Maxwell Clark Poling, PA-C in Indialantic, FL - Medicare Physician Assistant

Maxwell Clark Poling, PA-C is a medicare enrolled "Physician Assistant" in Indialantic, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Forefront Dermatology and his current practice location is 420 5th Ave, Indialantic, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 312-1352.

Maxwell Clark Poling is licensed to practice in Florida (license number PAT9109932) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871039727.

Contact Information

	Maxwell Clark Poling, PA-C
	420 5th Ave, Indialantic, FL 32903-4280
	(321) 312-1352
	(321) 312-1513

Map and Direction

Provider's Profile

Full Name	Maxwell Clark Poling
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	420 5th Ave, Indialantic, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Maxwell Clark Poling graduated from nursing school in 2016

NPI Data:

NPI Number: 1871039727
Provider Enumeration Date: 01/17/2017
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4789940040
Enrollment ID: I20171102002114

Medical Identifiers

Medical identifiers for Maxwell Clark Poling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871039727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PAT9109932 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology	3779471701	483

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. Maxwell Clark Poling 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
Maxwell Clark Poling, PA-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Maxwell Clark Poling, PA-C 420 5th Ave, Indialantic, FL 32903-4280 Ph: (321) 312-1352

Reviews and Comments

Physician Assistant Nurses in Indialantic, FL

Mrs. Lisa Marie Johnson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 5th Ave Ste A, Indialantic, FL 32903 Phone: 321-254-6803 Fax: 321-254-6819
Dale Phillip Greyslak, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3491 Titanic Cir, Indialantic, FL 32903 Phone: 407-451-0192
Casey Robert Runte, Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Coconut Dr, Indialantic, FL 32903 Phone: 321-610-8939

Maxwell Clark Poling, PA-C - Medicare Physician Assistant in Indialantic, FL