Mark Ernest Liebetreu, OD is a medicare enrolled "Optometrist" provider in Ft Myers, Florida. He went to Ferris State College - College Of Optometry and graduated in 1986 and has 40 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Health Of Ft Meyers Llc, Eye Associates Of Manatee, Llp and his current practice location is
6091 S Pointe Blvd, Ft Myers, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 466-2020.
Mark Ernest Liebetreu is licensed to practice in Florida (license number OP0002191) 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 1639167943.
Healthcare Provider's Profile
| Full Name | Mark Ernest Liebetreu |
|---|
| Gender | Male |
|---|
| Speciality | Optometry |
|---|
| Experience | 40 Years |
|---|
| Location | 6091 S Pointe Blvd, Ft Myers, Florida |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mark Ernest Liebetreu attended and graduated from Ferris State College - College Of Optometry in 1986
NPI Data:
- NPI Number: 1639167943
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638210644
- Enrollment ID: I20100112000573
Medical Identifiers
Medical identifiers for Mark Ernest Liebetreu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639167943 | NPI | - | NPPES |
| 620041900 | Medicaid | FL | |
| PG040 | Other | FL | PTAN |
| 20537Z | Other | FL | PTAN |
| 20537 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OP0002191 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Health Of Ft Meyers Llc | 2668461179 | 20 |
| Eye Associates Of Manatee, Llp | 4688664535 | 60 |
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. Mark Ernest Liebetreu allows following entities to bill medicare on his behalf.
| Provider Name | Eye Health Of Ft Meyers Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1235127549
PECOS PAC ID: 2668461179
Enrollment ID: O20040510001230 |
|---|
| Provider Name | Eye Associates Of Manatee, Llp |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1366483851
PECOS PAC ID: 4688664535
Enrollment ID: O20040513001080 |
|---|
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. Mark Ernest Liebetreu 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 |
|---|
Mark Ernest Liebetreu, OD
Po Box 11407,
Birmingham, AL 35246-8575
Ph: () - | Mark Ernest Liebetreu, OD
6091 S Pointe Blvd,
Ft Myers, FL 33919-4899
Ph: (239) 466-2020 |
Reviews and Comments