Dr Samuel Andrew Polek, MD in Clarksville, TN - Medicare Psychiatry & Neurology

Dr Samuel Andrew Polek, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Clarksville, Tennessee. His current practice location is 128 N 2nd St Ste 202, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (866) 219-2688.

Dr Samuel Andrew Polek is licensed to practice in Alabama (license number MD.32824) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790004646.

Contact Information

	Dr Samuel Andrew Polek, MD
	128 N 2nd St Ste 202, Clarksville, TN 37040-6460
	(866) 219-2688
	(423) 523-0994

Map and Direction

Physician's Profile

Full Name	Dr Samuel Andrew Polek
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	128 N 2nd St Ste 202, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790004646
Provider Enumeration Date: 05/18/2010
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1052556594
Enrollment ID: I20140911000833

Medical Identifiers

Medical identifiers for Dr Samuel Andrew Polek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790004646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD.32824 (Alabama)	Primary

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. Dr Samuel Andrew Polek allows following entities to bill medicare on his behalf.

Entity Name	Houston County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209

Entity Name	University Of Alabama At Birmingham
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811280654 PECOS PAC ID: 3779487970 Enrollment ID: O20110623000518

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230505000378

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. Dr Samuel Andrew Polek 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
Dr Samuel Andrew Polek, MD 3840 Reddick Rd, Palmyra, TN 37142-2141 Ph: (256) 499-1629	Dr Samuel Andrew Polek, MD 128 N 2nd St Ste 202, Clarksville, TN 37040-6460 Ph: (866) 219-2688

Reviews and Comments

Psychiatry & Neurology Doctors in Clarksville, TN

Kathryn E Jalovec, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 511 8th Street, Clarksville, TN 37040 Phone: 931-920-7200
Dr. James Joseph Staudenmeier, M.D., MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 243 Dover Rd, Clarksville, TN 37042 Phone: 931-905-4646 Fax: 833-278-1934
Soureya Abbo, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1027 Cindy Jo Ct, Clarksville, TN 37040 Phone: 510-932-9319
Dr. Paschal Nnamdi Emelue, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 782 Weatherly Dr, Clarksville, TN 37043 Phone: 931-645-3552
Elizabeth E Pritchett, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 800 Tiny Town Rd, Clarksville, TN 37042 Phone: 931-431-7580 Fax: 931-431-7583
Maqbool Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 298 Clear Sky Ct, Suite F, Clarksville, TN 37043 Phone: 931-245-0620 Fax: 931-245-0624
Malik Ibrahim, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 913-502-1000 Fax: 903-502-2370

Dr Samuel Andrew Polek, MD - Medicare Psychiatry & Neurology in Clarksville, TN