Dentist In Hartselle Alabama

NPI list of 12 dentist registered providers with a business address in Hartselle, AL of which 4 are registered as organizations and 8 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
1033303227JAMES L. JOY DDS, PCOrganizationDentist
(General Practice)
601 SPARKMAN ST SW
HARTSELLE, AL 35640
(256) 773-5442
Non-Participating ProviderNO
1114934635JAMES LEE JOYIndividualDentist
(General Practice)
601 SPARKMAN ST SW
HARTSELLE, AL 35640
(256) 773-5442
Non-Participating ProviderNO
1194341743HENDRIX DENTAL, PCOrganizationDentist
(General Practice)
1500 HIGHWAY 31 SW
HARTSELLE, AL 35640
(256) 773-0530
Non-Participating ProviderNO
1225607971GRAYSON BLAIR SITTASONIndividualDentist
(General Practice)
819 HIGHWAY 31 NW
HARTSELLE, AL 35640
(256) 773-2233
Non-Participating ProviderNO
1285295782PAYTON SITTASONIndividualDentist
(General Practice)
819 HIGHWAY 31 NW
HARTSELLE, AL 35640
(256) 773-2233
Non-Participating ProviderNO
1548488380MARK A. HENDRIX DMD PCOrganizationDentist
(General Practice)
1500 HIGHWAY 31 SW
HARTSELLE, AL 35640
(256) 773-0530
Non-Participating ProviderNO
1588112007HARTSELLE FAMILY DENTISTRY, LLCOrganizationDentist
(General Practice)
1511 HIGHWAY 31 SW SUITE B
HARTSELLE, AL 35640
(256) 773-0800
Non-Participating ProviderNO
1659797827MARK ANTHONY HENDRIXIndividualDentist1500 HIGHWAY 31 SW
HARTSELLE, AL 35640
(256) 773-0530
Non-Participating ProviderNO
1871694794DAVID BRYANT SITTASONIndividualDentist
(General Practice)
819 HWY 31 NW SUITE A
HARTSELLE, AL 35640
(256) 773-2233
Non-Participating ProviderNO
1881799484MICHAEL O. MCCUTCHEONIndividualDentist
(General Practice)
819 HIGHWAY 31 N.W. SUITE B
HARTSELLE, AL 35640
(256) 773-6579
Non-Participating ProviderNO
1932606340MCKINLEY HENDRIXIndividualDentist
(General Practice)
1500 HIGHWAY 31 SW
HARTSELLE, AL 35640
(256) 773-0530
Non-Participating ProviderNO
1942335799DOUGLAS R SITTASONIndividualDentist
(General Practice)
602 MAIN ST W
HARTSELLE, AL 35640
(256) 773-7250
Non-Participating ProviderYES

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.