Lola Kan Sue, MD in Winslow, AZ - Medicare Family Medicine

Lola Kan Sue, MD is a medicare enrolled "Family Medicine" physician in Winslow, Arizona. Her current practice location is 500 Indiana Ave, Winslow, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 289-4646.

Lola Kan Sue is licensed to practice in Arizona (license number 23895) 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 1437289311.

Contact Information

	Lola Kan Sue, MD
	500 Indiana Ave, Winslow, AZ 86047-2169
	(928) 289-4646
	(928) 289-6290

Map and Direction

Physician's Profile

Full Name	Lola Kan Sue
Gender	Female
Speciality	Family Medicine
Location	500 Indiana Ave, Winslow, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437289311
Provider Enumeration Date: 03/07/2007
Last Update Date: 11/01/2007

Medicare PECOS Information:

PECOS PAC ID: 8921061979
Enrollment ID: I20041110000484

Medical Identifiers

Medical identifiers for Lola Kan Sue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437289311	NPI	-	NPPES
413857	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	23895 (Arizona)	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. Lola Kan Sue allows following entities to bill medicare on her behalf.

Entity Name	Kayenta Alternative Rural Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422

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. Lola Kan Sue 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
Lola Kan Sue, MD 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-4646	Lola Kan Sue, MD 500 Indiana Ave, Winslow, AZ 86047-2169 Ph: (928) 289-4646

Reviews and Comments

Family Medicine Doctors in Winslow, AZ

James Edward Page, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Lee St, Winslow, AZ 86047 Phone: 928-289-3396 Fax: 928-289-2801
Francis B Armao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6290
Dr. Regina Elizabeth Ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646
Salvador T Lee Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 E Third St, Winslow, AZ 86047 Phone: 928-289-3345 Fax: 928-289-3760
Ms. Charlene Yvonne Clements, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646
Thomas E Greenwood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 East Lee Street, Winslow, AZ 86047 Phone: 928-289-3396 Fax: 928-289-2801
Sage White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 289-289-4646 Fax: 928-289-8140

Lola Kan Sue, MD - Medicare Family Medicine in Winslow, AZ