Man Hsuan Melany Su, MD in Espanola, NM - Medicare Family Medicine

Man Hsuan Melany Su, MD is a medicare enrolled "Family Medicine" physician in Espanola, New Mexico. Her current practice location is 2010 Industrial Park Rd, Espanola, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 753-7218.

Man Hsuan Melany Su is licensed to practice in New Mexico (license number MD2022-0326) 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 1720571763.

Contact Information

	Man Hsuan Melany Su, MD
	2010 Industrial Park Rd, Espanola, NM 87532-3600
	(505) 753-7218
	(505) 426-3492

Map and Direction

Physician's Profile

Full Name	Man Hsuan Melany Su
Gender	Female
Speciality	Family Medicine
Location	2010 Industrial Park Rd, Espanola, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720571763
Provider Enumeration Date: 06/13/2018
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 7113329236
Enrollment ID: I20230314002065

Medical Identifiers

Medical identifiers for Man Hsuan Melany Su such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720571763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2018018320 (Missouri)	Secondary
207Q00000X	Family Medicine	4301503639 (Michigan)	Secondary
207Q00000X	Family Medicine	MD2022-0326 (New Mexico)	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. Man Hsuan Melany Su allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

Entity Name	El Centro Family Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780689034 PECOS PAC ID: 9830080688 Enrollment ID: O20100528000457

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. Man Hsuan Melany 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
Man Hsuan Melany Su, MD Po Box 158, Espanola, NM 87532-0158 Ph: (505) 753-7218	Man Hsuan Melany Su, MD 2010 Industrial Park Rd, Espanola, NM 87532-3600 Ph: (505) 753-7218

Reviews and Comments

Family Medicine Doctors in Espanola, NM

Amy Longfellow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-426-3492
Michael D Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-747-2025
Dechen Wangmo Tsewang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532 Phone: 505-753-9421 Fax: 505-753-5039
Vidya Subramanian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346
Larry L Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438
Tanya P. Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 Phone: 505-753-7218
Enid D Lewis, RD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438

Man Hsuan Melany Su, MD - Medicare Family Medicine in Espanola, NM