Donna Mae Divina Poliquit, MD in Arlington, TX

Donna Mae Divina Poliquit, MD is a medicare enrolled "Pediatrics" physician in Arlington, Texas. Her current practice location is 1525 S Cooper St, Arlington, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 804-1100.

Donna Mae Divina Poliquit is licensed to practice in Texas (license number Q1477) 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 1881882835.

Contact Information

	Donna Mae Divina Poliquit, MD
	1525 S Cooper St, Arlington, TX 76010-4105
	(817) 804-1100
	(817) 299-8790

Map and Direction

Physician's Profile

Full Name	Donna Mae Divina Poliquit
Gender	Female
Speciality	Pediatrics
Location	1525 S Cooper St, Arlington, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881882835
Provider Enumeration Date: 10/03/2007
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 3678861515
Enrollment ID: I20161010001856

Medical Identifiers

Medical identifiers for Donna Mae Divina Poliquit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881882835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	Q1477 (Texas)	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. Donna Mae Divina Poliquit allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Donna Mae Divina Poliquit 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
Donna Mae Divina Poliquit, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855	Donna Mae Divina Poliquit, MD 1525 S Cooper St, Arlington, TX 76010-4105 Ph: (817) 804-1100

Reviews and Comments

Pediatrics Doctors in Arlington, TX

Dalila Vite Riojas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4201 Interway Place, Arlington, TX 76018 Phone: 817-652-9192 Fax: 817-652-3011
Dr. Linh Doan-pham, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3120 Matlock Rd, Suite 201, Arlington, TX 76015 Phone: 817-467-0889
Dr. Shehla Rizvi Shah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2624 Matlock Rd Ste 110, Arlington, TX 76015 Phone: 817-275-8131 Fax: 817-795-9700
Dr. Tram T Nguyen, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 912 E Park Row Dr, Arlington, TX 76010 Phone: 817-277-2977 Fax: 817-277-4750
Dr. Keith Hanna Harmon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 950 N Davis Dr, Suite 4, Arlington, TX 76012 Phone: 817-460-0104 Fax: 817-860-2184
Dr. Edward E Moayyad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2624 Matlock Rd Ste 110, Arlington, TX 76015 Phone: 817-275-8131 Fax: 817-795-9700
Dr. Scott Christopher Tisdell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 W Randol Mill, Arlington, TX 76012 Phone: 817-548-6514 Fax: 817-548-6173

Donna Mae Divina Poliquit, MD - Medicare Pediatrics in Arlington, TX