Suzanne L Polivy, is a medicare enrolled "Midwife" provider in Brooklyn, New York. Her current practice location is
4802 10th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 283-6813.
Suzanne L Polivy is licensed to practice in New York (license number F002170) 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 1710278072.
Healthcare Provider's Profile
Full Name | Suzanne L Polivy |
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Gender | Female |
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Speciality | Midwife |
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Location | 4802 10th Ave, Brooklyn, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710278072
- Provider Enumeration Date: 04/21/2011
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284002296
- Enrollment ID: I20221123000997
Medical Identifiers
Medical identifiers for Suzanne L Polivy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710278072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
176B00000X | Midwife | F002170 (New York) | 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. Suzanne L Polivy allows following entities to bill medicare on her behalf.
Entity Name | Maimonides Faculty Practice Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
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Entity Name | Mmc Ob/gyn Faculty Practice Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306843388 PECOS PAC ID: 0345274809 Enrollment ID: O20050923000301 |
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Entity Name | Maimonides Medical Center Mmc Midwifery |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548267750 PECOS PAC ID: 6406024421 Enrollment ID: O20110719000190 |
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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. Suzanne L Polivy 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 |
Suzanne L Polivy, 967 48th St, Brooklyn, NY 11219-2919 Ph: (718) 283-6813 | Suzanne L Polivy, 4802 10th Ave, Brooklyn, NY 11219-2916 Ph: (718) 283-6813 |
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