Ruthie Su, MD in Little Rock, AR

Ruthie Su, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Little Rock, Arkansas. Her current practice location is 1 Childrens Way, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 364-2090.

Ruthie Su is licensed to practice in Arkansas (license number E17173) 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 1952544793.

Contact Information

	Ruthie Su, MD
	1 Childrens Way, Little Rock, AR 72202-3500
	(501) 364-2090
	(501) 364-3929

Map and Direction

Physician's Profile

Full Name	Ruthie Su
Gender	Female
Speciality	Urology - Pediatric Urology
Location	1 Childrens Way, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952544793
Provider Enumeration Date: 04/09/2009
Last Update Date: 11/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5294981692
Enrollment ID: I20130715000682

Medical Identifiers

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

Identifier	Type	State	Issuer
1952544793	NPI	-	NPPES
201200200A	Medicaid	OK
200132676	Medicaid	MO
311524001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	60839 (Wisconsin)	Secondary
2088P0231X	Urology - Pediatric Urology	60839 (Wisconsin)	Secondary
2088P0231X	Urology - Pediatric Urology	E17173 (Arkansas)	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. Ruthie Su allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Ruthie 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
Ruthie Su, MD 1 Childrens Way # 844, Little Rock, AR 72202-3500 Ph: (501) 364-2090	Ruthie Su, MD 1 Childrens Way, Little Rock, AR 72202-3500 Ph: (501) 364-2090

Reviews and Comments

Urology Doctors in Little Rock, AR

John Paul Brizzolara, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 Fax: 501-907-8367
Stephen James Canon, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way # 653, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-3960
Alex Finkbeiner, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148
James Walt Stallings, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1300 Centerview Dr, Little Rock, AR 72211 Phone: 501-219-8900 Fax: 501-537-1875
Dr. Rodney Davis, MD Urology Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-686-5277
Donald Edward Johnson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4301 West Seventh St, Little Rock, AR 72205 Phone: 501-257-6903 Fax: 501-257-6851
Donald Keith Mooney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 Fax: 501-907-8367

Ruthie Su, MD - Medicare Urology in Little Rock, AR