SUSAN M. POLOVITCH-DAVIS PA
NPI 1386709392
Physician Assistant - Medical in Seattle, WA

NPI Status: Active since December 27, 2006

Contact Information

2600 SW HOLDEN ST
SEATTLE, WA
ZIP 98126
Phone: (206) 933-7214
Fax: (206) 933-7005

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 25
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SUSAN POLOVITCH-DAVIS

This page provides the complete NPI Profile along with additional information for Susan Polovitch-davis, a primary care provider established in Seattle, Washington with a medical specialization in Physician Assistant, focusing in medical and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1386709392 assigned on December 2006. The practitioner's primary taxonomy code is 363AM0700X with license number PA10004197 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1386709392
Provider Name
SUSAN M. POLOVITCH-DAVIS PA
Gender
Female
Entity Type
Individual
Location Address
2600 SW HOLDEN ST SEATTLE, WA 98126
Location Phone
(206) 933-7214
Location Fax
(206) 933-7005
Mailing Address
2600 SW HOLDEN ST SEATTLE, WA 98126
Mailing Phone
(206) 933-7214
Mailing Fax
(206) 933-7005
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
12-27-2006
Last Update Date
12-18-2007
Code Navigator

A primary care provider (PCP) like Susan Polovitch-davis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA10004197
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GAB34255MEDICARE PIN (08)WA 
G8805849MEDICARE PIN (08)WA 

Medicare Participation & PECOS Enrollment Status

Susan Polovitch-davis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Susan Polovitch-davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658346119

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040827001065

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SUSAN M. POLOVITCH-DAVIS PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386709392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316614018318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 4 + 0 + 1 + 8 + 3 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1386709392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407879042 MARY GWENDOLYN JONES PA-C
Individual
Physician Assistant (Medical)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 300-3294
1124034699NAVOS
Organization
Psychiatric Hospital2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1730285305 JACQUELINE BALL M.D.
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1114093721 JEFFREY STUART SKOLNICK M.D.
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1770643744 JEFFREY KORCZ MD
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1437219409 BARRY GROSSKOPF M.D.
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1376605451 STEVEN T. HANEY M.D.
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1881756971 EUGENIE M. ESCHBACH M.D.
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1629133608 WILLIAM D. FERGUSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1336204320 MARY OWEN M.D.
Individual
Internal Medicine2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1396800306 ROBYN E. BENNETTS ARNP
Individual
Nurse Practitioner2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1790841344 JEANNE MARIE BLACHE ARNP
Individual
Nurse Practitioner2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1538225172 PIRUZ HUDA ARNP
Individual
Nurse Practitioner2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1376609735 JANICE B EDWARDS PHD
Individual
Psychologist2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1164588521 RACHEL RENEE EISENHAUER PHD
Individual
Psychologist2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1205992567 JULIA E SINGER PHD
Individual
Psychologist (Clinical)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1689899957 PEGGY A. WUEST
Individual
Counselor (Mental Health)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1891910584 ELIZABETH HAMMONDS
Individual
Counselor (Mental Health)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7214
1396999876 VICTOR PLACE
Individual
Counselor (Mental Health)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7000
1194970954 MEGHAN AILEEN KROLL
Individual
Counselor (Mental Health)2600 SW HOLDEN ST
SEATTLE, WA 98126
(206) 933-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386709392, enumerated in the NPI registry as an "individual" on December 27, 2006

The provider is located at 2600 Sw Holden St Seattle, Wa 98126 and the phone number is (206) 933-7214

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 25 years of experience.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on December 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.