Dr Gordon M Polley, M D in Jacksonville, FL

Dr Gordon M Polley, M D is a medicare enrolled "Surgery" physician in Jacksonville, Florida. He went to University Of South Florida College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice North Florida Surgeons Pa and his current practice location is 836 Prudential Dr, Suite 1001, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 398-0033.

Dr Gordon M Polley is licensed to practice in Florida (license number ME51872) 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 1265490056.

Contact Information

	Dr Gordon M Polley, M D
	836 Prudential Dr, Suite 1001, Jacksonville, FL 32207-8334
	(904) 398-0033
	(904) 398-6774

Map and Direction

Physician's Profile

Full Name	Dr Gordon M Polley
Gender	Male
Speciality	General Surgery
Experience	42 Years
Location	836 Prudential Dr, Jacksonville, Florida
Accepts Medicare Assignments	Yes. 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 Gordon M Polley attended and graduated from University Of South Florida College Of Medicine in 1982

NPI Data:

NPI Number: 1265490056
Provider Enumeration Date: 05/02/2006
Last Update Date: 07/28/2015

Medicare PECOS Information:

PECOS PAC ID: 5395880793
Enrollment ID: I20100310000557

Medical Identifiers

Medical identifiers for Dr Gordon M Polley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265490056	NPI	-	NPPES
274941600	Medicaid	FL
1265866	Other		CIGNA
4664231	Other		AETNA
100414	Other		AVMED
020040220	Other	FL	RAILROAD MEDICARE
12615	Other		BCBS FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME51872 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Florida Surgeons Pa	2769381391	231

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 Gordon M Polley allows following entities to bill medicare on his behalf.

Entity Name	North Florida Surgeons Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629

Entity Name	North Florida Surgeons Bpci-a Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578254389 PECOS PAC ID: 7517312747 Enrollment ID: O20231009001645

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 Gordon M Polley 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
Dr Gordon M Polley, M D 11945 San Jose Blvd, Bldg 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725	Dr Gordon M Polley, M D 836 Prudential Dr, Suite 1001, Jacksonville, FL 32207-8334 Ph: (904) 398-0033

Reviews and Comments

Surgery Doctors in Jacksonville, FL

Timothy Edward Fee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4147 Southpoint Dr E, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-332-9137
Meredith Tinti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3627 University Blvd S Ste 500, Jacksonville, FL 32216 Phone: 904-596-0760
Dr. George B Filosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Palm Ave Ste 500, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-7433
Dr. Michael Anthony Edwards, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 215-707-3133 Fax: 215-707-3945
Erin M Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 Phone: 904-398-3888 Fax: 904-400-6675
Dr. Andrew James Kerwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Ufjp Trauma Surgery, Jacksonville, FL 32209 Phone: 904-244-6631 Fax: 904-244-4687
Dr. Marc George Mesleh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Dr Gordon M Polley, M D - Medicare General Surgery in Jacksonville, FL