Surmilena Polanco, DDS - Medicare Dentist in Passaic, NJ

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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

Map and Direction




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

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

Reviews and Comments


Dentist in Passaic, NJ

Louis J Sardelli, DDS
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Sharon S Jacobson, D.M.D.
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Mrs. Estela Del Carmen Guerrero, D.D.S.
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Dr. Sunitha Murthy, DDS
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Practice Location: 15 Broadway, Suite 202, Passaic, NJ 07055
Phone: 201-452-9352    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.