Mr Jeremy D Liu, PA-C is a
Physician Assistant physician based in Fort Worth, Texas. Mr Jeremy D Liu is licensed to practice in Texas (license number PA19003) and his current practice location is 815 Pennsylvania Ave, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 321-0404.
NPI number for Mr Jeremy D Liu is 1518774777 and his current mailing address is 1320 S University Dr Ste 500, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518774777.
Physician's Profile
| Full Name | Mr Jeremy D Liu |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 815 Pennsylvania Ave, Fort Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518774777
- Provider Enumeration Date: 12/11/2024
- Last Update Date: 06/19/2025
Medical Identifiers
Medical identifiers for Mr Jeremy D Liu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518774777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 0 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA19003 (Texas) | 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. Mr Jeremy D Liu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jeremy D Liu, PA-C
1320 S University Dr Ste 500,
Fort Worth, TX 76107-5732
Ph: (817) 321-0404 | Mr Jeremy D Liu, PA-C
815 Pennsylvania Ave,
Fort Worth, TX 76104-2294
Ph: (817) 321-0404 |
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