Kim N Poludnianyk, DO - Medicare Orthopedic Surgery in Lake Charles, LA

Kim N Poludnianyk, DO is a medicare enrolled "Orthopaedic Surgery" physician in Lake Charles, Louisiana. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Pocatello Health Services Llc and her current practice location is 1717 Oak Park Blvd Fl 3, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 494-4900.

Kim N Poludnianyk is licensed to practice in Louisiana (license number 320010) 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 1609072792.

Contact Information

Kim N Poludnianyk, DO
1717 Oak Park Blvd Fl 3,
Lake Charles, LA 70601
(337) 494-4900
(337) 494-4936



Physician's Profile

Full NameKim N Poludnianyk
GenderFemale
SpecialityOrthopedic Surgery
Experience17 Years
Location1717 Oak Park Blvd Fl 3, Lake Charles, Louisiana
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:
  • Kim N Poludnianyk attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2007
  NPI Data:
  • NPI Number: 1609072792
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 08/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729219100
  • Enrollment ID: I20211119000681

Medical Identifiers

Medical identifiers for Kim N Poludnianyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609072792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 320010 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pocatello Health Services Llc6608927637136

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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. Kim N Poludnianyk allows following entities to bill medicare on her behalf.
Entity NamePocatello Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689802852
PECOS PAC ID: 6608927637
Enrollment ID: O20090701000646

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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. Kim N Poludnianyk 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
Kim N Poludnianyk, DO
Po Box 122165 Dept 2165,
Dallas, TX 75312-2165

Ph: (337) 494-4900
Kim N Poludnianyk, DO
1717 Oak Park Blvd Fl 3,
Lake Charles, LA 70601

Ph: (337) 494-4900

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Orthopaedic Surgery Doctors in Lake Charles, LA

Dr. George Joseph Trappey Iv, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605
Phone: 337-721-7236    Fax: 337-721-7237
Clark A Gunderson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601
Phone: 337-439-0385    Fax: 337-433-5448
Dr. Brett Michael Cascio, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4150 Nelson Road, Bldg. D., Suite 1, Lake Charles, LA 70605
Phone: 337-508-1000    Fax: 337-335-0701
Dr. Dennis Martin Walker, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601
Phone: 337-494-4941    Fax: 337-494-4707
Dr. Steven S Hale, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605
Phone: 337-721-7293    
Dr. Robert Dale Bernauer, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4150 Nelson Rd, Bldg. D; Ste 1, Lake Charles, LA 70605
Phone: 337-474-6960    Fax: 337-474-6970
Dr. Michael Alan Hinton, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 230 West Sale Road, Lake Charles, LA 70605
Phone: 337-477-5252    Fax: 337-502-5069

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