Polly Fleet Train, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Saint Marys, Ohio. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Jtdm Family Practice Llc and her current practice location is
1140 S Knoxville Ave Ste B, Saint Marys, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 394-7314.
Polly Fleet Train is licensed to practice in Ohio (license number 35.097288) 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 1659492916.
Physician's Profile
| Full Name | Polly Fleet Train |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 23 Years |
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| Location | 1140 S Knoxville Ave Ste B, Saint Marys, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Polly Fleet Train graduated from medical school in 2003
NPI Data:
- NPI Number: 1659492916
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 04/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092879866
- Enrollment ID: I20120716000500
Medical Identifiers
Medical identifiers for Polly Fleet Train such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659492916 | NPI | - | NPPES |
| H261773 | Other | OH | MEDICARE PTAN |
| 0067286 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35.097288 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jtdm Family Practice Llc | 2163415837 | 48 |
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. Polly Fleet Train allows following entities to bill medicare on her behalf.
| Entity Name | Jtdm Family Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184652539
PECOS PAC ID: 2163415837
Enrollment ID: O20040407000863 |
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| Entity Name | Knox Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173 |
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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. Polly Fleet Train 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 |
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Polly Fleet Train, MD
200 Saint Clair Ave,
Saint Marys, OH 45885-2400
Ph: (419) 300-1129 | Polly Fleet Train, MD
1140 S Knoxville Ave Ste B,
Saint Marys, OH 45885-2609
Ph: (419) 394-7314 |
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