Dr Evelyn Carolina Polanco, - Medicare Pathology in Royal Oak, MI

Dr Evelyn Carolina Polanco, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Royal Oak, Michigan. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Beaumont Medical Group Hospital Based Services and her current practice location is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 898-9060.

Dr Evelyn Carolina Polanco is licensed to practice in Michigan (license number 4301504844) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083979975.

Contact Information

Dr Evelyn Carolina Polanco,
3601 W 13 Mile Rd,
Royal Oak, MI 48073-6712
(248) 898-9060
Not Available



Physician's Profile

Full NameDr Evelyn Carolina Polanco
GenderFemale
SpecialityPathology
Experience17 Years
Location3601 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Evelyn Carolina Polanco graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1083979975
  • Provider Enumeration Date: 07/07/2012
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284038563
  • Enrollment ID: I20210809002286

Medical Identifiers

Medical identifiers for Dr Evelyn Carolina Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083979975NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 4301504844 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital Royal OakRoyal oak, MIHospital
Beaumont Hospital, TroyTroy, MIHospital
Beaumont Hospital - DearbornDearborn, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital
Beaumont Hospital - Farmington HillsFarmington hills, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beaumont Medical Group Hospital Based Services3072875889457

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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. Dr Evelyn Carolina Polanco allows following entities to bill medicare on her behalf.
Entity NameBeaumont Medical Group Hospital Based Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796

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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. Dr Evelyn Carolina Polanco 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
Dr Evelyn Carolina Polanco,
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: () -
Dr Evelyn Carolina Polanco,
3601 W 13 Mile Rd,
Royal Oak, MI 48073-6712

Ph: (248) 898-9060

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Pathology Doctors in Royal Oak, MI

Dr. Aparna Hariharan, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-9060    Fax: 248-551-0557
Dr. Barbara Ducatman, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-9060    Fax: 248-898-9054
Ryan Johnson, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-9060    
Christopher Thorburn, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital Gme Office, Royal Oak, MI 48073
Phone: 248-898-4462    
Osama M. Alassi, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-9060    Fax: 248-898-9054
Dr. Ying Li, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-9060    
Domnita Crisan,
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-551-7261    

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