Fannie Wyndy Su, MD - Medicare Allergy/immunology in Walnut Creek, CA

Fannie Wyndy Su, MD is a medicare enrolled "Allergy & Immunology" physician in Walnut Creek, California. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Allergy And Asthma Medical Group Of The Bay Area Inc and her current practice location is 130 La Casa Via, Bldg 2 Suite 209, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 935-6252.

Fannie Wyndy Su is licensed to practice in California (license number A85919) 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 1982738712.

Contact Information

Fannie Wyndy Su, MD
130 La Casa Via, Bldg 2 Suite 209,
Walnut Creek, CA 94598-3045
(925) 935-6252
Not Available



Physician's Profile

Full NameFannie Wyndy Su
GenderFemale
SpecialityAllergy/immunology
Experience26 Years
Location130 La Casa Via, Walnut Creek, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fannie Wyndy Su graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1982738712
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375721491
  • Enrollment ID: I20110620000566

Medical Identifiers

Medical identifiers for Fannie Wyndy Su such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982738712NPI-NPPES
A85919OtherCASTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology A85919 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John Muir Medical Center - Walnut Creek CampusWalnut creek, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allergy And Asthma Medical Group Of The Bay Area Inc650775822419

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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. Fannie Wyndy Su allows following entities to bill medicare on her behalf.
Entity NameAllergy & Asthma Medical Group Of The Bay Area Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871550590
PECOS PAC ID: 6507758224
Enrollment ID: O20040326001415

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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. Fannie Wyndy 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
Fannie Wyndy Su, MD
370 N Wiget Ln, Ste 210,
Walnut Creek, CA 94598-2452

Ph: (925) 935-6252
Fannie Wyndy Su, MD
130 La Casa Via, Bldg 2 Suite 209,
Walnut Creek, CA 94598-3045

Ph: (925) 935-6252

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Allergy & Immunology Doctors in Walnut Creek, CA

Dr. Nathan David Schultz, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 130 La Casa Via, Bldg 2, Ste 209, Walnut Creek, CA 94598
Phone: 925-935-6252    Fax: 925-935-7611
Barbara Irene Karpel, MD
Allergy & Immunology
Medicare: Medicare Enrolled
Practice Location: 130 La Casa Via, Bldg 2 Ste 209, Walnut Creek, CA 94598
Phone: 925-930-6252    Fax: 925-930-0942
Dr. Toral Anil Kamdar, M.D.
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 370 N. Wiget Lane, Suite 210, Walnut Creek, CA 94598
Phone: 925-935-0856    Fax: 925-364-5509
Dr. Nancy Broitman Mozelsio, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 130 La Casa Via, Bldg 2, #209, Walnut Creek, CA 94598
Phone: 925-935-6252    Fax: 925-930-0942
Dr. Joshua Samuel Jacobs, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 130 La Casa Via, Bldg 2, # 209, Walnut Creek, CA 94598
Phone: 925-935-6252    Fax: 925-930-0942
Cynthia Ashbrook,
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 1450 Treat Blvd, Suite 300, Walnut Creek, CA 94597
Phone: 925-952-2888    
Dr. Ilisten Marie Jones, M.D., M.P.H.
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 370 N Wiget Ln, Suite 210, Walnut Creek, CA 94598
Phone: 925-935-6252    Fax: 925-930-0942

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