Jeannie Jiwon Su, MD - Medicare Urology in Santa Monica, CA

  1. Home
  2. Urology
  3. CA
  4. Santa Monica
Jeannie Jiwon Su, MD is a medicare enrolled "Urology" physician in Santa Monica, California. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Urology. She is a member of the group practice Signature Medical Clinics Inc, Henry Mayo Newhall Memorial Hospital, Comprehensive Urology Medical Group, Comprehensive Urology Medical Group and her current practice location is 2121 Santa Monica Blvd, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 582-7137.

Jeannie Jiwon Su is licensed to practice in California (license number A168007) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922487800.

Contact Information

Jeannie Jiwon Su, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303
(310) 582-7137
Not Available

Map and Direction




Physician's Profile

Full NameJeannie Jiwon Su
GenderFemale
SpecialityUrology
Experience10 Years
Location2121 Santa Monica Blvd, Santa Monica, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeannie Jiwon Su graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1922487800
  • Provider Enumeration Date: 05/25/2015
  • Last Update Date: 10/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385956465
  • Enrollment ID: I20200611001972

Medical Identifiers

Medical identifiers for Jeannie Jiwon Su such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922487800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology A168007 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital
Cedars-sinai Medical CenterLos angeles, CAHospital
Henry Mayo Newhall HospitalValencia, CAHospital

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. Jeannie Jiwon Su allows following entities to bill medicare on her behalf.
Entity NameHenry Mayo Newhall Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780668434
PECOS PAC ID: 5193789121
Enrollment ID: O20050415000909
Entity NameComprehensive Urology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760406250
PECOS PAC ID: 8224067145
Enrollment ID: O20050810000787
Entity NameSignature Medical Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942436548
PECOS PAC ID: 1759493216
Enrollment ID: O20110607000827
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770093734
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904
Entity NameJsu Medical, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750068086
PECOS PAC ID: 4284095217
Enrollment ID: O20230807002048

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. Jeannie Jiwon 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
Jeannie Jiwon Su, MD
1014 Broadway # 109,
Santa Monica, CA 90401-2808

Ph: (424) 432-2304		Jeannie Jiwon Su, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303

Ph: (310) 582-7137

Reviews and Comments


Urology Doctors in Santa Monica, CA

Milton Krisiloff, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 2001 Santa Monica Blvd, Suite 1165 W, Santa Monica, CA 90404
Phone: 310-829-7766    Fax: 310-453-1031
Mary Olubukola Fakunle,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 15th St Ste 1200, Santa Monica, CA 90404
Phone: 310-794-7700    
Mehran Movassaghi, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Santa Monica Blvd Ste 460w, Santa Monica, CA 90404
Phone: 310-582-7333    Fax: 310-315-6157
Stanley Allen Brosman, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2021 Santa Monica Blvd, #510, Santa Monica, CA 90404
Phone: 310-828-8531    Fax: 310-829-1350
Jesse N Mills, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 15th St, Suite 1200, Santa Monica, CA 90404
Phone: 310-451-8751    
Dr. Karyn S Eilber, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2020 Santa Monica Blvd., Suite 570, Santa Monica, CA 90404
Phone: 310-453-2061    Fax: 310-453-2161
Levi Charles Holland,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 15th St Ste 1200, Santa Monica, CA 90404
Phone: 310-794-7700    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.