Jack Liu, MD in Riverside, CA - Medicare Otolaryngology

Jack Liu, MD is a medicare enrolled "Otolaryngology" physician in Riverside, California. His current practice location is 10800 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 353-4996.

Jack Liu is licensed to practice in California (license number A129495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558518258.

Contact Information

	Jack Liu, MD
	10800 Magnolia Ave, Riverside, CA 92505-3043
	(951) 353-4996
	Not Available

Map and Direction

Physician's Profile

Full Name	Jack Liu
Gender	Male
Speciality	Otolaryngology
Location	10800 Magnolia Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558518258
Provider Enumeration Date: 08/25/2008
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8628390309
Enrollment ID: I20141208002009

Medical Identifiers

Medical identifiers for Jack Liu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558518258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A129495 (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. Jack Liu allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Jack Liu 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
Jack Liu, MD 16009 Legacy Rd, Unit 414, Tustin, CA 92782-2800 Ph: (951) 353-4996	Jack Liu, MD 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (951) 353-4996

Reviews and Comments

Otolaryngology Doctors in Riverside, CA

Edward E. Bloom, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Dr. Dae Keun Joo, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-4738
Gabriel Gabarain, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6848 Magnolia Ave Ste 220, Riverside, CA 92506 Phone: 951-981-2200 Fax: 951-981-2201
Rhett Barry Nelson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5570 Fax: 951-697-5596
Yohanan Kim, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5570 Fax: 951-697-5596
Dr. David William Hsu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-7003
Vishwas D. Tadwalkar, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000

Jack Liu, MD - Medicare Otolaryngology in Riverside, CA