Dr William Liston, DO is a medicare enrolled "Surgery" physician in Hancock, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Portage Physician Practices Inc and his current practice location is
500 Campus Dr, Hancock, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 483-1040.
Dr William Liston is licensed to practice in Michigan (license number MI51012076) 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 1265481204.
Physician's Profile
| Full Name | Dr William Liston |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 31 Years |
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| Location | 500 Campus Dr, Hancock, Michigan |
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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 William Liston attended and graduated from Michigan State University College Of Human Medicine in 1993
NPI Data:
- NPI Number: 1265481204
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 11/24/2009
Medicare PECOS Information:
- PECOS PAC ID: 2961539226
- Enrollment ID: I20100420000064
Medical Identifiers
Medical identifiers for Dr William Liston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265481204 | NPI | - | NPPES |
| 114387150 | Medicaid | MI | |
| 0C16002 | Other | MI | MEDICARE GROUP |
| WL012076 | Other | MI | BLUECROSS STATE ID |
| 0829560001 | Other | MI | MEDICARE DME |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MI51012076 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Portage Physician Practices Inc | 6103053509 | 36 |
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. Dr William Liston allows following entities to bill medicare on his behalf.
| Entity Name | Portage Physician Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225461684
PECOS PAC ID: 6103053509
Enrollment ID: O20131210001058 |
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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 William 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 |
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Dr William Liston, DO
500 Campus Dr,
Hancock, MI 49930-1569
Ph: (906) 483-1040 | Dr William Liston, DO
500 Campus Dr,
Hancock, MI 49930-1569
Ph: (906) 483-1040 |
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