Clinic/center In Hartselle Alabama

NPI list of 5 clinic/center registered providers with a business address in Hartselle, AL, all registered as organizations. A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

NPI Name Type Taxonomy Address Medicare PECOS
1174089361MICHAEL O. MCCUTCHEONOrganizationClinic/Center
(Dental)
819 HIGHWAY 31 NW
HARTSELLE, AL 35640
(256) 773-6579
Non-Participating ProviderNO
1215094842ANDREW S. DUKES M.D. P.C.OrganizationClinic/Center
(Primary Care)
310 PINE ST NW SUITE B
HARTSELLE, AL 35640
(256) 773-2952
Non-Participating ProviderNO
1649542952ENCORE REHABILITATION, INC.
ENCORE REHAB OF HARTSELLE
OrganizationClinic/Center
(Physical Therapy)
615 MYNATT ST SW STE A
HARTSELLE, AL 35640
(256) 773-0138
Non-Participating ProviderNO
1689981102CROSSROADS MEDICAL GROUP, LLC
HARTSELLE URGENT CARE
OrganizationClinic/Center
(Urgent Care)
1635 HIGHWAY 31 NW
HARTSELLE, AL 35640
(256) 747-6744
Non-Participating ProviderNO
1821656885DAVIDB. SITTASON DMD,PCOrganizationClinic/Center
(Dental)
819 HIGHWAY 31 NW
HARTSELLE, AL 35640
(256) 773-2233
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.