Dr John William Polley, MD - Medicare Plastic Surgery in Traverse City, MI

Dr John William Polley, MD is a medicare enrolled "Plastic Surgery" physician in Traverse City, Michigan. His current practice location is 5085 Anna Dr Ste A, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-0180.

Dr John William Polley is licensed to practice in Michigan (license number 4301403808) 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 1477534931.

Contact Information

Dr John William Polley, MD
5085 Anna Dr Ste A,
Traverse City, MI 49684-7475
(231) 935-0180
(231) 935-0099



Physician's Profile

Full NameDr John William Polley
GenderMale
SpecialityPlastic Surgery
Location5085 Anna Dr Ste A, Traverse City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477534931
  • Provider Enumeration Date: 11/10/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698840601
  • Enrollment ID: I20140620000470

Medical Identifiers

Medical identifiers for Dr John William Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477534931NPI-NPPES
036079739MedicaidIL
0B80405OtherMIBCBSMI
21623004OtherILBCBS PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 4301403808 (Michigan)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. Dr John William Polley allows following entities to bill medicare on his behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904

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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 John William Polley 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 John William Polley, MD
5085 Anna Dr Ste A,
Traverse City, MI 49684-7475

Ph: (231) 935-0180
Dr John William Polley, MD
5085 Anna Dr Ste A,
Traverse City, MI 49684-7475

Ph: (231) 935-0180

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Plastic Surgery Doctors in Traverse City, MI

F Matthew Smith, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5085 Anna Dr Ste A, Traverse City, MI 49684
Phone: 231-935-0180    Fax: 231-935-0099
Steven V Thomas, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4110 Copper Ridge Dr, Ste 242 Bldg D, Traverse City, MI 49684
Phone: 231-929-7700    Fax: 231-929-7709
Dr. Kyle Reece Ver Steeg Ii, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4020 Copper Vw Ste 122, Traverse City, MI 49684
Phone: 231-943-1712    Fax: 231-668-4038
Ryan Scot Burke, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684
Phone: 231-929-7700    
Dr. Christopher Alan Bobbitt, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 701 W Front St Ste 100, Traverse City, MI 49684
Phone: 231-935-0800    
Dr. Thomas R Doerr, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 213 S Madison St, Traverse City, MI 49684
Phone: 231-947-0220    Fax: 231-947-1629

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