Sushma Gangisetty, OD - Medicare Optometrist in Eatontown, NJ

Sushma Gangisetty, OD is a medicare enrolled "Optometrist" provider in Eatontown, New Jersey. Her current practice location is 300 Highway 35 Ste 300, Eatontown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 222-7373.

Sushma Gangisetty is licensed to practice in New Jersey (license number 27OA00716400) 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 1033817879.

Contact Information

Sushma Gangisetty, OD
300 Highway 35 Ste 300,
Eatontown, NJ 07724-2216
(732) 222-7373
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSushma Gangisetty
GenderFemale
SpecialityOptometrist
Location300 Highway 35 Ste 300, Eatontown, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033817879
  • Provider Enumeration Date: 02/21/2023
  • Last Update Date: 02/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779020961
  • Enrollment ID: I20240806001560

Medical Identifiers

Medical identifiers for Sushma Gangisetty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033817879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 27OA00716400 (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. Sushma Gangisetty allows following entities to bill medicare on her behalf.
Provider NameAtlantic Eye Physicians, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629023551
PECOS PAC ID: 5193774081
Enrollment ID: O20050118000795

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. Sushma Gangisetty 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
Sushma Gangisetty, OD
45 Cabot Way,
Franklin Park, NJ 08823-1766

Ph: (979) 220-8689
Sushma Gangisetty, OD
300 Highway 35 Ste 300,
Eatontown, NJ 07724-2216

Ph: (732) 222-7373

Reviews and Comments


Optometrist in Eatontown, NJ

Barry J. Edison D.o. P.c.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 10 Industrial Way E, Suite 102, Eatontown, NJ 07724
Phone: 732-542-0300    Fax: 732-935-0533

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 180 Route 35 S, Optical, Eatontown, NJ 07724
Phone: 732-389-2219    Fax: 732-502-3217
Dr. Brian R Hall, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 300 Highway 35 Ste 200, Eatontown, NJ 07724
Phone: 732-222-7373    

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 255 Highway 35, Eatontown, NJ 07724
Phone: 732-389-6512    Fax: 732-389-0585
Belen Healy,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 300 Nj-35, #300, Eatontown, NJ 07724
Phone: 732-222-7373    
Monica Sanago,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 300 Highway 35 # 300, Eatontown, NJ 07724
Phone: 732-222-7373    

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.