Amy M Polster, MD is a medicare enrolled "Dermatology" physician in Macedonia, Ohio. Her current practice location is
8183 Golden Link Blvd, Macedonia, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 778-1278.
Amy M Polster is licensed to practice in Ohio (license number 35.082174) 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 1053341602.
Physician's Profile
| Full Name | Amy M Polster |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 8183 Golden Link Blvd, Macedonia, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053341602
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204810898
- Enrollment ID: I20160303001047
Medical Identifiers
Medical identifiers for Amy M Polster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053341602 | NPI | - | NPPES |
| 2384281 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 35.082174 (Ohio) | 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. Amy M Polster allows following entities to bill medicare on her behalf.
| Entity Name | Optima Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831187764
PECOS PAC ID: 3971561648
Enrollment ID: O20041228000548 |
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| Entity Name | Apex Dermatology And Skin Surgery Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689973638
PECOS PAC ID: 1052589777
Enrollment ID: O20110725000647 |
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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. Amy M Polster 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 |
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Amy M Polster, MD
111 New Hampshire Ave Ste 2,
Portsmouth, NH 03801-2864
Ph: (802) 909-2053 | Amy M Polster, MD
8183 Golden Link Blvd,
Macedonia, OH 44067-2015
Ph: (330) 778-1278 |
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