Mr Hari Momir Polenakovik, MD - Medicare Hospitalist in Dayton, OH

Mr Hari Momir Polenakovik, MD is a medicare enrolled "Internal Medicine" physician in Dayton, Ohio. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Dayton Childrens Specialty Physicians Inc, Wright State Physicians Inc and his current practice location is 1222 S Patterson Blvd, Suite 230, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 223-5350.

Mr Hari Momir Polenakovik is licensed to practice in Ohio (license number 35.074531) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902966690.

Contact Information

Mr Hari Momir Polenakovik, MD
1222 S Patterson Blvd, Suite 230,
Dayton, OH 45402-2684
(937) 223-5350
(937) 224-3112



Physician's Profile

Full NameMr Hari Momir Polenakovik
GenderMale
SpecialityHospitalist
Experience31 Years
Location1222 S Patterson Blvd, Dayton, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Hari Momir Polenakovik graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1902966690
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375444946
  • Enrollment ID: I20040116000267

Medical Identifiers

Medical identifiers for Mr Hari Momir Polenakovik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902966690NPI-NPPES
2207301MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 35-07-4531-P (Ohio)Secondary
207R00000XInternal Medicine 35.074531 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dayton Childrens HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dayton Childrens Specialty Physicians Inc549691612442
Wright State Physicians Inc7618889320124

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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. Mr Hari Momir Polenakovik allows following entities to bill medicare on his behalf.
Entity NameWright State Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114920329
PECOS PAC ID: 7618889320
Enrollment ID: O20031103000097

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Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529

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Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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Entity NameDayton Childrens Specialty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225192610
PECOS PAC ID: 5496916124
Enrollment ID: O20181024001690

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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. Mr Hari Momir Polenakovik 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
Mr Hari Momir Polenakovik, MD
725 University Blvd,
Dayton, OH 45435-0001

Ph: (937) 245-7100
Mr Hari Momir Polenakovik, MD
1222 S Patterson Blvd, Suite 230,
Dayton, OH 45402-2684

Ph: (937) 223-5350

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› Verified 1 days ago


Internal Medicine Doctors in Dayton, OH

Abraham Wei,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 128 E Apple St, 2nd Floor, Dayton, OH 45409
Phone: 937-208-2004    Fax: 937-208-8828
Ratnam A Oza, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 S Main St, Ste. 203, Dayton, OH 45409
Phone: 937-222-0603    Fax: 937-222-7122
Dr. Mohamed Elmouelhi, MD, PHD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428
Phone: 937-268-6511    
Freesia Dhingra, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 4100 W. Third St., Dayton, OH 45428
Phone: 937-268-6511    
James P Graham, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1520 S Main St, # 2, Dayton, OH 45409
Phone: 937-461-5815    Fax: 937-461-2896
Ugochukwu Nwokoro, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1735 Big Hill Rd, Dayton, OH 45439
Phone: 937-224-4325    Fax: 937-224-4327
Dr. Howard M Gross, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8881 N Main St, Dayton, OH 45415
Phone: 937-293-1622    Fax: 937-245-6308

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