Mauricio Polanco, PA in Temple Terrace, FL - Medicare Physician Assistant

Mauricio Polanco, PA is a medicare enrolled "Physician Assistant" in Temple Terrace, Florida. His current practice location is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 978-9700.

Mauricio Polanco is licensed to practice in Florida (license number PA9104523) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790099281.

Contact Information

	Mauricio Polanco, PA
	13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925
	(813) 978-9700
	(813) 558-6187

Map and Direction

Provider's Profile

Full Name	Mauricio Polanco
Gender	Male
Speciality	Physician Assistant
Location	13020 N Telecom Pkwy, Temple Terrace, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790099281
Provider Enumeration Date: 07/27/2010
Last Update Date: 10/13/2017

Medicare PECOS Information:

PECOS PAC ID: 1456534262
Enrollment ID: I20110331000238

Medical Identifiers

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

Identifier	Type	State	Issuer
1790099281	NPI	-	NPPES
002622500	Medicaid	FL
Y05HF	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9104523 (Florida)	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. Mauricio 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
Mauricio Polanco, PA 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700	Mauricio Polanco, PA 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700

Reviews and Comments

Physician Assistant Nurses in Temple Terrace, FL

Georgina R Crago, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055
Leticia S Worsham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055
Nicole R Ploger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6187
Nathan Bevan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6186
Shannon Rose Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6185
Miss Lakeisha L Porter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055
Carol C Paul, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055

Mauricio Polanco, PA - Medicare Physician Assistant in Temple Terrace, FL