Stefani Su, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Alexandria, Virginia. She went to New York Medical College and graduated in 2016 and has 8 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Privia Medical Group Llc, Privia Medical Group Llc and her current practice location is
7906 Andrus Rd Ste 7, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 360-8881.
Stefani Su is licensed to practice in Virginia (license number 0101272316) 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 1336501881.
Physician's Profile
| Full Name | Stefani Su |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 8 Years |
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| Location | 7906 Andrus Rd Ste 7, Alexandria, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stefani Su attended and graduated from New York Medical College in 2016
NPI Data:
- NPI Number: 1336501881
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 07/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840520847
- Enrollment ID: I20211011000159
Medical Identifiers
Medical identifiers for Stefani Su such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336501881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | D0091572 (Maryland) | Secondary |
| 207K00000X | Allergy & Immunology | 0101272316 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 0101272316 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Privia Medical Group Llc | 4385682061 | 1176 |
| Privia Medical Group Llc | 4385682061 | 1176 |
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. Stefani Su allows following entities to bill medicare on her behalf.
| Entity Name | Privia Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298 |
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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. Stefani Su 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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Stefani Su, MD
7906 Andrus Rd Ste 7,
Alexandria, VA 22306-3169
Ph: () - | Stefani Su, MD
7906 Andrus Rd Ste 7,
Alexandria, VA 22306-3169
Ph: (703) 360-8881 |
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