Theodore William Liao, MD - Medicare Family Practice in Grand Rapids, MI

Theodore William Liao, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. He went to Wayne State University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cherry Street Services Inc and his current practice location is 300 Lafayette Ave Se, Suite 3400, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 685-6741.

Theodore William Liao is licensed to practice in Michigan (license number 4301096891) 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 1184937013.

Contact Information

Theodore William Liao, MD
300 Lafayette Ave Se, Suite 3400,
Grand Rapids, MI 49503-4650
(616) 685-6741
Not Available

Map and Direction




Physician's Profile

Full NameTheodore William Liao
GenderMale
SpecialityFamily Practice
Experience14 Years
Location300 Lafayette Ave Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodore William Liao attended and graduated from Wayne State University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1184937013
  • Provider Enumeration Date: 07/20/2010
  • Last Update Date: 07/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3577791979
  • Enrollment ID: I20140109001757

Medical Identifiers

Medical identifiers for Theodore William Liao such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184937013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301096891 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cherry Street Services Inc680070764754

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. Theodore William Liao allows following entities to bill medicare on his behalf.
Entity NameState Of Michigan Office Of Financial Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508883299
PECOS PAC ID: 5496650723
Enrollment ID: O20040114000603
Entity NameCherry Street Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558459164
PECOS PAC ID: 6800707647
Enrollment ID: O20040804000274

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. Theodore William Liao 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 AddressPractice Location Address
Theodore William Liao, MD
300 Lafayette Ave Se, Suite 3400,
Grand Rapids, MI 49503-4650

Ph: () -
Theodore William Liao, MD
300 Lafayette Ave Se, Suite 3400,
Grand Rapids, MI 49503-4650

Ph: (616) 685-6741

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.