Andrea Alexandra Polley, ARNP - Medicare Nurse Practitioner in St Petersburg, FL

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Andrea Alexandra Polley, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in St Petersburg, Florida. Her current practice location is 603 7th St S, Suite 350, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 553-7474.

Andrea Alexandra Polley is licensed to practice in Florida (license number ARNP 3187052) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861508392.

Contact Information

Andrea Alexandra Polley, ARNP
603 7th St S, Suite 350,
St Petersburg, FL 33701-4719
(727) 553-7474
Not Available

Map and Direction




Provider's Profile

Full NameAndrea Alexandra Polley
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location603 7th St S, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861508392
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 06/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1254523665
  • Enrollment ID: I20101004001060

Medical Identifiers

Medical identifiers for Andrea Alexandra Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861508392NPI-NPPES
307607500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health ARNP 3187052 (Florida)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. Andrea Alexandra Polley allows following entities to bill medicare on her behalf.
Entity NameProfessional Urgent Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407283468
PECOS PAC ID: 2961628615
Enrollment ID: O20140801000923
Entity NameBayfront Hma Wellness Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962842963
PECOS PAC ID: 3173889102
Enrollment ID: O20171108001240
Entity NameOhi West Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518572551
PECOS PAC ID: 2668882507
Enrollment ID: O20201105000368

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. Andrea Alexandra 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 AddressPractice Location Address
Andrea Alexandra Polley, ARNP
603 7th St S, Suite 350,
St Petersburg, FL 33701-4719

Ph: () -		Andrea Alexandra Polley, ARNP
603 7th St S, Suite 350,
St Petersburg, FL 33701-4719

Ph: (727) 553-7474

Reviews and Comments


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Mrs. Shanna Ann Sherman, ARNP
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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.