Dr David Michael Liscow, MD in South Haven, MI

Dr David Michael Liscow, MD is a medicare enrolled "Family Medicine" physician in South Haven, Michigan. His current practice location is 930 Blue Star Hwy, South Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 637-1115.

Dr David Michael Liscow is licensed to practice in Michigan (license number 4301048560) 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 1689786154.

Contact Information

	Dr David Michael Liscow, MD
	930 Blue Star Hwy, South Haven, MI 49090-7758
	(269) 637-1115
	(269) 639-1314

Map and Direction

Physician's Profile

Full Name	Dr David Michael Liscow
Gender	Male
Speciality	Family Medicine
Location	930 Blue Star Hwy, South Haven, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689786154
Provider Enumeration Date: 08/31/2006
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 2264598796
Enrollment ID: I20100130000372

Medical Identifiers

Medical identifiers for Dr David Michael Liscow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689786154	NPI	-	NPPES
080H06004	Other	MI	BCBSM
080027374	Other	MI	RR MEDICARE
1656193	Medicaid	MI
0131169	Other	MI	PHP/IBA
P53524	Other	MI	BCN
5468088	Other	MI	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301048560 (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 David Michael Liscow allows following entities to bill medicare on his behalf.

Entity Name	Bronson South Haven Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005

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 David Michael Liscow 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 David Michael Liscow, MD 930 Blue Star Hwy, South Haven, MI 49090-7758 Ph: (269) 637-1115	Dr David Michael Liscow, MD 930 Blue Star Hwy, South Haven, MI 49090-7758 Ph: (269) 637-1115

Reviews and Comments

Family Medicine Doctors in South Haven, MI

Conor Mullin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115
Casey Jon Key, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 955 S Bailey Ave Fl 2, South Haven, MI 49090 Phone: 269-639-2777
Dr. Arlynne Mildred Eisner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-427-5811 Fax: 269-427-6107
Dr. Gordon R Bleil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2910 Fax: 269-639-2919
Dr. Matthew G Small, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 965 S Bailey Ave, Suite 2-1, South Haven, MI 49090 Phone: 269-639-2772 Fax: 269-639-2770
Dr. Richard John Allen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 Fax: 269-639-1314
Dr. Martin J Graber Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Lincoln Ave, South Haven, MI 49090 Phone: 616-334-1245 Fax: 269-637-1021

Dr David Michael Liscow, MD - Medicare Family Medicine in South Haven, MI