Mr Ilir Polovina, NP-C - Medicare Nurse Practitioner in Saint Louis, MO

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Mr Ilir Polovina, NP-C is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. His current practice location is 12345 W Bend Dr Ste 200, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 843-8000.

Mr Ilir Polovina is licensed to practice in Missouri (license number 2003005393) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952540999.

Contact Information

Mr Ilir Polovina, NP-C
12345 W Bend Dr Ste 200,
Saint Louis, MO 63128-2253
(314) 843-8000
(314) 843-3004

Map and Direction




Provider's Profile

Full NameMr Ilir Polovina
GenderMale
SpecialityNurse Practitioner
Location12345 W Bend Dr Ste 200, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952540999
  • Provider Enumeration Date: 02/16/2009
  • Last Update Date: 02/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5991820102
  • Enrollment ID: I20100910001149

Medical Identifiers

Medical identifiers for Mr Ilir Polovina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952540999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2003005393 (Missouri)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. Mr Ilir Polovina allows following entities to bill medicare on his behalf.
Entity NameState Of Missouri
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427002013
PECOS PAC ID: 1456254226
Enrollment ID: O20041208000430
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameIpc Pac Healthcare Services Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20160830002898
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameImpact Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114428612
PECOS PAC ID: 6204199086
Enrollment ID: O20180920002447
Entity NameHospitalist Medicine Physicians Of Missouri - Richmond Heights Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265911440
PECOS PAC ID: 2961753975
Enrollment ID: O20181001001336
Entity NameHospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275012452
PECOS PAC ID: 2567713571
Enrollment ID: O20181001001537
Entity NameImpact Physician Group Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962971531
PECOS PAC ID: 4082958574
Enrollment ID: O20181211001514

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 Ilir Polovina 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
Mr Ilir Polovina, NP-C
12345 W Bend Dr Ste 200,
Saint Louis, MO 63128-2253

Ph: (314) 843-8000		Mr Ilir Polovina, NP-C
12345 W Bend Dr Ste 200,
Saint Louis, MO 63128-2253

Ph: (314) 843-8000

Reviews and Comments


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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.