Dr Otto Liao, MD is a medicare enrolled "Allergy & Immunology" physician in Tustin, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
1076 E 1st St Ste B, Tustin, California. You can reach out to his office (for appointments etc.) via phone at
(714) 838-2617.
Dr Otto Liao is licensed to practice in California (license number A068959) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225042674.
Physician's Profile
Full Name | Dr Otto Liao |
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Gender | Male |
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Speciality | Allergy/immunology |
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Experience | 27 Years |
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Location | 1076 E 1st St Ste B, Tustin, California |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Otto Liao graduated from medical school in 1997
NPI Data:
- NPI Number: 1225042674
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 10/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840261699
- Enrollment ID: I20040804001003
Medical Identifiers
Medical identifiers for Dr Otto Liao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225042674 | NPI | - | NPPES |
11465065 | Other | CA | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0201X | Internal Medicine - Allergy & Immunology | A068959 (California) | Secondary |
2080P0201X | Pediatrics - Pediatric Allergy/immunology | A068959 (California) | Secondary |
207K00000X | Allergy & Immunology | A068959 (California) | 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. Dr Otto Liao allows following entities to bill medicare on his behalf.
Entity Name | Tlc Allergy And Asthma Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003820770 PECOS PAC ID: 4183622533 Enrollment ID: O20061117000492 |
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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. Dr Otto Liao 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 |
Dr Otto Liao, MD 1076 E 1st St Ste B, Tustin, CA 92780-3852 Ph: (714) 838-2617 | Dr Otto Liao, MD 1076 E 1st St Ste B, Tustin, CA 92780-3852 Ph: (714) 838-2617 |
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