Dr Todd C Liston, DDS, MS - Medicare Dentist in Bountiful, UT

Dr Todd C Liston, DDS, MS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Bountiful, Utah. His current practice location is 469 Medical Dr Ste 202, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 299-8531.

Dr Todd C Liston is licensed to practice in Utah (license number 260605) 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 1598835506.

Contact Information

Dr Todd C Liston, DDS, MS
469 Medical Dr Ste 202,
Bountiful, UT 84010-8921
(801) 299-8531
(801) 299-9667



Healthcare Provider's Profile

Full NameDr Todd C Liston
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location469 Medical Dr Ste 202, Bountiful, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598835506
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3173696242
  • Enrollment ID: I20080723000031

Medical Identifiers

Medical identifiers for Dr Todd C Liston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598835506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 260605 (Utah)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. Dr Todd C Liston allows following entities to bill medicare on his behalf.
Entity NameOral And Maxillofacial Surgeons Of Utah, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780821124
PECOS PAC ID: 2264597541
Enrollment ID: O20090220000193

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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. Dr Todd C Liston 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
Dr Todd C Liston, DDS, MS
469 Medical Dr Ste 202,
Bountiful, UT 84010-8921

Ph: (801) 299-8531
Dr Todd C Liston, DDS, MS
469 Medical Dr Ste 202,
Bountiful, UT 84010-8921

Ph: (801) 299-8531

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Dentist in Bountiful, UT

Gregory G. Oman, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1480 South Orchard Drive, Bountiful, UT 84010
Phone: 801-298-9441    Fax: 801-298-9445
Karli Lynn Wilson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 24 S 500 W, Bountiful, UT 84010
Phone: 801-296-1606    
Dr. Joseph Feller, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 625 E 500 S, Suite 201, Bountiful, UT 84010
Phone: 801-295-3467    Fax: 801-295-5786
Phillip Peter Olsen, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 625 E 500 S, Suite 202, Bountiful, UT 84010
Phone: 801-292-4141    
Dr. Fred William Luedtke, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1260 S. 500 W., Bountiful, UT 84010
Phone: 801-294-6174    
Dr. Zachary Robert Andrews, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 319 S Main St, Bountiful, UT 84010
Phone: 801-295-7171    
Dr. George Allen Hibler, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1480 Orchard Dr, 107, Bountiful, UT 84010
Phone: 801-295-5865    Fax: 801-295-5333

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