Clinic/center In Sheffield Alabama

NPI list of 9 clinic/center registered providers with a business address in Sheffield, AL of which 8 are registered as organizations and 1 as individuals. 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
1043335151DAVID PARKS MCKINLEYIndividualClinic/Center
(Occupational Medicine)
1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4433
Accepts MedicareYES
1164197687BHG LXXII, LLC
BHG MEDICAL SERVICES - SHOALS
OrganizationClinic/Center
(Mental Health (Including Community Mental Health Center))
3430 N JACKSON HWY
SHEFFIELD, AL 35660
(256) 383-6646
Non-Participating ProviderNO
1356637573TREATMENT CENTERS INC
SHOALS TREATMENT CENTER
OrganizationClinic/Center
(Rehabilitation, Substance Use Disorder)
3430 N JACKSON HWY
SHEFFIELD, AL 35660
(256) 383-6646
Non-Participating ProviderNO
1497922009NORTH ALABAMA SLEEP DISORDER CENTER, LLC
NORTH AL SLEEP DISORDER CENTER
OrganizationClinic/Center1111 S RALEIGH AVE SUITE 200
SHEFFIELD, AL 35660
(256) 386-4005
Non-Participating ProviderNO
1669446092DVA RENAL HEALTHCARE INC
SHEFFIELD DIALYSIS
OrganizationClinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
1120 S JACKSON HWY STE 107
SHEFFIELD, AL 35660
(256) 381-8004
Non-Participating ProviderNO
1689618373BIRMINGHAM VAMC
SHEFFIELD VA CBOC
OrganizationClinic/Center
(VA)
422 COX BLVD DD
SHEFFIELD, AL 35660
(828) 257-2333
Non-Participating ProviderNO
1699341412P4 PHYSICAL THERAPY LLC-MUSCLE SHOALSOrganizationClinic/Center
(Physical Therapy)
500 N MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 826-5200
Non-Participating ProviderNO
1720267230YIELDING & YIELDING, PC
YIELDING FAMILY MEDICINE
OrganizationClinic/Center810 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 381-1411
Non-Participating ProviderNO
1982113312THE TREATMENT CENTERS, INC.
SHOALS TREATMENT CENTER
OrganizationClinic/Center
(Rehabilitation, Substance Use Disorder)
3430 N JACKSON HWY
SHEFFIELD, AL 35660
(256) 383-6646
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.