Dr Jonathan Jay Liu, MD is a medicare enrolled "Family Medicine" physician in Lake Wylie, South Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Caromont Medical Group Inc and his current practice location is
1200 Village Harbor Dr, Lake Wylie, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 631-2858.
Dr Jonathan Jay Liu is licensed to practice in South Carolina (license number 28083) 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 1639103039.
Physician's Profile
| Full Name | Dr Jonathan Jay Liu |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 20 Years |
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| Location | 1200 Village Harbor Dr, Lake Wylie, South Carolina |
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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. |
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Medical Education and Training:
- Dr Jonathan Jay Liu attended and graduated from Brody School Of Medicine At East Carolina University in 2004
NPI Data:
- NPI Number: 1639103039
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143239301
- Enrollment ID: I20060417000333
Medical Identifiers
Medical identifiers for Dr Jonathan Jay Liu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639103039 | NPI | - | NPPES |
| 1639103039 | Medicaid | NC | |
| 280831 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2016-02298 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 28083 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Caromont Medical Group Inc | 3577476258 | 328 |
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. Dr Jonathan Jay Liu allows following entities to bill medicare on his behalf.
| Entity Name | Caromont Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568641165
PECOS PAC ID: 3577476258
Enrollment ID: O20041021000318 |
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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. Dr Jonathan Jay 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 |
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Dr Jonathan Jay Liu, MD
Po Box 744786,
Atlanta, GA 30374-4786
Ph: (704) 834-2450 | Dr Jonathan Jay Liu, MD
1200 Village Harbor Dr,
Lake Wylie, SC 29710-9092
Ph: (803) 631-2858 |
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