Suri Babu Ponamgi, MD is a medicare enrolled "Plastic Surgery" physician in Fort Lee, New Jersey. He graduated from medical school in 1969 and has 56 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is
1101 Palisade Ave, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 224-8831.
Suri Babu Ponamgi is licensed to practice in New Jersey (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437155009.
Physician's Profile
Full Name | Suri Babu Ponamgi |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 56 Years |
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Location | 1101 Palisade Ave, Fort Lee, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Suri Babu Ponamgi graduated from medical school in 1969
NPI Data:
- NPI Number: 1437155009
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 07/16/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002831716
- Enrollment ID: I20051012000242
Medical Identifiers
Medical identifiers for Suri Babu Ponamgi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437155009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1166 |
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. Suri Babu Ponamgi allows following entities to bill medicare on his behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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Entity Name | Palisades Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558475087 PECOS PAC ID: 1557376803 Enrollment ID: O20060208000428 |
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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. Suri Babu Ponamgi 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 Address | Practice Location Address |
Suri Babu Ponamgi, MD 1101 Palisade Ave, Fort Lee, NJ 07024-6329 Ph: (201) 224-8831 | Suri Babu Ponamgi, MD 1101 Palisade Ave, Fort Lee, NJ 07024-6329 Ph: (201) 224-8831 |
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