Lidianny Polanco, DO in Tuscaloosa, AL - Medicare Family Practice

Lidianny Polanco, DO is a medicare enrolled "Family Medicine" physician in Tuscaloosa, Alabama. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Oak Mountain Group Services, Llc and her current practice location is 850 Peter Bryce Blvd, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 348-1770.

Lidianny Polanco is licensed to practice in Alabama (license number DO1984) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548624539.

Contact Information

	Lidianny Polanco, DO
	850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457
	(205) 348-1770
	Not Available

Map and Direction

Physician's Profile

Full Name	Lidianny Polanco
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	850 Peter Bryce Blvd, Tuscaloosa, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lidianny Polanco graduated from medical school in 2016

NPI Data:

NPI Number: 1548624539
Provider Enumeration Date: 04/06/2016
Last Update Date: 08/30/2019

Medicare PECOS Information:

PECOS PAC ID: 0345571048
Enrollment ID: I20191010002133

Medical Identifiers

Medical identifiers for Lidianny Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548624539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO1984 (Alabama)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview Medical Center	Birmingham, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Mountain Group Services, Llc	3678886256	46

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. Lidianny Polanco allows following entities to bill medicare on her behalf.

Entity Name	Capstone Health Services Foundation Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740397751 PECOS PAC ID: 6103724489 Enrollment ID: O20040330001160

Entity Name	Oak Mountain Group Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366840761 PECOS PAC ID: 3678886256 Enrollment ID: O20150727000323

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. Lidianny Polanco 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
Lidianny Polanco, DO 1 Ely Park Blvd Apt 56-2, Binghamton, NY 13905-1447 Ph: (201) 401-7923	Lidianny Polanco, DO 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 Ph: (205) 348-1770

Reviews and Comments

Family Medicine Doctors in Tuscaloosa, AL

Dr. Ashok V Mujumdar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 University Blvd E, Tuscaloosa, AL 35404 Phone: 205-554-4196 Fax: 205-554-4196
Richard D. Friend, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-1772
Tameka Carmichael Hairston, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-1772
Dr. Subhod Rao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 5th Ave E, Tuscaloosa, AL 35401 Phone: 205-348-1770 Fax: 205-348-7216
Dorian Christine Bonam, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2730 M. L King Jr Blvd, Tuscaloosa, AL 35403 Phone: 205-349-3250
Dr. Stephen A Roberts, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1771 Skyland Blvd E, Tuscaloosa, AL 35405 Phone: 205-553-0199 Fax: 205-553-3024
David Maxwell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 5th Avenue East, Tuscaloosa, AL 35401 Phone: 205-348-6262 Fax: 205-348-0630

Lidianny Polanco, DO - Medicare Family Practice in Tuscaloosa, AL