DR. MARIANO ANDRES POLACK DDS, MS
NPI 1679773188
Dentist - Prosthodontics in Gainesville, VA
About Dr. Mariano Andres Polack Dds, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIANO ANDRES POLACK DDS, MS (NPI 1679773188) is an individual prosthodontics provider in Gainesville, Virginia, licensed in Virginia (0401410556) and active in the NPI registry since July 2007. He has opted out of Medicare through January 3, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mariano Andres Polack Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2019 through January 3, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mariano Polack's NPI number?
The NPI number for Mariano Polack is 1679773188. It was assigned to this individual provider in the NPPES registry on July 23, 2007.
Where is Mariano Polack located?
Mariano Polack practices at 7431 New Linton Hall Rd, Gainesville, VA 20155. The listed phone number is (703) 753-8753.
What is Mariano Polack's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.
Is Mariano Polack enrolled in Medicare?
No. Mariano Polack has opted out of Medicare through January 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Mariano Polack accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Mariano Polack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mariano Polack was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mariano Andres Polack, DDS, MS · NPI 1679773188
Prosthodontics provider in Gainesville, Virginia. Individual provider, active in the CMS NPPES registry since July 23, 2007.
## Identity
- **NPI:** 1679773188 (Entity type: Individual)
- **Enumerated:** July 23, 2007
- **Primary specialty:** Dentist - Prosthodontics · taxonomy 1223P0700X
- **State license:** 0401410556 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7431 NEW LINTON HALL RD, Gainesville, VA 20155
- **Phone:** (703) 753-8753
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 3, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 23, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1679773188) · Data from the CMS NPPES public registry.