Michael Su, - Medicare Pediatrics in Marysville, WA

Michael Su, is a medicare enrolled "Pediatrics" physician in Marysville, Washington. His current practice location is 2901 174th St Ne, Marysville, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 454-1900.

Michael Su is licensed to practice in Washington (license number MD61301644) 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 1245617406.

Contact Information

Michael Su,
2901 174th St Ne,
Marysville, WA 98271-4743
(360) 454-1900
(360) 454-1991



Physician's Profile

Full NameMichael Su
GenderMale
SpecialityPediatrics
Location2901 174th St Ne, Marysville, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245617406
  • Provider Enumeration Date: 04/27/2015
  • Last Update Date: 09/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507232246
  • Enrollment ID: I20221020000715

Medical Identifiers

Medical identifiers for Michael Su such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245617406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 04-42074 (Kansas)Secondary
208000000XPediatrics MD61301644 (Washington)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. Michael Su allows following entities to bill medicare on his behalf.
Entity NameThe Everett Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

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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. Michael 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
Michael Su,
Po Box 5127,
Everett, WA 98206-5127

Ph: (425) 304-8431
Michael Su,
2901 174th St Ne,
Marysville, WA 98271-4743

Ph: (360) 454-1900

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Pediatrics Doctors in Marysville, WA

Dr. Sarah Eva Bergman Lewis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2901 174th St Ne, Marysville, WA 98271
Phone: 360-454-1900    
Sophia Shiau, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482
Denise Shushan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7482    Fax: 360-651-7482
Minkyung Shin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482
Shirley Chen, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482
Cheryl Lynn Beighle, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482

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