Jesse Liu, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. His current practice location is
2919 Alamo Ave, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 658-0024.
Jesse Liu is licensed to practice in * (Not Available) (license number ) 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 1558143602.
Healthcare Provider's Profile
Full Name | Jesse Liu |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2919 Alamo Ave, Fort Collins, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558143602
- Provider Enumeration Date: 10/13/2023
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880122563
- Enrollment ID: I20250108002726
Medical Identifiers
Medical identifiers for Jesse Liu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558143602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | .09929578 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jesse Liu allows following entities to bill medicare on his behalf.
Entity Name | Poudre Valley Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
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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. Jesse Liu 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 |
Jesse Liu, LCSW Po Box 270326, Fort Collins, CO 80527-0326 Ph: () - | Jesse Liu, LCSW 2919 Alamo Ave, Fort Collins, CO 80525-2503 Ph: (970) 658-0024 |
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