Terry J Polt, MD in Hampton, NJ - Medicare Family Medicine

Terry J Polt, MD is a medicare enrolled "Family Medicine" physician in Hampton, New Jersey. Her current practice location is 61 Frontage Rd, Hampton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 735-2594.

Terry J Polt is licensed to practice in New Jersey (license number 25MA06995200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942274949.

Contact Information

	Terry J Polt, MD
	61 Frontage Rd, Hampton, NJ 08827-4001
	(908) 735-2594
	Not Available

Map and Direction

Physician's Profile

Full Name	Terry J Polt
Gender	Female
Speciality	Family Medicine
Location	61 Frontage Rd, Hampton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942274949
Provider Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5193618486
Enrollment ID: I20040202000987

Medical Identifiers

Medical identifiers for Terry J Polt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942274949	NPI	-	NPPES
8748501	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	25MA06995200 (New Jersey)	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. Terry J Polt allows following entities to bill medicare on her behalf.

Entity Name	State Of New Jersey Omb Centralized Payroll
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811931504 PECOS PAC ID: 6406742592 Enrollment ID: O20050104000058

Entity Name	Signify Health Medical Associates Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559

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. Terry J Polt 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
Terry J Polt, MD 61 Frontage Rd, Hampton, NJ 08827-4001 Ph: (908) 735-2594	Terry J Polt, MD 61 Frontage Rd, Hampton, NJ 08827-4001 Ph: (908) 735-2594

Reviews and Comments

Family Medicine Doctors in Hampton, NJ

Danika Chari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 37 Rupell Rd, Hampton, NJ 08827 Phone: 908-847-7060
Dr. Scott Phillip Reed Berk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33b Rupell Rd, Hampton, NJ 08827 Phone: 908-238-0077 Fax: 908-238-0057
Dr. David R Polizzi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Frontage Rd, Hampton, NJ 08827 Phone: 908-735-2594 Fax: 908-735-8526
Dr. Shivani Thakur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Frontage Rd, Hampton, NJ 08827 Phone: 908-735-2594 Fax: 908-735-8526
Dr. Frank J Sforza, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 37 Rupell Rd, Hampton, NJ 08827 Phone: 908-735-7060 Fax: 908-735-9922
Dr. Hugh John Prentice, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Rupell Rd, Hampton, NJ 08827 Phone: 908-735-7060 Fax: 908-735-9922
Mr. Iliya D Mitev, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Frontage Rd, Hampton, NJ 08827 Phone: 908-735-2594

Terry J Polt, MD - Medicare Family Medicine in Hampton, NJ