Kendall Polk, CSFA - Specialist/Technologist, Other in Mansfield, TX

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Kendall Polk, CSFA is a Specialist/technologist, Other - Surgical Assistant physician based in Mansfield, Texas. Kendall Polk is licensed to practice in Texas (license number SA00635) and his current practice location is 205 Crenshaw Dr, Mansfield, Texas. He can be reached at his office (for appointments etc.) via phone at (214) 927-6539.

NPI number for Kendall Polk is 1285009803 and his current mailing address is 3540 E. Braod St. Ste 102#237, Mansfield, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285009803.

Contact Information

Kendall Polk, CSFA
205 Crenshaw Dr,
Mansfield, TX 76063-3451
(214) 927-6539
(817) 394-1231

Map and Direction




Physician's Profile

Full NameKendall Polk
GenderMale
SpecialitySpecialist/technologist, Other - Surgical Assistant
Location205 Crenshaw Dr, Mansfield, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285009803
  • Provider Enumeration Date: 12/08/2015
  • Last Update Date: 06/16/2018

Medical Identifiers

Medical identifiers for Kendall Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285009803NPI-NPPES
1225495708OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery SA00635 (Texas)Secondary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant SA00635 (Texas)Primary
246ZX2200XSpecialist/technologist, Other - Orthopedic Assistant SA00635 (Texas)Secondary
246ZS0410XSpecialist/technologist, Other - Surgical Technologist SA00635 (Texas)Secondary

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. Kendall Polk 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 AddressPractice Location Address
Kendall Polk, CSFA
3540 E. Braod St. Ste 102#237,
Mansfield, TX 76063-9157

Ph: (214) 927-6539		Kendall Polk, CSFA
205 Crenshaw Dr,
Mansfield, TX 76063-3451

Ph: (214) 927-6539

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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