Dr Sara A Polk, MD is a medicare enrolled "Pediatrics" physician in Wauchula, Florida. Her current practice location is
121 K D Revell Rd, Wauchula, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 767-0696.
Dr Sara A Polk is licensed to practice in Florida (license number ME 38070) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881660702.
Physician's Profile
Full Name | Dr Sara A Polk |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 121 K D Revell Rd, Wauchula, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881660702
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719179688
- Enrollment ID: I20101011000460
Medical Identifiers
Medical identifiers for Dr Sara A Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881660702 | NPI | - | NPPES |
023602900 | Medicaid | FL | |
370021750 | Other | FL | RAILROAD GROUP NUMBER |
04960 | Other | FL | BC/BS GROUP NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | ME 38070 (Florida) | 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 Sara A Polk allows following entities to bill medicare on her behalf.
Entity Name | Central Florida Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
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Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285738369 PECOS PAC ID: 3072424282 Enrollment ID: O20050604000006 |
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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 Sara A Polk 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 Sara A Polk, MD 950 County Road 17a W, Avon Park, FL 33825-2164 Ph: (863) 452-3012 | Dr Sara A Polk, MD 121 K D Revell Rd, Wauchula, FL 33873-2051 Ph: (863) 767-0696 |
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