Juan Gustavo Polo, MD - Medicare Family Practice in Louisville, KY

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Juan Gustavo Polo, MD is a medicare enrolled "Internal Medicine" physician in Louisville, Kentucky. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Medical Associates Inc, Sn Kentuckiana Rehab Llc and his current practice location is 234 E Gray St, Ste. 670, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 629-4525.

Juan Gustavo Polo is licensed to practice in Kentucky (license number 36067) 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 1952399669.

Contact Information

Juan Gustavo Polo, MD
234 E Gray St, Ste. 670,
Louisville, KY 40202-1900
(502) 629-4525
(502) 629-4529

Map and Direction




Physician's Profile

Full NameJuan Gustavo Polo
GenderMale
SpecialityFamily Practice
Experience47 Years
Location234 E Gray St, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Juan Gustavo Polo graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1952399669
  • Provider Enumeration Date: 10/07/2005
  • Last Update Date: 02/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1254393283
  • Enrollment ID: I20041101001053

Medical Identifiers

Medical identifiers for Juan Gustavo Polo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952399669NPI-NPPES
200489040OtherINANTHEM INDIANA MEDICAID- NORTON ICC
64017098MedicaidKY
200489040MedicaidIN
200489040OtherKYMD WISE- NORTON ICC
1128117OtherKYPASSPORT
200489040OtherKYHEALTHY INDIANA PLAN- NORTON ICC
31K4, 000000179689OtherKYANTHEM
P00838101OtherINRRMCR - NICC
002045573-002OtherUNITED HEALTHCARE
017376OtherKYSIHO - NORTON ICC
5832707OtherKYAETNA
P00362331OtherKYRRMCR - NICC
000000381954OtherKYANTHEM - NORTON ICC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 36067 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Medical Associates Inc70128112841179
Sn Kentuckiana Rehab Llc1254671464249

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. Juan Gustavo Polo allows following entities to bill medicare on his behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656

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. Juan Gustavo Polo 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 AddressPractice Location Address
Juan Gustavo Polo, MD
234 E Gray St, Ste. 670,
Louisville, KY 40202-1900

Ph: (502) 629-4525		Juan Gustavo Polo, MD
234 E Gray St, Ste. 670,
Louisville, KY 40202-1900

Ph: (502) 629-4525

Reviews and Comments


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Terrence P Donohue, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.