Dr Mark J Polis, MD is a
Urology physician based in Port Matilda, Pennsylvania. Dr Mark J Polis is licensed to practice in Pennsylvania (license number MD028607E) and his current practice location is 240 Montauk Cir, Port Matilda, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 867-3953.
NPI number for Dr Mark J Polis is 1548373939 and his current mailing address is 240 Montauk Cir, Port Matilda, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548373939.
Physician's Profile
Full Name | Dr Mark J Polis |
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Gender | Male |
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Speciality | Urology |
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Location | 240 Montauk Cir, Port Matilda, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548373939
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 09/17/2012
Medical Identifiers
Medical identifiers for Dr Mark J Polis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548373939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MD028607E (Pennsylvania) | 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 Mark J Polis 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 Mark J Polis, MD 240 Montauk Cir, Port Matilda, PA 16870-7314 Ph: (814) 867-3953 | Dr Mark J Polis, MD 240 Montauk Cir, Port Matilda, PA 16870-7314 Ph: (814) 867-3953 |
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