Frederick P List, PHD in Greenville, SC - Medicare Psychologist Provider

Frederick P List, PHD is a medicare enrolled "Psychologist" provider in Greenville, South Carolina. His current practice location is 200 Patewood Dr, Suite A200, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 454-5115.

Frederick P List is licensed to practice in South Carolina (license number 1086) 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 1740396886.

Contact Information

	Frederick P List, PHD
	200 Patewood Dr, Suite A200, Greenville, SC 29615-3593
	(864) 454-5115
	(864) 454-5146

Map and Direction

Healthcare Provider's Profile

Full Name	Frederick P List
Gender	Male
Speciality	Psychologist
Location	200 Patewood Dr, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740396886
Provider Enumeration Date: 08/22/2006
Last Update Date: 02/28/2018

Medicare PECOS Information:

PECOS PAC ID: 9931276052
Enrollment ID: I20080916000083

Medical Identifiers

Medical identifiers for Frederick P List such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740396886	NPI	-	NPPES
1305N	Other	NC	BLUE CROSS/BLUE SHIELD
60-00266	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1086 (South Carolina)	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. Frederick P List allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

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. Frederick P List 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
Frederick P List, PHD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: () -	Frederick P List, PHD 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 Ph: (864) 454-5115

Reviews and Comments

Psychologist in Greenville, SC

Julie Anne Mcelrath, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr Ste A200, Greenville, SC 29615 Phone: 864-454-5115 Fax: 864-454-5111
Dr. Davis Brigman, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 30 Patewood Dr Ste 160, Greenville, SC 29615 Phone: 843-501-1099
Dr. Suzanne Claycomb Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1400
Craig Douglas Young, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000
Hannah Lee Thompson, LPES Psychologist Medicare: Not Enrolled in Medicare Practice Location: 117 Hicks Rd, Greenville, SC 29605 Phone: 864-313-9332
Sheldon Lyle Herring, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Augusta St, Greenville, SC 29601 Phone: 864-455-2600 Fax: 864-455-2621
Nicholas Beck, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 W Antrim Dr, Greenville, SC 29607 Phone: 864-239-4110

Frederick P List, PHD - Medicare Psychologist in Greenville, SC