Gan Su, DO in Madison Heights, MI - Medicare Emergency Medicine

Gan Su, DO is a medicare enrolled "Emergency Medicine" physician in Madison Heights, Michigan. His current practice location is 27351 Dequindre Rd, Madison Heights, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 967-7795.

Gan Su is licensed to practice in Texas (license number Q4303) 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 1992093652.

Contact Information

	Gan Su, DO
	27351 Dequindre Rd, Madison Heights, MI 48071-3487
	(248) 967-7795
	(248) 967-7794

Map and Direction

Physician's Profile

Full Name	Gan Su
Gender	Male
Speciality	Emergency Medicine
Location	27351 Dequindre Rd, Madison Heights, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992093652
Provider Enumeration Date: 07/15/2011
Last Update Date: 05/07/2026

Medicare PECOS Information:

PECOS PAC ID: 5799905501
Enrollment ID: I20160215002304

Medical Identifiers

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

Identifier	Type	State	Issuer
1992093652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101019329 (Michigan)	Secondary
207P00000X	Emergency Medicine	Q4303 (Texas)	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. Gan Su allows following entities to bill medicare on his behalf.

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

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. Gan 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
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

Reviews and Comments

Emergency Medicine Doctors in Madison Heights, MI

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: Medicare Enrolled 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

Gan Su, DO - Medicare Emergency Medicine in Madison Heights, MI