Ms Polly Ann Porter, PA-C, ATC is a medicare enrolled "Physician Assistant - Surgical" in Purcellville, Virginia. Her current practice location is
35731 Dunthorpe Ln, Purcellville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 395-3885.
Ms Polly Ann Porter is licensed to practice in Virginia (license number 0110001565) 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 1568566503.
Provider's Profile
Full Name | Ms Polly Ann Porter |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 35731 Dunthorpe Ln, Purcellville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568566503
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779611223
- Enrollment ID: I20100504000855
Medical Identifiers
Medical identifiers for Ms Polly Ann Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568566503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | 0110001565 (Virginia) | Primary |
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. Ms Polly Ann Porter 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 |
Ms Polly Ann Porter, PA-C, ATC 35731 Dunthorpe Ln, Purcellville, VA 20132-5225 Ph: (703) 395-3885 | Ms Polly Ann Porter, PA-C, ATC 35731 Dunthorpe Ln, Purcellville, VA 20132-5225 Ph: (703) 395-3885 |
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