Charles V Pollack Jr, MD - Medicare Emergency Medicine in Roswell, GA

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Charles V Pollack Jr, MD is a medicare enrolled "Emergency Medicine" physician in Roswell, Georgia. His current practice location is 1120 Wilde Run Ct, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (610) 329-2986.

Charles V Pollack Jr is licensed to practice in Pennsylvania (license number MD072992L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467497479.

Contact Information

Charles V Pollack Jr, MD
1120 Wilde Run Ct,
Roswell, GA 30075-7163
(610) 329-2986
(888) 959-8345

Map and Direction




Physician's Profile

Full NameCharles V Pollack Jr
GenderMale
SpecialityEmergency Medicine
Location1120 Wilde Run Ct, Roswell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467497479
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315076577
  • Enrollment ID: I20100526000454

Medical Identifiers

Medical identifiers for Charles V Pollack Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467497479NPI-NPPES
8435502MedicaidNJ
0018330190001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD072992L (Pennsylvania)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. Charles V Pollack Jr allows following entities to bill medicare on his behalf.
Entity NameJefferson University Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326093675
PECOS PAC ID: 7911819180
Enrollment ID: O20040225000232
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235527342
PECOS PAC ID: 6204730955
Enrollment ID: O20141111000091

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. Charles V Pollack Jr 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 AddressPractice Location Address
Charles V Pollack Jr, MD
Po Box 308,
Roswell, GA 30077-0308

Ph: (610) 329-2986		Charles V Pollack Jr, MD
1120 Wilde Run Ct,
Roswell, GA 30075-7163

Ph: (610) 329-2986

Reviews and Comments


Emergency Medicine Doctors in Roswell, GA

Yevheniy Lider, MD
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Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2500    
Michael Lipscomb,
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Phone: 770-751-2567    
Damon C. Kimes, MD
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Practice Location: 1300 Upper Hembree Rd Ste B, Roswell, GA 30076
Phone: 678-736-7680    Fax: 888-537-5362
Samuel Lorenzo, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076
Phone: 678-672-5100    Fax: 678-672-5101
Dr. Lisa M Perez, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 Bombay Ln, Roswell, GA 30076
Phone: 678-869-5158    Fax: 678-869-5159
Jonathan Mills,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2567    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.