| Dr Daniel L Su, MD | |
|
436 Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752 | |
| (907) 442-7148 | |
| (907) 442-7306 |
| Full Name | Dr Daniel L Su |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 436 Ted Stevens Way, Kotzebue, Alaska |
| 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 |
|---|---|---|---|
| 1811031156 | NPI | - | NPPES |
| 8254518 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00038293 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lummi Indian Business Council | 5395738231 | 27 |
| Entity Name | Lummi Indian Business Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669592374 PECOS PAC ID: 5395738231 Enrollment ID: O20040406000984 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel L Su, MD 250 H St # 909, Blaine, WA 98230-4018 Ph: (360) 223-9354 | Dr Daniel L Su, MD 436 Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752 Ph: (907) 442-7148 |
Dr. James Michael Farrington, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7148 | |
Julia Sicilia, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 436 5th &ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7202 Fax: 907-442-7312 | |
Ayesha Venkateswaran, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Linda Olson Bergum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Amelia Stutman, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321 | |
Dr. Srikanth Rao Dakoji, M.D.,PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 479 Mission St, Apt C8, Kotzebue, AK 99752 Phone: 415-283-6925 | |
Erick Torres Semprit, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321 |