Mr Thomas Polak, LPCC is a
Counselor based in Austinburg, Ohio. Mr Thomas Polak is licensed to practice in Ohio (license number ) and his current practice location is
3042 College St, Austinburg, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 462-0628.
NPI number for Mr Thomas Polak is 1801566187 and his current mailing address is 3042 College St, Austinburg, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801566187.
Healthcare Provider's Profile
Full Name | Mr Thomas Polak |
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Gender | Male |
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Speciality | Counselor |
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Location | 3042 College St, Austinburg, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801566187
- Provider Enumeration Date: 09/17/2021
- Last Update Date: 09/17/2021
Medical Identifiers
Medical identifiers for Mr Thomas Polak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801566187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Ohio) | Primary |
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 Thomas Polak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Thomas Polak, LPCC 3042 College St, Austinburg, OH 44010-9745 Ph: (440) 462-0628 | Mr Thomas Polak, LPCC 3042 College St, Austinburg, OH 44010-9745 Ph: (440) 462-0628 |
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