Mr Hari Momir Polenakovik, MD in Dayton, OH

Mr Hari Momir Polenakovik, MD is a medicare enrolled "Internal Medicine" physician in Dayton, Ohio. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Dayton Childrens Specialty Physicians Inc, Wright State Physicians Inc and his current practice location is 1222 S Patterson Blvd, Suite 230, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 223-5350.

Mr Hari Momir Polenakovik is licensed to practice in Ohio (license number 35.074531) 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 1902966690.

Contact Information

	Mr Hari Momir Polenakovik, MD
	1222 S Patterson Blvd, Suite 230, Dayton, OH 45402-2684
	(937) 223-5350
	(937) 224-3112

Map and Direction

Physician's Profile

Full Name	Mr Hari Momir Polenakovik
Gender	Male
Speciality	Hospitalist
Experience	31 Years
Location	1222 S Patterson Blvd, Dayton, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Hari Momir Polenakovik graduated from medical school in 1993

NPI Data:

NPI Number: 1902966690
Provider Enumeration Date: 12/11/2006
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 3375444946
Enrollment ID: I20040116000267

Medical Identifiers

Medical identifiers for Mr Hari Momir Polenakovik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902966690	NPI	-	NPPES
2207301	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	35-07-4531-P (Ohio)	Secondary
207R00000X	Internal Medicine	35.074531 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dayton Childrens Hospital	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dayton Childrens Specialty Physicians Inc	5496916124	16
Wright State Physicians Inc	7618889320	117

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. Mr Hari Momir Polenakovik allows following entities to bill medicare on his behalf.

Entity Name	Wright State Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

Entity Name	Dayton Childrens Specialty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690

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. Mr Hari Momir Polenakovik 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
Mr Hari Momir Polenakovik, MD 725 University Blvd, Dayton, OH 45435-0001 Ph: (937) 245-7100	Mr Hari Momir Polenakovik, MD 1222 S Patterson Blvd, Suite 230, Dayton, OH 45402-2684 Ph: (937) 223-5350

Reviews and Comments

Internal Medicine Doctors in Dayton, OH

Ratnam A Oza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 S Main St, Ste. 203, Dayton, OH 45409 Phone: 937-222-0603 Fax: 937-222-7122
Dr. Mohamed Elmouelhi, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 Phone: 937-268-6511
Freesia Dhingra, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 4100 W. Third St., Dayton, OH 45428 Phone: 937-268-6511
James P Graham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 S Main St, # 2, Dayton, OH 45409 Phone: 937-461-5815 Fax: 937-461-2896
Ugochukwu Nwokoro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1735 Big Hill Rd, Dayton, OH 45439 Phone: 937-224-4325 Fax: 937-224-4327
Dr. Howard M Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8881 N Main St, Dayton, OH 45415 Phone: 937-293-1622 Fax: 937-245-6308
Dr. Mark D Romer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3120 Governors Place Blvd, Dayton, OH 45409 Phone: 937-293-1622 Fax: 937-245-6308

Mr Hari Momir Polenakovik, MD - Medicare Hospitalist in Dayton, OH