Katherine Go Liao, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Niagara, Wisconsin. She graduated from medical school in 1991 and has 35 years of diverse experience with area of expertise as Interventional Pain Management. She is a member of the group practice Wisconsin Michigan Physicians Sc, Wisconsin Michigan Physicians Sc and her current practice location is
1601 Roosevelt Rd, Niagara, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 251-1780.
Katherine Go Liao is licensed to practice in Wisconsin (license number 42715-020) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275505190.
Physician's Profile
| Full Name | Katherine Go Liao |
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| Gender | Female |
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| Speciality | Interventional Pain Management |
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| Experience | 35 Years |
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| Location | 1601 Roosevelt Rd, Niagara, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Katherine Go Liao graduated from medical school in 1991
NPI Data:
- NPI Number: 1275505190
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 03/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678460722
- Enrollment ID: I20040303000050
Medical Identifiers
Medical identifiers for Katherine Go Liao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275505190 | NPI | - | NPPES |
| 050B210120 | Other | MI | BCBS |
| 1027531 | Other | | PREFERRED ONE |
| 4782601 | Medicaid | MI | |
| 4782568 | Medicaid | MI | |
| 34051000 | Medicaid | WI | |
| 4782512 | Medicaid | MI | |
| 050077649 | Other | WI | RAILROAD MEDICARE |
| 4259562 | Medicaid | MI | |
| 050077646 | Other | MI | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 42715-020 (Wisconsin) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 4301077176 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 42715-020 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wisconsin Michigan Physicians Sc | 9931092053 | 3 |
| Wisconsin Michigan Physicians Sc | 9931092053 | 3 |
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. Katherine Go Liao allows following entities to bill medicare on her behalf.
| Entity Name | Wisconsin Michigan Physicians Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699719476
PECOS PAC ID: 9931092053
Enrollment ID: O20040216000583 |
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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. Katherine Go Liao 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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Katherine Go Liao, MD
1601 Roosevelt Rd, Po Box 6,
Niagara, WI 54151-1043
Ph: (888) 724-6377 | Katherine Go Liao, MD
1601 Roosevelt Rd,
Niagara, WI 54151-1043
Ph: (715) 251-1780 |
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