Shannon Liu-ku, MD - Medicare Pediatrics in San Leandro, CA

Shannon Liu-ku, MD is a medicare enrolled "Pediatrics" physician in San Leandro, California. Her current practice location is 2500 Merced Street, Hospital Building, Nicu, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 454-1000.

Shannon Liu-ku is licensed to practice in California (license number A149634) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104336254.

Contact Information

Shannon Liu-ku, MD
2500 Merced Street, Hospital Building, Nicu,
San Leandro, CA 94577-5322
(510) 454-1000
Not Available

Map and Direction




Physician's Profile

Full NameShannon Liu-ku
GenderFemale
SpecialityPediatrics
Location2500 Merced Street, San Leandro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104336254
  • Provider Enumeration Date: 10/03/2017
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991102816
  • Enrollment ID: I20210920003274

Medical Identifiers

Medical identifiers for Shannon Liu-ku such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104336254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A149634 (California)Primary

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. Shannon Liu-ku allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Shannon Liu-ku 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 AddressPractice Location Address
Shannon Liu-ku, MD
2500 Merced Street, Hospital Building, Nicu,
San Leandro, CA 94577-5322

Ph: (510) 454-1000
Shannon Liu-ku, MD
2500 Merced Street, Hospital Building, Nicu,
San Leandro, CA 94577-5322

Ph: (510) 454-1000

Reviews and Comments


Pediatrics Doctors in San Leandro, CA

Sharon Eileen Durousseau, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Stacie Louise Walton, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Dr. Arnold J Blustein, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1235 Harrison St, San Leandro, CA 94577
Phone: 510-352-2425    Fax: 510-352-6273
Berenice M Ku, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Dr. Roxanna Aimee Martinez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    Fax: 510-547-2702
Dr. Katherine M Gallagher, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1555 Doolittle Drive, Bancroft Pediatrics, San Leandro, CA 94577
Phone: 510-483-2600    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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