Dr Donovan C Polack, MD in Saint Louis, MO - Medicare Internal Medicine

Dr Donovan C Polack, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Saint Louis, Missouri. He went to Js Weill Medical College, Cornell University and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Louis Kidney Care Llc, St Louis Kidney Care Llc and his current practice location is 11155 Dunn Rd, Suite 211n, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 741-1600.

Dr Donovan C Polack is licensed to practice in Missouri (license number R5H69) 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 1659324465.

Contact Information

	Dr Donovan C Polack, MD
	11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6150
	(314) 741-1600
	(314) 741-1677

Map and Direction

Physician's Profile

Full Name	Dr Donovan C Polack
Gender	Male
Speciality	Internal Medicine
Experience	45 Years
Location	11155 Dunn Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Donovan C Polack attended and graduated from Js Weill Medical College, Cornell University in 1979

NPI Data:

NPI Number: 1659324465
Provider Enumeration Date: 05/19/2006
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5799692646
Enrollment ID: I20041213000546

Medical Identifiers

Medical identifiers for Dr Donovan C Polack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659324465	NPI	-	NPPES
202546321	Medicaid	MO
036072078	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	R5H69 (Missouri)	Primary
174400000X	Specialist	036-072078 (Illinois)	Secondary
174400000X	Specialist	R5H69 (Missouri)	Secondary
207RN0300X	Internal Medicine - Nephrology	036-072078 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Metro Dialysis Center - North	Florissant, MO	Dialysis facility
St. Louis Regional Dialysis Center, Inc.	Saint ann, MO	Dialysis facility
Davita - Granite City Dialysis Center	Granite city, IL	Dialysis facility
Fresenius Of Normandy	Normandy, MO	Dialysis facility
Christian Hospital Northeast	Saint louis, MO	Hospital
Ssm Depaul Health Center	Bridgeton, MO	Hospital
Gateway Regional Medical Center	Granite city, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Louis Kidney Care Llc	6305130667	7
St Louis Kidney Care Llc	6305130667	7

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 Donovan C Polack allows following entities to bill medicare on his behalf.

Entity Name	Metro Hypertension & Kidney Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386688646 PECOS PAC ID: 3375500283 Enrollment ID: O20041213000516

Entity Name	St Louis Kidney Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780058727 PECOS PAC ID: 6305130667 Enrollment ID: O20160809001801

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 Donovan C Polack 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
Dr Donovan C Polack, MD 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 Ph: (314) 741-1600	Dr Donovan C Polack, MD 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6150 Ph: (314) 741-1600

Reviews and Comments

Internal Medicine Doctors in Saint Louis, MO

Dr. Isik Turker, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278
Conor Mccartney, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Dr. Faris Adam Bakeer, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Rehan Rais, M.D. M.B.,B.S. Nephrology Medicare: Medicare Enrolled Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-362-5000
Nathan Farkas, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930
Dr. Nicole Foley, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000
Soumojit Ghosh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-6100 Fax: 314-977-6164

Dr Donovan C Polack, MD - Medicare Internal Medicine in Saint Louis, MO