Shidong Su, MD in Flushing, NY - Medicare Psychiatry & Neurology

Shidong Su, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Flushing, New York. His current practice location is 136 21 Roosevelt Avenue, Suite 305, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 888-1803.

Shidong Su is licensed to practice in New York (license number 215043) 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 1558457200.

Contact Information

	Shidong Su, MD
	136 21 Roosevelt Avenue, Suite 305, Flushing, NY 11354
	(718) 888-1803
	(718) 888-0957

Map and Direction

Physician's Profile

Full Name	Shidong Su
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	136 21 Roosevelt Avenue, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558457200
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3173587185
Enrollment ID: I20230915002554

Medical Identifiers

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

Identifier	Type	State	Issuer
1558457200	NPI	-	NPPES
02159286	Medicaid	NY
05353	Other	NY	GHI-MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	215043 (New York)	Primary

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. Shidong 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
Shidong Su, MD 136 21 Roosevelt Avenue, Suite 305, Flushing, NY 11354 Ph: (718) 888-1803	Shidong Su, MD 136 21 Roosevelt Avenue, Suite 305, Flushing, NY 11354 Ph: (718) 888-1803

Reviews and Comments

Psychiatry & Neurology Doctors in Flushing, NY

Dr. Jungman Michael Suh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 18901 Northern Blvd # 3f, Flushing, NY 11358 Phone: 718-746-0900 Fax: 718-746-2390
Shang Liu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4128 Haight Street Unit 1c, Flushing, NY 11355 Phone: 718-321-8112
Dr. Tanvira M Islam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-406-8268
Mr. Da Wang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13336 41st Rd Ste 1b, Flushing, NY 11355 Phone: 516-581-9835
George Isaac, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 14620 Hawthorne Ave, Flushing, NY 11355 Phone: 718-539-3386
Wendy C. Cohen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1030 Fax: 516-437-4167
Dr. Chainllie Young, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 131-72 40th Road, Flushing, NY 11354 Phone: 718-886-7373 Fax: 718-661-6035

Shidong Su, MD - Medicare Psychiatry & Neurology in Flushing, NY