Behavior Technician In Saint Paul Minnesota

NPI list of 122 behavior technician registered providers with a business address in Saint Paul, MN, 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
1003403494KAYLA BROOKE FANUMIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1013507623UBAX ALIIndividualBehavior Technician2642 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(952) 232-8710
Non-Participating ProviderNO
1013508050RODNETRIA WADEIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1023606191UMULKHEY A ABDILKADIRIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1023623360MIRIAH BRIDGEMANIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1023687738NATHAN BIENIASIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1023690211MONA JAMAIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1023697968SUNDUS HASHIIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1043805864PINKY LORIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1053981118BELINDA KATRICE ANDERSONIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1063021459AAMINA MOHAMUD ISMAILIndividualBehavior Technician373 WINTHROP ST S APT 157
SAINT PAUL, MN 55119
(651) 925-9281
Non-Participating ProviderNO
1093306706TATYANNA ISABELLA MCINTYREIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1093314619BISSIE ALEMAYEHU TADESSEIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1093381022MALYUUN AHMEDIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1104490549CHARLIE DUNNEIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1124608633HANAN KATABAYIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1124617238QUITA B KIALAINIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1134710833NATALIE MARIE FAFINSKIIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1134756653JAMES CUSICKIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1154910073HUDEYFE WARSAMEIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1154912772OLIVIA AFOLABIIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1154939494THOMAS HILLIndividualBehavior Technician2344 HELEN ST N
SAINT PAUL, MN 55109
(651) 773-5988
Non-Participating ProviderNO
1164036703CANDICE WILTIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1174111645SALMA AWILIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1184220840JASMINE CERONIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1184251647JOSEPHINE FUDALLYIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1194352369ANJALI CHADWICKIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1205415130BARBARA GONZALESIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1205426673ANISA SUFIIndividualBehavior Technician741 HYACINTH AVE E
SAINT PAUL, MN 55106
(612) 790-7278
Non-Participating ProviderNO
1215526389SUAD MAHAMUDIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1245867415RAHA SALADIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1255938395BEKAM MERDASSAIndividualBehavior Technician2432 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(203) 687-6925
Non-Participating ProviderNO
1255938767MARWA MOHAMMEDIndividualBehavior Technician67 SYCAMORE ST W
SAINT PAUL, MN 55117
(612) 507-3192
Non-Participating ProviderNO
1255968723MINDA KRISTINA BRIDGEMANIndividualBehavior Technician690 CLEVELAND AVE S
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1265003016HAMDI ABDIIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1265022784EDNAQ OSMANIndividualBehavior Technician2642 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(952) 232-8710
Non-Participating ProviderNO
1275115073SAMANTHA JEAN PETERSONIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1295324648GRACE K ROWSEYIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 986-3923
Non-Participating ProviderNO
1306439773HODA DIRIYEIndividualBehavior Technician1305 UNIVERSITY AVE W APT 414
SAINT PAUL, MN 55104
(651) 707-2161
Non-Participating ProviderNO
1316533722SHUKRI DIGALE ALIIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 986-3923
Non-Participating ProviderNO
1326613647HIBO HUSSEINIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1326631474EDMAN MOHAMOODIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1326636481ABDULAHA M MOHAMEDIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1326675885NATHAN FINGERIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1346817210MAYA TAYLORIndividualBehavior Technician834 BEECH ST
SAINT PAUL, MN 55106
(612) 715-5084
Non-Participating ProviderNO
1346843885ISMAHAN ABDULLAHIIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 444-0824
Non-Participating ProviderNO
1346844172FAISA ALIIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1346848553WINSE M NAMARRAIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1356912174YENNEFER MORENOIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1376170845EMELIA WESTERBERGIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1386232635MARISSA CHRISTINE ROCKENBACHIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1407436512WILLIAM ZOPFI-JORDANIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1417567017ISIS LOGWOODIndividualBehavior Technician690 CLEVELAND AVE S
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1427646389IKRA ALIIndividualBehavior Technician1730 GRAHAM AVE APT 247
SAINT PAUL, MN 55116
(763) 232-3821
Non-Participating ProviderNO
1427685601GETENET WORKUIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1427685619VINAS THAOIndividualBehavior Technician690 CLEVELAND AVE S
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1437786696SUNDUS ISSEIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1447856745DESIRE T BROWNIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 483-8412
Non-Participating ProviderNO
1447887625EMMA YANGIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1457958217HASSAN HUSSEIN HAYDARIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 986-3923
Non-Participating ProviderNO
1467089722MADELYN DAILEYIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1477141976UJIMA G BOSEMANIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1477142552NIMO MOHAMEDIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1487228490KRISTINA MONSONIndividualBehavior Technician393 DUNLAP ST N STE LL34
SAINT PAUL, MN 55104
(651) 644-2440
Non-Participating ProviderNO
1487281945JENNIFER MARY ZIELINSKIIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1497344154AYAN SHEIKIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1497345961NIMCO KHALIFIndividualBehavior Technician1082 GALTIER ST
SAINT PAUL, MN 55117
(612) 990-9060
Non-Participating ProviderNO
1497382691CYDNEY COLEMANIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1508441700FAIZA MOHAMEDIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1518540251MADISON SCHWANDTIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1518557610KOWSAR OMAR DAKANEIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1528657335KHATAB O ABDULKADIRIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(161) 298-6392
Non-Participating ProviderNO
1528657459HODO SHEIKIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1538798913KALLIOPI PANAGIIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1548859507KATRA MOHAMEDIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1558951087HALIMA OMARIndividualBehavior Technician2642 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(952) 232-8710
Non-Participating ProviderNO
1568055994MARY NAMBIIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1578157632PRINCE NYANKUNIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1588254106FAIZA MOHAMED ALIIndividualBehavior Technician2642 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(952) 232-8710
Non-Participating ProviderNO
1598339319ELEANOR PATRICIA HANNINENIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1598356172VANESSA LASSEYIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1598392029BARIBUMA KPONIIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1639743644ISABELLA GOULETTIndividualBehavior Technician393 DUNLAP ST N STE LL34
SAINT PAUL, MN 55104
(651) 644-2440
Non-Participating ProviderNO
1639772627RAMLA WARSAMEEIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1669009106PA HOUA LEEIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1669065058KATHERINE REDMONDIndividualBehavior Technician731 BIELENBERG DR STE 102-104
SAINT PAUL, MN 55125
(612) 445-8324
Non-Participating ProviderNO
1669066353IGNATIUS DUY-ANH PHAMIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1679166722NATASHA MITCHELLIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1689171357MADELINE HASTINGSIndividualBehavior Technician2344 HELEN ST N
SAINT PAUL, MN 55109
(651) 773-5988
Non-Participating ProviderNO
1689259350ISRA MOHAMUDIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1699365700SALMA ALIIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1700472743ASHA MOHAMED MUSEIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1700477445AMINATA KROMAHIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1710576822KANFEE ZODUAIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 986-3923
Non-Participating ProviderNO
1720615925ANZAL OMAR ADENIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1720658115MARIAM MOHAMED DUALYIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1730716929ELISE POWERSIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1730791179REBECCA KELLYIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1760019954ASMITA PAUDELIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1760051627SHARON HUTCHINSONIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1760056394LOURDES PATRICIA MOLINAIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1770110215ANTHONY MICHAEL QUIGLEYIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1780211946LIIBAAN MOALLINIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1780272815KELVIN OSEI AMANKWAL KWARTENGIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1780278457JENNIFER KEYANNA THOMPSONIndividualBehavior Technician1821 UNIVERSITY AVE W # 131
SAINT PAUL, MN 55104
(651) 528-7242
Non-Participating ProviderNO
1801460811HANDFUL SIAWAYIndividualBehavior Technician393 DUNLAP ST N
SAINT PAUL, MN 55104
(651) 644-2440
Non-Participating ProviderNO
1821676909EMILEE LYNNE FALCHIndividualBehavior Technician731 BIELENBERG DR UNIT 102-104
SAINT PAUL, MN 55125
(612) 445-8324
Non-Participating ProviderNO
1831771575DORIENNE HOVENIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1871120139KATHRYN JOANNA JOHNSONIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8142
Non-Participating ProviderNO
1871171827DARLA KATHLEEN HARRISONIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1871178939PAMELA MADISONIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1891322343CARRIE YANGIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1891377602THERESE PHAMIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1922635010ALEXANDRA ORRIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1952980963EMILY GRACE ENGIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1952985665IQRA ABDULLAHIIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 452-5550
Non-Participating ProviderNO
1952997363ASIYA ABDI ADENIndividualBehavior Technician1410 ENERGY PARK DR STE 11
SAINT PAUL, MN 55108
(612) 986-3923
Non-Participating ProviderNO
1962093930LILIA VANGIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1972196327KHADRA MOHAMEDIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
Non-Participating ProviderNO
1982281051CATHERINE LEJING LINDEMANNIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1982288569SYDNEY ELIZABETH SCHULTZIndividualBehavior Technician690 CLEVELAND AVE S STE 100
SAINT PAUL, MN 55116
(651) 493-8412
Non-Participating ProviderNO
1992379911ROCIO ZAMBRANOIndividualBehavior Technician2430 UNIVERSITY AVE W
SAINT PAUL, MN 55114
(651) 200-4159
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.