Dr Gerald Ira Polukoff, MD - Internal Medicine in Logan, UT

Dr Gerald Ira Polukoff, MD is a Internal Medicine - Cardiovascular Disease physician based in Logan, Utah. Dr Gerald Ira Polukoff is licensed to practice in Utah (license number 370398-1205) and his current practice location is 1300 N 500 E, Logan, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 716-2200.

NPI number for Dr Gerald Ira Polukoff is 1215020045 and his current mailing address is Po Box 27128, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215020045.

Contact Information

Dr Gerald Ira Polukoff, MD
1300 N 500 E,
Logan, UT 84341-2408
(435) 716-2200
Not Available



Physician's Profile

Full NameDr Gerald Ira Polukoff
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location1300 N 500 E, Logan, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215020045
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 06/20/2016

Medical Identifiers

Medical identifiers for Dr Gerald Ira Polukoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215020045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 370398-1205 (Utah)Primary
207RI0011XInternal Medicine - Interventional Cardiology 370398-1205 (Utah)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease M9904 (Idaho)Secondary
207RI0011XInternal Medicine - Interventional Cardiology M-9904 (Idaho)Secondary

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 Gerald Ira Polukoff is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gerald Ira Polukoff, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (435) 716-2200
Dr Gerald Ira Polukoff, MD
1300 N 500 E,
Logan, UT 84341-2408

Ph: (435) 716-2200

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› Verified 7 days ago


Internal Medicine Doctors in Logan, UT

Rudolf Otrusinik, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1300 N 500 E, Suite 320, Logan, UT 84341
Phone: 435-755-8200    Fax: 435-752-6094
Harold Vonk, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-716-1980    
Robert M Nash, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1980    
Agnieszka M Szpunar, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1980    
Dr. Stephen J Ferney, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-752-1693    Fax: 435-792-1692
Dr. Stephen Christensen, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341
Phone: 385-244-4020    Fax: 385-244-4022
Ali Ben-jacob, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1281 North 600 East, Logan, UT 84341
Phone: 435-752-5999    Fax: 435-752-5551

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