Mr Jerry Liao, in Bronx, NY - Medicare Nurse Practitioner

Mr Jerry Liao, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bronx, New York. His current practice location is 3050 White Plains Rd, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (929) 348-4794.

Mr Jerry Liao is licensed to practice in New York (license number F403575) 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 1659879211.

Contact Information

	Mr Jerry Liao,
	3050 White Plains Rd, Bronx, NY 10467-8154
	(929) 348-4794
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerry Liao
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3050 White Plains Rd, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659879211
Provider Enumeration Date: 01/30/2018
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4183001852
Enrollment ID: I20220518001756

Medical Identifiers

Medical identifiers for Mr Jerry Liao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659879211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	707195 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F403575 (New York)	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. Mr Jerry Liao allows following entities to bill medicare on his behalf.

Entity Name	Nys Office Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578627485 PECOS PAC ID: 3072782432 Enrollment ID: O20110802000194

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. Mr Jerry 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 Address	Practice Location Address
Mr Jerry Liao, 3050 White Plains Rd, Bronx, NY 10467-8154 Ph: () -	Mr Jerry Liao, 3050 White Plains Rd, Bronx, NY 10467-8154 Ph: (929) 348-4794

Reviews and Comments

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Mr Jerry Liao, - Medicare Nurse Practitioner in Bronx, NY