalf.

Entity Name	Anew Dawn Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033758453 PECOS PAC ID: 9537574983 Enrollment ID: O20210216002445

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. Mr Jon S Polen 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
Mr Jon S Polen, MS, LPC 1860 E 15th St, Tulsa, OK 74104-4611 Ph: (918) 949-4430	Mr Jon S Polen, MS, LPC 606 Kihekah Ave, Pawhuska, OK 74056-4225 Ph: (918) 287-5426

Reviews and Comments

Counselor in Pawhuska, OK

Amanda J Howerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 Mckenzie, Pawhuska, OK 74056 Phone: 918-287-2881
Victoria Parker, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 473 Elks Lodge Road, Pawhuska, OK 74056 Phone: 405-528-7721
Mrs. Gwynette Maria Chaney, MS. M.ED, LPC Counselor Medicare: Medicare Enrolled Practice Location: 124 E 6th St, Pawhuska, OK 74056 Phone: 918-604-6054 Fax: 918-777-9018
Mr. Louis G Gray I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Grandview, Pawhuska, OK 74056 Phone: 918-287-5415
Ashley Slead, LPC-CANDIDATE Counselor Medicare: Medicare Enrolled Practice Location: 1228 Pecan, Pawhuska, OK 74056 Phone: 844-458-2100
Mr. William Franklin Pendley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 Phone: 918-287-1175 Fax: 918-287-0036

Mr Jon S Polen, MS, LPC - Medicare Counselor in Pawhuska, OK