Mr Johnny S Liu, DDS in Alta Loma, CA - Medicare Dentist Provider

Mr Johnny S Liu, DDS is a medicare enrolled "Dentist" provider in Alta Loma, California. His current practice location is 7168 Archibald Ave, Suite 200, Alta Loma, California. You can reach out to his office (for appointments etc.) via phone at (909) 944-3120.

Mr Johnny S Liu is licensed to practice in California (license number 51966) 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 1124127956.

Contact Information

	Mr Johnny S Liu, DDS
	7168 Archibald Ave, Suite 200, Alta Loma, CA 91701
	(909) 944-3120
	(909) 483-3957

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Johnny S Liu
Gender	Male
Speciality	Dentist
Location	7168 Archibald Ave, Alta Loma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124127956
Provider Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1052740396
Enrollment ID: I20200407002937

Medical Identifiers

Medical identifiers for Mr Johnny S Liu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124127956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	51966 (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. Mr Johnny S Liu allows following entities to bill medicare on his behalf.

Entity Name	Js Liu Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629462031 PECOS PAC ID: 0143659482 Enrollment ID: O20200407002785

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. Mr Johnny S 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
Mr Johnny S Liu, DDS 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 Ph: (909) 944-3120	Mr Johnny S Liu, DDS 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 Ph: (909) 944-3120

Reviews and Comments

Dentist in Alta Loma, CA

Dr. Kristin Joy Smits, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10458 Vivienda St, Alta Loma, CA 91737 Phone: 805-722-7187
Dr. Wendy Sugiono, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9482 Baseline Rd, Alta Loma, CA 91701 Phone: 909-980-1411 Fax: 909-980-7061
Milan Manoj Irvin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9330 Baseline Rd, Ste 108, Alta Loma, CA 91701 Phone: 510-387-5812
George Ji Jun Tao, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6626 Carnelian St, Alta Loma, CA 91701 Phone: 909-987-4113 Fax: 909-987-3673
C Mark Keen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9606 Baseline Rd, Alta Loma, CA 91701 Phone: 909-989-6661 Fax: 909-989-6663
Terry F Brock, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7283 Carnelian St, Alta Loma, CA 91701 Phone: 909-987-6268 Fax: 909-987-2441

Mr Johnny S Liu, DDS - Medicare Dentist in Alta Loma, CA