Anthony R Lister, DDS is a medicare enrolled "Dentist - General Practice" provider in Old Forge, New York. His current practice location is
114 S Shore Rd, Old Forge, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 369-6634.
Anthony R Lister is licensed to practice in New York (license number 052886) 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 1679770523.
Healthcare Provider's Profile
Full Name | Anthony R Lister |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 114 S Shore Rd, Old Forge, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679770523
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 06/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 6305127150
- Enrollment ID: I20170110001574
Medical Identifiers
Medical identifiers for Anthony R Lister such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679770523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 052886 (New York) | Secondary |
1223G0001X | Dentist - General Practice | 052886 (New York) | Primary |
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. Anthony R 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 Address | Practice Location Address |
Anthony R Lister, DDS Po Box 66, Old Forge, NY 13420-0066 Ph: (153) 369-6634 | Anthony R Lister, DDS 114 S Shore Rd, Old Forge, NY 13420-7786 Ph: (315) 369-6634 |
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