Dentist In Columbiana Alabama

NPI list of 8 dentist registered providers with a business address in Columbiana, AL of which 4 are registered as organizations and 4 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

NPI Name Type Taxonomy Address Medicare PECOS
1053955955SMART DENTAL HOLDINGS, LLC
LUMA DENTISTRY - COLUMBIANA
OrganizationDentist22727 HIGHWAY 25
COLUMBIANA, AL 35051
(205) 669-9900
Non-Participating ProviderNO
1114140902TIMOTHY DOYLE NETTLESIndividualDentist
(General Practice)
204 MILDRED ST
COLUMBIANA, AL 35051
(205) 669-6778
Non-Participating ProviderNO
1336765650LAUREN BROOKE CABANISSIndividualDentist
(General Practice)
22727 AL-25
COLUMBIANA, AL 35051
(205) 669-9900
Non-Participating ProviderNO
1528096039GEORGE CARPENTER ANDREWSIndividualDentist
(General Practice)
22727 HWY 25 BYPASS
COLUMBIANA, AL 35051
(205) 669-9900
Non-Participating ProviderYES
1558479774ROBERT LEE THORNBURGIndividualDentist
(General Practice)
22727 HWY 25 BYPASS
COLUMBIANA, AL 35051
(205) 669-9900
Non-Participating ProviderNO
1679118889SMART DENTAL HOLDINGS, LLCOrganizationDentist22727 HIGHWAY 25
COLUMBIANA, AL 35051
(205) 669-9900
Non-Participating ProviderNO
1891109625ANDREWS FAMILY DENTAL, LLCOrganizationDentist22727 HIGHWAY 25
COLUMBIANA, AL 35051
(205) 669-9900
Non-Participating ProviderNO
1942461587COLUMBIANA FAMILY DENTISTRY, PCOrganizationDentist
(General Practice)
204 MILDRED ST
COLUMBIANA, AL 35051
(205) 669-6778
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.