Samantha Polster, OD - Medicare Optometrist in Indianapolis, IN

Samantha Polster, OD is a medicare enrolled "Optometrist" provider in Indianapolis, Indiana. She went to Illinois College Of Optometry At Chicago and graduated in 2015 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice University Family Physicians, Inc. and her current practice location is 1160 W. Michigan Street, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 944-2020.

Samantha Polster is licensed to practice in Indiana (license number 18003900A) 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 1790162915.

Contact Information

Samantha Polster, OD
1160 W. Michigan Street,
Indianapolis, IN 46202-5209
(317) 944-2020
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamantha Polster
GenderFemale
SpecialityOptometry
Experience9 Years
Location1160 W. Michigan Street, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Polster attended and graduated from Illinois College Of Optometry At Chicago in 2015
  NPI Data:
  • NPI Number: 1790162915
  • Provider Enumeration Date: 04/27/2015
  • Last Update Date: 01/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012221435
  • Enrollment ID: I20150729009417

Medical Identifiers

Medical identifiers for Samantha Polster such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790162915NPI-NPPES
201301230MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18003900A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Family Physicians, Inc.7911992797424

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. Samantha Polster allows following entities to bill medicare on her behalf.
Provider NameUniversity Family Physicians, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393
Provider NamePrecision Eye Group Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558523886
PECOS PAC ID: 0042479610
Enrollment ID: O20120319000085

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. Samantha Polster 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 AddressPractice Location Address
Samantha Polster, OD
250 N Shadeland Ave Ste 130,
Indianapolis, IN 46219-4959

Ph: (317) 963-4792
Samantha Polster, OD
1160 W. Michigan Street,
Indianapolis, IN 46202-5209

Ph: (317) 944-2020

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.