Louise Wolgat Polanco, DPT in Dallas, TX - Medicare Physical Therapist Provider

Louise Wolgat Polanco, DPT is a medicare enrolled "Physical Therapist" provider in Dallas, Texas. Her current practice location is 11661 Preston Rd, 173, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 265-7200.

Louise Wolgat Polanco is licensed to practice in Texas (license number 1249266) 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 1447652094.

Contact Information

	Louise Wolgat Polanco, DPT
	11661 Preston Rd, 173, Dallas, TX 75230-2745
	(214) 265-7200
	(214) 265-7521

Map and Direction

Healthcare Provider's Profile

Full Name	Louise Wolgat Polanco
Gender	Female
Speciality	Physical Therapist
Location	11661 Preston Rd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447652094
Provider Enumeration Date: 09/25/2014
Last Update Date: 12/22/2014

Medicare PECOS Information:

PECOS PAC ID: 6800119512
Enrollment ID: I20150106000263

Medical Identifiers

Medical identifiers for Louise Wolgat Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447652094	NPI	-	NPPES
1249266	Other	TX	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1249266 (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. Louise Wolgat Polanco allows following entities to bill medicare on her behalf.

Provider Name	Conciergept, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033745740 PECOS PAC ID: 0143644062 Enrollment ID: O20200723002665

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. Louise Wolgat Polanco 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
Louise Wolgat Polanco, DPT 5100 Eldorado Pkwy, #102-20swss, Mckinney, TX 75070-6510 Ph: (214) 265-7200	Louise Wolgat Polanco, DPT 11661 Preston Rd, 173, Dallas, TX 75230-2745 Ph: (214) 265-7200

Reviews and Comments

Physical Therapist in Dallas, TX

Sarah Henry, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8502 Edgemere Rd, Dallas, TX 75225 Phone: 214-369-7995 Fax: 214-369-7995
Joan Mildred Riddle, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11880 Greenville Ave, Ste 100, Dallas, TX 75243 Phone: 214-349-6178 Fax: 214-575-9898
Benjamin Volkman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8081 Walnut Hill Ln, Dallas, TX 75231 Phone: 214-239-0993 Fax: 214-239-0998
Dr. Bryan Sheffield, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6301 Gaston Ave Ste 750, Dallas, TX 75214 Phone: 214-295-5374 Fax: 214-245-5217
Nkemakolem Nwosu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9291 Garland Rd Ste 110, Dallas, TX 75218 Phone: 972-892-4541 Fax: 469-697-1094
Diamilet C Collazo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 S Lancaster Rd, Dallas, TX 75216 Phone: 214-857-0193
Terri Lynn Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 N Washington Ave Ste 4000, Dallas, TX 75246 Phone: 214-820-9393 Fax: 214-820-8877

Louise Wolgat Polanco, DPT - Medicare Physical Therapist in Dallas, TX