Heather Dawn Poliszuk, NP - Medicare Nurse Practitioner in Portland, OR

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Heather Dawn Poliszuk, NP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. Her current practice location is 17828 Nw Lone Rock Dr, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (626) 862-4720.

Heather Dawn Poliszuk is licensed to practice in Oregon (license number 10036853) 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 1487461810.

Contact Information

Heather Dawn Poliszuk, NP
17828 Nw Lone Rock Dr,
Portland, OR 97229-3393
(626) 862-4720
Not Available

Map and Direction




Provider's Profile

Full NameHeather Dawn Poliszuk
GenderFemale
SpecialityNurse Practitioner - Family
Location17828 Nw Lone Rock Dr, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487461810
  • Provider Enumeration Date: 12/18/2024
  • Last Update Date: 12/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406376359
  • Enrollment ID: I20250221000987

Medical Identifiers

Medical identifiers for Heather Dawn Poliszuk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487461810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10036853 (Oregon)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. Heather Dawn Poliszuk allows following entities to bill medicare on her behalf.
Entity NameTimothy J Gray Do Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477518694
PECOS PAC ID: 1355390584
Enrollment ID: O20050114000392

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. Heather Dawn Poliszuk 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
Heather Dawn Poliszuk, NP
17828 Nw Lone Rock Dr,
Portland, OR 97229-3393

Ph: (626) 862-4720		Heather Dawn Poliszuk, NP
17828 Nw Lone Rock Dr,
Portland, OR 97229-3393

Ph: (626) 862-4720

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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