Family Medicine In Oakmont Pennsylvania

NPI list of 12 family medicine registered providers with a business address in Oakmont, PA 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
1194786087MICHAEL E CHISMERIndividualFamily Medicine222 ALLEGHENY RIVER BLVD
OAKMONT, PA 15139
(412) 767-5387
Accepts MedicareYES
1194920017UPMC COMMUNITY MEDICINE INC
SCHERER FAMILY MEDICINE UPMC
OrganizationFamily Medicine391 WASHINGTON AVE
OAKMONT, PA 15139
(412) 826-0400
Non-Participating ProviderNO
1275501793GRANT J SHEVCHIKIndividualFamily Medicine333 ALLEGHENY AVE 3 ALLEGHENY PLAZA SUITE 1
OAKMONT, PA 15139
(412) 423-1048
Accepts MedicareYES
1326574401LILY GIRSONIndividualFamily Medicine222 ALLEGHENY RIVER BLVD
OAKMONT, PA 15139
(412) 767-5387
Accepts MedicareYES
1346893369ALLEGHENY CLINIC
AHN DEER LAKES PRIMARY CARE
OrganizationFamily Medicine222 ALLEGHENY RIVER BLVD
OAKMONT, PA 15139
(412) 767-5387
Non-Participating ProviderNO
1356694590PHYSICIAN LANDING ZONE, P.C.
THE PRIMARY CARE PLACE
OrganizationFamily Medicine
(Geriatric Medicine)
333 ALLEGHENY AVE SUITE #1
OAKMONT, PA 15139
(412) 423-1048
Non-Participating ProviderNO
1467757419SMA DEERLAKES, PCOrganizationFamily Medicine222 ALLEGHENY RIVER BLVD
OAKMONT, PA 15139
(412) 767-5387
Non-Participating ProviderNO
1558654376MARIA D GIOIAIndividualFamily Medicine333 ALLEGHENY AVE STE 101
OAKMONT, PA 15139
(412) 423-1048
Accepts MedicareYES
1629039516MARY A WALKERIndividualFamily Medicine222 ALLEGHENY RIVER BLVD
OAKMONT, PA 15139
(412) 767-5387
Accepts MedicareYES
1689011561AMBER GLASERIndividualFamily Medicine135 ALLEGHENY AVE SUITE C, SECOND FLOOR
OAKMONT, PA 15139
(412) 826-0400
Accepts MedicareYES
1790111706ALLEGHENY CLINIC
THE PRIMARY CARE PLACE
OrganizationFamily Medicine333 ALLEGHENY AVE SUITE 1
OAKMONT, PA 15139
(412) 423-1048
Non-Participating ProviderNO
1881669828JEROME E SCHERERIndividualFamily Medicine391 WASHINGTON AVE
OAKMONT, PA 15139
(412) 826-0400
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.