Dr Jonathan Jay Liu, MD is a medicare enrolled "Family Medicine" physician in Lake Wylie, South Carolina. His current practice location is
1200 Village Harbor Dr, Lake Wylie, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 631-2858.
Dr Jonathan Jay Liu is licensed to practice in South Carolina (license number 28083) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639103039.
Physician's Profile
| Full Name | Dr Jonathan Jay Liu |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1200 Village Harbor Dr, Lake Wylie, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Jay Liu attended and graduated from in
NPI Data:
- NPI Number: 1639103039
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jonathan Jay Liu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639103039 | NPI | - | NPPES |
| 1639103039 | Medicaid | NC | |
| 280831 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2016-02298 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 28083 (South Carolina) | 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. Dr Jonathan Jay 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 |
|---|
Dr Jonathan Jay Liu, MD
Po Box 744786,
Atlanta, GA 30374-4786
Ph: (704) 834-2450 | Dr Jonathan Jay Liu, MD
1200 Village Harbor Dr,
Lake Wylie, SC 29710-9092
Ph: (803) 631-2858 |
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