Jillian A Polonchak, AGACNP-BC in Los Angeles, CA

Jillian A Polonchak, AGACNP-BC is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Los Angeles, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Johns Hopkins University and her current practice location is 1520 San Pablo St Ste 3000, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-5710.

Jillian A Polonchak is licensed to practice in Maryland (license number R256994) 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 1942850888.

Contact Information

	Jillian A Polonchak, AGACNP-BC
	1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315
	(323) 442-5710
	Not Available

Map and Direction

Provider's Profile

Full Name	Jillian A Polonchak
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1520 San Pablo St Ste 3000, Los Angeles, California
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:

Jillian A Polonchak graduated from nursing school in 2019

NPI Data:

NPI Number: 1942850888
Provider Enumeration Date: 09/12/2019
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8426380981
Enrollment ID: I20230111001495

Medical Identifiers

Medical identifiers for Jillian A Polonchak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942850888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	NP95012773 (California)	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	R256994 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johns Hopkins Hospital, The	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Johns Hopkins University	8921903147	2656

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. Jillian A Polonchak allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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. Jillian A Polonchak 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
Jillian A Polonchak, AGACNP-BC 6201 Greenleigh Ave Fl 2, Middle River, MD 21220-2004 Ph: (410) 933-2704	Jillian A Polonchak, AGACNP-BC 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 Ph: (323) 442-5710

Jillian A Polonchak, AGACNP-BC - Medicare Nurse Practitioner in Los Angeles, CA