Huan Su, DDS in Tacoma, WA - Medicare Dentist Provider

Huan Su, DDS is a medicare enrolled "Dentist - Periodontics" provider in Tacoma, Washington. His current practice location is 2302 S Union Ave, Building C Suite 22, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 752-6336.

Huan Su is licensed to practice in Washington (license number DE60101496) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194058669.

Contact Information

	Huan Su, DDS
	2302 S Union Ave, Building C Suite 22, Tacoma, WA 98405-1300
	(253) 752-6336
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Huan Su
Gender	Male
Speciality	Dentist - Periodontics
Location	2302 S Union Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194058669
Provider Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009

Medicare PECOS Information:

PECOS PAC ID: 2769616341
Enrollment ID: I20230215000407

Medical Identifiers

Medical identifiers for Huan Su such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194058669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE60101496 (Washington)	Secondary
1223P0300X	Dentist - Periodontics	DE60101496 (Washington)	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. Huan Su allows following entities to bill medicare on his behalf.

Entity Name	H Todd Su Dds Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861748766 PECOS PAC ID: 7214309509 Enrollment ID: O20230215000344

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. Huan 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
Huan Su, DDS 1400 Lake Washington Blvd N, Apt A302, Renton, WA 98056-2564 Ph: (425) 988-4755	Huan Su, DDS 2302 S Union Ave, Building C Suite 22, Tacoma, WA 98405-1300 Ph: (253) 752-6336

Reviews and Comments

Dentist in Tacoma, WA

Dr. Chad W Smart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2302 S Union Ave, Ste B-14, Tacoma, WA 98405 Phone: 253-752-3949 Fax: 253-752-6392
Giovanna Dainty, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9900 Lincoln Street Us Army Dental Health Activity Jblm, Tacoma, WA 98431 Phone: 717-598-3221
Dr. Joseph Stephen Coward, DMD,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 9900, 2nd Floor, U.s. Army Dental Activity - Ft Lewis, Tacoma, WA 98431 Phone: 253-968-4039 Fax: 253-968-5919
Kuzi S Hsue, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2115 South 56th St, Suite 202, Tacoma, WA 98409 Phone: 253-473-4303 Fax: 253-473-0201
David Robert Steiner, DDS MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4050 South 19th Street, Suite 102, Tacoma, WA 98405 Phone: 253-752-5511
Mevadee Pibulniyom, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5005 Main St Ste 107, Tacoma, WA 98407 Phone: 253-262-0024
Dr. Brent Alan Sorenson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Bldg 9900, 2nd Floor, U.s. Army Dental Activity - Fort Lewis, Tacoma, WA 98431 Phone: 253-968-4039 Fax: 253-968-5919

Huan Su, DDS - Medicare Dentist in Tacoma, WA