Dr Mary Patricia List, MD in Roseville, CA

Dr Mary Patricia List, MD is a medicare enrolled "Dermatology" physician in Roseville, California. Her current practice location is 2261 Douglas Blvd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 797-4766.

Dr Mary Patricia List is licensed to practice in Ohio (license number 35.148704) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013440874.

Contact Information

	Dr Mary Patricia List, MD
	2261 Douglas Blvd, Roseville, CA 95661-3831
	(916) 797-4766
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mary Patricia List
Gender	Female
Speciality	Dermatology
Location	2261 Douglas Blvd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013440874
Provider Enumeration Date: 04/09/2017
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5294066999
Enrollment ID: I20230926002119

Medical Identifiers

Medical identifiers for Dr Mary Patricia List such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013440874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	35.148704 (Ohio)	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 Mary Patricia List allows following entities to bill medicare on her behalf.

Entity Name	Christ Hospital Medical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124341649 PECOS PAC ID: 6507998432 Enrollment ID: O20100713000295

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 Mary Patricia List 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 Mary Patricia List, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: (800) 470-0071	Dr Mary Patricia List, MD 2261 Douglas Blvd, Roseville, CA 95661-3831 Ph: (916) 797-4766

Reviews and Comments

Dermatology Doctors in Roseville, CA

Dr. Christine Badgwell Doherty, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2120 Professional Dr, Roseville, CA 95661 Phone: 916-631-3010
Dr. Linda J Sheu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Suite 230, Roseville, CA 95661 Phone: 916-797-4766 Fax: 916-797-4767
Robert Hadley Hargrove, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 10 Sierra Gate Plz Ste 120, Roseville, CA 95678 Phone: 916-784-1155 Fax: 916-773-0995
Dr. Gregory Michael Bricca, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 9269 Sierra College Blvd, Roseville, CA 95661 Phone: 916-772-1585 Fax: 916-772-5685
Christopher H Ha, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1412 Blue Oaks Blvd, Roseville, CA 95747 Phone: 916-784-7546 Fax: 916-784-7548
Sylvia Jaramillo Ortega, P.A. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8735 Sierra College Blvd, Suite 200, Roseville, CA 95661 Phone: 916-773-3376 Fax: 916-773-3353

Dr Mary Patricia List, MD - Medicare Dermatology in Roseville, CA