Dr Suma Bala Ghanta, MD - Medicare Family Practice in Flanders, NJ

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Dr Suma Bala Ghanta, MD is a medicare enrolled "General Practice" physician in Flanders, New Jersey. She graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Advocare, Llc and her current practice location is 183 Route 206, Flanders, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 347-3277.

Dr Suma Bala Ghanta is licensed to practice in New Jersey (license number 25MA07257600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609818756.

Contact Information

Dr Suma Bala Ghanta, MD
183 Route 206,
Flanders, NJ 07836-9050
(973) 347-3277
(973) 347-3141

Map and Direction




Physician's Profile

Full NameDr Suma Bala Ghanta
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location183 Route 206, Flanders, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Suma Bala Ghanta graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1609818756
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 03/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0840372280
  • Enrollment ID: I20080124000406

Medical Identifiers

Medical identifiers for Dr Suma Bala Ghanta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609818756NPI-NPPES
8825106MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 25MA07257600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Clare's Hospital/ Denville CampusDenville, NJHospital
Hackettstown Medical CenterHackettstown, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocare, Llc3678562188330

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. Dr Suma Bala Ghanta allows following entities to bill medicare on her behalf.
Entity NameAdvocare , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217

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. Dr Suma Bala Ghanta 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
Dr Suma Bala Ghanta, MD
402 Lippincott Dr,
Marlton, NJ 08053-4112

Ph: (856) 782-3300		Dr Suma Bala Ghanta, MD
183 Route 206,
Flanders, NJ 07836-9050

Ph: (973) 347-3277

Reviews and Comments


General Practice Doctors in Flanders, NJ

Dr. Anthony Guy Miccio, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 183 Route 206 South, Flanders, NJ 07836
Phone: 973-347-3277    Fax: 973-347-3141
Dr. Karen Ruth Peters, D.O.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 183 Route 206 South, Flanders, NJ 07836
Phone: 973-347-3277    Fax: 973-347-3141
Dr. Charles Choe, D.O.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 183 Route 206 South, Flanders, NJ 07836
Phone: 973-347-3277    Fax: 973-347-3141

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.