Kim A Polasek, PT is a medicare enrolled "Physical Therapist" provider in Taft, Texas. Her current practice location is
202 Green Ave, Taft, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 528-3018.
Kim A Polasek is licensed to practice in Texas (license number 1036226) 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 1871570119.
Healthcare Provider's Profile
| Full Name | Kim A Polasek |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 202 Green Ave, Taft, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871570119
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 11/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 1153589015
- Enrollment ID: I20120223000116
Medical Identifiers
Medical identifiers for Kim A Polasek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871570119 | NPI | - | NPPES |
| 0876815-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1036226 (Texas) | 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. Kim A Polasek allows following entities to bill medicare on her behalf.
| Provider Name | Smith Physical Therapy & Wellness, Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1275840183
PECOS PAC ID: 7719145671
Enrollment ID: O20120223000074 |
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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. Kim A Polasek 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 |
|---|
Kim A Polasek, PT
202 Green Ave,
Taft, TX 78390-2706
Ph: (361) 528-3018 | Kim A Polasek, PT
202 Green Ave,
Taft, TX 78390-2706
Ph: (361) 528-3018 |
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