Family Medicine In Ceres California

NPI list of 12 family medicine registered providers with a business address in Ceres, CA of which 3 are registered as organizations and 9 as individuals. Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI Name Type Taxonomy Address Medicare PECOS
1134102452PAT MAY PAMANIAN LIMPIADOIndividualFamily Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
Accepts MedicareYES
1275829756ANIKA GODHWANIIndividualFamily Medicine3109 E WHITMORE AVE
CERES, CA 95307
(209) 541-2470
Accepts MedicareYES
1356536973KERRY BRUCE EVNINIndividualFamily Medicine3641 MITCHELL RD STE H
CERES, CA 95307
(209) 531-0154
Accepts MedicareYES
1366491292ELVIS M FEDALIZOIndividualFamily Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
Accepts MedicareYES
1427586825GUSTAVO JAVIER GUTIERREZ COLINIndividualFamily Medicine3109 E WHITMORE AVE
CERES, CA 95307
(866) 682-4842
Accepts MedicareYES
1437169224JOHN ENGLISHIndividualFamily Medicine3109 E WHITMORE AVE
CERES, CA 95307
(209) 541-2929
Accepts MedicareYES
1457565590GOLDEN VALLEY HEALTH CENTERSOrganizationFamily Medicine2760 3RD ST
CERES, CA 95307
(209) 556-5011
Non-Participating ProviderNO
1720226533KIM ETHEL GOODSELLIndividualFamily Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
Accepts MedicareYES
1780631820SUTTER GOULD MEDICAL FOUNDATION
CERES CARE CENTER
OrganizationFamily Medicine2516 E WHITMORE AVE
CERES, CA 95307
(209) 538-1733
Non-Participating ProviderNO
1811937832RICHARD ROBERT RUTHERFORDIndividualFamily Medicine3109 E WHITMORE AVE
CERES, CA 95307
(209) 541-2929
Accepts MedicareYES
1902855588KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATIONOrganizationFamily Medicine3641 MITCHELL RD H
CERES, CA 95307
(209) 531-0154
Non-Participating ProviderNO
1962454652DANIEL TRI DIEPIndividualFamily Medicine2760 3RD ST
CERES, CA 95307
(209) 556-5011
Accepts MedicareYES

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.