Desiree Su, AUD is a medicare enrolled "Audiologist" provider in Dakota Dunes, South Dakota. Her current practice location is
101 Tower Rd Ste 120, Dakota Dunes, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 217-4320.
Desiree Su is licensed to practice in Nebraska (license number 426) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386362804.
Healthcare Provider's Profile
| Full Name | Desiree Su |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 101 Tower Rd Ste 120, Dakota Dunes, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386362804
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860868122
- Enrollment ID: I20230623001753
Medical Identifiers
Medical identifiers for Desiree Su such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386362804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 426 (Nebraska) | 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. Desiree Su allows following entities to bill medicare on her behalf.
| Provider Name | Ear Nose And Throat Consultants And Hearing Services Plc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114141546
PECOS PAC ID: 9335249457
Enrollment ID: O20070703000011 |
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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. Desiree 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 |
|---|
Desiree Su, AUD
101 Tower Rd Ste 120,
Dakota Dunes, SD 57049-5011
Ph: (605) 217-4320 | Desiree Su, AUD
101 Tower Rd Ste 120,
Dakota Dunes, SD 57049-5011
Ph: (605) 217-4320 |
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