Mike Polewski, PA is a medicare enrolled "Internal Medicine - Addiction Medicine" in Clinton Township, Michigan. His current practice location is
41800 Hayes Rd Ste 126, Clinton Township, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 843-7996.
Mike Polewski is licensed to practice in Michigan (license number 5601009538) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336793264.
Provider's Profile
| Full Name | Mike Polewski |
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| Gender | Male |
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| Speciality | Internal Medicine - Addiction Medicine |
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| Location | 41800 Hayes Rd Ste 126, Clinton Township, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336793264
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 02/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365779121
- Enrollment ID: I20190816001056
Medical Identifiers
Medical identifiers for Mike Polewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336793264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5601009538 (Michigan) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 5601009538 (Michigan) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5601009538 (Michigan) | Secondary |
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. Mike Polewski allows following entities to bill medicare on his behalf.
| Entity Name | County of Macomb |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942532197
PECOS PAC ID: 4880581404
Enrollment ID: O20040301000018 |
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| Entity Name | Orion Family Physicians PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578627816
PECOS PAC ID: 0143212712
Enrollment ID: O20040401001657 |
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| Entity Name | Wellstreet Urgent Care of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578048096
PECOS PAC ID: 6305188491
Enrollment ID: O20190610002007 |
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| Entity Name | Huron Emergency Medicine Specialists PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528686540
PECOS PAC ID: 9032538830
Enrollment ID: O20200929000182 |
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| Entity Name | Inhospital Physicians Michigan PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427840586
PECOS PAC ID: 5991208407
Enrollment ID: O20250911001750 |
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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. Mike Polewski 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 |
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Mike Polewski, PA
39581 Old Dominion Dr,
Clinton Township, MI 48038-2650
Ph: (586) 843-7996 | Mike Polewski, PA
41800 Hayes Rd Ste 126,
Clinton Township, MI 48038-1876
Ph: (586) 843-7996 |
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