Marc Robert Polecritti, D.O

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

OS10930 Issued in FL

Practice address

10429 Spring Hill Dr
Spring Hill, FL 34608-5043

Phone

(352) 556-5248

Fax

(352) 556-5249

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Lake Erie College of Osteopathic Medicine, Erie, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Julian Institute of Plastic Surgery, PLLCGroup PAC ID 6305031709, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Julian Institute of Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Spring Hill, FL
  • NPI 1275842056
  Medicare reassignment Care Compare group NPD Authorized official
• Friends and Family Medical Associates, LLC

  • Primary Care Clinic/Center
  • Spring Hill, FL
  • NPI 1144540121
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1780889758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10429 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085043",
            "telephone_number": "352-556-5248",
            "fax_number": "352-556-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085043",
            "telephone_number": "352-556-5248",
            "fax_number": "352-556-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLECRITTI",
        "first_name": "MARC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS10930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Podolsky, RBT
• Daniel Lee Poe, COTA
• Maria Polanco
• Derek Chase Polecritti, D.O.
• Kristien Fox Polecritti, D.O.
• Mark Polland
• Polly T. Michaels, DMD, PA
• Anastasia D. Poole
• Calin V Pop, MD
• Irina Maria Popa, FNP-BC

• Plastic and Reconstructive Surgery Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.