Dr Philo S Su, MD - Medicare Obstetrics & Gynecology in Jefferson City, MO

Dr Philo S Su, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Jefferson City, Missouri. His current practice location is 2712 Plaza Dr, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 893-5500.

Dr Philo S Su is licensed to practice in Missouri (license number R5960) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689666174.

Contact Information

Dr Philo S Su, MD
2712 Plaza Dr,
Jefferson City, MO 65109-1147
(573) 893-5500
Not Available



Physician's Profile

Full NameDr Philo S Su
GenderMale
SpecialityObstetrics & Gynecology - Gynecology
Location2712 Plaza Dr, Jefferson City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689666174
  • Provider Enumeration Date: 08/19/2005
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8426187840
  • Enrollment ID: I20100524000797

Medical Identifiers

Medical identifiers for Dr Philo S Su such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689666174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology R5960 (Missouri)Primary

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 Philo S 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 AddressPractice Location Address
Dr Philo S Su, MD
2712 Plaza Dr,
Jefferson City, MO 65109-1147

Ph: (573) 893-5500
Dr Philo S Su, MD
2712 Plaza Dr,
Jefferson City, MO 65109-1147

Ph: (573) 893-5500

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Obstetrics & Gynecology Doctors in Jefferson City, MO

Amanda Taube Rodemann, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109
Phone: 573-636-5248    Fax: 573-636-9390
Dr. William H. Marshall, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-635-5264    Fax: 573-556-5757
Jodi A Berendzen, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109
Phone: 573-636-5248    Fax: 573-636-9390
Teri A Deffenbaugh, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 Madison St, Ob Gyn Associates, Jefferson City, MO 65101
Phone: 573-632-5510    Fax: 573-632-5810
Serese Yvonne Smith-haxton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 Madison St, Jefferson City, MO 65101
Phone: 573-632-5510    Fax: 573-632-5810
Brandi Nichols, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-636-5248    Fax: 573-636-9390

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