Ms Lisa Patrice Polak-dean, LCSW - Medicare Clinical Social Worker in Englewood, NJ

Ms Lisa Patrice Polak-dean, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Englewood, New Jersey. Her current practice location is 263 Knickerbocker Rd, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (347) 543-3182.

Ms Lisa Patrice Polak-dean is licensed to practice in New Jersey (license number 44SC06017300) 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 1265195275.

Contact Information

Ms Lisa Patrice Polak-dean, LCSW
263 Knickerbocker Rd,
Englewood, NJ 07631-1527
(347) 543-3182
Not Available



Healthcare Provider's Profile

Full NameMs Lisa Patrice Polak-dean
GenderFemale
SpecialitySocial Worker - Clinical
Location263 Knickerbocker Rd, Englewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265195275
  • Provider Enumeration Date: 10/17/2021
  • Last Update Date: 10/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082091947
  • Enrollment ID: I20220513001834

Medical Identifiers

Medical identifiers for Ms Lisa Patrice Polak-dean such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265195275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 44SC06017300 (New Jersey)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. Ms Lisa Patrice Polak-dean allows following entities to bill medicare on her behalf.
Entity NameBergen County Improvement Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578641924
PECOS PAC ID: 9032104047
Enrollment ID: O20040701000471

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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. Ms Lisa Patrice Polak-dean 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
Ms Lisa Patrice Polak-dean, LCSW
263 Knickerbocker Rd,
Englewood, NJ 07631-1527

Ph: (347) 543-3182
Ms Lisa Patrice Polak-dean, LCSW
263 Knickerbocker Rd,
Englewood, NJ 07631-1527

Ph: (347) 543-3182

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Brain diseases associated with the misformed protein tau, including Alzheimer's disease and frontotemporal lobar degeneration with tau pathologies, are characterized by neurofibrillary tangles (NFTs) comprised of pathological tau filaments.

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Social Worker in Englewood, NJ

Ms. Muriel T Reid, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 285 Engle St, Englewood, NJ 07631
Phone: 201-833-9683    Fax: 484-970-8941
Nancy Faltas, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 87 Presidential Dr, Englewood, NJ 07631
Phone: 201-227-8517    
Ms. Barbara M. Friedman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 71 Grand Ave, Suite #2, Englewood, NJ 07631
Phone: 201-568-1659    Fax: 201-894-1491
Lorna Scales Goldberg, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 171 Meadowbrook Rd, Englewood, NJ 07631
Phone: 201-894-8515    Fax: 201-871-4674
Ms. Judy Wimpfheimer, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 110 Dana Place, Englewood, NJ 07631
Phone: 201-568-2216    Fax: 253-550-1259
Ms. Lisa Jean Castrianni, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 14 N Dean St, Englewood, NJ 07631
Phone: 201-894-0510    
Mrs. Lisa Sokoloff, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 163 Engle St, Building 2, Englewood, NJ 07631
Phone: 201-567-7707    

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