Dr Jay Howard Polokoff, MD in Lawrenceville, GA

Dr Jay Howard Polokoff, MD is a medicare enrolled "Pediatrics" physician in Lawrenceville, Georgia. His current practice location is 455 Philip Blvd, Suite 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 985-5006.

Dr Jay Howard Polokoff is licensed to practice in Georgia (license number 026051) 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 1467415281.

Contact Information

	Dr Jay Howard Polokoff, MD
	455 Philip Blvd, Suite 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046
	(678) 985-5006
	(770) 449-9319

Map and Direction

Physician's Profile

Full Name	Dr Jay Howard Polokoff
Gender	Male
Speciality	Pediatrics
Location	455 Philip Blvd, Suite 130, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467415281
Provider Enumeration Date: 04/11/2006
Last Update Date: 04/26/2012

Medicare PECOS Information:

PECOS PAC ID: 4486816543
Enrollment ID: I20120507000482

Medical Identifiers

Medical identifiers for Dr Jay Howard Polokoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467415281	NPI	-	NPPES
000338511B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	026051 (Georgia)	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 Jay Howard Polokoff allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Jay Howard Polokoff 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 Jay Howard Polokoff, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070	Dr Jay Howard Polokoff, MD 455 Philip Blvd, Suite 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046 Ph: (678) 985-5006

Reviews and Comments

Pediatrics Doctors in Lawrenceville, GA

Howard Ross Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 Phone: 678-312-5250
Anuradha N Sheth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-277-6725 Fax: 770-277-9169
Dr. Venkateswara Rao Dikkala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2775 Cruse Rd, Suite 1801, Lawrenceville, GA 30044 Phone: 678-380-9199 Fax: 908-634-2861
Navneet Kaur Brar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3356
Dr. Claire Dudley Wilkiemeyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 945 River Centre Pl, Suite 200, Lawrenceville, GA 30043 Phone: 678-646-0404
Scott Darby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018
Keyana Renee Washington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 Phone: 770-995-0823 Fax: 770-995-7018

Dr Jay Howard Polokoff, MD - Medicare Pediatrics in Lawrenceville, GA