Family Medicine In Jackson Kentucky

NPI list of 8 family medicine registered providers with a business address in Jackson, KY of which 1 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
1003004912ST. JOHN NEUMANN'S EXTENDED HOURS CLINICOrganizationFamily Medicine1389 HIGHWAY 15 NORTH
JACKSON, KY 41339
(606) 666-4011
Non-Participating ProviderNO
1003815390GEORGE EDWARD BURNETTEIndividualFamily Medicine424 JETT DR
JACKSON, KY 41339
(606) 666-6000
Accepts MedicareYES
1346404852LAURA GRACE ASHERIndividualFamily Medicine726 HIGHWAY 15 N SUITE 4
JACKSON, KY 41339
(606) 666-2545
Accepts MedicareYES
1457631780JENNY FAYE MULLINSIndividualFamily Medicine1484 LAKESIDE DRIVE JHI BREATHITT COUNTY FAMILY HEALTH CENTER
JACKSON, KY 41339
(606) 666-9950
Accepts MedicareYES
1649226895PAUL E SMITHIndividualFamily Medicine1550 HIGHWAY 15 S STE 200
JACKSON, KY 41339
(606) 666-8404
Accepts MedicareYES
1649539958HENRY PRICE SEWELL IIIIndividualFamily Medicine170 PICNIC HILL RD
JACKSON, KY 41339
(606) 666-7032
Non-Participating ProviderNO
1730226515TRUDY ANN MOOREIndividualFamily Medicine265 HIGHWAY 15 S
JACKSON, KY 41339
(606) 464-0151
Non-Participating ProviderNO
1770633182PABLO ALABANZA MERCEDIndividualFamily Medicine1389 HIGHWAY 15 N
JACKSON, KY 41339
(606) 666-4011
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.