Dr Angelique Renae Polidoro, DO - Medicare Family Medicine in Port Charlotte, FL

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Dr Angelique Renae Polidoro, DO is a medicare enrolled "Family Medicine" physician in Port Charlotte, Florida. Her current practice location is 19531 Cochran Blvd, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 255-3535.

Dr Angelique Renae Polidoro is licensed to practice in Florida (license number OS17556) 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 1396945317.

Contact Information

Dr Angelique Renae Polidoro, DO
19531 Cochran Blvd,
Port Charlotte, FL 33948-2081
(941) 255-3535
Not Available

Map and Direction




Physician's Profile

Full NameDr Angelique Renae Polidoro
GenderFemale
SpecialityFamily Medicine
Location19531 Cochran Blvd, Port Charlotte, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396945317
  • Provider Enumeration Date: 07/18/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577657436
  • Enrollment ID: I20110202000240

Medical Identifiers

Medical identifiers for Dr Angelique Renae Polidoro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396945317NPI-NPPES
2010-01605OtherNCMEDICAL LICENSE
5916841MedicaidNC
D09076700OtherNJCDS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2010-01605 (North Carolina)Secondary
208D00000XGeneral Practice 2010-01605 (North Carolina)Secondary
207Q00000XFamily Medicine OS17556 (Florida)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. Dr Angelique Renae Polidoro allows following entities to bill medicare on her behalf.
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156

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. Dr Angelique Renae Polidoro 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
Dr Angelique Renae Polidoro, DO
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774		Dr Angelique Renae Polidoro, DO
19531 Cochran Blvd,
Port Charlotte, FL 33948-2081

Ph: (941) 255-3535

Reviews and Comments


Family Medicine Doctors in Port Charlotte, FL

Dr. Jean Murphy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948
Phone: 941-255-3535    Fax: 941-766-7999
Ewa A Bialikiewicz, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952
Phone: 941-624-2704    Fax: 941-627-6066
Louise A Cohen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948
Phone: 941-255-3535    Fax: 941-766-7999
Arturo Rodriguez-martin, MD PL
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952
Phone: 941-613-1351    Fax: 941-613-1591
Dr. Paul B. Graniero, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952
Phone: 855-979-5700    Fax: 855-979-5701
Dr. Gladys Perez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2315 Aaron St, Port Charlotte, FL 33952
Phone: 941-979-5700    Fax: 941-613-1387
Dr. Michael Dominic Mozzetti Sr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952
Phone: 941-629-1218    Fax: 941-625-9465

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.