Kathleen D Polonka, DO in Indianapolis, IN

Kathleen D Polonka, DO is a medicare enrolled "Pediatrics" physician in Indianapolis, Indiana. Her current practice location is 7525 E 82nd St Ste B, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 621-4600.

Kathleen D Polonka is licensed to practice in Indiana (license number 02004795A) 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 1508205857.

Contact Information

	Kathleen D Polonka, DO
	7525 E 82nd St Ste B, Indianapolis, IN 46256-1435
	(317) 621-4600
	(317) 621-4530

Map and Direction

Physician's Profile

Full Name	Kathleen D Polonka
Gender	Female
Speciality	Pediatrics
Location	7525 E 82nd St Ste B, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508205857
Provider Enumeration Date: 06/20/2013
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4385934033
Enrollment ID: I20160608001081

Medical Identifiers

Medical identifiers for Kathleen D Polonka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508205857	NPI	-	NPPES
201349120	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5315060478 (Michigan)	Secondary
208000000X	Pediatrics	02004795A (Indiana)	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. Kathleen D Polonka allows following entities to bill medicare on her behalf.

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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. Kathleen D Polonka 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
Kathleen D Polonka, DO 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () -	Kathleen D Polonka, DO 7525 E 82nd St Ste B, Indianapolis, IN 46256-1435 Ph: (317) 621-4600

Reviews and Comments

Pediatrics Doctors in Indianapolis, IN

Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860
Christine Nix, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 Phone: 317-944-4034

Kathleen D Polonka, DO - Medicare Pediatrics in Indianapolis, IN