Misty Windom Polson, FNP-C in Columbia, SC - Medicare Nurse Practitioner

Misty Windom Polson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. Her current practice location is 2750 Laurel St Ste 303, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 252-1953.

Misty Windom Polson is licensed to practice in South Carolina (license number 20836) 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 1396286365.

Contact Information

	Misty Windom Polson, FNP-C
	2750 Laurel St Ste 303, Columbia, SC 29204-2025
	(803) 252-1953
	(803) 217-6750

Map and Direction

Provider's Profile

Full Name	Misty Windom Polson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2750 Laurel St Ste 303, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396286365
Provider Enumeration Date: 03/10/2017
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 0143598938
Enrollment ID: I20170620002278

Medical Identifiers

Medical identifiers for Misty Windom Polson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396286365	NPI	-	NPPES
NP4524	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20836 (South Carolina)	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. Misty Windom Polson allows following entities to bill medicare on her behalf.

Entity Name	Precision Rehabilitation, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750789236 PECOS PAC ID: 8123342870 Enrollment ID: O20150128002085

Entity Name	Providence Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Misty Windom Polson 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
Misty Windom Polson, FNP-C Po Box 935722, Atlanta, GA 31193-5722 Ph: (843) 792-6200	Misty Windom Polson, FNP-C 2750 Laurel St Ste 303, Columbia, SC 29204-2025 Ph: (803) 252-1953

Reviews and Comments

Nurse Practitioner Nurses in Columbia, SC

Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120
Latonya Brailsford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-7910

Misty Windom Polson, FNP-C - Medicare Nurse Practitioner in Columbia, SC