| Amanda Polacco, OD | |
|
4401 Martin Luther King Blvd, Houston, TX 77204-2020 | |
| (713) 743-2020 | |
| (713) 743-0963 |
| Full Name | Amanda Polacco |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 4401 Martin Luther King Blvd, Houston, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316464134 | NPI | - | NPPES |
| 00244528 | Medicaid | NY | |
| 429762401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 008677 (New York) | Secondary |
| 152W00000X | Optometrist | 10375 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Billings Clinic | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Billings Clinic | 6002993516 | 677 |
| Provider Name | Billings Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Polacco, OD 4401 Martin Luther King Blvd., Houston, TX 77204-2020 Ph: (713) 743-2020 | Amanda Polacco, OD 4401 Martin Luther King Blvd, Houston, TX 77204-2020 Ph: (713) 743-2020 |
Dr. Huy Tran, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9460 W Sam Houston Pkwy S, Houston, TX 77099 Phone: 281-564-9966 Fax: 281-564-9977 | |
Mrs. Tuyen Phuong Tran, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 9598 Rowlett Rd, Houston, TX 77075 Phone: 713-947-3771 | |
Dr. Haesoul Choi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12548 Westheimer Rd, Houston, TX 77077 Phone: 281-249-8380 | |
Dr. Diana Sarah Tran, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Town And Country Blvd Ste 110, Houston, TX 77024 Phone: 713-936-6701 | |
Advances In Vision Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 9344 Jones Rd, Suite H, Houston, TX 77065 Phone: 281-897-0005 Fax: 281-897-0008 | |
Dr. Tu Minh Pham, D.O. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13433 State Highway 249, Suite #9, Houston, TX 77086 Phone: 281-272-2555 Fax: 281-272-2556 | |
Hernan A Palermo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6699 Chimney Rock Rd, 103, Houston, TX 77081 Phone: 713-661-6500 |