Jacqueline Polach, PA - Medicare Physician Assistant in Fresno, CA

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Jacqueline Polach, PA is a medicare enrolled "Physician Assistant" in Fresno, California. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Eye Medical Clinic Of Fresno Inc, Clovis Dermatology Inc and her current practice location is 1303 E Herndon Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 450-3000.

Jacqueline Polach is licensed to practice in California (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760733208.

Contact Information

Jacqueline Polach, PA
1303 E Herndon Ave,
Fresno, CA 93720-3309
(559) 450-3000
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Polach
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location1303 E Herndon Ave, Fresno, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Polach graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1760733208
  • Provider Enumeration Date: 09/24/2012
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466604475
  • Enrollment ID: I20121219000561

Medical Identifiers

Medical identifiers for Jacqueline Polach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760733208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Agnes Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye Medical Clinic Of Fresno Inc135538174015
Clovis Dermatology Inc01435257252

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. Jacqueline Polach allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameEye Medical Clinic of Fresno Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659388700
PECOS PAC ID: 1355381740
Enrollment ID: O20050504001241
Entity NameClovis Dermatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952760308
PECOS PAC ID: 0143525725
Enrollment ID: O20160218001838

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. Jacqueline Polach 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
Jacqueline Polach, PA
11076 E Florence Peak Way,
Clovis, CA 93619-4689

Ph: (303) 507-3002		Jacqueline Polach, PA
1303 E Herndon Ave,
Fresno, CA 93720-3309

Ph: (559) 450-3000

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.