Mika Polly, FNP in Lubbock, TX - Medicare Nurse Practitioner

Mika Polly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. Her current practice location is 4642 N Loop 289, Ste 211, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 712-9007.

Mika Polly is licensed to practice in Texas (license number AP129050) 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 1417326547.

Contact Information

	Mika Polly, FNP
	4642 N Loop 289, Ste 211, Lubbock, TX 79416-2425
	(806) 712-9007
	Not Available

Map and Direction

Provider's Profile

Full Name	Mika Polly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4642 N Loop 289, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417326547
Provider Enumeration Date: 09/18/2015
Last Update Date: 09/08/2017

Medicare PECOS Information:

PECOS PAC ID: 6709195480
Enrollment ID: I20151020001419

Medical Identifiers

Medical identifiers for Mika Polly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417326547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP129050 (Texas)	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. Mika Polly allows following entities to bill medicare on her behalf.

Entity Name	Texas Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497014369 PECOS PAC ID: 0042476582 Enrollment ID: O20120727000066

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. Mika Polly 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
Mika Polly, FNP 4802 N Loop 289, Lubbock, TX 79416-3025 Ph: (806) 788-0040	Mika Polly, FNP 4642 N Loop 289, Ste 211, Lubbock, TX 79416-2425 Ph: (806) 712-9007

Reviews and Comments

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Mika Polly, FNP - Medicare Nurse Practitioner in Lubbock, TX