Dentist In Pinson Alabama

NPI list of 9 dentist registered providers with a business address in Pinson, AL of which 3 are registered as organizations and 6 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
1033158589RANDALL GENE PALMOREIndividualDentist6960 HIGHWAY 79
PINSON, AL 35126
(205) 681-0459
Non-Participating ProviderYES
1053604801RONALD CHAD TAYLORIndividualDentist5239 OLD SPRINGVILLE RD SUITE 202
PINSON, AL 35126
(205) 853-8990
Non-Participating ProviderNO
1245530161SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC.OrganizationDentist
(Pediatric Dentistry)
6662 HIGHWAY 75 STE 114
PINSON, AL 35126
(205) 693-0100
Non-Participating ProviderNO
1275610826WILLIAM GREGORY RAPEIndividualDentist
(Orthodontics and Dentofacial Orthopedics)
6840 MURRAY DR
PINSON, AL 35126
(205) 680-4475
Non-Participating ProviderNO
1477639839RAPE & BROOKS ORTHODONTICS PC
LUTHER T CALE AND W GREGORY RAPE, ORTHODONTISTS PC
OrganizationDentist
(Orthodontics and Dentofacial Orthopedics)
6840 MURRAY DR
PINSON, AL 35126
(205) 680-4475
Non-Participating ProviderNO
1649287038CHARLES MARK KINGIndividualDentist
(General Practice)
6662 HIGHWAY 75 SUITE 114
PINSON, AL 35126
(205) 681-5959
Non-Participating ProviderYES
1720173883JOHN O BOLTON DMDOrganizationDentist
(General Practice)
6720 OLD SPRINGVILLE ROAD
PINSON, AL 35126
(205) 680-2001
Non-Participating ProviderNO
1750444592DAN D WRIGHTIndividualDentist
(General Practice)
6727 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-1120
Non-Participating ProviderYES
1760481857MARVIN AUSTIN BOYDIndividualDentist
(General Practice)
5239 OLD SPRINGVILLE RD SUITE 201
PINSON, AL 35126
(205) 854-8535
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.