Robert D Lisota, PHD - Medicare Psychologist in Chubbuck, ID

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Robert D Lisota, PHD is a medicare enrolled "Psychologist - Forensic" provider in Chubbuck, Idaho. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pearl Health Clinic and his current practice location is 774 Leonidas St, Chubbuck, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 220-1944.

Robert D Lisota is licensed to practice in Idaho (license number PSY202807) 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 1316175862.

Contact Information

Robert D Lisota, PHD
774 Leonidas St,
Chubbuck, ID 83202-1664
(208) 220-1944
(208) 516-1569

Map and Direction




Healthcare Provider's Profile

Full NameRobert D Lisota
GenderMale
SpecialityClinical Psychologist
Experience19 Years
Location774 Leonidas St, Chubbuck, Idaho
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:
  • Robert D Lisota graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1316175862
  • Provider Enumeration Date: 06/23/2009
  • Last Update Date: 09/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8921153941
  • Enrollment ID: I20250624001785

Medical Identifiers

Medical identifiers for Robert D Lisota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316175862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0200XPsychologist - Forensic PSY202807 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pearl Health Clinic084035607738

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. Robert D Lisota allows following entities to bill medicare on his behalf.
Entity NamePearl Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447426465
PECOS PAC ID: 0840356077
Enrollment ID: O20090312000617

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. Robert D Lisota 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
Robert D Lisota, PHD
774 Leonidas St,
Chubbuck, ID 83202-1664

Ph: (208) 220-1944		Robert D Lisota, PHD
774 Leonidas St,
Chubbuck, ID 83202-1664

Ph: (208) 220-1944

Reviews and Comments


Psychologist in Chubbuck, ID

Hillary Hamilton Locke, PSY.D.
Psychologist
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Practice Location: 4460 Central Way Ste 2, Chubbuck, ID 83202
Phone: 208-237-1711    
Mrs. Jeanna Chay Colborn, MA, SE
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Sanctuary 4737 Afton Pl, Ste #a, Chubbuck, ID 83202
Phone: 208-417-0623    Fax: 208-417-0641
Allison Clark Joe,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202
Phone: 208-237-9833    Fax: 208-237-1800
Liva Rigney-cox,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202
Phone: 208-237-9833    Fax: 208-237-1800
Mr. Daniel Lance Traughber, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 4737 Afton Place, Ste A, Chubbuck, ID 83202
Phone: 208-417-0623    Fax: 208-417-0641
Matthew W Ashton, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202
Phone: 208-237-1711    Fax: 208-237-9806
Stefane Yeaman,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202
Phone: 208-237-9833    Fax: 208-237-1800

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.