Dr Clive Polon, MD - Medicare Obstetrics/gynecology in Austin, TX

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Dr Clive Polon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Austin, Texas. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Seton Family Of Doctors and his current practice location is 900 E 30th St, Suite 107, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 476-9699.

Dr Clive Polon is licensed to practice in Texas (license number K1001) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962476762.

Contact Information

Dr Clive Polon, MD
900 E 30th St, Suite 107,
Austin, TX 78705-3326
(512) 476-9699
Not Available

Map and Direction




Physician's Profile

Full NameDr Clive Polon
GenderMale
SpecialityObstetrics/gynecology
Experience46 Years
Location900 E 30th St, Austin, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clive Polon graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1962476762
  • Provider Enumeration Date: 02/16/2006
  • Last Update Date: 02/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4183882194
  • Enrollment ID: I20120222000608

Medical Identifiers

Medical identifiers for Dr Clive Polon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962476762NPI-NPPES
0035BJOtherTXBCBS PROVIDER ID
10007154OtherTXAMERIGROUP PROVIDER ID
113461103MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology K1001 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seton Family Of Doctors0941333280666

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 Clive Polon allows following entities to bill medicare on his behalf.
Entity NameThe University Of Texas At Austin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073066239
PECOS PAC ID: 2668559436
Enrollment ID: O20080408000293
Entity NameSeton Family Of Doctors
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588997233
PECOS PAC ID: 0941333280
Enrollment ID: O20100806000260
Entity NameObhg Texas Holdings Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083917769
PECOS PAC ID: 3577713072
Enrollment ID: O20121018000279

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 Clive Polon 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 Clive Polon, MD
1601 Trinity St Stop Z0200,
Austin, TX 78712-1850

Ph: (512) 495-5512		Dr Clive Polon, MD
900 E 30th St, Suite 107,
Austin, TX 78705-3326

Ph: (512) 476-9699

Reviews and Comments


Obstetrics & Gynecology Doctors in Austin, TX

Dr. Chris C Hart, M.D.
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Phone: 512-462-1936    Fax: 512-394-9388
Dr. Robert C Johnston, M.D.
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Phone: 512-821-2540    Fax: 512-973-3533
Dr. Keikhosrow M Kavoussi, MD
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Practice Location: 4303 James Casey St, Suite A, Austin, TX 78745
Phone: 512-444-1414    Fax: 512-444-5621
Dr. Andrea L. Campaigne, MD
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Jonathan Edmond Pepper, M.D.
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Phone: 512-473-8300    
Akua Tiwaa Afriyie-gray, M.D.
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Practice Location: 1301 Barbara Jordan Blvd Ste 303, Austin, TX 78723
Phone: 512-324-0970    
Mr. Sasan Askari, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4007 James Casey St, Suite A-250, Austin, TX 78745
Phone: 512-444-2111    Fax: 512-444-2114

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.