Jillian A Polonchak, AGACNP-BC is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Los Angeles, California. Her current practice location is
1520 San Pablo St Ste 3000, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 442-5710.
Jillian A Polonchak is licensed to practice in Maryland (license number R256994) 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 1942850888.
Provider's Profile
Full Name | Jillian A Polonchak |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1520 San Pablo St Ste 3000, Los Angeles, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jillian A Polonchak attended and graduated from in
NPI Data:
- NPI Number: 1942850888
- Provider Enumeration Date: 09/12/2019
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jillian A Polonchak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942850888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | NP95012773 (California) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | R256994 (Maryland) | Primary |
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. Jillian A Polonchak 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 |
Jillian A Polonchak, AGACNP-BC 6201 Greenleigh Ave Fl 2, Middle River, MD 21220-2004 Ph: (410) 933-2704 | Jillian A Polonchak, AGACNP-BC 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 Ph: (323) 442-5710 |
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