Su Su Hline, MD in Loma Linda, CA

Su Su Hline, MD is a medicare enrolled "Internal Medicine" physician in Loma Linda, California. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 11370 Anderson St, 3150, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-2191.

Su Su Hline is licensed to practice in California (license number A88832) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174652259.

Contact Information

	Su Su Hline, MD
	11370 Anderson St, 3150, Loma Linda, CA 92354-3450
	(909) 558-2191
	Not Available

Map and Direction

Physician's Profile

Full Name	Su Su Hline
Gender	Female
Speciality	Nephrology
Experience	37 Years
Location	11370 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Su Su Hline graduated from medical school in 1987

NPI Data:

NPI Number: 1174652259
Provider Enumeration Date: 03/05/2007
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 1153337324
Enrollment ID: I20060224000352

Medical Identifiers

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

Identifier	Type	State	Issuer
1174652259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A88832 (California)	Secondary
207R00000X	Internal Medicine	A88832 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital Fontana/ontario	Fontana, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Su Su Hline allows following entities to bill medicare on her 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

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Su Su Hline 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
Su Su Hline, MD File # 56994, Los Angeles, CA 90074-4701 Ph: (909) 558-3111	Su Su Hline, MD 11370 Anderson St, 3150, Loma Linda, CA 92354-3450 Ph: (909) 558-2191

Reviews and Comments

Internal Medicine Doctors in Loma Linda, CA

Petru Papacostea, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Moosa Azadian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085
Douglas Wang, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174
Dr. Lynnetta E Skoretz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton Street, #111h, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3280
Shahab Sean Shahangian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 818-532-8211
Mst Nurjahan Khatun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650
Snorri Olafsson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191

Su Su Hline, MD - Medicare Nephrology in Loma Linda, CA