| Gan Su, DO | |
|
27351 Dequindre Rd, Madison Heights, MI 48071-3487 | |
| (248) 967-7795 | |
| (248) 967-7794 |
| Full Name | Gan Su |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 27351 Dequindre Rd, Madison Heights, Michigan |
| 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 |
|---|---|---|---|
| 1992093652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101019329 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Plano | Plano, TX | Hospital |
| Medical City Dallas Hospital | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Questcare Medical Services Pllc | 6204739402 | 196 |
| Entity Name | Questcare Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Level One Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528790193 PECOS PAC ID: 7810371044 Enrollment ID: O20220907000904 |
| Entity Name | Level One Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427780097 PECOS PAC ID: 0941684179 Enrollment ID: O20220907001111 |
| Mailing Address | Practice Location Address |
|---|---|
| Gan Su, DO 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7795 | Gan Su, DO 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7795 |
Elizabeth Ann Marcuz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7000 | |
Kimberly F Heller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7661 | |
Sergey Tsekhanov, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 | |
Matthew Boutorwick, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 | |
Jenna Wonsowicz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7661 Fax: 248-967-7876 | |
Gino Shwkat Etta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7661 Fax: 248-967-7876 | |
Alison Debra-ann Bracken, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7795 Fax: 248-967-7794 |