Dr Holly Lister, PHD - Medicare Psychologist in Belleville, MI

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Dr Holly Lister, PHD is a medicare enrolled "Psychologist - Clinical" provider in Belleville, Michigan. Her current practice location is 201 3rd St Ste 200, Belleville, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 697-9059.

Dr Holly Lister is licensed to practice in New Jersey (license number 35SI00616900) 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 1467950766.

Contact Information

Dr Holly Lister, PHD
201 3rd St Ste 200,
Belleville, MI 48111-2605
(734) 697-9059
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Holly Lister
GenderFemale
SpecialityPsychologist - Clinical
Location201 3rd St Ste 200, Belleville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467950766
  • Provider Enumeration Date: 02/01/2018
  • Last Update Date: 05/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931520012
  • Enrollment ID: I20200527002181

Medical Identifiers

Medical identifiers for Dr Holly Lister such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467950766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301016769 (Michigan)Secondary
103TC0700XPsychologist - Clinical 35SI00616900 (New Jersey)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 Holly Lister allows following entities to bill medicare on her behalf.
Entity NameRutgers Health-rwj Ob/gyn Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790726149
PECOS PAC ID: 4486646510
Enrollment ID: O20040331000244
Entity NameRutgers Health-rwj Primary Medicine Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659475283
PECOS PAC ID: 7911972674
Enrollment ID: O20040827000179
Entity NameRutgers Health-pcc Monument Square
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912089731
PECOS PAC ID: 1052389582
Enrollment ID: O20040922000258
Entity NameRutgers Health Rwj Pediatric Adolescent Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023055738
PECOS PAC ID: 8729035894
Enrollment ID: O20050401000109
Entity NameRutgers Health-rwj Scleroderma Program
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679655781
PECOS PAC ID: 5193764991
Enrollment ID: O20050502000326
Entity NameRutgers Health Rwj Primary Care Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497867410
PECOS PAC ID: 9032158761
Enrollment ID: O20050502000678

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 Holly Lister 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 Holly Lister, PHD
3500 E Jefferson Ave Apt 221,
Detroit, MI 48207-4398

Ph: () -		Dr Holly Lister, PHD
201 3rd St Ste 200,
Belleville, MI 48111-2605

Ph: (734) 697-9059

Reviews and Comments


Psychologist in Belleville, MI

Dr. Jagatheesan Saxon Govender, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 42743 Alba Ct, Belleville, MI 48111
Phone: 734-697-3907    
Gayle Oliver-brannon, LLP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 25 Owen St, Belleville, MI 48111
Phone: 313-690-3837    Fax: 734-753-3276
Ms. Laura Jean Hogan, MA. LLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 701 Estrada Dr, Belleville, MI 48111
Phone: 734-697-5120    
Dr. Kelly Connors Johnson, PH.D., L.P.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 159 Main St, Belleville, MI 48111
Phone: 734-799-6047    

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.