Shannon Liu-ku, MD 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 Name	Shannon Liu-ku
Gender	Female
Speciality	Pediatrics
Location	2500 Merced Street, San Leandro, California
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1104336254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	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 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. 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 Address	Practice 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

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