Stella Polvanova, NP - Medicare Nurse Practitioner in Far Rockaway, NY

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Stella Polvanova, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Far Rockaway, New York. Her current practice location is 529 Beach 20th St, Far Rockaway, New York. You can reach out to her office (for appointments etc.) via phone at (718) 327-7307.

Stella Polvanova is licensed to practice in New York (license number F305534-1) 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 1013201557.

Contact Information

Stella Polvanova, NP
529 Beach 20th St,
Far Rockaway, NY 11691-3645
(718) 327-7307
(718) 327-3294

Map and Direction




Provider's Profile

Full NameStella Polvanova
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location529 Beach 20th St, Far Rockaway, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013201557
  • Provider Enumeration Date: 06/01/2011
  • Last Update Date: 06/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0941446538
  • Enrollment ID: I20130427000000

Medical Identifiers

Medical identifiers for Stella Polvanova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013201557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 486629-1 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health F305534-1 (New York)Primary
363LG0600XNurse Practitioner - Gerontology F340789-1 (New York)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. Stella Polvanova allows following entities to bill medicare on her behalf.
Entity NameAbiola Familusi
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1649351214
PECOS PAC ID: 5890608079
Enrollment ID: I20041012000584
Entity NameMultiviz Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720373293
PECOS PAC ID: 1557274735
Enrollment ID: O20031112000674

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. Stella Polvanova 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
Stella Polvanova, NP
529 Beach 20th St,
Far Rockaway, NY 11691-3645

Ph: (718) 327-7307		Stella Polvanova, NP
529 Beach 20th St,
Far Rockaway, NY 11691-3645

Ph: (718) 327-7307

Reviews and Comments


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Catherine Nozdrovicky, NP
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Vivette Marva Griffiths,
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Phone: 718-869-7000    

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.