Clinic/center In Heflin Alabama

NPI list of 3 clinic/center registered providers with a business address in Heflin, 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
1104891241CLEBURNE MEDICAL CLINIC, INC.OrganizationClinic/Center40 GILES ST
HEFLIN, AL 36264
(256) 463-7454
Non-Participating ProviderNO
1467620989QUALITY OF LIFE HEALTH SERVICES, INC
CLEBURNE QUALITY HEALTH CARE
OrganizationClinic/Center
(Federally Qualified Health Center (FQHC))
64 GILES ST
HEFLIN, AL 36264
(256) 463-2021
Non-Participating ProviderNO
1558386359THE HEALTH CARE AUTHORITY OF THE TOWN OF WEDOWEE
WEDOWEE HOSPITAL
OrganizationClinic/Center
(Rural Health)
8427 HIGHWAY 431
HEFLIN, AL 36264
(256) 253-2031
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.