Behavior Technician In Hialeah Gardens Florida

NPI list of 119 behavior technician registered providers with a business address in Hialeah Gardens, FL, all registered as individuals. The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

NPI Name Type Taxonomy Address Medicare PECOS
1003402835ANTHONY DIAZ FUENTESIndividualBehavior Technician8925 NW 117TH ST
HIALEAH GARDENS, FL 33018
(786) 620-4600
Non-Participating ProviderNO
1013533348GRETER HERNANDEZIndividualBehavior Technician9058 NW 121ST TER
HIALEAH GARDENS, FL 33018
(786) 523-5287
Non-Participating ProviderNO
1023466083MAGDALENA SANCHEZIndividualBehavior Technician8898 NW 110TH LN
HIALEAH GARDENS, FL 33018
(786) 414-4629
Non-Participating ProviderNO
1023634326JOSE ANTONIO FERNANDEZIndividualBehavior Technician3506 W 80TH ST UNIT 102
HIALEAH GARDENS, FL 33018
(305) 433-0750
Non-Participating ProviderNO
1023674678ELIBET GONZALEZIndividualBehavior Technician11300 NW 87TH CT STE 149
HIALEAH GARDENS, FL 33018
(786) 518-3452
Non-Participating ProviderNO
1043757198ARLETTE POMARESIndividualBehavior Technician8830 W 33RD AVE
HIALEAH GARDENS, FL 33018
(786) 223-4591
Non-Participating ProviderNO
1063956563JESSICA NICOLE JUSTOIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(954) 805-2360
Non-Participating ProviderNO
1073080040KAREN RIVERO PADRONIndividualBehavior Technician8704 NW 112TH ST
HIALEAH GARDENS, FL 33018
(786) 395-5849
Non-Participating ProviderNO
1083130637HANNAH MEDINAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1083159008YANETSI RODDAIndividualBehavior Technician10184 NW 126TH TER
HIALEAH GARDENS, FL 33018
(786) 450-1808
Non-Participating ProviderNO
1083211304YAMINA VICENTE PRADOIndividualBehavior Technician10184 NW 126TH TER
HIALEAH GARDENS, FL 33018
(786) 777-8323
Non-Participating ProviderNO
1093226284ZULEMA ALONSOIndividualBehavior Technician8851 NW 119TH ST UNIT 5103
HIALEAH GARDENS, FL 33018
(786) 768-5423
Non-Participating ProviderNO
1114462652DANIEL SOSAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1124440144JESSICA BUTTERSIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1154848521DANIELA RAQUEL LEMUS CASTILLOIndividualBehavior Technician10057 NW 127TH ST
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1164043840LUIS M PATOIndividualBehavior Technician9142 NW 114TH ST
HIALEAH GARDENS, FL 33018
(954) 839-5297
Non-Participating ProviderNO
1174177919RENE JESUS IZQUIERDOIndividualBehavior Technician8007 W 36TH AVE APT 4
HIALEAH GARDENS, FL 33018
(786) 780-9261
Non-Participating ProviderNO
1184199218EINYELS GOMEZIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(786) 374-7876
Non-Participating ProviderNO
1194247908TANIA GLORIA FERNANDEZIndividualBehavior Technician8801 NW 118TH ST
HIALEAH GARDENS, FL 33018
(305) 588-7207
Non-Participating ProviderNO
1235613134IDIANET MARTINEZIndividualBehavior Technician8846 NW 116TH TER
HIALEAH GARDENS, FL 33018
(305) 772-1339
Non-Participating ProviderNO
1255847729YUNAISIS CANCANONIndividualBehavior Technician9012 NW 117TH TER
HIALEAH GARDENS, FL 33018
(786) 647-8534
Non-Participating ProviderNO
1265770952JENNYBEL HERRERAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(954) 802-9469
Non-Participating ProviderNO
1265962245ROSEMARY DIAZIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1275077760LUISA MARIA PAJON-MASJUANIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(786) 762-6988
Non-Participating ProviderNO
1578007050BRITTNI MONTEZANOIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(786) 442-8929
Non-Participating ProviderNO
1366981367ELAINE GOMEZIndividualBehavior Technician12345 NW 97TH CT
HIALEAH GARDENS, FL 33018
(832) 971-9079
Non-Participating ProviderNO
1598205593DAYLEN LUIS AROCHAIndividualBehavior Technician260 NW 45TH AVE
HIALEAH GARDENS, FL 33126
(786) 209-9957
Non-Participating ProviderNO
1518490093JULIA NURYS LLANESIndividualBehavior Technician8917 NW 112TH ST
HIALEAH GARDENS, FL 33018
(786) 488-5555
Non-Participating ProviderNO
1386170249IRAIDA GUZMANIndividualBehavior Technician12739 NW 98TH PL
HIALEAH GARDENS, FL 33018
(786) 339-6688
Non-Participating ProviderNO
1578099396YAMILET BLANCA FERNANDEZIndividualBehavior Technician11570 NW 87TH CT
HIALEAH GARDENS, FL 33018
(786) 231-8901
Non-Participating ProviderNO
1538695341LAYREN JACINTO FARRADAIndividualBehavior Technician9862 NW 82ND AVE APT 105
HIALEAH GARDENS, FL 33016
(786) 424-1346
Non-Participating ProviderNO
1598293037SUREYA ABDALAIndividualBehavior Technician9160 NW 122ND ST UNIT 27
HIALEAH GARDENS, FL 33018
(305) 828-7870
Non-Participating ProviderNO
1467974030RAIZA PEREZIndividualBehavior Technician3355 W 68 ST #145
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1396268009ELIZABETH BERNAL ROSELLOIndividualBehavior Technician3355 W 68TH ST #145
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1356867709DIANELYS RIOSIndividualBehavior Technician12401 W OKEECHOBEE RD LOT 71
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1285152785JENNIFER ASHLEY WEBSTERIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1447779780TANIA ENAMORADOIndividualBehavior Technician10400 NW 130TH ST
HIALEAH GARDENS, FL 33018
(786) 975-7263
Non-Participating ProviderNO
1538678172YAOSMEL OLIVARESIndividualBehavior Technician8749 NW 107TH LN
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1356852537DAYALIN IZQUIERDOIndividualBehavior Technician12501 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1407364441YONIA GALLARDOIndividualBehavior Technician9137 NW 117TH TER
HIALEAH GARDENS, FL 33018
(786) 234-9168
Non-Participating ProviderNO
1447544317LAURA GARCIAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1629512371RAFAEL ZORRILLAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1588102693RONNIE GARCIAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 709-8554
Non-Participating ProviderNO
1588105860RAYMOND PEREZIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 308-5548
Non-Participating ProviderNO
1437675782YENSLEIDY ARMASIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(786) 569-1609
Non-Participating ProviderNO
1558864868JESSICA MESAIndividualBehavior Technician12355 NW 98TH AVE
HIALEAH GARDENS, FL 33018
(786) 862-2011
Non-Participating ProviderNO
1326541632YUNIA ORAMASIndividualBehavior Technician12355 NW 98TH AVE
HIALEAH GARDENS, FL 33018
(786) 843-1280
Non-Participating ProviderNO
1598201550DAIHAMI LOPEZIndividualBehavior Technician2985 W 80TH ST APT 119
HIALEAH GARDENS, FL 33018
(786) 663-7490
Non-Participating ProviderNO
1366899379MARIA LUISA MARTINEZ RODRIGUEZIndividualBehavior Technician10184 NW 126TH TER
HIALEAH GARDENS, FL 33018
(786) 354-0904
Non-Participating ProviderNO
1477900108MAVILEIVIS DIAZIndividualBehavior Technician12324 NW 98TH LN
HIALEAH GARDENS, FL 33018
(786) 372-5734
Non-Participating ProviderNO
1386092716YANEIVIS DIAZIndividualBehavior Technician9452 NW 120TH ST APT 527
HIALEAH GARDENS, FL 33018
(786) 556-1302
Non-Participating ProviderNO
1417400557MARIA NUNEZIndividualBehavior Technician8908 NW 121ST ST
HIALEAH GARDENS, FL 33018
(786) 468-3469
Non-Participating ProviderNO
1578031886VIVIANA PEREZIndividualBehavior Technician12401 W OKEECHOBEE RD LOT 234
HIALEAH GARDENS, FL 33018
(305) 744-4458
Non-Participating ProviderNO
1396303921ERIKA Y ARISTIZABALIndividualBehavior Technician12312 NW 98TH CT
HIALEAH GARDENS, FL 33018
(786) 571-9744
Non-Participating ProviderNO
1528620663YASIEL DIAZIndividualBehavior Technician8922 NW 112TH ST
HIALEAH GARDENS, FL 33018
(786) 909-4604
Non-Participating ProviderNO
1528509601LAURA NUNEZ HEVIAIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 828-5276
Non-Participating ProviderNO
1588217228SARIFE YUSETH MOLINAIndividualBehavior Technician11039 W OKEECHOBEE RD UNIT 201
HIALEAH GARDENS, FL 33018
(786) 620-5801
Non-Participating ProviderNO
1508259813ISBEL QUINTANAIndividualBehavior Technician10324 NW 127TH ST
HIALEAH GARDENS, FL 33018
(786) 291-2296
Non-Participating ProviderNO
1649826272LEIDY LAURA CORDERO CORRALESIndividualBehavior Technician8729 NW 116TH TER
HIALEAH GARDENS, FL 33018
(786) 340-2048
Non-Participating ProviderNO
1447771175ELIZABETH ALMANZAIndividualBehavior Technician9372 NW 120 STREET #728
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1447892419JULIETTE GONZALEZIndividualBehavior Technician2676 W 74TH TER
HIALEAH GARDENS, FL 33016
(786) 333-4802
Non-Participating ProviderNO
1457990608SOPHIA ISABELLA GONZALEZIndividualBehavior Technician12798 NW 103RD AVE
HIALEAH GARDENS, FL 33018
(786) 923-6091
Non-Participating ProviderNO
1457991531ALYSSON JAAFARIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 898-4304
Non-Participating ProviderNO
1376178830SARAHI SUAREZ LANDINIndividualBehavior Technician10684 NW 87TH CT
HIALEAH GARDENS, FL 33018
(786) 318-4057
Non-Participating ProviderNO
1396353207YUDIHT CALCINESIndividualBehavior Technician8416 NW 103RD ST APT B-104
HIALEAH GARDENS, FL 33016
(786) 356-5260
Non-Participating ProviderNO
1568071355ERNESTO PIEDRA PORTEROIndividualBehavior Technician7733 W 34TH LN
HIALEAH GARDENS, FL 33018
(786) 602-7071
Non-Participating ProviderNO
1518565886YORMA CUNILL SARDINASIndividualBehavior Technician9919 W OKEECHOBEE RD APT 431
HIALEAH GARDENS, FL 33016
(786) 539-6834
Non-Participating ProviderNO
1437758216AIDEE CUELLAR GUTIERRESIndividualBehavior Technician10231 NW 129TH ST
HIALEAH GARDENS, FL 33018
(786) 800-1399
Non-Participating ProviderNO
1609224286ARLETI ALFALLAIndividualBehavior Technician7634 W 34TH LN UNIT 102
HIALEAH GARDENS, FL 33018
(786) 208-2907
Non-Participating ProviderNO
1558858241KATIA LOPEZ MANZANEDOIndividualBehavior Technician9862 NW 82ND AVE APT 107
HIALEAH GARDENS, FL 33016
(786) 657-0005
Non-Participating ProviderNO
1316533193MARIA LISSET SISSONIndividualBehavior Technician12097 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(786) 252-2894
Non-Participating ProviderNO
1487252763DAYANA PEREZ SANCHEZIndividualBehavior Technician8912 NW 121ST ST
HIALEAH GARDENS, FL 33018
(786) 488-3710
Non-Participating ProviderNO
1962944504ANGELICA CRUZ-OJALVOIndividualBehavior Technician9775 NW 127TH TER
HIALEAH GARDENS, FL 33018
(786) 616-5266
Non-Participating ProviderNO
1669918215RAFAELINA CRESPOIndividualBehavior Technician7053 W 33RD LN
HIALEAH GARDENS, FL 33018
(786) 231-4997
Non-Participating ProviderNO
1912444738MAGBIS FARRADA MERREROIndividualBehavior Technician9862 NW 82ND AVE APT 104
HIALEAH GARDENS, FL 33016
(786) 424-1315
Non-Participating ProviderNO
1932649928KATIA GAMAZOIndividualBehavior Technician3375 W 76 ST APT 112
HIALEAH GARDENS, FL 33018
(786) 222-5913
Non-Participating ProviderNO
1851827711FABIAN GONZALEZIndividualBehavior Technician12739 NW 98TH PL
HIALEAH GARDENS, FL 33018
(954) 534-1195
Non-Participating ProviderNO
1891218707BELKIS MARQUEZ ROQUEIndividualBehavior Technician9096 NW 120TH ST
HIALEAH GARDENS, FL 33018
Non-Participating ProviderNO
1689190407GRETTER MARTINIndividualBehavior Technician9811 W OKEECHOBEE RD APT 210
HIALEAH GARDENS, FL 33016
Non-Participating ProviderNO
1750807137MARIA LARA HERNANDEZIndividualBehavior Technician8787 NW 111TH TER
HIALEAH GARDENS, FL 33018
(786) 260-2763
Non-Participating ProviderNO
1992218754CARIDAD DIAZ SOLERIndividualBehavior Technician12401 W OKEECHOBEE RD LOT 378
HIALEAH GARDENS, FL 33018
(786) 380-3393
Non-Participating ProviderNO
1972017713LUISA NORMA CASAS NAVARROIndividualBehavior Technician9839 NW 128TH LN
HIALEAH GARDENS, FL 33018
(305) 778-0064
Non-Participating ProviderNO
1679010326BRIAN ALEXANDER DAVISIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 905-9196
Non-Participating ProviderNO
1669919106ARIEL PITTSINGERIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(954) 600-4508
Non-Participating ProviderNO
1932508827JIMMY MORALESIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(305) 803-4440
Non-Participating ProviderNO
1811498348MAILIN ESCALADA PARDOIndividualBehavior Technician110 ROYAL PALM RD APT 211
HIALEAH GARDENS, FL 33016
(786) 803-6740
Non-Participating ProviderNO
1780186957DILENY LESCAYIndividualBehavior Technician10385 NW 127TH ST
HIALEAH GARDENS, FL 33018
(786) 683-6769
Non-Participating ProviderNO
1912418633YAZMIN HERNANDEZIndividualBehavior Technician9148 NW 120TH ST
HIALEAH GARDENS, FL 33018
(720) 546-8038
Non-Participating ProviderNO
1902308612OLINDA BAUZAIndividualBehavior Technician11175 NW 87TH PL
HIALEAH GARDENS, FL 33018
(786) 222-1841
Non-Participating ProviderNO
1700382520YANEISY FERNANDEZ RUIZIndividualBehavior Technician12401 W OKEECHOBEE RD LOT 121
HIALEAH GARDENS, FL 33018
(786) 626-2315
Non-Participating ProviderNO
1942658430ROLANDO NAVARROIndividualBehavior Technician120 ROYAL PALM RD APT 219
HIALEAH GARDENS, FL 33016
(786) 334-1151
Non-Participating ProviderNO
1841729316HEIDY GARCIAIndividualBehavior Technician9919 WEST OKEECHOBEE ROAD APT 138-A
HIALEAH GARDENS, FL 33016
Non-Participating ProviderNO
1972084820JORGE RODDAIndividualBehavior Technician10184 NW 126TH TER
HIALEAH GARDENS, FL 33018
(786) 398-0674
Non-Participating ProviderNO
1881174233RAUL MARTINEZIndividualBehavior Technician9293 NW 120TH TER
HIALEAH GARDENS, FL 33018
(786) 230-9726
Non-Participating ProviderNO
1871151217LAUREN MAGDARIAGAIndividualBehavior Technician9482 NW 120TH ST APT 830
HIALEAH GARDENS, FL 33018
(786) 217-3572
Non-Participating ProviderNO
1962907139IOVANNA ROMEROIndividualBehavior Technician12051 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(954) 646-3755
Non-Participating ProviderNO
1730733502JULIO CESAR SANTANAIndividualBehavior Technician9246 NW 120TH TER
HIALEAH GARDENS, FL 33018
(786) 805-9843
Non-Participating ProviderNO
1881240364YANISLEIDYS TRABADOIndividualBehavior Technician12963 W OKEECHOBEE RD STE 2
HIALEAH GARDENS, FL 33018
(305) 397-3597
Non-Participating ProviderNO
1811543267CLAUDIA LENA HERNANDEZIndividualBehavior Technician8713 NW 111TH TER
HIALEAH GARDENS, FL 33018
(786) 354-3229
Non-Participating ProviderNO
1669038279JANET PEREZ CORCHO GONZALEZIndividualBehavior Technician9379 NW 114TH LN
HIALEAH GARDENS, FL 33018
(786) 817-5020
Non-Participating ProviderNO
1962048645YADENS DELGADO BIBILONIAIndividualBehavior Technician9917 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33016
(786) 484-9964
Non-Participating ProviderNO
1861031072ANELL BEATRIZ LOPEZIndividualBehavior Technician8828 NW 112TH TER
HIALEAH GARDENS, FL 33018
(305) 680-9629
Non-Participating ProviderNO
1790317287GERLEN CANGAS LAZOIndividualBehavior Technician8831 NW 111TH TER
HIALEAH GARDENS, FL 33018
(786) 720-4480
Non-Participating ProviderNO
1720612336GRACIELA DE LA CARIDAD FERROIndividualBehavior Technician9272 NW 120TH TER
HIALEAH GARDENS, FL 33018
(786) 641-1423
Non-Participating ProviderNO
1699393058KENIA MARTINEZ HENRYIndividualBehavior Technician12401 W OKEECHOBEE RD LOT 296
HIALEAH GARDENS, FL 33018
(786) 443-9033
Non-Participating ProviderNO
1770104770LISSETTE ARANGO RICARDOIndividualBehavior Technician9402 NW 120TH ST APT 30
HIALEAH GARDENS, FL 33018
(786) 656-5167
Non-Participating ProviderNO
1649880717EVELYN S SALAZARIndividualBehavior Technician9338 NW 121ST TER
HIALEAH GARDENS, FL 33018
(786) 609-0409
Non-Participating ProviderNO
1679183537BARBARA DIANELYS DE LA TORREIndividualBehavior Technician8807 NW 109TH TER
HIALEAH GARDENS, FL 33018
(786) 231-9126
Non-Participating ProviderNO
1770195406ANTONIO MIGUEL SANCHEZ BLANCOIndividualBehavior Technician8959 NW 112TH ST
HIALEAH GARDENS, FL 33018
(954) 695-3776
Non-Participating ProviderNO
1891350369SILVIA MARIA CORZO RODRIGUEZIndividualBehavior Technician12401 W OKEECHOBEE RD
HIALEAH GARDENS, FL 33018
(786) 991-5682
Non-Participating ProviderNO
1811501547MELISSA ARCEIndividualBehavior Technician9115 NW 113TH ST
HIALEAH GARDENS, FL 33018
(786) 543-5451
Non-Participating ProviderNO
1699374181ALISBEL ALONSOIndividualBehavior Technician10020 NW 129TH TER
HIALEAH GARDENS, FL 33018
(305) 586-2085
Non-Participating ProviderNO
1700442324NANDA SUSELL VERDESES HERNANDEZIndividualBehavior Technician9201 NW 114TH ST APT 5
HIALEAH GARDENS, FL 33018
(786) 479-5714
Non-Participating ProviderNO
1992301766HILDA LEONIndividualBehavior Technician8783 NW 110TH ST
HIALEAH GARDENS, FL 33018
(786) 350-6863
Non-Participating ProviderNO
1669013314MARIA D CAO MONESIndividualBehavior Technician10925 W OKEECHOBEE RD UNIT 201
HIALEAH GARDENS, FL 33018
(786) 281-5942
Non-Participating ProviderNO
1891383311YAGNERYS RODRIGUEZ PEREZIndividualBehavior Technician9231 NW 114TH ST APT 2
HIALEAH GARDENS, FL 33018
(305) 896-4021
Non-Participating ProviderNO
1972192649BARBARA C TAULERIndividualBehavior Technician120 ROYAL PALM RD APT 308
HIALEAH GARDENS, FL 33016
(954) 556-0830
Non-Participating ProviderNO
1679163307NICOLE BANOSIndividualBehavior Technician9087 NW 117TH TER
HIALEAH GARDENS, FL 33018
(786) 541-4888
Non-Participating ProviderNO
1699366997MAGALY FERNANDEZIndividualBehavior Technician9362 NW 120TH ST APT 622
HIALEAH GARDENS, FL 33018
(786) 273-8825
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.