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

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Jared Michael Liston, MD is a medicare enrolled "Plastic Surgery" physician in Charlottesville, Virginia. He went to Wright State University Boonshoft School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and 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 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 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 NameJared Michael Liston
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience9 Years
Location1215 Lee St, Charlottesville, Virginia
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:
  • Jared Michael Liston attended and graduated from Wright State University Boonshoft School Of Medicine in 2017
  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.
IdentifierTypeStateIssuer
1932630019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 0101280287 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc37794958581921

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 NameKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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 AddressPractice 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

Amanda R Sergesketter, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 650 Peter Jefferson Pkwy Ste 200, Charlottesville, VA 22911
Phone: 434-924-5078    Fax: 434-924-8118
Vusala Snyder, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 415 Ray C Hunt Dr Ste 2200, Charlottesville, VA 22903
Phone: 434-924-5700    
Perry Bradford, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Box 800376, Charlottesville, VA 22908
Phone: 434-924-5078    Fax: 434-924-8118
Ronnie L Shammas Jr., MD
Plastic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22903
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
Thomas J. Gampper,
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22908
Phone: 434-924-5078    Fax: 434-924-8118
Michael P Grant, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22903
Phone: 434-924-5078    

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).

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