Mr Nathan W Polley, MD is a medicare enrolled "Orthopaedic Surgery" physician in Madison, Indiana. He went to University Of Louisville School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Norton - Kings Daughters Health Inc and his current practice location is
1373 E State Road 62, Madison, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 801-0848.
Mr Nathan W Polley is licensed to practice in Indiana (license number 01081100A) 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 1003105529.
Physician's Profile
| Full Name | Mr Nathan W Polley |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 13 Years |
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| Location | 1373 E State Road 62, Madison, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Nathan W Polley attended and graduated from University Of Louisville School Of Medicine in 2011
NPI Data:
- NPI Number: 1003105529
- Provider Enumeration Date: 04/05/2011
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799092094
- Enrollment ID: I20181120002258
Medical Identifiers
Medical identifiers for Mr Nathan W Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003105529 | NPI | - | NPPES |
| 7100211870 | Medicaid | KY | |
| 201393180 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 49607 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | TP300 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | 01081100A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Norton - Kings Daughters Health Inc | 9739089319 | 80 |
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 Nathan W Polley allows following entities to bill medicare on his behalf.
| Entity Name | Norton - Kings Daughters Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955093
PECOS PAC ID: 9739089319
Enrollment ID: O20040520001611 |
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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 Nathan W Polley 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 Nathan W Polley, MD
Po Box 3395,
Evansville, IN 47732-3395
Ph: (812) 801-0199 | Mr Nathan W Polley, MD
1373 E State Road 62,
Madison, IN 47250-7328
Ph: (812) 801-0848 |
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