Brock Polnaszek, - Medicare Obstetrics & Gynecology in Providence, RI

Brock Polnaszek, is a medicare enrolled "Obstetrics & Gynecology" physician in Providence, Rhode Island. His current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 274-1122.

Brock Polnaszek is licensed to practice in Rhode Island (license number MD17459) 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 1285163451.

Contact Information

Brock Polnaszek,
101 Dudley St,
Providence, RI 02905-2401
(401) 274-1122
(401) 459-0100



Physician's Profile

Full NameBrock Polnaszek
GenderMale
SpecialityObstetrics & Gynecology
Location101 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285163451
  • Provider Enumeration Date: 06/09/2017
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800168675
  • Enrollment ID: I20230524001808

Medical Identifiers

Medical identifiers for Brock Polnaszek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285163451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine MD17459 (Rhode Island)Secondary
207V00000XObstetrics & Gynecology MD17459 (Rhode Island)Primary
207V00000XObstetrics & Gynecology 2017018502 (Missouri)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. Brock Polnaszek allows following entities to bill medicare on his behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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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. Brock Polnaszek 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
Brock Polnaszek,
660 South Euclid Avenue, Department Of Obgyn, Box 8064,
Saint Louis, MO 63110

Ph: () -
Brock Polnaszek,
101 Dudley St,
Providence, RI 02905-2401

Ph: (401) 274-1122

News Archive

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Attaching cartilage to plates made of the resorbable material polydioxanone appears to facilitate corrective surgery on the nasal septum, the thin cartilage separating the two airways, according to a report in the January/February issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

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Obstetrics & Gynecology Doctors in Providence, RI

Donald Ramos, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 695 Eddy St, Providence, RI 02903
Phone: 401-272-1550    Fax: 401-421-8792
Brittany S Hampton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1100    
Dr. Jane R. Sharp, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 297 Promenade St, Providence, RI 02908
Phone: 401-490-6464    
Dr. Katharine D Wenstrom, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Dudley Street, 3rd Floor, Women & Infants Hospital Of Rhode Island/mfm Division, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7622
Rebecca Crichton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Heather A Smith, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Meena Theva, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    

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