Michael Su, in Marysville, WA - Medicare Pediatrics

Michael Su, is a medicare enrolled "Pediatrics" physician in Marysville, Washington. His current practice location is 2901 174th St Ne, Marysville, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 454-1900.

Michael Su is licensed to practice in Washington (license number MD61301644) 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 1245617406.

Contact Information

	Michael Su,
	2901 174th St Ne, Marysville, WA 98271-4743
	(360) 454-1900
	(360) 454-1991

Map and Direction

Physician's Profile

Full Name	Michael Su
Gender	Male
Speciality	Pediatrics
Location	2901 174th St Ne, Marysville, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245617406
Provider Enumeration Date: 04/27/2015
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 6507232246
Enrollment ID: I20221020000715

Medical Identifiers

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

Identifier	Type	State	Issuer
1245617406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	04-42074 (Kansas)	Secondary
208000000X	Pediatrics	MD61301644 (Washington)	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. Michael Su allows following entities to bill medicare on his behalf.

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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. Michael 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
Michael Su, Po Box 5127, Everett, WA 98206-5127 Ph: (425) 304-8431	Michael Su, 2901 174th St Ne, Marysville, WA 98271-4743 Ph: (360) 454-1900

Reviews and Comments

Pediatrics Doctors in Marysville, WA

Dr. Sarah Eva Bergman Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900
Sophia Shiau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482
Denise Shushan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7482 Fax: 360-651-7482
Anna Jain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750
Minkyung Shin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482
Cheryl Nirmali De Silva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750

Michael Su, - Medicare Pediatrics in Marysville, WA