Grace Lynn Su, MD - Medicare Ophthalmology in San Jose, CA

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Grace Lynn Su, MD is a medicare enrolled "Ophthalmology" physician in San Jose, California. Her current practice location is 751 S Bascom Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (253) 202-3711.

Grace Lynn Su is licensed to practice in California (license number A185652) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265994933.

Contact Information

Grace Lynn Su, MD
751 S Bascom Ave,
San Jose, CA 95128-2604
(253) 202-3711
Not Available

Map and Direction




Physician's Profile

Full NameGrace Lynn Su
GenderFemale
SpecialityOphthalmology
Location751 S Bascom Ave, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265994933
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 10/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183043052
  • Enrollment ID: I20230519000916

Medical Identifiers

Medical identifiers for Grace Lynn Su such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265994933NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A185652 (California)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. Grace Lynn Su allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871541953
PECOS PAC ID: 9830094275
Enrollment ID: O20031126000755
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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. Grace Lynn 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 AddressPractice Location Address
Grace Lynn Su, MD
4616 Sw 328th Pl,
Federal Way, WA 98023-1925

Ph: () -		Grace Lynn Su, MD
751 S Bascom Ave,
San Jose, CA 95128-2604

Ph: (253) 202-3711

Reviews and Comments


Ophthalmology Doctors in San Jose, CA

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Nicholas Faberowski, MD
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Wayne T. Leong, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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