Dr Donald Gabriel Polk, DO - Medicare Family Medicine in Waynesboro, TN

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Dr Donald Gabriel Polk, DO is a medicare enrolled "Family Medicine" physician in Waynesboro, Tennessee. His current practice location is 103 Jv Mangubat Dr, Waynesboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 762-9418.

Dr Donald Gabriel Polk is licensed to practice in Tennessee (license number DO1538) 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 1942294863.

Contact Information

Dr Donald Gabriel Polk, DO
103 Jv Mangubat Dr,
Waynesboro, TN 38485-2440
(931) 762-9418
(931) 722-9081

Map and Direction




Physician's Profile

Full NameDr Donald Gabriel Polk
GenderMale
SpecialityFamily Medicine
Location103 Jv Mangubat Dr, Waynesboro, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942294863
  • Provider Enumeration Date: 09/07/2005
  • Last Update Date: 01/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991776866
  • Enrollment ID: I20040804000351

Medical Identifiers

Medical identifiers for Dr Donald Gabriel Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942294863NPI-NPPES
33079841MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO1538 (Tennessee)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 Donald Gabriel Polk allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameCogent Healthcare Of Tennessee, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952654246
PECOS PAC ID: 8628221165
Enrollment ID: O20130110000564
Entity NameIntegrated Health Transitions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922463470
PECOS PAC ID: 7315242302
Enrollment ID: O20160301000279

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 Donald Gabriel Polk 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 Donald Gabriel Polk, DO
2717 East Oakland Avenue,
Johnson City, TN 37601-1843

Ph: (423) 926-2358		Dr Donald Gabriel Polk, DO
103 Jv Mangubat Dr,
Waynesboro, TN 38485-2440

Ph: (931) 762-9418

Reviews and Comments


Family Medicine Doctors in Waynesboro, TN

Nancy A. Armetta, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 Redbud Ln, Waynesboro, TN 38485
Phone: 931-722-5677    Fax: 931-722-2236
Samuel Preston Welch, NP-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 103 Jv Mangubat Dr, Waynesboro, TN 38485
Phone: 931-722-5411    
Donald H Polk, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 206 Clifton Tpke, Waynesboro, TN 38485
Phone: 931-722-3677    Fax: 931-722-9052
Natasha M Harder, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 209b Dexter L Woods Memorial Blvd, Waynesboro, TN 38485
Phone: 931-722-7724    Fax: 931-722-7633
Harish Veeramachaneni, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 101 Jv Mangubat Dr, Waynesboro, TN 38485
Phone: 931-722-9999    Fax: 931-722-2049

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.