Mr Gerald W Polk, PA-C is a
Physician Assistant based in Old Hickory, Tennessee. Mr Gerald W Polk is licensed to practice in Tennessee (license number PA0000000659) and his current practice location is
1002 Industrial Dr, Old Hickory, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 847-6574.
NPI number for Mr Gerald W Polk is 1558472936 and his current mailing address is 1002 Industrial Dr, Old Hickory, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558472936.
Provider's Profile
| Full Name | Mr Gerald W Polk |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 1002 Industrial Dr, Old Hickory, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558472936
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/19/2011
Medical Identifiers
Medical identifiers for Mr Gerald W Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558472936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA0000000659 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | PA19769 (California) | Secondary |
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. Mr Gerald W Polk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gerald W Polk, PA-C
1002 Industrial Dr,
Old Hickory, TN 37138-3696
Ph: (615) 847-6574 | Mr Gerald W Polk, PA-C
1002 Industrial Dr,
Old Hickory, TN 37138-3696
Ph: (615) 847-6574 |
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