Dr Michel Dale Listenberger, OD in Niles, MI - Medicare Optometrist Provider

Dr Michel Dale Listenberger, OD is a medicare enrolled "Optometrist" provider in Niles, Michigan. His current practice location is 9 S Saint Joseph Ave, Niles, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 683-4040.

Dr Michel Dale Listenberger is licensed to practice in Michigan (license number 4901002348) 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 1316058860.

Contact Information

	Dr Michel Dale Listenberger, OD
	9 S Saint Joseph Ave, Niles, MI 49120-2846
	(269) 683-4040
	(269) 683-7565

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michel Dale Listenberger
Gender	Male
Speciality	Optometrist
Location	9 S Saint Joseph Ave, Niles, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316058860
Provider Enumeration Date: 08/31/2006
Last Update Date: 06/19/2012

Medicare PECOS Information:

PECOS PAC ID: 6901812593
Enrollment ID: I20100504000099

Medical Identifiers

Medical identifiers for Dr Michel Dale Listenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316058860	NPI	-	NPPES
4325005	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901002348 (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. Dr Michel Dale Listenberger allows following entities to bill medicare on his behalf.

Provider Name	Niles Vision Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841521838 PECOS PAC ID: 0941337836 Enrollment ID: O20100426000042

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 Michel Dale Listenberger 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
Dr Michel Dale Listenberger, OD 1248 Huff Ave, Niles, MI 49120-9509 Ph: (269) 683-4040	Dr Michel Dale Listenberger, OD 9 S Saint Joseph Ave, Niles, MI 49120-2846 Ph: (269) 683-4040

Reviews and Comments

Optometrist in Niles, MI

Rx Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1421 S 11th St, Niles, MI 49120 Phone: 269-684-1330 Fax: 269-684-3353
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1421 S 11th St, Niles, MI 49120 Phone: 269-684-1330
Dr. Jeffrey Joel Becraft, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 N 2nd St, Niles, MI 49120 Phone: 269-683-4040 Fax: 269-683-7565
Dr. Lori F Glass, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2107 S. 11th St, Niles, MI 49120 Phone: 269-683-0878 Fax: 269-683-0878
Niles Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 S Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-4040 Fax: 269-683-7565
Niles Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 9 S Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-4040

Dr Michel Dale Listenberger, OD - Medicare Optometrist in Niles, MI