Andrew Lister, DO | |
8570 Granite Ct Ste 101, Fort Myers, FL 33908-4102 | |
(239) 310-4646 | |
Not Available |
Full Name | Andrew Lister |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 8 Years |
Location | 8570 Granite Ct Ste 101, Fort Myers, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992167191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | OS16085 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacifica Care Pllc | 7911184692 | 8 |
Entity Name | Pacifica Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669775037 PECOS PAC ID: 7911184692 Enrollment ID: O20110606000563 |
Entity Name | Personal Recovery Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
Mailing Address | Practice Location Address |
---|---|
Andrew Lister, DO 8570 Granite Ct Ste 101, Fort Myers, FL 33908-4102 Ph: (239) 310-4646 | Andrew Lister, DO 8570 Granite Ct Ste 101, Fort Myers, FL 33908-4102 Ph: (239) 310-4646 |
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