Dr Clinton D Polhamus, MD - Medicare Internal Medicine in San Antonio, TX

Dr Clinton D Polhamus, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in San Antonio, Texas. His current practice location is 1804 Ne Loop 410, #101, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 828-8400.

Dr Clinton D Polhamus is licensed to practice in Texas (license number G2539) 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 1497749790.

Contact Information

Dr Clinton D Polhamus, MD
1804 Ne Loop 410, #101,
San Antonio, TX 78217-5211
(210) 828-8400
(210) 804-4454

Map and Direction




Physician's Profile

Full NameDr Clinton D Polhamus
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location1804 Ne Loop 410, San Antonio, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497749790
  • Provider Enumeration Date: 09/01/2005
  • Last Update Date: 09/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5597722215
  • Enrollment ID: I20041214001122

Medical Identifiers

Medical identifiers for Dr Clinton D Polhamus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497749790NPI-NPPES
114369504MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology E8822 (Texas)Secondary
207RG0100XInternal Medicine - Gastroenterology G2539 (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. Dr Clinton D Polhamus allows following entities to bill medicare on his behalf.
Entity NameTexas Digestive Disease Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053397331
PECOS PAC ID: 3375531379
Enrollment ID: O20040505001844

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. Dr Clinton D Polhamus 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
Dr Clinton D Polhamus, MD
1804 Ne Loop 410, #101,
San Antonio, TX 78217-5211

Ph: (210) 828-8400
Dr Clinton D Polhamus, MD
1804 Ne Loop 410, #101,
San Antonio, TX 78217-5211

Ph: (210) 828-8400

Reviews and Comments


Internal Medicine Doctors in San Antonio, TX

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Mr. Paul Joseph Fanucchi, NP
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Socrates B Aramburu, MD
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Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212
Phone: 210-271-3204    Fax: 210-222-2761

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.