Ms Jennifer Olsen Polniak, RD, CDE, PA-C is a medicare enrolled "Physician Assistant" provider in Columbia, Missouri. She went to University Of North Dakota School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Curators Of The University Of Missouri and her current practice location is
303 N Keene St Ste 301, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 882-8000.
Ms Jennifer Olsen Polniak is licensed to practice in Missouri (license number 2016024375) 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 1710192588.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Olsen Polniak |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 303 N Keene St Ste 301, Columbia, Missouri |
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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. |
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Medical Education and Training:
- Ms Jennifer Olsen Polniak attended and graduated from University Of North Dakota School Of Medicine in 2016
NPI Data:
- NPI Number: 1710192588
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133149412
- Enrollment ID: I20170310000932
Medical Identifiers
Medical identifiers for Ms Jennifer Olsen Polniak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710192588 | NPI | - | NPPES |
| 09720278 | Other | | DIABETES EDUCATOR CERTIFI |
| 220039284 | Medicaid | MO | |
| 2001025253 | Other | MO | STATE LICENSE DIETITIAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 0221025253 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 2016024375 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Curators Of The University Of Missouri | 4486759560 | 1035 |
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. Ms Jennifer Olsen Polniak 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 |
|---|
Ms Jennifer Olsen Polniak, RD, CDE, PA-C
Po Box 843966,
Kansas City, MO 64184-3966
Ph: (573) 884-3300 | Ms Jennifer Olsen Polniak, RD, CDE, PA-C
303 N Keene St Ste 301,
Columbia, MO 65201-8053
Ph: (573) 882-8000 |
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