Dr Maxwell Su, MD is a medicare enrolled "Ophthalmology" physician in Palestine, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Daniel M Gold Md Pa and his current practice location is
501 E Kolstad St, Palestine, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 723-3250.
Dr Maxwell Su is licensed to practice in Texas (license number T4277) 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 1518461722.
Physician's Profile
| Full Name | Dr Maxwell Su |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 6 Years |
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| Location | 501 E Kolstad St, Palestine, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Maxwell Su attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2018
NPI Data:
- NPI Number: 1518461722
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042567349
- Enrollment ID: I20220613001191
Medical Identifiers
Medical identifiers for Dr Maxwell Su such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518461722 | NPI | - | NPPES |
| 437545301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | BP20068130 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | T4277 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Daniel M Gold Md Pa | 6608856158 | 7 |
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. Dr Maxwell Su allows following entities to bill medicare on his behalf.
| Entity Name | Daniel M Gold Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205922572
PECOS PAC ID: 6608856158
Enrollment ID: O20040723000961 |
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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. Dr Maxwell 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 |
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Dr Maxwell Su, MD
501 E Kolstad St,
Palestine, TX 75801-2352
Ph: (903) 723-3250 | Dr Maxwell Su, MD
501 E Kolstad St,
Palestine, TX 75801-2352
Ph: (903) 723-3250 |
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