Dr Samuel C Polk, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Southaven, Mississippi. He went to Meharry Medical College School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Flowood Pain Center, Llc, Flowood Pain Center, Llc and 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 | Physical Medicine And Rehabilitation |
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| Experience | 26 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 Meharry Medical College School Of Medicine in 2000
NPI Data:
- NPI Number: 1437252780
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476558552
- Enrollment ID: I20060922000543
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Flowood Pain Center, Llc | 6901154293 | 18 |
| Flowood Pain Center, Llc | 6901154293 | 18 |
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 C Polk allows following entities to bill medicare on his behalf.
| Entity Name | Semmes-murphey Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477571891
PECOS PAC ID: 1254235914
Enrollment ID: O20040310001094 |
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| Entity Name | Flowood Pain Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356848014
PECOS PAC ID: 6901154293
Enrollment ID: O20250404000453 |
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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. 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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