Alyson Polanco, is a
Contractor based in Fredericksburg, Virginia. Alyson Polanco is licensed to practice in Ohio (license number 006809) and her current practice location is
60 Brimley Dr, Fredericksburg, Virginia. She can be reached at her office (for appointments etc.) via phone at
(540) 552-6262.
NPI number for Alyson Polanco is 1043407836 and her current mailing address is 2200 Gause Blvd E, Slidell, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043407836.
Healthcare Provider's Profile
| Full Name | Alyson Polanco |
|---|
| Gender | Female |
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| Speciality | Contractor |
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| Location | 60 Brimley Dr, Fredericksburg, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043407836
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 01/28/2021
Medical Identifiers
Medical identifiers for Alyson Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043407836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 0119006721 (Virginia) | Secondary |
| 171W00000X | Contractor | 006809 (Ohio) | 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. Alyson Polanco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyson Polanco,
2200 Gause Blvd E,
Slidell, LA 70461-4223
Ph: (985) 781-4545 | Alyson Polanco,
60 Brimley Dr,
Fredericksburg, VA 22406-5148
Ph: (540) 552-6262 |
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