Audrey Liston, DO in Hancock, MI - Medicare Family Medicine

Audrey Liston, DO is a medicare enrolled "Family Medicine" physician in Hancock, Michigan. Her current practice location is 787 Market St Ste 9, Hancock, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 482-7762.

Audrey Liston is licensed to practice in Michigan (license number 5101012074) 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 1346354461.

Contact Information

	Audrey Liston, DO
	787 Market St Ste 9, Hancock, MI 49930
	(906) 482-7762
	Not Available

Map and Direction

Physician's Profile

Full Name	Audrey Liston
Gender	Female
Speciality	Family Medicine
Location	787 Market St Ste 9, Hancock, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346354461
Provider Enumeration Date: 08/18/2006
Last Update Date: 01/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8426190562
Enrollment ID: I20100127000627

Medical Identifiers

Medical identifiers for Audrey Liston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346354461	NPI	-	NPPES
0C16002	Other	MI	MEDICARE GROUP
AL012074	Other	MI	BLUE CROSS STATE ID
114387160	Medicaid	MI
0829560001	Other	MI	MEDICARE DME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101012074 (Michigan)	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. Audrey Liston allows following entities to bill medicare on her behalf.

Entity Name	Portage Physician Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058

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. Audrey Liston 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
Audrey Liston, DO 325 E H St, Iron Mountain, MI 49801-4760 Ph: (906) 774-3300	Audrey Liston, DO 787 Market St Ste 9, Hancock, MI 49930 Ph: (906) 482-7762

Reviews and Comments

Family Medicine Doctors in Hancock, MI

Douglas Mckenzie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-483-1066
Dr. David J Kass, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-483-1071
Kimberly Anne Dovin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Suite 3, Hancock, MI 49930 Phone: 906-483-1050 Fax: 906-483-1270
Kelly R. Fletcher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230
Rosmin C Jos, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230
Gina Maria Louis-mercier, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 787 Market St Ste 9, Hancock, MI 49930 Phone: 906-482-7762

Audrey Liston, DO - Medicare Family Medicine in Hancock, MI