Charles S Polley, MD - Medicare Emergency Medicine in Cody, WY

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Charles S Polley, MD is a medicare enrolled "Emergency Medicine" physician in Cody, Wyoming. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice South Big Horn County Hospital District and his current practice location is 707 Sheridan Ave, Cody, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 527-7501.

Charles S Polley is licensed to practice in Wyoming (license number 5435A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215028642.

Contact Information

Charles S Polley, MD
707 Sheridan Ave,
Cody, WY 82414-3409
(307) 527-7501
(307) 578-2492

Map and Direction




Physician's Profile

Full NameCharles S Polley
GenderMale
SpecialityEmergency Medicine
Experience32 Years
Location707 Sheridan Ave, Cody, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles S Polley attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1215028642
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123216660
  • Enrollment ID: I20220708001491

Medical Identifiers

Medical identifiers for Charles S Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215028642NPI-NPPES
109873000MedicaidWY
307422OtherWYBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 104664 (Montana)Secondary
207P00000XEmergency Medicine 5435A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Big Horn County HospitalBasin, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Big Horn County Hospital District125431410712

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. Charles S Polley allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184785099
PECOS PAC ID: 1951375849
Enrollment ID: O20040825001090
Entity NameBillings Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326104845
PECOS PAC ID: 6002993516
Enrollment ID: O20080430000212

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. Charles S Polley 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
Charles S Polley, MD
707 Sheridan Ave,
Cody, WY 82414-3409

Ph: (307) 527-7501		Charles S Polley, MD
707 Sheridan Ave,
Cody, WY 82414-3409

Ph: (307) 527-7501

Reviews and Comments


Emergency Medicine Doctors in Cody, WY

Stephanie I Knodel,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-578-2000    
Kirk A Bollinger, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-527-7501    Fax: 307-578-2492
Dr. John Murray, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-527-7501    
Dr. Andrew John Hoene, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 217-827-0187    
Dr. Kevin S. Dougherty, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-578-2000    

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.