Polly Godfrey, MD in Evanston, IL - Medicare Hospitalist

Polly Godfrey, MD is a medicare enrolled "Hospitalist" physician in Evanston, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2017 and has 7 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Wheaton Franciscan Medical Group Inc and her current practice location is 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1010.

Polly Godfrey is licensed to practice in Illinois (license number 036155636) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194257154.

Contact Information

	Polly Godfrey, MD
	2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201
	(847) 570-1010
	(847) 733-5108

Map and Direction

Physician's Profile

Full Name	Polly Godfrey
Gender	Female
Speciality	Hospitalist
Experience	7 Years
Location	2650 Ridge Ave., Evanston, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Polly Godfrey attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2017

NPI Data:

NPI Number: 1194257154
Provider Enumeration Date: 03/29/2017
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 4385913854
Enrollment ID: I20210923001136

Medical Identifiers

Medical identifiers for Polly Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194257154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036155636 (Illinois)	Secondary
208000000X	Pediatrics	036155636 (Illinois)	Secondary
208M00000X	Hospitalist	75605 (Wisconsin)	Secondary
208M00000X	Hospitalist	036155636 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension All Saints Hospital	Racine, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wheaton Franciscan Medical Group Inc	8628980943	565

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. Polly Godfrey allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Polly Godfrey 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
Polly Godfrey, MD 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Ph: (847) 570-1010	Polly Godfrey, MD 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Ph: (847) 570-1010

Reviews and Comments

Hospitalist Doctors in Evanston, IL

Tae Yeon Kim, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Pediatric Hospitalists, Evanston, IL 60201 Phone: 847-570-1027 Fax: 847-733-5108
Kenneth Patrick Harang, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Danijela Dokic, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Dr. Eric Charles Molloy, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Hospitalist Department, Evanston, IL 60201 Phone: 847-570-2000
Byung Hun Hyun, Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010
Jamie Titen, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2509
Aisha Amin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108

Polly Godfrey, MD - Medicare Hospitalist in Evanston, IL