Mrs Stephanie Polk, FNP-C in Atlanta, GA - Medicare Clinical Nurse Specialist

Mrs Stephanie Polk, FNP-C is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Atlanta, Georgia. Her current practice location is 2020 Peachtree Rd Nw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 352-7322.

Mrs Stephanie Polk is licensed to practice in Georgia (license number 204295) 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 1306387972.

Contact Information

	Mrs Stephanie Polk, FNP-C
	2020 Peachtree Rd Nw, Atlanta, GA 30309-1426
	(404) 352-7322
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Polk
Gender	Female
Speciality	Clinical Nurse Specialist - Family Health
Location	2020 Peachtree Rd Nw, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306387972
Provider Enumeration Date: 03/16/2017
Last Update Date: 01/31/2018

Medicare PECOS Information:

PECOS PAC ID: 2860763349
Enrollment ID: I20170801003312

Medical Identifiers

Medical identifiers for Mrs Stephanie Polk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306387972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SF0001X	Clinical Nurse Specialist - Family Health	204295 (Georgia)	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. Mrs Stephanie Polk allows following entities to bill medicare on her behalf.

Entity Name	Shepherd Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043311715 PECOS PAC ID: 1052301777 Enrollment ID: O20040514000768

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. Mrs Stephanie Polk 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
Mrs Stephanie Polk, FNP-C 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 Ph: (404) 350-7323	Mrs Stephanie Polk, FNP-C 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 Ph: (404) 352-7322

Reviews and Comments

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Mrs Stephanie Polk, FNP-C - Medicare Clinical Nurse Specialist in Atlanta, GA