Peter J Polverini, DDS, DMSC in Ann Arbor, MI - Medicare Maxillofacial Surgery Provider

Peter J Polverini, DDS, DMSC is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in Ann Arbor, Michigan. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Regents Of The University Of Michigan Oral Pathology and his current practice location is 1011 N University Ave, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 763-6933.

Peter J Polverini is licensed to practice in Michigan (license number 2901016040) 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 1699808857.

Contact Information

	Peter J Polverini, DDS, DMSC
	1011 N University Ave, Ann Arbor, MI 48109-1078
	(734) 763-6933
	(734) 763-5142

Map and Direction

Healthcare Provider's Profile

Full Name	Peter J Polverini
Gender	Male
Speciality	Maxillofacial Surgery
Experience	51 Years
Location	1011 N University Ave, Ann Arbor, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Peter J Polverini graduated from medical school in 1973

NPI Data:

NPI Number: 1699808857
Provider Enumeration Date: 03/14/2007
Last Update Date: 01/29/2020

Medicare PECOS Information:

PECOS PAC ID: 9436112802
Enrollment ID: I20041105001051

Medical Identifiers

Medical identifiers for Peter J Polverini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699808857	NPI	-	NPPES
4504373	Medicaid	MI
4070694	Medicaid	MI
195816845	Other	MI	BCBS OF MI MED SURGICAL
2667583	Medicaid	OH
4874042	Medicaid	MI
D160400	Other	MI	BCBS OF MI DENTAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901016040 (Michigan)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	2901016040 (Michigan)	Secondary
1223P0106X	Dentist - Oral And Maxillofacial Pathology	2901016040 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of Michigan Oral Pathology	2466414685	4

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. Peter J Polverini allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of Michigan Oral Pathology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083739262 PECOS PAC ID: 2466414685 Enrollment ID: O20041101000053

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. Peter J Polverini 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
Peter J Polverini, DDS, DMSC 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325	Peter J Polverini, DDS, DMSC 1011 N University Ave, Ann Arbor, MI 48109-1078 Ph: (734) 763-6933

Reviews and Comments

Dentist in Ann Arbor, MI

Damien S Kaiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 N University Ave, Ann Arbor, MI 48109 Phone: 734-647-4166 Fax: 734-763-8100
Nick Simone, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1011 N University Ave, Ann Arbor, MI 48109 Phone: 734-763-1375 Fax: 734-936-1597
Alexander Thomas Marlow, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2365 S Huron Pkwy, Ann Arbor, MI 48104 Phone: 734-677-8700 Fax: 734-839-4137
Derek Francis Holecek, MD, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Celia Sommer, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 North University Ave, Ann Arbor, MI 48109 Phone: 734-763-3325 Fax: 734-936-0374
Mckinlee Michelle Taylor, Dentist Medicare: Not Enrolled in Medicare Practice Location: 221 N Ingalls St, Ann Arbor, MI 48104 Phone: 734-996-0055
Dr. Rabia Ashfaq Kadwani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3060 Packard St Ste C, Ann Arbor, MI 48108 Phone: 734-307-8001

Peter J Polverini, DDS, DMSC - Medicare Dentist in Ann Arbor, MI