Dr Erina Lie, MD is a medicare enrolled "Dermatology" physician in San Bruno, California. Her current practice location is
801 Traeger Ave Ste 310, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at
(415) 757-9494.
Dr Erina Lie is licensed to practice in California (license number A178222) 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 1750771739.
Physician's Profile
| Full Name | Dr Erina Lie |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 801 Traeger Ave Ste 310, San Bruno, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750771739
- Provider Enumeration Date: 01/29/2015
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254677677
- Enrollment ID: I20231117001232
Medical Identifiers
Medical identifiers for Dr Erina Lie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750771739 | NPI | - | NPPES |
| A178222 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NP0225X | Dermatology - Pediatric Dermatology | A178222 (California) | Secondary |
| 207N00000X | Dermatology | A178222 (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. Dr Erina Lie allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Erina Lie 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 Erina Lie, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3466
Ph: (510) 625-6262 | Dr Erina Lie, MD
801 Traeger Ave Ste 310,
San Bruno, CA 94066-3048
Ph: (415) 757-9494 |
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