Clinic/center In Roseville California

NPI list of 92 clinic/center registered providers with a business address in Roseville, CA, 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
1003000563RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATIONOrganizationClinic/Center
(Primary Care)
729 SUNRISE AVE STE 619
ROSEVILLE, CA 95661
(916) 783-7118
Non-Participating ProviderNO
1063063600WELLSPACE HEALTHOrganizationClinic/Center
(Federally Qualified Health Center (FQHC))
151 N SUNRISE AVE STE 1309
ROSEVILLE, CA 95661
(916) 469-4698
Non-Participating ProviderNO
1063545531CRISIS INTERVENTION SPECIALISTOrganizationClinic/Center
(Mental Health (Including Community Mental Health Center))
101 CIRBY HILLS DR
ROSEVILLE, CA 95678
(530) 401-3894
Non-Participating ProviderNO
1083788327RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC
RAI - HARDING - ROSEVILLE
OrganizationClinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
1781 SANTA CLARA DR
ROSEVILLE, CA 95661
(916) 746-0071
Non-Participating ProviderNO
1124297288PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATIONOrganizationClinic/Center
(Sleep Disorder Diagnostic)
1020 SUN DOWN WAY SUITE160
ROSEVILLE, CA 95661
(916) 789-0112
Non-Participating ProviderNO
1124799408FAY NAZARI, DDS, PCOrganizationClinic/Center
(Dental)
1899 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 787-1199
Non-Participating ProviderNO
1144200775REGENTS OF THE UNIVERSITY OF CALIFORNIA
UC DAVIS MEDICAL GROUP
OrganizationClinic/Center
(Multi-Specialty)
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
(916) 783-7109
Non-Participating ProviderNO
1144482092ROSEVILLE SURGICAL ALLIANCE SURGERY CENTER, INC.OrganizationClinic/Center
(Ambulatory Surgical)
5 MEDICAL PLAZA DRIVE SUITE 120
ROSEVILLE, CA 95661
(916) 781-2500
Non-Participating ProviderNO
1144497264CALIFORNIA SKIN SURGERY CENTER INCOrganizationClinic/Center
(Ambulatory Surgical)
9269 SIERRA COLLEGE BLVD
ROSEVILLE, CA 95661
(916) 772-1585
Non-Participating ProviderNO
1144511585CASSANDRA J. KRUPANSKY, DDS, MS, INC.OrganizationClinic/Center
(Dental)
2520 DOUGLAS BLVD SUITE 130
ROSEVILLE, CA 95661
(916) 296-0036
Non-Participating ProviderNO
1225116627CHIA Y. CHOU, MD INC.OrganizationClinic/Center
(Primary Care)
1212 COLOMA WAY STE A
ROSEVILLE, CA 95661
(916) 782-1264
Non-Participating ProviderNO
1235633173PATHWAYS RECOVERYOrganizationClinic/Center
(Rehabilitation, Substance Use Disorder)
775 SUNRISE AVE STE 210
ROSEVILLE, CA 95661
(916) 235-9259
Non-Participating ProviderNO
1235666108CHARTER PROFESSIONAL GROUP INCOrganizationClinic/Center775 SUNRISE AVE STE 140
ROSEVILLE, CA 95661
Non-Participating ProviderNO
1245774611GRANITE BAY SURGERY CENTER, LLCOrganizationClinic/Center
(Ambulatory Surgical)
8723 SIERRA COLLEGE BLVD #1
ROSEVILLE, CA 95661
(916) 773-5559
Non-Participating ProviderNO
1245891829DEAN N. AHMAD DDS INC.OrganizationClinic/Center
(Dental)
580 N SUNRISE AVE STE 190
ROSEVILLE, CA 95661
(916) 772-0112
Non-Participating ProviderNO
1255737110ANNA P. ABALOS, M.D., INC.OrganizationClinic/Center
(Primary Care)
701 PLEASANT GROVE BLVD SUITE 125
ROSEVILLE, CA 95678
(916) 784-7700
Non-Participating ProviderNO
1255920880CALIFORNIA COMMUNITY CARE CLINICS, P.C.OrganizationClinic/Center
(Rehabilitation, Substance Use Disorder)
1130 CONROY LN STE 150
ROSEVILLE, CA 95661
(615) 466-3507
Non-Participating ProviderNO
1265104384ROBERT CHENG DENTAL CORPOATION, INC.OrganizationClinic/Center
(Dental)
2370 PROFESSIONAL DR
ROSEVILLE, CA 95661
(916) 782-1033
Non-Participating ProviderNO
1275647737ROSEVILLE PEDIATRIC MEDICAL GROUP, INCOrganizationClinic/Center
(Primary Care)
1098 SUNRISE AVE STE 100
ROSEVILLE, CA 95661
(916) 789-1798
Non-Participating ProviderNO
1275670754PUTMAN CHIROPRACTIC INC
TWIN CREEKS HEALTH
OrganizationClinic/Center584 N SUNRISE AVE STE. 130
ROSEVILLE, CA 95661
(916) 781-2600
Non-Participating ProviderNO
1295072254DIAGNOSTIC EVALUATION SERVICESOrganizationClinic/Center800 DOUGLAS BLVD
ROSEVILLE, CA 95678
(303) 246-9879
Non-Participating ProviderNO
1326383704ACUPUNCTURE MEDICAL CENTER, A PROFESSIONAL CORPORATIONOrganizationClinic/Center
(Primary Care)
151 N SUNRISE AVE SUITE 1009
ROSEVILLE, CA 95661
(916) 742-4001
Non-Participating ProviderNO
1336598093MAXVIEW, INC
ROSEVILLE DIAGNOSTIC IMAGING
OrganizationClinic/Center
(Radiology)
1830 SIERRA GARDENS DR SUITE 30
ROSEVILLE, CA 95661
(916) 691-4401
Non-Participating ProviderNO
1346775665ADVANTAGE MRI ROSEVILLE LPOrganizationClinic/Center
(Magnetic Resonance Imaging (MRI))
2990 LAVA RIDGE CT SUITE100
ROSEVILLE, CA 95661
(916) 929-2178
Non-Participating ProviderNO
1356530323STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.
PODIATRY AND ANKLE CARE
OrganizationClinic/Center
(Podiatric)
1421 SECRET RAVINE PKWY SUITE 111
ROSEVILLE, CA 95661
(916) 781-3223
Non-Participating ProviderNO
1376188417WELLSPACE HEALTHOrganizationClinic/Center
(Federally Qualified Health Center (FQHC))
151 N SUNRISE AVE STE 1309
ROSEVILLE, CA 95661
(916) 737-5555
Non-Participating ProviderNO
1376592014ROSEVILLE ENDOSCOPY CENTER, LLCOrganizationClinic/Center
(Endoscopy)
4 MEDICAL PLAZA DR SUITE #210
ROSEVILLE, CA 95661
(916) 773-8780
Non-Participating ProviderNO
1407138407TURNING POINT COMMUNITY PROGRAMSOrganizationClinic/Center
(Adult Mental Health)
101 CIRBY HILLS DR
ROSEVILLE, CA 95678
(916) 786-3750
Non-Participating ProviderNO
1407229107MDSTAT URGENT CARE, INC
MD STAT URGENT CARE
OrganizationClinic/Center
(Urgent Care)
851 PLEASANT GROVE BLVD SUITE 110
ROSEVILLE, CA 95678
(916) 773-9222
Non-Participating ProviderNO
1417497173PAUL KRAMER MDOrganizationClinic/Center
(Primary Care)
1098 SUNRISE AVE SUITE 100
ROSEVILLE, CA 95661
(916) 791-7285
Non-Participating ProviderNO
1427322635ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.
KAYVAN D. HADDADAN, INC.
OrganizationClinic/Center
(Pain)
729 SUNRISE AVE STE 602
ROSEVILLE, CA 95661
(916) 953-7571
Non-Participating ProviderNO
1437707387KELADA PHYSICIANS GROUP, INCOrganizationClinic/Center
(Primary Care)
680 SUNRISE AVE
ROSEVILLE, CA 95661
(916) 786-4700
Non-Participating ProviderNO
1437722030STEPHANIE SANDRETTI, DDS, INC.OrganizationClinic/Center
(Dental)
508 GIBSON DR STE 190
ROSEVILLE, CA 95678
(916) 532-1635
Non-Participating ProviderNO
1447206321PLANNED PARENTHOOD MAR MONTE, INCOrganizationClinic/Center
(Community Health)
729 SUNRISE BLVD SUITE 900
ROSEVILLE, CA 95661
(916) 781-3310
Non-Participating ProviderNO
1447674528ACE DENTAL ROSEVILLE LLCOrganizationClinic/Center
(Dental)
1070 PLEASANT GROVE BLVD SUITE 110
ROSEVILLE, CA 95678
(209) 552-1813
Non-Participating ProviderNO
1447821319JACOB D KELLY DDS, INC.OrganizationClinic/Center
(Dental)
2360 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661
(916) 782-9479
Non-Participating ProviderNO
1457875809KHS PANNU DDS INCOrganizationClinic/Center
(Dental)
1950 DOUGLAS BLVD STE B1
ROSEVILLE, CA 95661
Non-Participating ProviderNO
1467451096SOUTH PLACER SURGERY CENTER LP
SUTTER SIERRA SURGERY CENTER
OrganizationClinic/Center
(Ambulatory Surgical)
8 MEDICAL PLAZA DRIVE SUITE 100
ROSEVILLE, CA 95661
(916) 677-5070
Non-Participating ProviderNO
1467714550STEVEN ELSEA CHIROPRACTIC, INCOrganizationClinic/Center
(Primary Care)
605 OAK ST
ROSEVILLE, CA 95678
(916) 784-3303
Non-Participating ProviderNO
1477156032BEN F VALDEZ MD INCOrganizationClinic/Center
(Primary Care)
508 GIBSON DR STE 220
ROSEVILLE, CA 95678
(916) 773-5577
Non-Participating ProviderNO
1487192571SIERRA PREGNANCY & HEALTHOrganizationClinic/Center
(Community Health)
1212 COLOMA WAY STE. A
ROSEVILLE, CA 95661
(916) 624-8990
Non-Participating ProviderNO
1497218705HARDEEP K SIDHU DDS A PROFESSIONAL DENTAL CORPORATIONOrganizationClinic/Center
(Dental)
729 SUNRISE AVE STE 200
ROSEVILLE, CA 95661
(916) 953-7975
Non-Participating ProviderNO
1508418765SIERRA ONCOLOGY REHABILITATIONOrganizationClinic/Center
(Physical Therapy)
250 S HARDING BLVD STE 1
ROSEVILLE, CA 95678
(916) 778-8498
Non-Participating ProviderNO
1508452699MCCOMB DENTAL CORPOrganizationClinic/Center
(Dental)
920 PLEASANT GROVE BLVD STE 150
ROSEVILLE, CA 95678
(916) 269-9777
Non-Participating ProviderNO
1508930801RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC
RAI - SECRET RAVINE PARKWAY - ROSEVILLE
OrganizationClinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
1451 SECRET RAVINE PKWY STE 130
ROSEVILLE, CA 95661
(916) 773-4000
Non-Participating ProviderNO
1518510643ARDALAN KESHTKAR DDS INCOrganizationClinic/Center
(Dental)
10 SIERRA GATE PLZ STE 130
ROSEVILLE, CA 95678
(916) 872-0617
Non-Participating ProviderNO
1528196565GREATER SACRAMENTO PEDIATRICS ASSOC INCOrganizationClinic/Center
(Health Service)
1301 SECRET RAVINE PKWY SUITE 140
ROSEVILLE, CA 95661
(916) 788-3030
Non-Participating ProviderNO
1528370376ALLIANCE HEALTHCARE SERVICES INCOrganizationClinic/Center
(Magnetic Resonance Imaging (MRI))
406 SUNRISE AVE #220
ROSEVILLE, CA 95661
(916) 781-3393
Non-Participating ProviderNO
1528661782HEALTH & WELLNESS 365 LLCOrganizationClinic/Center
(Primary Care)
2404 KINSELLA WAY
ROSEVILLE, CA 95747
(561) 929-6244
Non-Participating ProviderNO
1538498415ALLIANCE HEALTHCARE SERVICES INCOrganizationClinic/Center
(Magnetic Resonance Imaging (MRI))
406 SUNRISE AVE
ROSEVILLE, CA 95661
(800) 544-3215
Non-Participating ProviderNO
1538660865WELLSPACE HEALTH
WELLSPACE HEALTH SIERRA GARDENS COMMUNITY HEALTH CENTER
OrganizationClinic/Center
(Federally Qualified Health Center (FQHC))
1101 SMITH LN
ROSEVILLE, CA 95661
(916) 407-2222
Non-Participating ProviderNO
1598957516CALIFORNIA SLEEP SOLUTIONSOrganizationClinic/Center
(Sleep Disorder Diagnostic)
1020 SUN DOWN WAY SUITE 160
ROSEVILLE, CA 95661
(916) 789-0112
Non-Participating ProviderNO
1619156577SLEEPMED OF CALIFORNIA INCOrganizationClinic/Center
(Sleep Disorder Diagnostic)
1920 TAYLOR RD
ROSEVILLE, CA 95661
(916) 772-5555
Non-Participating ProviderNO
1639599129HENRY VONG PROF DENTAL CORP
ROSEVILLE DENTAL CENTER
OrganizationClinic/Center
(Dental)
1771 PLEASANT GROVE BLVD STE 180
ROSEVILLE, CA 95747
(916) 772-3847
Non-Participating ProviderNO
1659717650JOHN DINAKARAN
FIRST STEP PHYSICAL THERAPY
OrganizationClinic/Center
(Physical Therapy)
1000 SUNRISE AVE SUITE 6A
ROSEVILLE, CA 95661
(916) 786-7837
Non-Participating ProviderNO
1659880805GURKAMAL SANDHU DDS, INC.
GURKAMAL SANDHU DDS,INC.
OrganizationClinic/Center
(Dental)
1895 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Non-Participating ProviderNO
1669845269MDSTAT URGENT CARE, INC
MD STAT URGENT CARE
OrganizationClinic/Center
(Urgent Care)
9221 SIERRA COLLEGE BLVD SUITE 100
ROSEVILLE, CA 95661
(916) 780-1343
Non-Participating ProviderNO
1679520241CALIFORNIA SLEEP SOLUTIONS, LLCOrganizationClinic/Center
(Sleep Disorder Diagnostic)
1130 CONROY LN STE 403
ROSEVILLE, CA 95661
(916) 789-0112
Non-Participating ProviderNO
1689695314LEE INSTITUTE OF PLASTIC SURGERYOrganizationClinic/Center
(Ambulatory Surgical)
5 MEDICAL PLAZA DRIVE SUITE 210
ROSEVILLE, CA 95661
(916) 780-5477
Non-Participating ProviderNO
1699822098NATIONWIDE MEDICAL GROUP, INCOrganizationClinic/Center
(Community Health)
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
(916) 774-6647
Non-Participating ProviderNO
1700829587MATRIX REHABILITATION, INC.
MATRIX REHABILITATION OF ROSEVILLE
OrganizationClinic/Center
(Physical Therapy)
1544 EUREKA RD SUITE 180
ROSEVILLE, CA 95661
(916) 772-2162
Non-Participating ProviderNO
1710383070BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
ROSEVILLE HOME THERAPY
OrganizationClinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
1474 STONE POINT DR STE 105
ROSEVILLE, CA 95661
(916) 771-4111
Non-Participating ProviderNO
1710449350CALIFORNIA RECOVERY CENTEROrganizationClinic/Center
(Rehabilitation, Substance Use Disorder)
423 OAK ST
ROSEVILLE, CA 95678
(916) 380-5808
Non-Participating ProviderNO
1720165608THERAPYCARE NETWORK CALIFORNIA INCOrganizationClinic/Center
(Physical Therapy)
2270 DOUGLAS BLVD SUITE 112
ROSEVILLE, CA 95661
(916) 782-1212
Non-Participating ProviderNO
1720325905DENNIS BROOKS CHIROPRACTIC INCOrganizationClinic/Center
(Health Service)
800 DOUGLAS BLVD
ROSEVILLE, CA 95678
(916) 782-4440
Non-Participating ProviderNO
1740506781DEEPAL CEMO MEDICAL SOLUTIONS, LLC
AMERICAN DIABETES THERAPY CENTERS
OrganizationClinic/Center
(Infusion Therapy)
945 ROSEVILLE PARKWAY SUITE 150
ROSEVILLE, CA 95678
(916) 788-8444
Non-Participating ProviderNO
1740701861HOANG TRUONG DDS INC
ROCK ROSE DENTAL
OrganizationClinic/Center
(Dental)
576 N SUNRISE AVE STE 130
ROSEVILLE, CA 95661
(916) 784-3337
Non-Participating ProviderNO
1740794338PATHWAYS RECOVERYOrganizationClinic/Center
(Rehabilitation, Substance Use Disorder)
775 SUNRISE AVE STE 210
ROSEVILLE, CA 95661
(916) 735-8377
Non-Participating ProviderNO
1750560173MANINDER K. POWAR M.D.INCOrganizationClinic/Center
(Primary Care)
406 SUNRISE AVE # 210
ROSEVILLE, CA 95661
(916) 781-9609
Non-Participating ProviderNO
1760737167CONFIDENTAL CAREOrganizationClinic/Center
(Dental)
927 RESERVE DR STE A
ROSEVILLE, CA 95678
(916) 415-8585
Non-Participating ProviderNO
1780813162BRIGHT BEGINNINGS THERAPY, INC.OrganizationClinic/Center
(Physical Therapy)
2240 HARTLAND CIR
ROSEVILLE, CA 95747
(916) 612-0434
Non-Participating ProviderNO
1790320265RICHARD B KNIGHT DDS MS INCOrganizationClinic/Center
(Dental)
2520 DOUGLAS BLVD STE 130
ROSEVILLE, CA 95661
(916) 782-2278
Non-Participating ProviderNO
1790727402MATRIX REHABILITATION, INC.
SELECT PHYSICAL THERAPY
OrganizationClinic/Center
(Rehabilitation)
5131 FOOTHILLS BLVD SUITE 5
ROSEVILLE, CA 95747
(916) 797-2273
Non-Participating ProviderNO
1801248950BABAN DHARIWAL DDS PA INCOrganizationClinic/Center
(Dental)
6049 DOUGLAS BLVD STE 9
ROSEVILLE, CA 95746
(916) 791-4133
Non-Participating ProviderNO
1801266499LT PROACTIVE CARE CLINIC CALIFORNIA, PA
LT PROACTIVE CARE CLINIC
OrganizationClinic/Center
(Primary Care)
1435 EAST ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 472-2057
Non-Participating ProviderNO
1811262348WELLSPACE HEALTHOrganizationClinic/Center
(Federally Qualified Health Center (FQHC))
5 MEDICAL PLAZA DR SUITE 170
ROSEVILLE, CA 95661
(916) 978-1738
Non-Participating ProviderNO
1821028200DIGNITY HEALTH MEDICAL FOUNDATION
MERCY IMAGING CENTERS, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
OrganizationClinic/Center
(Radiology)
2110 PROFESSIONAL DR SUITE 190
ROSEVILLE, CA 95661
(916) 787-0404
Non-Participating ProviderNO
1821434671AEGIS TREATMENT CENTERS, LLCOrganizationClinic/Center
(Methadone)
1133 COLOMA WAY #C
ROSEVILLE, CA 95661
(916) 774-6647
Non-Participating ProviderNO
1861558413AEGIS TREATMENT CENTERS, LLCOrganizationClinic/Center
(Methadone)
1133 COLOMA WAY SUITE # A, B AND C
ROSEVILLE, CA 95661
(916) 774-6647
Non-Participating ProviderNO
1871174730JEREMY M. STARR, DDS, INC.OrganizationClinic/Center
(Dental)
927 RESERVE DR STE B
ROSEVILLE, CA 95678
(916) 945-9599
Non-Participating ProviderNO
1871769901FRED D COFFMAN DDS INC
ROCK ROSE DENTAL GROUP
OrganizationClinic/Center
(Dental)
576 N SUNRISE AVE STE 130
ROSEVILLE, CA 95661
(916) 784-3337
Non-Participating ProviderNO
1881170397EAST WEST ACUPUNCTURE CENTEROrganizationClinic/Center151 N SUNRISE AVE STE 819
ROSEVILLE, CA 95661
(916) 786-8100
Non-Participating ProviderNO
1902827702MED-7 URGENT CARE CENTER MEDICAL GROUP
MED7 URGENT CARE CENTER
OrganizationClinic/Center
(Urgent Care)
701 SUNRISE AVE
ROSEVILLE, CA 95661
(916) 772-6337
Non-Participating ProviderNO
1912031477DIGNITY HEALTH MEDICAL FOUNDATION
MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
OrganizationClinic/Center
(Multi-Specialty)
2110 PROFESSIONAL DR SUITE 120
ROSEVILLE, CA 95661
(916) 536-2500
Non-Participating ProviderNO
1932477874PHYSICIANS NETWORK MEDICAL GROUP INCOrganizationClinic/Center
(Multi-Specialty)
2100 DOUGLAS BLVD
ROSEVILLE, CA 95661
(916) 789-4209
Non-Participating ProviderNO
1932644655SPECIALIZED SLEEP DIAGNOSTICS, LLCOrganizationClinic/Center
(Sleep Disorder Diagnostic)
8303 SIERRA COLLEGE BLVD STE 109B
ROSEVILLE, CA 95661
(916) 337-5502
Non-Participating ProviderNO
1942625132WELDON DIALYSIS LLC
ROSEVILLE DIALYSIS
OrganizationClinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
1836 SIERRA GARDENS DR STE 150
ROSEVILLE, CA 95661
(916) 772-0306
Non-Participating ProviderNO
1962744623URGENT MD INC
URGENT MD
OrganizationClinic/Center
(Urgent Care)
9221 SIERRA COLLEGE BLVD
ROSEVILLE, CA 95661
(815) 713-2600
Non-Participating ProviderNO
1972277556REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATIONOrganizationClinic/Center
(Dental)
140 ROSEVILLE PKWY, SUITE 150
ROSEVILLE, CA 95661
(844) 616-5437
Non-Participating ProviderNO
1972610046DONALD E. CLARKE, D.D.S., INC.
DENTAL SOURCE OF CALIFORNIA
OrganizationClinic/Center
(Dental)
2200 PROFESSIONAL DR SUITE 210
ROSEVILLE, CA 95661
(916) 786-6157
Non-Participating ProviderNO
1982672283ROSEVILLE SURGERY CENTER, LP
ROSEVILLE SURGERY CENTER
OrganizationClinic/Center
(Ambulatory Surgical)
1420 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 677-2488
Non-Participating ProviderNO
1992000129PLACER COUNTY ADULT SYSTEM OF CAREOrganizationClinic/Center
(Adult Mental Health)
101 CIRBY HILLS DR
ROSEVILLE, CA 95678
(916) 787-8821
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.