Dr Michael John Rotheker, OD - Medicare Optometrist in South Bend, IN

Dr Michael John Rotheker, OD is a medicare enrolled "Optometrist" provider in South Bend, Indiana. He went to Illinois College Of Optometry At Chicago and graduated in 2001 and has 23 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Boling Vision Center, Llc and his current practice location is 17615 State Road 23, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 234-7600.

Dr Michael John Rotheker is licensed to practice in Indiana (license number 18003124A) 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 1316935208.

Contact Information

Dr Michael John Rotheker, OD
17615 State Road 23,
South Bend, IN 46635
(574) 234-7600
(574) 234-8408

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael John Rotheker
GenderMale
SpecialityOptometry
Experience23 Years
Location17615 State Road 23, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael John Rotheker attended and graduated from Illinois College Of Optometry At Chicago in 2001
  NPI Data:
  • NPI Number: 1316935208
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 08/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860584125
  • Enrollment ID: I20070816000695

Medical Identifiers

Medical identifiers for Dr Michael John Rotheker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316935208NPI-NPPES
000000215766OtherINANTHEM MC/BS
200335390AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18003124A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boling Vision Center, Llc610392155610

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 Michael John Rotheker allows following entities to bill medicare on his behalf.
Provider NameMidwest Eye Consultants Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1912960535
PECOS PAC ID: 2961399217
Enrollment ID: O20040302000158
Provider NameKy Doctors Of Optometry Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235143538
PECOS PAC ID: 0941108732
Enrollment ID: O20050126000959
Provider NameBoling Vision Center, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003851445
PECOS PAC ID: 6103921556
Enrollment ID: O20070413000459

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 Michael John Rotheker 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
Dr Michael John Rotheker, OD
4121 S. Michigan Street,
South Bend, IN 46614-2545

Ph: (574) 291-9200
Dr Michael John Rotheker, OD
17615 State Road 23,
South Bend, IN 46635

Ph: (574) 234-7600

Reviews and Comments


Optometrist in South Bend, IN

Christopher J. Wolf, Od, Inc
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Dr. Ronald Milovich, O.D.
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Phone: 574-288-2400    Fax: 574-288-7132
Myeyedr.
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Phone: 574-291-9200    Fax: 574-291-9859
Dr. Brian Andrew Faust, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 220 N Ironwood Dr, South Bend, IN 46615
Phone: 574-289-3937    Fax: 574-280-7355
James F Longenecker, O.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 4123 S Michigan St, South Bend, IN 46614
Phone: 574-291-8900    Fax: 574-299-8503

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.