Michael D Polka, MD - Medicare Emergency Medicine in Appleton, WI

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Michael D Polka, MD is a medicare enrolled "Emergency Medicine" physician in Appleton, Wisconsin. His current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-4101.

Michael D Polka is licensed to practice in Wisconsin (license number 53394) 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 1144242223.

Contact Information

Michael D Polka, MD
1818 N Meade St,
Appleton, WI 54911-3454
(920) 731-4101
Not Available

Map and Direction




Physician's Profile

Full NameMichael D Polka
GenderMale
SpecialityEmergency Medicine
Location1818 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144242223
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 02/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072654425
  • Enrollment ID: I20100106000782

Medical Identifiers

Medical identifiers for Michael D Polka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144242223NPI-NPPES
036108682MedicaidIL
34715700MedicaidWI
P00054858OtherILMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-108682 (Illinois)Secondary
207P00000XEmergency Medicine 53394 (Wisconsin)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. Michael D Polka allows following entities to bill medicare on his behalf.
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameAppleton Emergency Services S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588666853
PECOS PAC ID: 4183517592
Enrollment ID: O20040207000109
Entity NameLanglade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909

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. Michael D Polka 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
Michael D Polka, MD
4930 N Turnberry Dr,
Appleton, WI 54913-8680

Ph: (815) 315-2318		Michael D Polka, MD
1818 N Meade St,
Appleton, WI 54911-3454

Ph: (920) 731-4101

Reviews and Comments


Emergency Medicine Doctors in Appleton, WI

Kirsten W Larson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3329 N Richmond Street, Appleton, WI 54911
Phone: 920-380-2715    
Dr. Sarah L. Holets, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-358-1488    
Cyril Walsh, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 800-968-6866    
Ryan J Wagner,
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Medicare: Accepting Medicare Assignments
Practice Location: 2400 E Capitol Dr, Appleton, WI 54911
Phone: 920-454-3300    Fax: 920-531-2098
Reid A Sousek, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2720    
Steven J Mcintyre, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 800-968-6866    

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.