Jason T Su, DO in Provo, UT - Medicare Pediatric Medicine

Jason T Su, DO is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Provo, Utah. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Mainehealth and his current practice location is 1055 N 300 W Ste 311, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 477-6800.

Jason T Su is licensed to practice in Utah (license number 5665627-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427137991.

Contact Information

	Jason T Su, DO
	1055 N 300 W Ste 311, Provo, UT 84604-3373
	(385) 477-6800
	(385) 477-6801

Map and Direction

Physician's Profile

Full Name	Jason T Su
Gender	Male
Speciality	Pediatric Medicine
Experience	28 Years
Location	1055 N 300 W Ste 311, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason T Su graduated from medical school in 1997

NPI Data:

NPI Number: 1427137991
Provider Enumeration Date: 11/03/2006
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0143291427
Enrollment ID: I20241029000329

Medical Identifiers

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

Identifier	Type	State	Issuer
1427137991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	DO3974 (Maine)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	5665627-1204 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainehealth	7517860588	2288

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. Jason T Su allows following entities to bill medicare on his behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Jason T 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
Jason T Su, DO 1055 N 300 W Ste 311, Provo, UT 84604-3373 Ph: (385) 477-6800	Jason T Su, DO 1055 N 300 W Ste 311, Provo, UT 84604-3373 Ph: (385) 477-6800

Reviews and Comments

Pediatrics Doctors in Provo, UT

Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700
Danielle Elise Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Dr. Matthew Joseph Clayton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 Phone: 801-377-4800 Fax: 801-377-4041

Jason T Su, DO - Medicare Pediatric Medicine in Provo, UT