Sumati - Pande, MD - Medicare Pediatrics in Newark, NJ

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Sumati - Pande, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Newark, New Jersey. Her current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 926-7203.

Sumati - Pande is licensed to practice in New Jersey (license number 25MA07497100) 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 1265465587.

Contact Information

Sumati - Pande, MD
201 Lyons Ave,
Newark, NJ 07112-2027
(973) 926-7203
(973) 926-2332

Map and Direction




Physician's Profile

Full NameSumati - Pande
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265465587
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0345692257
  • Enrollment ID: I20240116004084

Medical Identifiers

Medical identifiers for Sumati - Pande such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265465587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 25MA07497100 (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. Sumati - Pande allows following entities to bill medicare on her behalf.
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951

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. Sumati - Pande 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
Sumati - Pande, MD
4 Dogwood Ln,
Ho Ho Kus, NJ 07423-1653

Ph: (201) 670-3519		Sumati - Pande, MD
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (973) 926-7203

Reviews and Comments


Pediatrics Doctors in Newark, NJ

Dr. Catherine Anne Scarfi, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112
Phone: 973-926-6671    
Erika Yesenia Pineda, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7000    
Dr. Anitha Irakam, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7203    Fax: 973-926-2332
Dr. Derrick Mcqueen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-3568    Fax: 973-926-6452
Joseph V Schwab, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 90 Bergen St, Suite 4300, Newark, NJ 07103
Phone: 973-972-2100    Fax: 973-972-2102
Mr. Dhanbir S Saluja, MD PA
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 230 Jefferson St, Newark, NJ 07105
Phone: 973-589-5940    Fax: 973-465-0706
Dr. Rene B. Esquerre, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 644 Mount Prospect Ave, Newark, NJ 07104
Phone: 973-483-4702    Fax: 973-483-0955

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).

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