Liesl A Black, OD - Medicare Optometrist in Casco, MI

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Liesl A Black, OD is a medicare enrolled "Optometrist" provider in Casco, Michigan. She went to Illinois College Of Optometry At Chicago and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice St Clair Eye Pllc and her current practice location is 3443 County Line Rd, Casco, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 727-8000.

Liesl A Black is licensed to practice in Michigan (license number 4901005440) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912529512.

Contact Information

Liesl A Black, OD
3443 County Line Rd,
Casco, MI 48064-1000
(586) 727-8000
(586) 727-8004

Map and Direction




Healthcare Provider's Profile

Full NameLiesl A Black
GenderFemale
SpecialityOptometry
Experience4 Years
Location3443 County Line Rd, Casco, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Liesl A Black attended and graduated from Illinois College Of Optometry At Chicago in 2020
  NPI Data:
  • NPI Number: 1912529512
  • Provider Enumeration Date: 05/18/2020
  • Last Update Date: 05/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012334659
  • Enrollment ID: I20200824002497

Medical Identifiers

Medical identifiers for Liesl A Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912529512NPI-NPPES
1619270972OtherMIST CLAIR EYE
1730264995OtherMIST CLAIR EYE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901005440 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Clair Eye Pllc35776745972

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. Liesl A Black allows following entities to bill medicare on her behalf.
Provider NameSt Clair Eye Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619270972
PECOS PAC ID: 3577674597
Enrollment ID: O20110427000476

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. Liesl A Black 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
Liesl A Black, OD
1921 Fred W Moore Hwy,
Saint Clair, MI 48079-4702

Ph: (810) 326-3937		Liesl A Black, OD
3443 County Line Rd,
Casco, MI 48064-1000

Ph: (586) 727-8000

Reviews and Comments


Optometrist in Casco, MI

Ms. Lindsey Ellicott-gasta, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3443 County Line Rd, Casco, MI 48064
Phone: 586-727-8000    Fax: 586-727-8004
St Clair Eye Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3443 County Line Rd, Casco, MI 48064
Phone: 586-727-8000    Fax: 586-727-8000

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.