Mrs Suranganee Mary De Lanerolle, MD in Stonybrook, NY

Mrs Suranganee Mary De Lanerolle, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Stonybrook, New York. Her current practice location is 2500 Nesconset Highway, Stonybrook Medical Park Bldg 16a, Stonybrook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 246-5454.

Mrs Suranganee Mary De Lanerolle is licensed to practice in New York (license number 152287) 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 1144302977.

Contact Information

	Mrs Suranganee Mary De Lanerolle, MD
	2500 Nesconset Highway, Stonybrook Medical Park Bldg 16a, Stonybrook, NY 11790
	(631) 246-5454
	(631) 246-5902

Map and Direction

Physician's Profile

Full Name	Mrs Suranganee Mary De Lanerolle
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	2500 Nesconset Highway, Stonybrook, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144302977
Provider Enumeration Date: 10/20/2006
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 4284664087
Enrollment ID: I20050820000091

Medical Identifiers

Medical identifiers for Mrs Suranganee Mary De Lanerolle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144302977	NPI	-	NPPES
M1522879	Other		WC
00894654	Medicaid	NY
130015641	Other		RR MEDICARE
CS733	Other		OXFORD
4318339	Other		AETNA
AH46028	Other		MDNY
CPNN	Other		WC
107738500	Other		DEPT OF LABOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	152287 (New York)	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. Mrs Suranganee Mary De Lanerolle allows following entities to bill medicare on her behalf.

Entity Name	Suffolk Neurology & Neurophysiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033362884 PECOS PAC ID: 3173652914 Enrollment ID: O20100603000580

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. Mrs Suranganee Mary De Lanerolle 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
Mrs Suranganee Mary De Lanerolle, MD 2500 Nesconset Hwy, Bldg 12b, Stony Brook, NY 11790-2553 Ph: (631) 246-5454	Mrs Suranganee Mary De Lanerolle, MD 2500 Nesconset Highway, Stonybrook Medical Park Bldg 16a, Stonybrook, NY 11790 Ph: (631) 246-5454

Mrs Suranganee Mary De Lanerolle, MD - Medicare Psychiatry & Neurology in Stonybrook, NY