Michael D Polka, MD - Medicare Emergency Medicine in Appleton, WI

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Michael D Polka, MD is a medicare enrolled "Emergency Medicine" physician in Appleton, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2000 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. and his current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-4101.

Michael D Polka is licensed to practice in Wisconsin (license number 53394) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144242223.

Contact Information

Michael D Polka, MD
1818 N Meade St,
Appleton, WI 54911-3454
(920) 731-4101
Not Available

Map and Direction




Physician's Profile

Full NameMichael D Polka
GenderMale
SpecialityEmergency Medicine
Experience26 Years
Location1818 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael D Polka attended and graduated from Medical College Of Wisconsin in 2000
  NPI Data:
  • NPI Number: 1144242223
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 02/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072654425
  • Enrollment ID: I20100106000782

Medical Identifiers

Medical identifiers for Michael D Polka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144242223NPI-NPPES
036108682MedicaidIL
34715700MedicaidWI
P00054858OtherILMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-108682 (Illinois)Secondary
207P00000XEmergency Medicine 53394 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Aspirus Langlade HospitalAntigo, WIHospital
Aspirus Rhinelander HospitalRhinelander, WIHospital
Aspirus Medford Hospital & Clinics, IncMedford, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.9335059856566

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. Michael D Polka allows following entities to bill medicare on his behalf.
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameAppleton Emergency Services S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588666853
PECOS PAC ID: 4183517592
Enrollment ID: O20040207000109
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameThedacare Regional Medical Center - Appleton, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902832306
PECOS PAC ID: 2163319039
Enrollment ID: O20040304000064
Entity NameHoward Young Medical Center Inc of Woodruff Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184673352
PECOS PAC ID: 4183519606
Enrollment ID: O20040419000970
Entity NameAspirus Eagle River Hospital & Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346204385
PECOS PAC ID: 1658361951
Enrollment ID: O20040518000233
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20070524000076
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1619079597
PECOS PAC ID: 5799688602
Enrollment ID: O20071211000401
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639187412
PECOS PAC ID: 1557271202
Enrollment ID: O20110126000993
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1710333893
PECOS PAC ID: 3072504216
Enrollment ID: O20150918000809
Entity NameThedacare Medical Center - New London, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20161208000919

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. Michael D Polka 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 AddressPractice Location Address
Michael D Polka, MD
4930 N Turnberry Dr,
Appleton, WI 54913-8680

Ph: (815) 315-2318		Michael D Polka, MD
1818 N Meade St,
Appleton, WI 54911-3454

Ph: (920) 731-4101

Reviews and Comments


Emergency Medicine Doctors in Appleton, WI

Kirsten W Larson, MD
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Cyril Walsh, MD
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Ronald J Krajnik, MD
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Ryan J Wagner,
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Practice Location: 2400 E Capitol Dr, Appleton, WI 54911
Phone: 920-454-3300    Fax: 920-531-2098
Reid A Sousek, MD
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Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2720    
Steven J Mcintyre, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 800-968-6866    
Kate Dobberstein,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2105 E Enterprise Ave Ste 113, Appleton, WI 54913
Phone: 920-216-6171    

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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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