Dr Mark Y Liu, DO, FAAFP | |
535 Airport Rd, Hoopa, CA 95546-9615 | |
(509) 730-4720 | |
(530) 625-5171 |
Full Name | Dr Mark Y Liu |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 535 Airport Rd, Hoopa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710967914 | NPI | - | NPPES |
22527 | Other | CA | MEDICAL BOARD |
5389LI | Other | WA | REGENCE BLUE SHIELD |
7710782 | Other | AETNA | |
P00338717 | Other | RAILROAD MEDICARE | |
632712-01 | Medicaid | HI | |
8449845 | Medicaid | WA | |
208083 | Other | WA | LABOR & INDUSTRIES |
OP1714 | Other | WA | STATE MEDICAL LICENSE |
0000284265 | Other | HI | HMSA BILLING NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP1714 (Washington) | Secondary |
207Q00000X | Family Medicine | DOS-1207 (Hawaii) | Secondary |
207Q00000X | Family Medicine | 20A22527 (California) | Primary |
Entity Name | K'imaw Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306904222 PECOS PAC ID: 5496740698 Enrollment ID: O20040416001480 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Y Liu, DO, FAAFP 535 Airport Rd, Hoopa, CA 95546-9615 Ph: (509) 730-4720 | Dr Mark Y Liu, DO, FAAFP 535 Airport Rd, Hoopa, CA 95546-9615 Ph: (509) 730-4720 |
Troy Bassiri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Airport Rd, Hoopa, CA 95546 Phone: 530-625-4261 Fax: 530-625-5171 | |
Dr. Eva Marie Smith, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Airport Road, Hoopa, CA 95546 Phone: 530-625-4261 Fax: 530-625-5171 |