Family Medicine In Gulf Shores Alabama

NPI list of 12 family medicine registered providers with a business address in Gulf Shores, AL of which 5 are registered as organizations and 7 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
1093714792JAMES JOSEPH ENGLANDIndividualFamily Medicine1140 GULF SHORES PKWY SUITE A
GULF SHORES, AL 36542
(251) 968-2273
Non-Participating ProviderYES
1124048939DOUGLAS EARL CARONIndividualFamily Medicine101 E 15TH AVE
GULF SHORES, AL 36542
(251) 962-1250
Accepts MedicareYES
1194263202LINDSEY MCCORMICKIndividualFamily Medicine200 OFFICE PARK DR
GULF SHORES, AL 36542
(251) 968-7379
Accepts MedicareYES
1205983731GULF SHORES FAMILY MEDICINEOrganizationFamily Medicine204 W 19TH AVE
GULF SHORES, AL 36542
(251) 968-1810
Non-Participating ProviderNO
1457398828JEANNE M BIRKENHAUERIndividualFamily Medicine156 E 15TH AVE
GULF SHORES, AL 36542
(251) 948-4290
Accepts MedicareYES
1497802177GULF SHORES MEDICAL CENTEROrganizationFamily Medicine200 OFFICE PARK DRIVE
GULF SHORES, AL 36542
(251) 968-7379
Non-Participating ProviderNO
1528328127INFIRMARY HEALTH URGENT CARE - GULF SHORES, P.C.
THOMAS HOSPITAL URGENT CARE - GULF SHORES
OrganizationFamily Medicine1140 GULF SHORES PKWY SUITE A
GULF SHORES, AL 36542
(251) 968-2273
Non-Participating ProviderNO
1760732028MICHAEL D WILLIAMS, DO L.L.COrganizationFamily Medicine3817 GULF SHORES PARKWAY SUITE 7
GULF SHORES, AL 36542
(251) 948-5101
Non-Participating ProviderNO
1790724458VICTOR SCOTT TAYLORIndividualFamily Medicine3620 GULF SHORES PKWY SUITE 230
GULF SHORES, AL 36542
(251) 967-4000
Accepts MedicareYES
1841375417JEANNE M BIRKENHAUER, M.D., P.C.OrganizationFamily Medicine156 E 15TH AVE
GULF SHORES, AL 36542
(251) 948-4290
Non-Participating ProviderNO
1851373500KATHLEEN T. SHINEIndividualFamily Medicine101 E 15TH AVE
GULF SHORES, AL 36542
(251) 962-1250
Accepts MedicareYES
1942319819THOMAS JOHN DAVIDSONIndividualFamily Medicine200 OFFICE PARK DRIVE
GULF SHORES, AL 36542
(251) 968-7379
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.