Ms Jennifer Olsen Polniak, RD, CDE, PA-C is a medicare enrolled "Physician Assistant" provider in Columbia, Missouri. Her current practice location is
303 N Keene St Ste 301, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 882-8000.
Ms Jennifer Olsen Polniak is licensed to practice in Missouri (license number 2016024375) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710192588.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Olsen Polniak |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 303 N Keene St Ste 301, Columbia, Missouri |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Jennifer Olsen Polniak attended and graduated from in
NPI Data:
- NPI Number: 1710192588
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Jennifer Olsen Polniak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710192588 | NPI | - | NPPES |
| 09720278 | Other | | DIABETES EDUCATOR CERTIFI |
| 220039284 | Medicaid | MO | |
| 2001025253 | Other | MO | STATE LICENSE DIETITIAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 0221025253 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 2016024375 (Missouri) | 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. Ms Jennifer Olsen Polniak 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 |
|---|
Ms Jennifer Olsen Polniak, RD, CDE, PA-C
Po Box 843966,
Kansas City, MO 64184-3966
Ph: (573) 884-3300 | Ms Jennifer Olsen Polniak, RD, CDE, PA-C
303 N Keene St Ste 301,
Columbia, MO 65201-8053
Ph: (573) 882-8000 |
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