Dr David W Polly Jr, MD - Medicare Orthopaedic Surgery in Minneapolis, MN

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Dr David W Polly Jr, MD is a medicare enrolled "Orthopaedic Surgery" physician in Minneapolis, Minnesota. His current practice location is University Of Minnesota Physicians, 2512 South 7th Street, Suite R102, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 273-9400.

Dr David W Polly Jr is licensed to practice in Minnesota (license number 34661) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669483046.

Contact Information

Dr David W Polly Jr, MD
University Of Minnesota Physicians, 2512 South 7th Street, Suite R102,
Minneapolis, MN 55454
(612) 273-9400
Not Available

Map and Direction




Physician's Profile

Full NameDr David W Polly Jr
GenderMale
SpecialityOrthopaedic Surgery
LocationUniversity Of Minnesota Physicians, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669483046
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 10/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2961309729
  • Enrollment ID: I20031218000571

Medical Identifiers

Medical identifiers for Dr David W Polly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669483046NPI-NPPES
131005OtherUCARE
977595100MedicaidMN
0573717MedicaidIA
2032918OtherARAZ
10387MedicaidND
7777470MedicaidSD
34466400MedicaidWI
09-00027OtherMEDICA PRIMARY
09-01282OtherMEDICA - CHOICE
1034987OtherPREFERREDONE
HP39572OtherHEALTHPARTNERS
354R8POOtherMNBLUECROSS BLUESHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 34661 (Minnesota)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 David W Polly Jr allows following entities to bill medicare on his behalf.
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameShriners Hospitals for Children
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285250977
PECOS PAC ID: 9133031933
Enrollment ID: O20140606000217

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 David W Polly Jr 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 David W Polly Jr, MD
University Of Minnesota Physicians, 2512 South 7th Street, Suite R102,
Minneapolis, MN 55454

Ph: (612) 273-9400		Dr David W Polly Jr, MD
University Of Minnesota Physicians, 2512 South 7th Street, Suite R102,
Minneapolis, MN 55454

Ph: (612) 273-9400

Reviews and Comments


Orthopaedic Surgery Doctors in Minneapolis, MN

Dr. Gregory Richard Staeheli, M.D.
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Dr. Venus Vakhshori, M.D.
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Dr. Andrew H Schmidt, MD
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Sarah Jean Werner, PA-C
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Phone: 612-596-6100    
Patrick Yoon, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 701 Park Ave, Minneapolis, MN 55415
Phone: 612-873-4220    Fax: 612-904-4280
Alexander L Vasconcellos, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 2512 S 7th St, Minneapolis, MN 55454
Phone: 612-273-1177    
Roby C Thompson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2512 S 7th St, 1st Floor, R102, Minneapolis, MN 55454
Phone: 612-273-9400    

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.