Family Medicine In Julesburg Colorado

NPI list of 6 family medicine registered providers with a business address in Julesburg, CO of which 1 are registered as organizations and 5 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
1164439535DONALD DEAN REGIERIndividualFamily Medicine116 E 9TH ST
JULESBURG, CO 80737
(970) 474-3376
Accepts MedicareYES
1366412157WILLIAM MALCOLM BROWNIndividualFamily Medicine900 CEDAR ST
JULESBURG, CO 80737
(970) 474-3323
Accepts MedicareYES
1407863871MICHAEL LIPNICKIndividualFamily Medicine116 E 9TH ST
JULESBURG, CO 80737
(970) 474-3376
Accepts MedicareYES
1861806929DANIELA MONIQUE DE VARGAS BOYERIndividualFamily Medicine900 CEDAR ST
JULESBURG, CO 80737
(970) 474-3323
Accepts MedicareYES
1881602738SEDGWICK COUNTY MEMORIAL HOSPITAL
VALLEY MEDICAL CLINIC
OrganizationFamily Medicine900 CEDAR ST
JULESBURG, CO 80737
(970) 474-3323
Non-Participating ProviderNO
1932192226DOUGLAS LEE KRUCKNERIndividualFamily Medicine900 CEDAR ST
JULESBURG, CO 80737
(970) 474-3323
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.