Jerrold Polterock, MD is a
Otolaryngology physician based in Oakdale, California. Jerrold Polterock is licensed to practice in California (license number G16347) and his current practice location is 250 S Oak Ave, Suite 4, Oakdale, California. He can be reached at his office (for appointments etc.) via phone at
(209) 845-0100.
NPI number for Jerrold Polterock is 1578536306 and his current mailing address is 250 S Oak Ave, Suite 4, Oakdale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578536306.
Physician's Profile
| Full Name | Jerrold Polterock |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 250 S Oak Ave, Oakdale, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578536306
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 06/23/2011
Medical Identifiers
Medical identifiers for Jerrold Polterock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578536306 | NPI | - | NPPES |
| ZZZ07922Z | Other | CA | BLUE SHIELD |
| 00G163471 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | G16347 (California) | Primary |
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. Jerrold Polterock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerrold Polterock, MD
250 S Oak Ave, Suite 4,
Oakdale, CA 95361-3572
Ph: (209) 845-0100 | Jerrold Polterock, MD
250 S Oak Ave, Suite 4,
Oakdale, CA 95361-3572
Ph: (209) 845-0100 |
Reviews and Comments