Samantha Ashley Polly, MD in Cleveland, OH

Samantha Ashley Polly, MD is a medicare enrolled "Dermatology" physician in Cleveland, Ohio. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Duke Health Integrated Practice Inc and her current practice location is 2049 E 100th St, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 956-4263.

Samantha Ashley Polly is licensed to practice in Ohio (license number 35.143309) 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 1336676618.

Contact Information

	Samantha Ashley Polly, MD
	2049 E 100th St, Cleveland, OH 44106-2104
	(216) 956-4263
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha Ashley Polly
Gender	Female
Speciality	Dermatology
Experience	7 Years
Location	2049 E 100th St, Cleveland, Ohio
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:

Samantha Ashley Polly attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2017

NPI Data:

NPI Number: 1336676618
Provider Enumeration Date: 05/17/2017
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1355744640
Enrollment ID: I20220923000994

Medical Identifiers

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

Identifier	Type	State	Issuer
1336676618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	35.143309 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Duke University Hospital	Durham, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Duke Health Integrated Practice Inc	8325412737	2636

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. Samantha Ashley Polly allows following entities to bill medicare on her behalf.

Entity Name	Private Diagnostic Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

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. Samantha Ashley Polly 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
Samantha Ashley Polly, MD 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: () -	Samantha Ashley Polly, MD 2049 E 100th St, Cleveland, OH 44106-2104 Ph: (216) 956-4263

Reviews and Comments

Dermatology Doctors in Cleveland, OH

Carol C Slover, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Wilma F Bergfeld, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Dr. Habib Mujib Khan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 10701 East Blvd, Cleveland, OH 44106 Phone: 216-791-3800
Antoine Amado De Olazaval, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Desk A61, Cleveland, OH 44195 Phone: 216-445-3643 Fax: 216-636-5151
Katherine Camille Disano, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5394
Dr. John Scott Anthony, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, St40, Cleveland, OH 44195 Phone: 440-878-2500
Dr. Christine Jaworsky, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800

Samantha Ashley Polly, MD - Medicare Dermatology in Cleveland, OH