Fallon N Polich, in Ashland, OR - Medicare Nurse Practitioner

Fallon N Polich, is a medicare enrolled "Nurse Practitioner - Family" in Ashland, Oregon. Her current practice location is 590 Allison St, Ashland, Oregon. You can reach out to her office (for appointments etc.) via phone at (406) 868-6458.

Fallon N Polich is licensed to practice in Oregon (license number 202110122NP-PP) 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 1386311157.

Contact Information

	Fallon N Polich,
	590 Allison St, Ashland, OR 97520-2910
	(406) 868-6458
	Not Available

Map and Direction

Provider's Profile

Full Name	Fallon N Polich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	590 Allison St, Ashland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386311157
Provider Enumeration Date: 08/27/2021
Last Update Date: 11/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4082003611
Enrollment ID: I20211119000553

Medical Identifiers

Medical identifiers for Fallon N Polich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386311157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201909188RN (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	202110122NP-PP (Oregon)	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. Fallon N Polich allows following entities to bill medicare on her behalf.

Entity Name	Asante
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238

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. Fallon N Polich 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
Fallon N Polich, 590 Allison St, Ashland, OR 97520-2910 Ph: (406) 868-6458	Fallon N Polich, 590 Allison St, Ashland, OR 97520-2910 Ph: (406) 868-6458

Reviews and Comments

Nurse Practitioner Nurses in Ashland, OR

Ms. Kellyn Marshall, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Oak St Ste 208, Ashland, OR 97520 Phone: 541-656-2279 Fax: 541-314-9627
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Christa Elane Degrazia, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Clear Creek Dr, Suite 350, Ashland, OR 97520 Phone: 541-494-8888 Fax: 541-494-1300
Donna M Markle, RN PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Ohsu School Of Nursing, 1250 Siskiyou Blvd, Ashland, OR 97520 Phone: 541-552-6729 Fax: 541-552-6055
Mrs. Barbara Denys Hinds, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Catalina Dr, Ashland, OR 97520 Phone: 541-201-4800 Fax: 541-201-4815
Kamara Marie Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Ray Ln, Ashland, OR 97520 Phone: 541-404-4485 Fax: 541-225-4884
Nicholas Scott Normandin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 148 E Hersey St, Ashland, OR 97520 Phone: 541-326-4777

Fallon N Polich, - Medicare Nurse Practitioner in Ashland, OR