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MAURICIO POLANCO PA
NPI 1790099281
Physician Assistant in Temple Terrace, FL

Active since July 27, 2010PECOS Enrolled
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 978-9700(813) 558-6187 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mauricio Polanco Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURICIO POLANCO PA (NPI 1790099281) is an individual physician assistant in Temple Terrace, Florida, licensed in Florida (PA9104523) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790099281
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMAURICIO POLANCOCredential: PA
Location Address13020 N TELECOM PKWYTemple Terrace, FL 33637-0925
Mailing Address13020 N Telecom PkwyTemple Terrace, FL 33637-0925 · (813) 978-9700 · Fax (813) 558-6187
Phone(813) 978-9700
Fax(813) 558-6187
Sole ProprietorNo
Enumeration DateJuly 27, 2010
Last NPPES UpdateOctober 13, 2017
✔ NPI 1790099281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9104523
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13020 N TELECOM PKWY, Temple Terrace, FL 33637
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Other Identifiers 3

Medicare PINER989ZFL
OtherY05HFFL · Bcbs
Medicaid002622500FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mauricio Polanco Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGINA R CRAGO PA
Physician Assistant (Surgical)
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
DOUBER ALTIDOR PTA
Physical Therapy Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
LETICIA S WORSHAM PA
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
NICOLE R PLOGER PA
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
NATHAN BEVAN PA
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
JAVIER ALVARADO PT
Physical Therapist
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
SUSAN BAKER PTA
Physical Therapy Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
BRIAN RICHARD LASKOWSKI
Physical Therapist (Orthopedic)
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700

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 Mauricio Polanco's NPI number?

The NPI number for Mauricio Polanco is 1790099281. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Mauricio Polanco located?

Mauricio Polanco practices at 13020 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 978-9700.

What is Mauricio Polanco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mauricio Polanco enrolled in Medicare?

Yes. Mauricio Polanco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mauricio Polanco was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.