Dr Gerald Ira Polukoff, MD - Medicare Internal Medicine in Logan, UT

Dr Gerald Ira Polukoff, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Logan, Utah. His current practice location is 1300 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2200.

Dr Gerald Ira Polukoff is licensed to practice in Utah (license number 370398-1205) 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 1215020045.

Contact Information

Dr Gerald Ira Polukoff, MD
1300 N 500 E,
Logan, UT 84341-2408
(435) 716-2200
Not Available

Map and Direction




Physician's Profile

Full NameDr Gerald Ira Polukoff
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location1300 N 500 E, Logan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215020045
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 06/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5395745111
  • Enrollment ID: I20160629002802

Medical Identifiers

Medical identifiers for Dr Gerald Ira Polukoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215020045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 370398-1205 (Utah)Primary
207RI0011XInternal Medicine - Interventional Cardiology 370398-1205 (Utah)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease M9904 (Idaho)Secondary
207RI0011XInternal Medicine - Interventional Cardiology M-9904 (Idaho)Secondary

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 Gerald Ira Polukoff allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710156922
PECOS PAC ID: 1850209420
Enrollment ID: O20040325001015

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 Gerald Ira Polukoff 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 Gerald Ira Polukoff, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (435) 716-2200
Dr Gerald Ira Polukoff, MD
1300 N 500 E,
Logan, UT 84341-2408

Ph: (435) 716-2200

Reviews and Comments


Internal Medicine Doctors in Logan, UT

Rudolf Otrusinik, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1300 N 500 E, Suite 320, Logan, UT 84341
Phone: 435-755-8200    Fax: 435-752-6094
Harold Vonk, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-716-1980    
Robert M Nash, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1980    
Agnieszka M Szpunar, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1980    
Dr. Stephen J Ferney, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-752-1693    Fax: 435-792-1692
Dr. Stephen Christensen, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341
Phone: 385-244-4020    Fax: 385-244-4022
Ali Ben-jacob, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1281 North 600 East, Logan, UT 84341
Phone: 435-752-5999    Fax: 435-752-5551

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.