Dr Sara Jean Polley, MD in Golden Valley, MN - Medicare Psychiatry & Neurology

Dr Sara Jean Polley, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Golden Valley, Minnesota. Her current practice location is 4150 Olson Memorial Hwy Ste 110, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 313-8080.

Dr Sara Jean Polley is licensed to practice in Minnesota (license number 59782) 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 1841514734.

Contact Information

	Dr Sara Jean Polley, MD
	4150 Olson Memorial Hwy Ste 110, Golden Valley, MN 55422-4811
	(651) 313-8080
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sara Jean Polley
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	4150 Olson Memorial Hwy Ste 110, Golden Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841514734
Provider Enumeration Date: 03/21/2010
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2860858602
Enrollment ID: I20230519001998

Medical Identifiers

Medical identifiers for Dr Sara Jean Polley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841514734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	59782 (Minnesota)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	59782 (Minnesota)	Primary
2084A0401X	Psychiatry & Neurology - Addiction Medicine	59782 (Minnesota)	Secondary

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 Jean Polley allows following entities to bill medicare on her behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

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 Jean Polley 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 Jean Polley, MD 4150 Olson Memorial Hwy Ste 110, Golden Valley, MN 55422-4811 Ph: (651) 313-8080	Dr Sara Jean Polley, MD 4150 Olson Memorial Hwy Ste 110, Golden Valley, MN 55422-4811 Ph: (651) 313-8080

Reviews and Comments

Psychiatry & Neurology Doctors in Golden Valley, MN

Brent Berry, M.D./PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-302-4345
Dr. Bruce James Mack, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-287-2310
Dr. Jonathan Christian Calkwood, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-302-4199 Fax: 763-302-4218
Dr. Matthew James Ostrander, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661
Jessica Lauren Stulc, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-302-4346
Dr. Thomas Allen Converse, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1405 Lilac Dr N, Ste 150, Golden Valley, MN 55422 Phone: 763-544-8194 Fax: 763-544-4413
Dr. Xiaoming Dong, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 Fax: 763-302-4345

Dr Sara Jean Polley, MD - Medicare Psychiatry & Neurology in Golden Valley, MN