Douglas S Lister, DPM - Medicare Podiatrist in Park City, UT

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Douglas S Lister, DPM is a medicare enrolled "Podiatrist" provider in Park City, Utah. He went to California School Of Podiatric Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Mendocino Coast Clinics, Inc, Adventist Health Mendocino Coast and his current practice location is 2720 Homestead Road, Suite 50, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 604-0449.

Douglas S Lister is licensed to practice in California (license number E41920) 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 1295958312.

Contact Information

Douglas S Lister, DPM
2720 Homestead Road, Suite 50,
Park City, UT 84098-4885
(435) 604-0449
(435) 649-9202

Map and Direction




Healthcare Provider's Profile

Full NameDouglas S Lister
GenderMale
SpecialityPodiatry
Experience31 Years
Location2720 Homestead Road, Park City, Utah
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:
  • Douglas S Lister attended and graduated from California School Of Podiatric Medicine in 1993
  NPI Data:
  • NPI Number: 1295958312
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 10/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4284665100
  • Enrollment ID: I20050830000546

Medical Identifiers

Medical identifiers for Douglas S Lister such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295958312NPI-NPPES
000065013MedicaidUT
6619665-0501OtherUTUTAH LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist E41920 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mendocino Coast District HospitalFort bragg, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mendocino Coast Clinics, Inc599161915715
Adventist Health Mendocino Coast367899076960

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. Douglas S Lister allows following entities to bill medicare on his behalf.
Provider NameMendocino Coast Clinics, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609595404
PECOS PAC ID: 5991619157
Enrollment ID: O20050512001033
Provider NameAdventist Health Mendocino Coast
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1538113725
PECOS PAC ID: 3678990769
Enrollment ID: O20220620001667

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. Douglas S 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
Douglas S Lister, DPM
Po Box 34120,
Reno, NV 89533-4120

Ph: (775) 747-5050		Douglas S Lister, DPM
2720 Homestead Road, Suite 50,
Park City, UT 84098-4885

Ph: (435) 604-0449

Reviews and Comments


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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.