Dr Jerry Wayne Polasek, MD | |
1 Baylor Plz, Houston, TX 77030-3411 | |
(281) 217-5119 | |
Not Available |
Full Name | Dr Jerry Wayne Polasek |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 1 Baylor Plz, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043487911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | M5885 (Texas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | M5885 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Houston Methodist Hospital | Houston, TX | Hospital |
Houston Methodist Sugarland Hospital | Sugar land, TX | Hospital |
Houston Methodist West Hospital | Houston, TX | Hospital |
Houston Methodist The Woodlands Hospital | The woodlands, TX | Hospital |
Houston Methodist Willowbrook Hospital | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Houston Radiology Associated | 8022092451 | 108 |
Entity Name | Houston Radiology Associated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740228097 PECOS PAC ID: 8022092451 Enrollment ID: O20040615000259 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry Wayne Polasek, MD 1602 Gannoway Lake Ct, Sugar Land, TX 77498-2873 Ph: (281) 217-5119 | Dr Jerry Wayne Polasek, MD 1 Baylor Plz, Houston, TX 77030-3411 Ph: (281) 217-5119 |
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