Carolyn C Liu, MD is a medicare enrolled "Internal Medicine" physician in Sammamish, Washington. Her current practice location is
22707 Se 29th St, Sammamish, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 455-2845.
Carolyn C Liu is licensed to practice in Washington (license number MD00043607) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619039401.
Physician's Profile
| Full Name | Carolyn C Liu |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 22707 Se 29th St, Sammamish, Washington |
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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: 1619039401
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698723559
- Enrollment ID: I20050106000920
Medical Identifiers
Medical identifiers for Carolyn C Liu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619039401 | NPI | - | NPPES |
| 0192098 | Other | WA | LABOR AND INDUSTRIES |
| 8412967 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | MD00043607 (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. Carolyn C Liu allows following entities to bill medicare on her behalf.
| Entity Name | Swedish Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
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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. Carolyn C 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 |
Carolyn C Liu, MD Po Box 84026, Seattle, WA 98124-8426 Ph: (425) 401-1365 | Carolyn C Liu, MD 22707 Se 29th St, Sammamish, WA 98075-9532 Ph: (425) 455-2845 |
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