Mr Michael Alan Polich, NP | |
792 Carriage Dr, Lowell, IN 46356-2491 | |
(219) 696-4101 | |
Not Available |
Full Name | Mr Michael Alan Polich |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 792 Carriage Dr, Lowell, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871675637 | NPI | - | NPPES |
200324200 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71001158A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Health - Porter | Valparaiso, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Infectious Disease Specialists Pc | 4981691862 | 10 |
Cnp Operating Co Llc | 8325263734 | 37 |
Entity Name | Infectious Disease Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245217215 PECOS PAC ID: 4981691862 Enrollment ID: O20040430000920 |
Entity Name | Cnp Operating Co Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
Entity Name | Reliant Md Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952865495 PECOS PAC ID: 2466871207 Enrollment ID: O20201123001869 |
Entity Name | Pa Post Acute Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240508003277 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Alan Polich, NP 792 Carriage Dr, Lowell, IN 46356-2491 Ph: (219) 696-4101 | Mr Michael Alan Polich, NP 792 Carriage Dr, Lowell, IN 46356-2491 Ph: (219) 696-4101 |
Alejandra Garcia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18627 White Oak Ave, Lowell, IN 46356 Phone: 219-671-7443 | |
Mrs. Angela Jean Gard, RN, BSN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17648 Morse St, Lowell, IN 46356 Phone: 219-696-6258 | |
Jessica Goodman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2068 Lucas Pkwy, Lowell, IN 46356 Phone: 219-690-7025 | |
Mrs. Latasha Pittman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2072b E Commercial Ave, Lowell, IN 46356 Phone: 219-696-6880 | |
Jill Irene Maddack, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 W 181st Ave, Lowell, IN 46356 Phone: 219-690-2016 Fax: 219-690-1862 | |
Katheryn Dee White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 W 181st Ave, Lowell, IN 46356 Phone: 219-690-2016 Fax: 219-690-1862 |