Polly Godfrey, MD - Medicare Hospitalist in Evanston, IL

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Polly Godfrey, MD is a medicare enrolled "Hospitalist" physician in Evanston, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2017 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Ascension Medical Group-southeast Wisconsin Inc and her current practice location is 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1010.

Polly Godfrey is licensed to practice in Illinois (license number 036155636) 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 1194257154.

Contact Information

Polly Godfrey, MD
2650 Ridge Ave., Im Hospitalists Ste 4206,
Evanston, IL 60201
(847) 570-1010
(847) 733-5108

Map and Direction




Physician's Profile

Full NamePolly Godfrey
GenderFemale
SpecialityHospitalist
Experience9 Years
Location2650 Ridge Ave., Evanston, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Polly Godfrey attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2017
  NPI Data:
  • NPI Number: 1194257154
  • Provider Enumeration Date: 03/29/2017
  • Last Update Date: 07/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385913854
  • Enrollment ID: I20210923001136

Medical Identifiers

Medical identifiers for Polly Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194257154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036155636 (Illinois)Secondary
208000000XPediatrics 036155636 (Illinois)Secondary
208M00000XHospitalist 75605 (Wisconsin)Secondary
208M00000XHospitalist 036155636 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension All Saints HospitalRacine, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-southeast Wisconsin Inc8628980943551

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 Godfrey allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057

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 Godfrey 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
Polly Godfrey, MD
2650 Ridge Ave., Im Hospitalists Ste 4206,
Evanston, IL 60201

Ph: (847) 570-1010		Polly Godfrey, MD
2650 Ridge Ave., Im Hospitalists Ste 4206,
Evanston, IL 60201

Ph: (847) 570-1010

Reviews and Comments


Hospitalist Doctors in Evanston, IL

Melanie Armstrong, MD
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Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-982-6710    
Tanveer Ahamad Shaik, MD
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Practice Location: Ascension Saint Francis, 355 Ridge Ave., Evanston, IL 60202
Phone: 847-316-4000    
Dr. Stjepan Surbek, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 355 Ridge Ave, Evanston, IL 60202
Phone: 847-316-6228    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.