Dr Samuel C Polk, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Southaven, Mississippi. His current practice location is
7900 Airways Blvd Ste 2, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 420-2040.
Dr Samuel C Polk is licensed to practice in Mississippi (license number 34003) 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 1437252780.
Physician's Profile
| Full Name | Dr Samuel C Polk |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 7900 Airways Blvd Ste 2, Southaven, Mississippi |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Samuel C Polk attended and graduated from in
NPI Data:
- NPI Number: 1437252780
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Samuel C Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437252780 | NPI | - | NPPES |
| 34003 | Other | MS | MEDICAL LICENSE |
| 41433 | Other | TN | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 41433 (Tennessee) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 34003 (Mississippi) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 34003 (Mississippi) | Primary |
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 C Polk 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 C Polk, MD
Po Box 649113,
Dallas, TX 75264-9113
Ph: (903) 571-3844 | Dr Samuel C Polk, MD
7900 Airways Blvd Ste 2,
Southaven, MS 38671-4113
Ph: (601) 420-2040 |
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