David M K I Liu, MD, PHD is a medicare enrolled "Pediatrics" physician in South Lake Tahoe, California. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Gracelight Community Health and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700975976.
Physician's Profile
| Full Name | David M K I Liu |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 24 Years |
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| Location | 2201 South Ave, South Lake Tahoe, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David M K I Liu graduated from medical school in 2002
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: I20160105002100
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Gracelight Community Health | 3072619618 | 25 |
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 |
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