Juan Diego San Juan, MD in Ann Arbor, MI

Juan Diego San Juan, MD is a medicare enrolled "Otolaryngology" physician in Ann Arbor, Michigan. His current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 936-4000.

Juan Diego San Juan is licensed to practice in Michigan (license number 4301513741) 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 1457856627.

Contact Information

	Juan Diego San Juan, MD
	1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
	(734) 936-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Juan Diego San Juan
Gender	Male
Speciality	Otolaryngology
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457856627
Provider Enumeration Date: 03/28/2018
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 4486080553
Enrollment ID: I20230524000393

Medical Identifiers

Medical identifiers for Juan Diego San Juan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457856627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A166157 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Y00000X	Otolaryngology	4301513741 (Michigan)	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. Juan Diego San Juan allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Juan Diego San Juan 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
Juan Diego San Juan, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Juan Diego San Juan, MD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000

Reviews and Comments

Otolaryngology Doctors in Ann Arbor, MI

Jeffrey John Stanley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. Erin Lynn Mckean, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Susan L Garetz, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 2nd Floor Taubman Cter Recp G, Ann Arbor, MI 48109 Phone: 734-936-5730
Nneoma S Wamkpah, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Jeffrey Scott Moyer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Amarbir Singh Gill, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Natalie S Justicz, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000

Juan Diego San Juan, MD - Medicare Otolaryngology in Ann Arbor, MI