Yaneris Altagracia Suero Polanco, MD is a medicare enrolled "Family Medicine" physician in Milford, Connecticut. Her current practice location is
199 Cherry St, Milford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 874-2543.
Yaneris Altagracia Suero Polanco is licensed to practice in Connecticut (license number 79118) 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 1487273926.
Physician's Profile
| Full Name | Yaneris Altagracia Suero Polanco |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 199 Cherry St, Milford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487273926
- Provider Enumeration Date: 04/14/2020
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264972181
- Enrollment ID: I20240906000697
Medical Identifiers
Medical identifiers for Yaneris Altagracia Suero Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487273926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 102156-01 (New York) | Secondary |
| 207Q00000X | Family Medicine | 79118 (Connecticut) | 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. Yaneris Altagracia Suero Polanco allows following entities to bill medicare on her behalf.
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441 |
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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. Yaneris Altagracia Suero Polanco 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 |
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Yaneris Altagracia Suero Polanco, MD
1181 Tinton Ave Apt 1c,
Bronx, NY 10456-5464
Ph: (347) 358-5542 | Yaneris Altagracia Suero Polanco, MD
199 Cherry St,
Milford, CT 06460-3501
Ph: (203) 874-2543 |
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