Miss Ilona Katarzyna Polak, MD is a medicare enrolled "Family Medicine" physician in Sag Harbor, New York. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. Her current practice location is
34 Bay St # 103, Sag Harbor, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 808-3337.
Miss Ilona Katarzyna Polak is licensed to practice in New York (license number 245282-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346432077.
Physician's Profile
Full Name | Miss Ilona Katarzyna Polak |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 17 Years |
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Location | 34 Bay St # 103, Sag Harbor, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miss Ilona Katarzyna Polak attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2007
NPI Data:
- NPI Number: 1346432077
- Provider Enumeration Date: 08/16/2007
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123203544
- Enrollment ID: I20110429000182
Medical Identifiers
Medical identifiers for Miss Ilona Katarzyna Polak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346432077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 245282-1 (New York) | Primary |
Medical Facilities Affiliation
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. Miss Ilona Katarzyna Polak allows following entities to bill medicare on her behalf.
Entity Name | Medical Office Of Doctor Ilona K Polak Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699058958 PECOS PAC ID: 1850558214 Enrollment ID: O20120214000010 |
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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. Miss Ilona Katarzyna Polak 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 |
Miss Ilona Katarzyna Polak, MD Po Box 2986, Sag Harbor, NY 11963-0402 Ph: (631) 808-3337 | Miss Ilona Katarzyna Polak, MD 34 Bay St # 103, Sag Harbor, NY 11963-3104 Ph: (631) 808-3337 |
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