David M K I Liu, MD, PHD in South Lake Tahoe, CA

David M K I Liu, MD, PHD is a medicare enrolled "Pediatrics" physician in South Lake Tahoe, California. His current practice location is 2201 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 543-5623.

David M K I Liu is licensed to practice in California (license number C56003) 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 1700975976.

Contact Information

	David M K I Liu, MD, PHD
	2201 South Ave, South Lake Tahoe, CA 96150-7025
	(530) 543-5623
	(530) 541-5738

Map and Direction

Physician's Profile

Full Name	David M K I Liu
Gender	Male
Speciality	Pediatrics
Location	2201 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700975976
Provider Enumeration Date: 10/12/2006
Last Update Date: 09/03/2015

Medicare PECOS Information:

PECOS PAC ID: 5799851226
Enrollment ID: I20130213000412

Medical Identifiers

Medical identifiers for David M K I Liu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700975976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	C56003 (California)	Secondary
208000000X	Pediatrics	C56003 (California)	Primary
207R00000X	Internal Medicine	13414 (Hawaii)	Secondary
208000000X	Pediatrics	13414 (Hawaii)	Secondary

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. David M K I Liu allows following entities to bill medicare on his behalf.

Entity Name	Desert Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246

Entity Name	Gracelight Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104075282 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131

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. David M K I 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
David M K I Liu, MD, PHD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659	David M K I Liu, MD, PHD 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: (530) 543-5623

Reviews and Comments

Pediatrics Doctors in South Lake Tahoe, CA

Dr. Michael Phillip Doyle, MEDICAL DOCTOR Pediatrics Medicare: Medicare Enrolled Practice Location: 2074 Lake Tahoe Blvd, Ste 9, South Lake Tahoe, CA 96150 Phone: 530-541-6100 Fax: 530-541-5945
Audrey Jean Dasilva, Pediatrics Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5550
Dr. Jennifer Ann Ehmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738

David M K I Liu, MD, PHD - Medicare Pediatrics in South Lake Tahoe, CA