| Jacek M Polski, MD | |
|
2451 University Hospital Dr Fl 1, Mobile, AL 36617-2300 | |
| (251) 471-7790 | |
| (251) 471-7096 |
| Full Name | Jacek M Polski |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 35 Years |
| Location | 2451 University Hospital Dr Fl 1, Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1760437727 | NPI | - | NPPES |
| 009932350 | Medicaid | AL | |
| 11-00206 | Other | AL | UNITED HEALTH CARE |
| 1430480 | Medicaid | LA | |
| 00122325 | Medicaid | MS | |
| 009932340 | Medicaid | AL | |
| 260555400 | Medicaid | FL | |
| 51097767 | Other | AL | BLUE CROSS |
| 51097771 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | 23440 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Usa Health University Hospital | Mobile, AL | Hospital |
| Usa Health Children's & Women's Hospital | Mobile, AL | Hospital |
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| North Baldwin Infirmary | Bay minette, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Regional Pathologists Pa | 9830115385 | 7 |
| Usa Health Physician Billing Services Llc | 9931436912 | 281 |
| Entity Name | University Of South Alabama |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
| Entity Name | Gulf Regional Pathologists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588776108 PECOS PAC ID: 9830115385 Enrollment ID: O20051024000504 |
| Entity Name | Usa Health Physician Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
| Entity Name | Usa Health - Mci Business Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952972812 PECOS PAC ID: 6800290305 Enrollment ID: O20210805001329 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacek M Polski, MD Po Box 40480, Mobile, AL 36640-0480 Ph: (251) 434-3626 | Jacek M Polski, MD 2451 University Hospital Dr Fl 1, Mobile, AL 36617-2300 Ph: (251) 471-7790 |
Dr. Lloyd Gardner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-460-0326 Fax: 251-460-2846 | |
Dr. Lee Fucich, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-460-0326 Fax: 251-460-2846 | |
Elizabeth A. Manci, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1700 Center St, Pathology, Mobile, AL 36604 Phone: 251-415-1612 Fax: 251-415-1003 | |
Carole Boudreaux, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2451 Fillingim St, Pathology, Mobile, AL 36617 Phone: 251-471-7790 Fax: 251-471-7715 | |
Jonathan Newsom, Pathology Medicare: Medicare Enrolled Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-470-9912 | |
Dr. Rodney Edwin Shackelford, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7790 Fax: 251-471-7096 | |
Marianne Yassa, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2451 University Hospital Dr Bldg Room120, Mobile, AL 36617 Phone: 251-471-7786 |