Ellen Christine Polak, LCSW in Indianapolis, IN - Medicare Social Worker Provider

Ellen Christine Polak, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. Her current practice location is 8102 Clearvista Pkwy, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 957-9936.

Ellen Christine Polak is licensed to practice in Indiana (license number 34011076A) 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 1508618547.

Contact Information

	Ellen Christine Polak, LCSW
	8102 Clearvista Pkwy, Indianapolis, IN 46256-1661
	(317) 957-9936
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Christine Polak
Gender	Female
Speciality	Social Worker - Clinical
Location	8102 Clearvista Pkwy, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508618547
Provider Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4284074667
Enrollment ID: I20240502000834

Medical Identifiers

Medical identifiers for Ellen Christine Polak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508618547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34011076A (Indiana)	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. Ellen Christine Polak allows following entities to bill medicare on her behalf.

Entity Name	Community Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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. Ellen Christine 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
Ellen Christine Polak, LCSW 6585 Discovery Dr S, Indianapolis, IN 46250-3457 Ph: (317) 213-1694	Ellen Christine Polak, LCSW 8102 Clearvista Pkwy, Indianapolis, IN 46256-1661 Ph: (317) 957-9936

Reviews and Comments

Social Worker in Indianapolis, IN

Miss Stephanie Diane Sanchez, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2506 Willowbrook Pkwy Ste 300, Indianapolis, IN 46205 Phone: 317-574-1254 Fax: 317-674-0060
Mrs. Alexis A Davis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-8484
Ms. Sharon Lou Teagardin, MSW, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5541 Broadway St, Indianapolis, IN 46220 Phone: 317-257-4934
Thelma Moore, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 355 W. 16th St., Ste. 3200, Indianapolis, IN 46202 Phone: 317-963-7407 Fax: 317-963-7533
Greta Compton, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 927 N Pennsylvania St, Indianapolis, IN 46204 Phone: 317-686-9860 Fax: 317-686-5810
Ms. Cynthia Lambert Crowe, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 W 10th St, Indianapolis, IN 46202 Phone: 317-630-6076
Adrienne Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 W Washington St, Indianapolis, IN 46231 Phone: 317-244-6848

Ellen Christine Polak, LCSW - Medicare Clinical Social Worker in Indianapolis, IN