Jared Michael Liston, MD in Charlottesville, VA

Jared Michael Liston, MD is a medicare enrolled "Plastic Surgery" physician in Charlottesville, Virginia. His current practice location is 1215 Lee St, Box #800376, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 924-5078.

Jared Michael Liston is licensed to practice in Virginia (license number 0101280287) 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 1932630019.

Contact Information

	Jared Michael Liston, MD
	1215 Lee St, Box #800376, Charlottesville, VA 22908-0816
	(434) 924-5078
	(434) 924-8118

Map and Direction

Physician's Profile

Full Name	Jared Michael Liston
Gender	Male
Speciality	Plastic Surgery
Location	1215 Lee St, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932630019
Provider Enumeration Date: 03/21/2017
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0244501492
Enrollment ID: I20240822002036

Medical Identifiers

Medical identifiers for Jared Michael Liston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932630019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	0101280287 (Virginia)	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. Jared Michael Liston allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Jared Michael 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 Address	Practice Location Address
Jared Michael Liston, MD 1215 Lee St, Box #800376, Charlottesville, VA 22908-0816 Ph: (434) 924-5078	Jared Michael Liston, MD 1215 Lee St, Box #800376, Charlottesville, VA 22908-0816 Ph: (434) 924-5078

Reviews and Comments

Plastic Surgery Doctors in Charlottesville, VA

Vusala Snyder, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 415 Ray C Hunt Dr Ste 2200, Charlottesville, VA 22903 Phone: 434-924-5700
Perry Bradford, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Box 800376, Charlottesville, VA 22908 Phone: 434-924-5078 Fax: 434-924-8118
Dr. John T Stranix, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22908 Phone: 434-924-5078 Fax: 434-924-8118
Evelyn R. Reed, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1215 Lee Street Box 801016, Charlottesville, VA 22908 Phone: 434-924-2663 Fax: 434-244-4454
Thomas J. Gampper, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22908 Phone: 434-924-5078 Fax: 434-924-8118
Christopher A. Campbell, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903 Phone: 434-924-5078 Fax: 434-924-8118
Dr. Rhett N Willis Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1410 Incarnation Dr Ste 205a, Charlottesville, VA 22901 Phone: 434-227-5333 Fax: 434-483-5040

Jared Michael Liston, MD - Medicare Plastic Surgery in Charlottesville, VA