| Dr Andy K Su, MD | |
|
1420 N Tracy Blvd, Tracy, CA 95376-3451 | |
| (209) 832-6018 | |
| Not Available |
| Full Name | Dr Andy K Su |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 1420 N Tracy Blvd, Tracy, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225029440 | NPI | - | NPPES |
| OOA693340 | Other | CA | BLUE SHIELD |
| OOA693340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A69334 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Tracy Community Hospital | Tracy, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Altamont Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392375 PECOS PAC ID: 5496700759 Enrollment ID: O20050318000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andy K Su, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Dr Andy K Su, MD 1420 N Tracy Blvd, Tracy, CA 95376-3451 Ph: (209) 832-6018 |
Luke Rond, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 763 Quail Run Cir, Tracy, CA 95377 Phone: 209-914-9735 | |
Janice Marie Crawford, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, Emergency Dept, Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 | |
Paul Roger Anderson, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 | |
Alan Tadao Uyeno, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1420 N Tracy Blvd, Emergency Dept., Tracy, CA 95376 Phone: 209-342-2300 Fax: 209-524-4240 | |
Jennifer Bailey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 N Tracy Blvd, Emergency Dept, Tracy, CA 95376 Phone: 209-832-6018 | |
Phoebe Lee, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1420 N Tracy Blvd, Tracy, CA 95376 Phone: 925-516-0836 |