Stacey Su, MD | |
333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | |
(215) 728-6900 | |
Not Available |
Full Name | Stacey Su |
---|---|
Gender | Female |
Speciality | Thoracic Surgery |
Experience | 25 Years |
Location | 333 Cottman Avenue, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801014493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 213675 (Massachusetts) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD435046 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Temple University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
Entity Name | Fox Chase Cancer Center Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054 |
Entity Name | Prospect Health Access Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Stacey Su, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 728-6900 | Stacey Su, MD 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 Ph: (215) 728-6900 |
Kewal Krishan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 | |
Andrew S Wechsler, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 230 N Broad St, 744 N Tower, Philadelphia, PA 19102 Phone: 215-762-7802 Fax: 215-762-1858 | |
Dr. Robert K Wenger, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 230 W Washington Sq, Philadelphia, PA 19106 Phone: 215-829-8713 Fax: 215-829-5350 | |
Eros M Leotta, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946 | |
Larry Kaiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946 | |
Dr. Verdi J. Disesa, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946 | |
Jarrod D. Predina, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, West Pavilion 1st Flr, Philadelphia, PA 19104 Phone: 215-615-5864 Fax: 215-349-8432 |