Dr Lori G Polacek, MD is a
Plastic Surgery physician based in Johnston, Rhode Island. Dr Lori G Polacek is licensed to practice in Rhode Island (license number RI8046) and her current practice location is 1524 Atwood Ave, Suite 343, Johnston, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 331-0202.
NPI number for Dr Lori G Polacek is 1841392636 and her current mailing address is 1524 Atwood Ave, Suite 343, Johnston, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841392636.
Physician's Profile
Full Name | Dr Lori G Polacek |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 1524 Atwood Ave, Johnston, Rhode Island |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841392636
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 07/08/2010
Medical Identifiers
Medical identifiers for Dr Lori G Polacek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841392636 | NPI | - | NPPES |
9020105 | Medicaid | RI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | RI8046 (Rhode Island) | Primary |
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 Lori G Polacek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lori G Polacek, MD 1524 Atwood Ave, Suite 343, Johnston, RI 02919 Ph: (401) 331-0202 | Dr Lori G Polacek, MD 1524 Atwood Ave, Suite 343, Johnston, RI 02919 Ph: (401) 331-0202 |
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