ELIZABETH ANNE POLACHECK (MD) – Physical Medicine & Rehabilitation Physician, NPI 1528115250
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PHYSICAL MEDICINE AND REHABILITATION in WI
Provider Addresses for ELIZABETH ANNE POLACHECK (MD)
3033 W Layton Ave
Ste 201
Greenfield, WI 532212628
Phone: (414) 727-8199
Fax: (414) 727-8350
Type: Location
3033, West Layton Avenue, Greenfield, Milwaukee County, Wisconsin, 53221, United States
STE 201
GREENFIELD, WI 532212628
Phone: (414) 727-8199
Fax: (888) 371-8009
Type: Mailing
1110 KEPLER DR
GREEN BAY, WI 543118306
Phone: (920) 304-9695
Type: Location
1776 WOODSTEAD CT STE 208
THE WOODLANDS, TX 773801480
Phone: (877) 749-7428
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040730001036 | I | Physical Medicine And Rehabilitation | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 20 | 19 | $0 |
Insurance plans in this area (ZIP 53221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Physical Medicine And Rehabilitation | WI |
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