Family Medicine In Pacific Grove California

NPI list of 8 family medicine registered providers with a business address in Pacific Grove, CA 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
1023194545GREGORY H. CRAWFORDIndividualFamily Medicine940 BAYVIEW AVE
PACIFIC GROVE, CA 93950
(831) 373-2181
Non-Participating ProviderNO
1326051954DALE GENE OBRIENIndividualFamily Medicine312 FOUNTAIN AVE
PACIFIC GROVE, CA 93950
(831) 658-0600
Non-Participating ProviderNO
1326090408GLORIA L KALISHERIndividualFamily Medicine222 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 375-5566
Accepts MedicareYES
1376531897STEVEN CHARLES POSSONIndividualFamily Medicine57 COUNTRY CLUB GATE
PACIFIC GROVE, CA 93950
(805) 441-2720
Non-Participating ProviderNO
1639275340EUGENE BENJAMINIndividualFamily Medicine220 COUNTRY CLUB GATE CENTER SUITE 27
PACIFIC GROVE, CA 93950
(831) 915-0567
Non-Participating ProviderNO
1710232996PACIFIC GROVE FAMILY MEDICINE, INC.OrganizationFamily Medicine621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 649-1011
Non-Participating ProviderNO
1821146606SIANG L. LOIndividualFamily Medicine621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 649-1011
Accepts MedicareYES
1942382577ELIOT S LIGHTIndividualFamily Medicine621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 649-1011
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.