Family Medicine In Owens Cross Roads Alabama

NPI list of 6 family medicine registered providers with a business address in Owens Cross Roads, AL 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
1215303367JUSTIN PRUITTIndividualFamily Medicine6388B HIGHWAY 431 S STE 2
OWENS CROSS ROADS, AL 35763
(256) 469-6487
Maybe Accepts MedicareYES
1437352523JAMES MARKLEY MORRISONIndividualFamily Medicine262 SUTTON ROAD
OWENS CROSS ROADS, AL 35763
(256) 265-0350
Accepts MedicareYES
1649782913MELISSA DEBERRY LLCOrganizationFamily Medicine180 OLD HIGHWAY 431 STE C
OWENS CROSS ROADS, AL 35763
(256) 585-3961
Non-Participating ProviderNO
1679060388CHRISTOPHER PUCKETTIndividualFamily Medicine262 SUTTON RD SE
OWENS CROSS ROADS, AL 35763
(256) 265-0350
Non-Participating ProviderYES
1790929222TOMMIE MATTHEW ROBINSONIndividualFamily Medicine3217 COVE LAKE RD SE
OWENS CROSS ROADS, AL 35763
(256) 203-4006
Accepts MedicareYES
1902197825PRASANNA KUMAR ALLADAIndividualFamily Medicine262 SUTTON RD SE
OWENS CROSS ROADS, AL 35763
(256) 265-0350
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.