Ethan G Polsky, MD in Tampa, FL

Ethan G Polsky, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Tampa, Florida. His current practice location is 4712 N Armenia Ave, Suite 200, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 874-7500.

Ethan G Polsky is licensed to practice in Florida (license number ME95516) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871559740.

Contact Information

	Ethan G Polsky, MD
	4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611
	(813) 874-7500
	(813) 877-1397

Map and Direction

Physician's Profile

Full Name	Ethan G Polsky
Gender	Male
Speciality	Urology - Pediatric Urology
Location	4712 N Armenia Ave, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871559740
Provider Enumeration Date: 04/21/2006
Last Update Date: 07/09/2015

Medicare PECOS Information:

PECOS PAC ID: 9133297633
Enrollment ID: I20081010000488

Medical Identifiers

Medical identifiers for Ethan G Polsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871559740	NPI	-	NPPES
275204200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2088P0231X	Urology - Pediatric Urology	ME95516 (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. Ethan G Polsky allows following entities to bill medicare on his behalf.

Entity Name	Childrens Urology Group Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194836239 PECOS PAC ID: 2668436270 Enrollment ID: O20041115000085

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. Ethan G Polsky 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
Ethan G Polsky, MD 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 Ph: (813) 874-7500	Ethan G Polsky, MD 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 Ph: (813) 874-7500

Reviews and Comments

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Ethan G Polsky, MD - Medicare Urology in Tampa, FL