Dr Sara Jean Polley, MD - Medicare Psychiatry & Neurology in Stillwater, MN

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Dr Sara Jean Polley, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Stillwater, Minnesota. Her current practice location is 5995 Oren Ave N Ste 203, Stillwater, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 217-1480.

Dr Sara Jean Polley is licensed to practice in Minnesota (license number 59782) 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 1841514734.

Contact Information

Dr Sara Jean Polley, MD
5995 Oren Ave N Ste 203,
Stillwater, MN 55082-6379
(651) 217-1480
(833) 972-5926

Map and Direction




Physician's Profile

Full NameDr Sara Jean Polley
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location5995 Oren Ave N Ste 203, Stillwater, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841514734
  • Provider Enumeration Date: 03/21/2010
  • Last Update Date: 05/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860858602
  • Enrollment ID: I20230519001998

Medical Identifiers

Medical identifiers for Dr Sara Jean Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841514734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine 59782 (Minnesota)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 59782 (Minnesota)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 59782 (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 Sara Jean Polley allows following entities to bill medicare on her behalf.
Entity NameEllie Family Services Pllp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740664150
PECOS PAC ID: 8325309669
Enrollment ID: O20180228001972

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 Sara Jean 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
Dr Sara Jean Polley, MD
5333 Ewing Ave S,
Minneapolis, MN 55410-2012

Ph: (516) 216-3554		Dr Sara Jean Polley, MD
5995 Oren Ave N Ste 203,
Stillwater, MN 55082-6379

Ph: (651) 217-1480

Reviews and Comments


Psychiatry & Neurology Doctors in Stillwater, MN

Dr. Donna Marie Koning, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082
Phone: 651-439-1234    Fax: 651-275-3325
Erin Carlson, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082
Phone: 651-439-1234    Fax: 651-275-3325
Dr. Patrick R Stokes, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082
Phone: 651-439-4840    Fax: 651-439-4894
Winfried Raabe, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082
Phone: 651-439-1234    Fax: 651-439-1547

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.