Emily Grace Polhamus, APRN is a medicare enrolled "Nurse Practitioner - Family" in Scotland Neck, North Carolina. Her current practice location is
919 Jr High School Rd, Scotland Neck, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 826-3143.
Emily Grace Polhamus is licensed to practice in Florida (license number APRN11016854) 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 1265184642.
Provider's Profile
| Full Name | Emily Grace Polhamus |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 919 Jr High School Rd, Scotland Neck, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265184642
- Provider Enumeration Date: 01/26/2022
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991192643
- Enrollment ID: I20220427000715
Medical Identifiers
Medical identifiers for Emily Grace Polhamus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265184642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5021138 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11016854 (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. Emily Grace Polhamus allows following entities to bill medicare on her behalf.
| Entity Name | Central Florida Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467449660
PECOS PAC ID: 0143127951
Enrollment ID: O20031218000228 |
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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. Emily Grace Polhamus 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 |
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Emily Grace Polhamus, APRN
Po Box 640,
Roanoke Rapids, NC 27870-0640
Ph: (252) 536-5844 | Emily Grace Polhamus, APRN
919 Jr High School Rd,
Scotland Neck, NC 27874-1219
Ph: (252) 826-3143 |
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