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

Dr Samuel Andrew Polek, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Clarksville, Tennessee. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mccd Fl Psychiatry Services Pa, Mccd Fl Psychiatry Services Pa, Mccd Psychiatry Services Pllc, Mccd Fl Psychiatry Services Pa and 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 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 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 NameDr Samuel Andrew Polek
GenderMale
SpecialityPsychiatry
Experience15 Years
Location128 N 2nd St Ste 202, Clarksville, Tennessee
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:
  • Dr Samuel Andrew Polek graduated from medical school in 2009
  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.
IdentifierTypeStateIssuer
1790004646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD.32824 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mccd Fl Psychiatry Services Pa4880064070206
Mccd Fl Psychiatry Services Pa4880064070206
Mccd Psychiatry Services Pllc4082049036156
Mccd Fl Psychiatry Services Pa4880064070206

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 NameHouston County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619026606
PECOS PAC ID: 9436062296
Enrollment ID: O20040219000209
Entity NameUniversity Of Alabama At Birmingham
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811280654
PECOS PAC ID: 3779487970
Enrollment ID: O20110623000518
Entity NameMccd Fl Psychiatry Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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
Dr. John Wallace Cain Ii, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 930 Professional Park Dr, Clarksville, TN 37040
Phone: 615-673-6737    
Paul Ragan, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 930 Professional Park Dr, Clarksville, TN 37040
Phone: 615-981-3586    

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.

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