Jennifer Peace Polatchek, AGPCNP - Medicare Nurse Practitioner in New York, NY

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Jennifer Peace Polatchek, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in New York, New York. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York Society For The Relief Of Ruptured And Crippled Maintaining, Prominis Medical Services Pc and her current practice location is 535 East 70th Street, Hss-app Departent, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 714-6514.

Jennifer Peace Polatchek is licensed to practice in New York (license number 309135) 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 1245793900.

Contact Information

Jennifer Peace Polatchek, AGPCNP
535 East 70th Street, Hss-app Departent,
New York, NY 10021
(646) 714-6514
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Peace Polatchek
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location535 East 70th Street, New York, New York
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:
  • Jennifer Peace Polatchek graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1245793900
  • Provider Enumeration Date: 04/10/2019
  • Last Update Date: 07/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002243672
  • Enrollment ID: I20211202001328

Medical Identifiers

Medical identifiers for Jennifer Peace Polatchek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245793900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 309135 (New York)Secondary
363LG0600XNurse Practitioner - Gerontology 309135 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospital For Special SurgeryNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York Society For The Relief Of Ruptured And Crippled Maintaining478981820497
Prominis Medical Services Pc953712444134

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. Jennifer Peace Polatchek allows following entities to bill medicare on her behalf.
Entity NameProminis Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841323771
PECOS PAC ID: 9537124441
Enrollment ID: O20041119000601
Entity NameParkway Pain Care & Rehabilitation Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619072113
PECOS PAC ID: 2466557939
Enrollment ID: O20070427000401
Entity NameNew York Society For The Relief Of Ruptured & Crippled Maintaining
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427496652
PECOS PAC ID: 4789818204
Enrollment ID: O20131016000041
Entity NameDial Doc Now Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386245702
PECOS PAC ID: 4789096967
Enrollment ID: O20201211000862
Entity NameRd Medical Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811643166
PECOS PAC ID: 8628463296
Enrollment ID: O20220325000700
Entity NameAmerican Wound Care Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942074653
PECOS PAC ID: 6709237118
Enrollment ID: O20240110003303

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. Jennifer Peace Polatchek 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
Jennifer Peace Polatchek, AGPCNP
535 East 70th Street, Hss-app Departent,
New York, NY 10021

Ph: () -		Jennifer Peace Polatchek, AGPCNP
535 East 70th Street, Hss-app Departent,
New York, NY 10021

Ph: (646) 714-6514

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.