Chang Su, MD in Tucson, AZ - Medicare Psychiatry & Neurology

Chang Su, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Tucson, Arizona. His current practice location is 2800 E Ajo Way, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 874-6648.

Chang Su is licensed to practice in Arizona (license number R77345) 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 1417410671.

Contact Information

	Chang Su, MD
	2800 E Ajo Way, Tucson, AZ 85713-6204
	(520) 874-6648
	Not Available

Map and Direction

Physician's Profile

Full Name	Chang Su
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	2800 E Ajo Way, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417410671
Provider Enumeration Date: 04/12/2019
Last Update Date: 04/12/2019

Medicare PECOS Information:

PECOS PAC ID: 5395071765
Enrollment ID: I20240325003784

Medical Identifiers

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

Identifier	Type	State	Issuer
1417410671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	R77345 (Arizona)	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. Chang Su allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

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. Chang 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
Chang Su, MD 2800 E Ajo Way, Tucson, AZ 85713-6204 Ph: (520) 874-6648	Chang Su, MD 2800 E Ajo Way, Tucson, AZ 85713-6204 Ph: (520) 874-6648

Reviews and Comments

Psychiatry & Neurology Doctors in Tucson, AZ

Jim Seymour, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4110 W Sweetwater Dr, Tucson, AZ 85745 Phone: 520-743-2150
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Dr. Jose M Santiago, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2202 N Forbes Blvd, Tucson, AZ 85745 Phone: 520-872-7780 Fax: 520-872-7847
Dr. Tyler Robert Shiflett, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2200 E River Rd Ste 112, Tucson, AZ 85718 Phone: 520-888-3553
Erica Esther Gonzalez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-7520
Dr. Nelson Ricardo Rosario-leon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1601 W. St. Mary's Rd, Unit 2 North St. Mary's Hospital, Tucson, AZ 85795 Phone: 520-872-4910 Fax: 520-872-5495
Kayse Cole Budd, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-6000

Chang Su, MD - Medicare Psychiatry & Neurology in Tucson, AZ