Kacie Wilkes Polacek, - Medicare Nurse Practitioner in Chattanooga, TN

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Kacie Wilkes Polacek, is a medicare enrolled "Nurse Practitioner - Family" in Chattanooga, Tennessee. Her current practice location is 910 Blackford St, Suite 102, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 778-6472.

Kacie Wilkes Polacek is licensed to practice in Tennessee (license number APN19732) 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 1740685684.

Contact Information

Kacie Wilkes Polacek,
910 Blackford St, Suite 102,
Chattanooga, TN 37403-1405
(423) 778-6472
(423) 778-4232

Map and Direction




Provider's Profile

Full NameKacie Wilkes Polacek
GenderFemale
SpecialityNurse Practitioner - Family
Location910 Blackford St, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740685684
  • Provider Enumeration Date: 11/04/2014
  • Last Update Date: 07/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658651369
  • Enrollment ID: I20161214001569

Medical Identifiers

Medical identifiers for Kacie Wilkes Polacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740685684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN19732 (Tennessee)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. Kacie Wilkes Polacek allows following entities to bill medicare on her behalf.
Entity NameChattanooga Hamilton County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154751931
PECOS PAC ID: 0547179731
Enrollment ID: O20040302001086
Entity NameErlanger Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477256303
PECOS PAC ID: 1153780226
Enrollment ID: O20230707000849

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. Kacie Wilkes Polacek 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
Kacie Wilkes Polacek,
975 E 3rd St, Attn: Provider Enrollment,
Chattanooga, TN 37403-2147

Ph: (423) 778-6472		Kacie Wilkes Polacek,
910 Blackford St, Suite 102,
Chattanooga, TN 37403-1405

Ph: (423) 778-6472

Reviews and Comments


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Mrs. Marjorie Menardy Magloire, APN
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Misty Gilliland, FNP
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Lauren A Fox,
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Lisa Kahana-naipo,
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Practice Location: 725 Glenwood Dr Ste E786, Chattanooga, TN 37404
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Elizabeth North Fluhrer, FNP-BC
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Practice Location: 2515 Desales Ave Ste 206, Chattanooga, TN 37404
Phone: 423-698-8101    Fax: 423-698-3450

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.