| Dr Thomas James Polascik, MD | |
|
140 Charlois Blvd, Winston Salem, NC 27103-1522 | |
| (336) 716-4131 | |
| (336) 716-0328 |
| Full Name | Dr Thomas James Polascik |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 35 Years |
| Location | 140 Charlois Blvd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083798979 | NPI | - | NPPES |
| 8911593 | Medicaid | NC | |
| 11593 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 98-01017 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke University Hospital | Durham, NC | Hospital |
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2633 |
| Duke Health Integrated Practice Inc | 8325412737 | 3140 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas James Polascik, MD 140 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 716-4131 | Dr Thomas James Polascik, MD 140 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 716-4131 |
Dr. Jessica Jade Pryor, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 |
Dr. Oliver James Hart Iii, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2010 Baldwin Ln, Winston Salem, NC 27103 Phone: 336-277-1717 Fax: 336-277-1718 |
Dr. Lawrence Andrew Eskew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-277-1717 Fax: 336-277-1718 |
Steve James Hodges, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-2255 Fax: 336-716-9042 |
Dr. Shuo Liu, MD Urology Medicare: Medicare Enrolled Practice Location: Department Of Urology Medical Center Boulevard, Winston Salem, NC 27157 Phone: 336-716-5253 |
Majid Mirzazadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 |
Dr. Connor Gregory Policastro, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 |