Surmilena Polanco, DDS - Medicare Dentist in Passaic, NJ

Surmilena Polanco, DDS is a medicare enrolled "Dentist" provider in Passaic, New Jersey. Her current practice location is 183 Jefferson St, 2nd Floor, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 472-1010.

Surmilena Polanco is licensed to practice in New Jersey (license number 22D102282700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447396742.

Contact Information

Surmilena Polanco, DDS
183 Jefferson St, 2nd Floor,
Passaic, NJ 07055
(973) 472-1010
(973) 473-6232



Healthcare Provider's Profile

Full NameSurmilena Polanco
GenderFemale
SpecialityDentist
Location183 Jefferson St, Passaic, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447396742
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 06/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3870971385
  • Enrollment ID: I20220610002030

Medical Identifiers

Medical identifiers for Surmilena Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447396742NPI-NPPES
0077933MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 22D102282700 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Surmilena Polanco allows following entities to bill medicare on her behalf.
Entity NameAlejandro Williams Dental Office Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508037466
PECOS PAC ID: 9739567231
Enrollment ID: O20220610001766

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Entity Name43 Chruch Street Dental Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356097869
PECOS PAC ID: 5395120240
Enrollment ID: O20220914000695

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Surmilena Polanco is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Surmilena Polanco, DDS
183 Jefferson St, 2nd Floor,
Passaic, NJ 07055

Ph: (973) 472-1010
Surmilena Polanco, DDS
183 Jefferson St, 2nd Floor,
Passaic, NJ 07055

Ph: (973) 472-1010

News Archive

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Patients with obstructive sleep apnea (OSA) face an elevated risk of perioperative complications; the risk is even higher if the diagnosis has not been made before surgery.

Researchers uncover how vitamins A and C act to modify epigenetic cell memory

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› Verified 3 days ago


Dentist in Passaic, NJ

Louis J Sardelli, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 503 Paulison Ave, Passaic, NJ 07055
Phone: 973-471-4500    Fax: 973-471-8571
Dr. Clidia Milda Perez, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 147 Prospect St, Passaic, NJ 07055
Phone: 973-471-8003    Fax: 973-471-1833
Sharon S Jacobson, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 25 Westminster Pl, #4, Passaic, NJ 07055
Phone: 718-490-8939    
Mrs. Nelfa Cespedes, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 293 Main Ave, Passaic, NJ 07055
Phone: 973-471-0099    Fax: 973-614-1751
Mrs. Estela Del Carmen Guerrero, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 218 Autumn St., Second Floor, Passaic, NJ 07055
Phone: 973-815-0053    Fax: 973-815-0024
Dr. Sunitha Murthy, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Broadway, Suite 202, Passaic, NJ 07055
Phone: 201-452-9352    

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