Dr Derek Christopher Liston, MD - Medicare Emergency Medicine in Ruston, LA

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Dr Derek Christopher Liston, MD is a medicare enrolled "Emergency Medicine" physician in Ruston, Louisiana. His current practice location is 401 East Vaughn Ave, North Louisiana Medical Center, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 245-2456.

Dr Derek Christopher Liston is licensed to practice in Louisiana (license number MD202822) 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 1083683957.

Contact Information

Dr Derek Christopher Liston, MD
401 East Vaughn Ave, North Louisiana Medical Center,
Ruston, LA 71270
(318) 245-2456
Not Available

Map and Direction




Physician's Profile

Full NameDr Derek Christopher Liston
GenderMale
SpecialityEmergency Medicine
Location401 East Vaughn Ave, Ruston, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083683957
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 04/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153345236
  • Enrollment ID: I20130411000011

Medical Identifiers

Medical identifiers for Dr Derek Christopher Liston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083683957NPI-NPPES
1882259MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD44196 (Washington)Secondary
207P00000XEmergency Medicine 13553 (Hawaii)Secondary
207P00000XEmergency Medicine 04-46350 (Kansas)Secondary
207P00000XEmergency Medicine MD202822 (Louisiana)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 Derek Christopher Liston allows following entities to bill medicare on his behalf.
Entity NameBoulder Emergency Physicians P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659354637
PECOS PAC ID: 4385556414
Enrollment ID: O20031105000543
Entity NameLutheran Hospital Association Of The San Luis Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318
Entity NameInnova Emergency Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295178978
PECOS PAC ID: 2860633435
Enrollment ID: O20130724000195

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 Derek Christopher Liston 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 Derek Christopher Liston, MD
401 East Vaughn Ave, North Louisiana Medical Center,
Ruston, LA 71270

Ph: (318) 245-2456		Dr Derek Christopher Liston, MD
401 East Vaughn Ave, North Louisiana Medical Center,
Ruston, LA 71270

Ph: (318) 245-2456

Reviews and Comments


Emergency Medicine Doctors in Ruston, LA

Benson Albert Grigsby, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2916 N Trenton St, Ruston, LA 71270
Phone: 318-254-2892    Fax: 318-254-2898
Dr. James Patrick Taylor, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1702 Esplanade Ave, Ruston, LA 71270
Phone: 318-613-4119    

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.