Dr Sushma Patel, OD - Medicare Optometrist in Manasquan, NJ

Dr Sushma Patel, OD is a medicare enrolled "Optometrist" provider in Manasquan, New Jersey. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Sushma Patel Od Llc and her current practice location is 2516 Highway 35 Ste 104, Manasquan, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 223-8000.

Dr Sushma Patel is licensed to practice in New Jersey (license number 27OA00647500) 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 1427497841.

Contact Information

Dr Sushma Patel, OD
2516 Highway 35 Ste 104,
Manasquan, NJ 08736
(732) 223-8000
(732) 223-4010

Map and Direction




Healthcare Provider's Profile

Full NameDr Sushma Patel
GenderFemale
SpecialityOptometry
Experience11 Years
Location2516 Highway 35 Ste 104, Manasquan, 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 Sushma Patel graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1427497841
  • Provider Enumeration Date: 06/19/2013
  • Last Update Date: 07/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173847613
  • Enrollment ID: I20150112000174

Medical Identifiers

Medical identifiers for Dr Sushma Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427497841NPI-NPPES
0450197MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 27OA00647500 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sushma Patel Od Llc00425656082

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 Sushma Patel allows following entities to bill medicare on her behalf.
Provider NameSushma Patel Od Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306336425
PECOS PAC ID: 0042565608
Enrollment ID: O20180622000438

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 Sushma Patel 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 Sushma Patel, OD
2516 Highway 35 Ste 104,
Manasquan, NJ 08736-1927

Ph: (732) 223-8000
Dr Sushma Patel, OD
2516 Highway 35 Ste 104,
Manasquan, NJ 08736

Ph: (732) 223-8000

Reviews and Comments


Optometrist in Manasquan, NJ

Dr. Maria Richman, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 161 Main St, Manasquan, NJ 08736
Phone: 732-223-0202    
Shore Family Eyecare, Pa
Optometrist
Medicare: Medicare Enrolled
Practice Location: 161 Main St, Manasquan, NJ 08736
Phone: 732-223-0202    Fax: 732-223-0490
Manasquan Eye Care
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2516 Highway 35 Ste 104, Manasquan, NJ 08736
Phone: 732-223-8000    Fax: 732-223-4010
Dr. Paul S Feigelis, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1407 Atlantic Ave, Manasquan, NJ 08736
Phone: 732-223-4242    Fax: 732-223-5472
Dr. Harvey B Richman, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 161 Main St, Manasquan, NJ 08736
Phone: 732-223-0202    Fax: 732-223-0490
Dr. Paul Stephen Mazur, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2516 Highway 35, Unit 102, Manasquan, NJ 08736
Phone: 732-223-8000    Fax: 732-223-4010

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.