Mrs Pamela Louise Polly, FNP in Lexington, KY

Mrs Pamela Louise Polly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Kentucky. Her current practice location is 3900 Crosby Dr, Apt 205, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (757) 751-1438.

Mrs Pamela Louise Polly is licensed to practice in Virginia (license number 0024172489) 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 1598132979.

Contact Information

	Mrs Pamela Louise Polly, FNP
	3900 Crosby Dr, Apt 205, Lexington, KY 40515-1811
	(757) 751-1438
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Pamela Louise Polly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3900 Crosby Dr, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598132979
Provider Enumeration Date: 09/01/2015
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7517266430
Enrollment ID: I20160427002323

Medical Identifiers

Medical identifiers for Mrs Pamela Louise Polly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598132979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3009401 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	0024172489 (Virginia)	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. Mrs Pamela Louise Polly allows following entities to bill medicare on her behalf.

Entity Name	Brock Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567

Entity Name	Fast Pace Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913

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. Mrs Pamela Louise 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
Mrs Pamela Louise Polly, FNP 89 Little Acre Rd, Linefork, KY 41833 Ph: (757) 751-1438	Mrs Pamela Louise Polly, FNP 3900 Crosby Dr, Apt 205, Lexington, KY 40515-1811 Ph: (757) 751-1438

Reviews and Comments

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Mrs Pamela Louise Polly, FNP - Medicare Nurse Practitioner in Lexington, KY