Michael David Polifka, MD - Medicare Emergency Medicine in Manchester Center, VT

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Michael David Polifka, MD is a medicare enrolled "Emergency Medicine" physician in Manchester Center, Vermont. His current practice location is 39 Sage Hill Rd, Torbank #23, Manchester Center, Vermont. You can reach out to his office (for appointments etc.) via phone at (413) 664-5000.

Michael David Polifka is licensed to practice in Massachusetts (license number 158697) 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 1760430854.

Contact Information

Michael David Polifka, MD
39 Sage Hill Rd, Torbank #23,
Manchester Center, VT 05255
(413) 664-5000
Not Available

Map and Direction




Physician's Profile

Full NameMichael David Polifka
GenderMale
SpecialityEmergency Medicine
Location39 Sage Hill Rd, Manchester Center, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760430854
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 05/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6608942263
  • Enrollment ID: I20080904000526

Medical Identifiers

Medical identifiers for Michael David Polifka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760430854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 158697 (Massachusetts)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 David Polifka allows following entities to bill medicare on his behalf.
Entity NameBerkshire Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295765261
PECOS PAC ID: 1355232711
Enrollment ID: O20040324000088

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 David Polifka 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 David Polifka, MD
Po Box 752,
Manchester Center, VT 05255

Ph: (413) 664-5000		Michael David Polifka, MD
39 Sage Hill Rd, Torbank #23,
Manchester Center, VT 05255

Ph: (413) 664-5000

Reviews and Comments


Emergency Medicine Doctors in Manchester Center, VT

Thomas A Sterling, DO
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 34 Bonnet St, Manchester Center, VT 05255
Phone: 802-768-1718    Fax: 408-515-6815
Dr. Janel Marie Kittredge, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 34 Bonnet St, Manchester Center, VT 05255
Phone: 802-768-1718    Fax: 408-515-6815

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.