Ambrose K Su, DPM in Bend, OR - Medicare Podiatry Provider

Ambrose K Su, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Bend, Oregon. He graduated from medical school in 1983 and has 42 years of diverse experience with area of expertise as Podiatry. His current practice location is 2408 Ne Division St, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 388-2861.

Ambrose K Su is licensed to practice in Oregon (license number DP00159) 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 1588649297.

Contact Information

	Ambrose K Su, DPM
	2408 Ne Division St, Bend, OR 97701-3543
	(541) 388-2861
	(541) 382-6297

Map and Direction

Healthcare Provider's Profile

Full Name	Ambrose K Su
Gender	Male
Speciality	Podiatry
Experience	42 Years
Location	2408 Ne Division St, Bend, Oregon
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:

Ambrose K Su graduated from medical school in 1983

NPI Data:

NPI Number: 1588649297
Provider Enumeration Date: 12/14/2005
Last Update Date: 01/16/2013

Medicare PECOS Information:

PECOS PAC ID: 3971576265
Enrollment ID: I20110222001182

Medical Identifiers

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

Identifier	Type	State	Issuer
1588649297	NPI	-	NPPES
024734001	Other	OR	BLUE CROSS
480031260	Other	OR	RR MEDICARE
13578	Other	OR	CLEAR CHOICE HEALTH PLANS
214619	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	DPOO159 (Oregon)	Secondary
213E00000X	Podiatrist	DP00159 (Oregon)	Secondary
213ES0000X	Podiatrist - Sports Medicine	DP00159 (Oregon)	Secondary
213ES0131X	Podiatrist - Foot Surgery	DP00159 (Oregon)	Primary
213ES0103X	Podiatrist - Foot & Ankle Surgery	DP00159 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital

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. Ambrose K Su allows following entities to bill medicare on his behalf.

Provider Name	Cascade Foot Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790987428 PECOS PAC ID: 1658342548 Enrollment ID: O20040804000479

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. Ambrose K 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
Ambrose K Su, DPM 2408 Ne Division St, Bend, OR 97701-3543 Ph: (541) 388-2861	Ambrose K Su, DPM 2408 Ne Division St, Bend, OR 97701-3543 Ph: (541) 388-2861

Reviews and Comments

Podiatrist in Bend, OR

Brent R. Wendel, Dpm, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 900 Nw Mt Washington Dr Ste 205, Bend, OR 97703 Phone: 541-246-3577
Dr. Amanda Westfall Mccarty, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1693 Sw Chandler Ave, Suite 280, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138
Northwest Footcare, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1693 Sw Chandler Ave, Ste 280, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138
Antonia Lynn Mcclune, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900
Dr. Laura Schweger Savage, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1506 Ne Williamson Blvd, Bend, OR 97701 Phone: 541-383-3668 Fax: 541-383-4546
Tajyant Nat Chotechuang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1510 Sw Nancy Way Ste 2, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138
Bryan Wilhelm, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1510 Sw Nancy Way Ste 2, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138

Ambrose K Su, DPM - Medicare Podiatrist in Bend, OR