Ellen Polokoff, MD in Southbury, CT

Ellen Polokoff, MD is a medicare enrolled "Surgery" physician in Southbury, Connecticut. Her current practice location is 900 Main St S, Bldg 2, Suite 101, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 262-2300.

Ellen Polokoff is licensed to practice in Connecticut (license number 035653) 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 1487671178.

Contact Information

	Ellen Polokoff, MD
	900 Main St S, Bldg 2, Suite 101, Southbury, CT 06488-4237
	(203) 262-2300
	(203) 262-2305

Map and Direction

Physician's Profile

Full Name	Ellen Polokoff
Gender	Female
Speciality	Surgery
Location	900 Main St S, Southbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487671178
Provider Enumeration Date: 07/17/2006
Last Update Date: 10/28/2021

Medicare PECOS Information:

PECOS PAC ID: 9739275058
Enrollment ID: I20071018000303

Medical Identifiers

Medical identifiers for Ellen Polokoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487671178	NPI	-	NPPES
001356535	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	035653 (Connecticut)	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. Ellen Polokoff allows following entities to bill medicare on her behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

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. Ellen Polokoff 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
Ellen Polokoff, MD 900 Main St S, Bldg 2, Suite 101, Southbury, CT 06488-4237 Ph: (203) 262-2300	Ellen Polokoff, MD 900 Main St S, Bldg 2, Suite 101, Southbury, CT 06488-4237 Ph: (203) 262-2300

Reviews and Comments

Surgery Doctors in Southbury, CT

Dr. Peter Donald Zdankiewicz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Main St S, Southbury, CT 06488 Phone: 888-338-8356 Fax: 888-366-1189
Beth Ann Sieling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Bullet Hill Rd., Suite 214, Southbury, CT 06488 Phone: 203-267-1563 Fax: 203-267-1583
Dr. Kaveh Shahmohammadi Davoudi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1449 Old Waterbury Rd, Unit 101, Southbury, CT 06488 Phone: 203-210-6333 Fax: 203-502-2615

Ellen Polokoff, MD - Medicare Surgery in Southbury, CT