Cassidy Carina Liu Koo, - Medicare Family Medicine in Grand Terrace, CA

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Cassidy Carina Liu Koo, is a medicare enrolled "Family Medicine" physician in Grand Terrace, California. Her current practice location is 11980 Mount Vernon Ave, Grand Terrace, California. You can reach out to her office (for appointments etc.) via phone at (909) 864-1097.

Cassidy Carina Liu Koo is licensed to practice in California (license number 190520) 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 1497495535.

Contact Information

Cassidy Carina Liu Koo,
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172
(909) 864-1097
Not Available

Map and Direction




Physician's Profile

Full NameCassidy Carina Liu Koo
GenderFemale
SpecialityFamily Medicine
Location11980 Mount Vernon Ave, Grand Terrace, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497495535
  • Provider Enumeration Date: 03/29/2022
  • Last Update Date: 07/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254706450
  • Enrollment ID: I20230330002581

Medical Identifiers

Medical identifiers for Cassidy Carina Liu Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497495535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 190520 (California)Primary

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. Cassidy Carina Liu Koo 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
Cassidy Carina Liu Koo,
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172

Ph: () -		Cassidy Carina Liu Koo,
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172

Ph: (909) 864-1097

Reviews and Comments


Family Medicine Doctors in Grand Terrace, CA

Dr. Margaret Kathleen Mcleod, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12168 Mount Vernon Ave Apt 33, Grand Terrace, CA 92313
Phone: 909-991-9118    
Philip Thomas Farabaugh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313
Phone: 909-864-1097    
Dr. Dinh Le Quang Nguyen, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313
Phone: 909-864-1097    
Dr. Sukhdeep K Gill, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313
Phone: 909-864-1097    Fax: 909-503-1229

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.