Mr Weidong Su, PA-C in Jacksonville, FL - Medicare Physician Assistant

Mr Weidong Su, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. He graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Island Doctors Intrastate Llc and his current practice location is 11565 N Main St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 757-2811.

Mr Weidong Su is licensed to practice in Florida (license number PA9106187) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306122973.

Contact Information

	Mr Weidong Su, PA-C
	11565 N Main St, Jacksonville, FL 32218-4002
	(904) 757-2811
	(904) 757-0191

Map and Direction

Provider's Profile

Full Name	Mr Weidong Su
Gender	Male
Speciality	Physician Assistant
Experience	14 Years
Location	11565 N Main St, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Weidong Su graduated from nursing school in 2011

NPI Data:

NPI Number: 1306122973
Provider Enumeration Date: 10/27/2011
Last Update Date: 12/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6002046539
Enrollment ID: I20140303001378

Medical Identifiers

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

Identifier	Type	State	Issuer
1306122973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9106187 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vitas Healthcare Corporation Of Florida	Melbourne, FL	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Island Doctors Intrastate Llc	5395161186	71

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. Mr Weidong 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
Mr Weidong Su, PA-C 8923 Hampton Landing Dr E, Jacksonville, FL 32256-4585 Ph: (904) 349-6856	Mr Weidong Su, PA-C 11565 N Main St, Jacksonville, FL 32218-4002 Ph: (904) 757-2811

Reviews and Comments

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Mr Weidong Su, PA-C - Medicare Physician Assistant in Jacksonville, FL