Dr Robert Polak, MD in Dayton, OH - Medicare General Surgery

Dr Robert Polak, MD is a medicare enrolled "Surgery" physician in Dayton, Ohio. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 7740 Washington Village Dr Ste 110, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 439-4145.

Dr Robert Polak is licensed to practice in Ohio (license number 35.143165) 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 1730599366.

Contact Information

	Dr Robert Polak, MD
	7740 Washington Village Dr Ste 110, Dayton, OH 45459-3994
	(937) 439-4145
	(937) 439-4371

Map and Direction

Physician's Profile

Full Name	Dr Robert Polak
Gender	Male
Speciality	General Surgery
Experience	10 Years
Location	7740 Washington Village Dr Ste 110, Dayton, Ohio
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 Robert Polak attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2014

NPI Data:

NPI Number: 1730599366
Provider Enumeration Date: 05/05/2014
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 2567760796
Enrollment ID: I20210831002334

Medical Identifiers

Medical identifiers for Dr Robert Polak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730599366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	BP10049567 (Texas)	Secondary
208600000X	Surgery	35.143165 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital
Grandview And Southview Hospitals	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	577

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 Robert Polak allows following entities to bill medicare on his behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

Entity Name	Ws Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225710668 PECOS PAC ID: 8224487905 Enrollment ID: O20231206002070

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 Robert Polak 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 Robert Polak, MD 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310	Dr Robert Polak, MD 7740 Washington Village Dr Ste 110, Dayton, OH 45459-3994 Ph: (937) 439-4145

Reviews and Comments

Surgery Doctors in Dayton, OH

Dr. Vijay Kiran Jayanti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste Nw3300, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-641-2780
Dr. Victor N Nanagas Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: One Childrens Plaza, Ste 2071, Dayton, OH 45404 Phone: 937-461-5020 Fax: 937-641-3107
Randy J Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154
Philip Copelain Williams Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: One Elizabeth Place, Suite 10a, Dayton, OH 45408 Phone: 937-228-4156 Fax: 937-228-0247
Robert D Keighley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 829 Timberlake Ct, Dayton, OH 45429 Phone: 419-236-3315
Akpofure P Ekeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154
Alice Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd Ste F, Dayton, OH 45459 Phone: 937-208-5300 Fax: 937-208-5650

Dr Robert Polak, MD - Medicare General Surgery in Dayton, OH