Katherine Wailen Su, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Glenview, Illinois. She went to Rush Medical College Of Rush University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Thoracic Surgery. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
2180 Pfingsten Rd., Kellogg Cancer Center, Glenview, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 570-2868.
Katherine Wailen Su is licensed to practice in Illinois (license number 036156913) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275951782.
Physician's Profile
| Full Name | Katherine Wailen Su |
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| Gender | Female |
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| Speciality | Thoracic Surgery |
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| Experience | 10 Years |
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| Location | 2180 Pfingsten Rd., Glenview, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Katherine Wailen Su attended and graduated from Rush Medical College Of Rush University in 2014
NPI Data:
- NPI Number: 1275951782
- Provider Enumeration Date: 04/01/2014
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294950275
- Enrollment ID: I20210726001782
Medical Identifiers
Medical identifiers for Katherine Wailen Su such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275951782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036156913 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 2710 |
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. Katherine Wailen Su allows following entities to bill medicare on her behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Katherine Wailen 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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Katherine Wailen Su, MD
2180 Pfingsten Rd., Kellogg Cancer Center,
Glenview, IL 60026-1339
Ph: (847) 570-2868 | Katherine Wailen Su, MD
2180 Pfingsten Rd., Kellogg Cancer Center,
Glenview, IL 60026-1339
Ph: (847) 570-2868 |
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