Case Management In New Castle Pennsylvania

NPI list of 6 case management registered providers with a business address in New Castle, PA, all registered as organizations. An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

NPI Name Type Taxonomy Address Medicare PECOS
1164645800HUMAN SERVICES CENTEROrganizationCase Management111 E GRANT ST
NEW CASTLE, PA 16101
(724) 658-3578
Non-Participating ProviderNO
1417351412COORDINATION CARE INC.OrganizationCase Management125 EAST NORTH ST
NEW CASTLE, PA 16101
(724) 614-1141
Non-Participating ProviderNO
1477006153A BRIDGE HOME INC.OrganizationCase Management831 HARRISON ST STE B
NEW CASTLE, PA 16101
(724) 856-4223
Non-Participating ProviderNO
1497978126HUMAN SERVICES CENTEROrganizationCase Management130 W NORTH ST
NEW CASTLE, PA 16101
(724) 658-3578
Non-Participating ProviderNO
1619190352HUMAN SERVICES CENTEROrganizationCase Management130 W NORTH ST
NEW CASTLE, PA 16101
(724) 658-3578
Non-Participating ProviderNO
1851448534LAWRENCE COUNTY DRUG & ALCOHOL COMMISSION, INC.OrganizationCase Management20 E WASHINGTON ST FL 2
NEW CASTLE, PA 16101
(724) 658-5580
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.