Occupational Therapist In Erie Pennsylvania

NPI list of 127 occupational therapist registered providers with a business address in Erie, PA of which 4 are registered as organizations and 123 as individuals. An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

NPI Name Type Taxonomy Address Medicare PECOS
1003368812KAYLA CORWINIndividualOccupational Therapist4950 W 23RD ST SUITE 1
ERIE, PA 16506
(814) 459-2755
Non-Participating ProviderNO
1013304005RYANN KNOXIndividualOccupational Therapist1267 SOUTH HILL ROAD
ERIE, PA 16509
(814) 864-4081
Non-Participating ProviderNO
1013383942MELISSA MATTAIndividualOccupational Therapist1351 W 25TH ST APT 2
ERIE, PA 16502
(724) 816-1354
Non-Participating ProviderNO
1023137049MICHELLE A REICHERTIndividualOccupational Therapist1910 SASSAFRAS ST SUITE 200
ERIE, PA 16502
(814) 452-5231
Non-Participating ProviderNO
1023256427CHRISTINE WILLIAMSONIndividualOccupational Therapist10 SUMMIT STREET
ERIE, PA 16508
(814) 746-2007
Non-Participating ProviderNO
1043668718KADDI LUCASIndividualOccupational Therapist4950 W 23RD ST STE 1
ERIE, PA 16506
(814) 456-2755
Non-Participating ProviderNO
1043853112LINDA WAGNER LLCOrganizationOccupational Therapist5216 DORCHESTER DR
ERIE, PA 16509
(585) 503-0405
Non-Participating ProviderNO
1053606715DENNYSE B DEZSIIndividualOccupational Therapist4855 W RIDGE RD
ERIE, PA 16506
(814) 836-5403
Non-Participating ProviderNO
1063058626JEANETTE KOETHIndividualOccupational Therapist8701 KUHL RD
ERIE, PA 16510
(814) 969-9810
Non-Participating ProviderNO
1063778785JENNIFER E DAVISIndividualOccupational Therapist240 W 11TH ST SUITE 401
ERIE, PA 16501
(814) 464-0627
Non-Participating ProviderNO
1083120109KRISTEN ASHLEY BIANCOIndividualOccupational Therapist143 E 2ND ST
ERIE, PA 16507
(814) 878-1200
Non-Participating ProviderNO
1083850952JENNIFER LYNN CZEMERYCHIndividualOccupational Therapist3805 FIELD ST
ERIE, PA 16511
(814) 898-5600
Non-Participating ProviderNO
1093044414ELIZABETH DE LEON SOTOIndividualOccupational Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
Non-Participating ProviderNO
1104072164MELINDA WHITEIndividualOccupational Therapist
(Pediatrics)
101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1104222348LINDSAY CHURCHIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1104318245ELIZABETH MAY SHERREDIndividualOccupational Therapist560 E 3RD ST
ERIE, PA 16507
(814) 964-0545
Non-Participating ProviderNO
1104954064KAREN LEEMHUISIndividualOccupational Therapist1611 PEACH ST SUITE 320
ERIE, PA 16501
(814) 456-2003
Non-Participating ProviderNO
1114007879SAINT VINCENT REHAB SOLUTIONS LLC
SAINT VINCENT REHAB SOLUTIONS
OrganizationOccupational Therapist1910 SASSAFRAS ST SUITE 200
ERIE, PA 16502
(814) 452-5231
Non-Participating ProviderNO
1114204211AMANDA SCHLEICHERIndividualOccupational Therapist1012 W BAYFRONT PKWY
ERIE, PA 16507
(814) 455-1630
Non-Participating ProviderNO
1114335130JULIA CAMPBELLIndividualOccupational Therapist207 W. 11TH. ST. SUITE 402
ERIE, PA 16501
(814) 464-0627
Non-Participating ProviderNO
1114495843CHELSEA COXIndividualOccupational Therapist
(Pediatrics)
100 BARBER PL
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1114504867DANIEL HELLERIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-2534
Non-Participating ProviderNO
1144316365ANNETTE MARIE FUHRMANIndividualOccupational Therapist135 E 38TH ST
ERIE, PA 16504
(814) 868-8661
Non-Participating ProviderNO
1154750933KATHRYN WAWRZYNIAKIndividualOccupational Therapist240 W 11TH ST SUITE 402
ERIE, PA 16501
(814) 464-0627
Non-Participating ProviderNO
1164795332ADRIANNE MARIE MORTONIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1174775985BRETT MICHAEL PETERSONIndividualOccupational Therapist3805 FIELD ST
ERIE, PA 16511
(814) 898-5600
Non-Participating ProviderNO
1194131748LINDSEY MCLAUGHLINIndividualOccupational Therapist1012 W BAYFRONT PKWY
ERIE, PA 16507
(814) 879-0786
Non-Participating ProviderNO
1205959871HILARY S HOBBSIndividualOccupational Therapist4950 W 23RD ST SUITE 1
ERIE, PA 16506
(814) 459-2755
Non-Participating ProviderNO
1215201611ASHLEIGH ELIZABETH BOISEIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1215201769LYNN ROCKWELL-CHRISTOPHIndividualOccupational Therapist560 E 3RD ST
ERIE, PA 16507
(814) 506-8212
Non-Participating ProviderNO
1215276738LAUREN HOLLY RUMBALLIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1225077787JACQUELINE M BRITTONIndividualOccupational Therapist2402 CHERRY ST
ERIE, PA 16502
(814) 455-0995
Non-Participating ProviderNO
1245353903ELAINE GHAZINOURIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1245690015NICOLE ROPIECKIIndividualOccupational Therapist1325 W 26TH ST
ERIE, PA 16508
(814) 452-4447
Non-Participating ProviderNO
1255788451MICHELLE BRUSCHIIndividualOccupational Therapist1330 W 26TH ST
ERIE, PA 16508
(814) 459-9300
Non-Participating ProviderNO
1265979546LAUREN M ECKENDORFIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1285115972ALEXA SNYDERIndividualOccupational Therapist2544 HOPE DR APT 1
ERIE, PA 16510
(814) 528-1803
Non-Participating ProviderNO
1285992677MARY F GAVACSIndividualOccupational Therapist
(Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
Non-Participating ProviderNO
1295063600BERNADETTE HATTJARIndividualOccupational Therapist624 CHELSEA AVE
ERIE, PA 16505
(814) 836-0697
Non-Participating ProviderNO
1306073143MEGAN LEIGH DELSANDROIndividualOccupational Therapist300 STATE ST STE 206
ERIE, PA 16507
(814) 453-4743
Non-Participating ProviderNO
1306077102LYNN CROSSMANIndividualOccupational Therapist300 STATE ST SUITE 206
ERIE, PA 16507
(814) 453-4743
Non-Participating ProviderNO
1316060809JILL GRYSKEVICZIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1316976939BETH RIDDLEIndividualOccupational Therapist2402 CHERRY ST
ERIE, PA 16502
(814) 455-0995
Non-Participating ProviderNO
1326161803JOYCE DILLAMANIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1346338621AMY L BRZUZIndividualOccupational Therapist2700 W 21ST ST SUITE 24
ERIE, PA 16506
(814) 833-2301
Non-Participating ProviderNO
1346363918KRISTA STAUFFERIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1346718731SAMANTHA MARIE TRAPPIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1356507206KATHLEEN FROEHLICHIndividualOccupational Therapist300 STATE ST SUITE 206
ERIE, PA 16507
(814) 453-4743
Non-Participating ProviderNO
1356607261TAMI LEA LENHARDIndividualOccupational Therapist135 E 38TH ST
ERIE, PA 16504
(814) 860-2913
Non-Participating ProviderNO
1386073799KRISTEN CIACCHINIIndividualOccupational Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8852
Non-Participating ProviderNO
1396089850ASHLEY MARIE RABELLIndividualOccupational Therapist240 W 11TH ST SUITE 402
ERIE, PA 16501
(814) 464-0627
Non-Participating ProviderNO
1396956314KIMBERLY ANN SANDERSIndividualOccupational Therapist
(Pediatrics)
3850 FRUIT ST 155 W 8TH ST
ERIE, PA 16504
(814) 451-8412
Non-Participating ProviderNO
1407106107RACHEL LYNNE HARTMANIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1407979925EMILY KAMINSKEIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1417070244BRIAN E KAVENEYIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1417221847MAUREEN E. WINSCHELIndividualOccupational Therapist210 STATE STREET
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1417266099KATHERINE E MCDONALDIndividualOccupational Therapist
(Driving and Community Mobility)
4202 PEACH ST
ERIE, PA 16509
(814) 833-2301
Non-Participating ProviderNO
1427604024CHELSEA JEAN SCOTTIndividualOccupational Therapist560 E 3RD ST
ERIE, PA 16507
(814) 506-8212
Non-Participating ProviderNO
1447545512CHAD MICHAEL GRABOWSKIIndividualOccupational Therapist227 W 22ND ST
ERIE, PA 16502
(814) 878-2624
Non-Participating ProviderNO
1457494494MARKELLE LANE BLAIRIndividualOccupational Therapist2631 W 8TH ST
ERIE, PA 16505
(814) 464-0627
Non-Participating ProviderNO
1457695223TAYLOR MICHELE CARLOTTIIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1477589836THE SIGHT CENTER OF NORTHWEST PENNSYLVANIA
THE SIGHT CENTER
OrganizationOccupational Therapist
(Low Vision)
2545 W. 26TH ST.
ERIE, PA 16506
(814) 455-0995
Non-Participating ProviderNO
1477939098MICHAEL KUHARIndividualOccupational Therapist5437 MILL ST
ERIE, PA 16509
(954) 649-8212
Non-Participating ProviderNO
1487261756PHILIP WILCOXIndividualOccupational Therapist607 E 26TH ST
ERIE, PA 16504
(814) 451-1334
Non-Participating ProviderNO
1487266946MARY STASIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1508288085SUSAN TAFTIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1508328592MIRANDA RENEE SUMMERSIndividualOccupational Therapist4602 WYNBURNE AVE
ERIE, PA 16509
(724) 854-0203
Non-Participating ProviderNO
1518175942KAREN LYNN PROBSTIndividualOccupational Therapist2301 EDINBORO RD
ERIE, PA 16509
(814) 860-7117
Non-Participating ProviderNO
1528181013MARYBETH PAYNEIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1528181096AMIE CRUNELLEIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1528259587CYNTHIA ANN PRIESTERIndividualOccupational Therapist136 EAST AVE
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1528402930CASEY M KALIVODAIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1538402706JULIANE MARIE SZUBINSKIIndividualOccupational Therapist100 BARBER PL
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1538454111JESSICA CAROL JENNINGSIndividualOccupational Therapist607 E 26TH ST
ERIE, PA 16504
(814) 836-5300
Non-Participating ProviderNO
1558806562ASHLEY LIBERATOREIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1568585057NICOLE LAVERYIndividualOccupational Therapist
(Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
(814) 875-8850
Non-Participating ProviderNO
1568738797JULIA MARSH HAWKINSIndividualOccupational Therapist
(Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
(814) 875-8720
Non-Participating ProviderNO
1568750925EMILY ZECHMEISTERIndividualOccupational Therapist560 E 3RD ST
ERIE, PA 16507
(814) 506-8212
Non-Participating ProviderNO
1568866556BRIDGET NICOLE MINNICKIndividualOccupational Therapist
(Driving and Community Mobility)
4202 PEACH ST
ERIE, PA 16509
(814) 833-2301
Accepts MedicareNO
1578836755KATELYN MARIE BALOGHIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-2636
Non-Participating ProviderNO
1588922694ALISON R SCULLEYIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1609182617AMANDA MARIE RICHARDSONIndividualOccupational Therapist100 BARBER PL
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1619170420JULIE ANN BAERIndividualOccupational Therapist136 EAST AVE
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1619463734ALEXANDREA FAITH JAKUBOWSKIIndividualOccupational Therapist3805 FIELD ST
ERIE, PA 16511
(814) 898-5600
Non-Participating ProviderNO
1629521711KELLI WALKOWIAKIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1649636093JESSICA STANFORDIndividualOccupational Therapist2631 W 8TH ST
ERIE, PA 16505
(814) 464-0627
Non-Participating ProviderNO
1679928329STEPHANIE LIBRAIndividualOccupational Therapist100 BARBER PLACE BOX # 29
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1679938906KENNETH L. DAMCOTTIndividualOccupational Therapist2301 EDINBORO RD
ERIE, PA 16509
(814) 860-7117
Non-Participating ProviderNO
1689694093BARBARA L LEVESQUEIndividualOccupational Therapist135 E 38TH ST
ERIE, PA 16504
(814) 860-2384
Non-Participating ProviderNO
1689826075MICHELLE LYNN MIODUSZEWSKIIndividualOccupational Therapist240 W 11TH ST STE 106
ERIE, PA 16501
(814) 464-0627
Accepts MedicareNO
1689947855SAMANTHA JOANN PANIGHETTIIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-2636
Non-Participating ProviderNO
1710243712MIRANDA LYNN LISHIndividualOccupational Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
Non-Participating ProviderNO
1720203730ELAINE K PUZARIndividualOccupational Therapist136 EAST AVE
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1720370299DEBORAH VANPARYSIndividualOccupational Therapist4728 LAKE PLEASANT RD
ERIE, PA 16504
(814) 825-0000
Non-Participating ProviderNO
1730516261TEANA L THOMASIndividualOccupational Therapist6351 W LAKE RD
ERIE, PA 16505
(814) 838-9191
Non-Participating ProviderNO
1740432483AMANDA LEE HOGANSONIndividualOccupational Therapist3805 FIELD ST
ERIE, PA 16511
(814) 898-5600
Non-Participating ProviderNO
1750404315LINDA WAGNERIndividualOccupational Therapist5216 DORCHESTER DR
ERIE, PA 16509
(585) 503-0405
Non-Participating ProviderNO
1760706683CAROL BETH MASTERSIndividualOccupational Therapist5416 E LAKE RD
ERIE, PA 16511
(814) 899-8600
Non-Participating ProviderNO
1770056202ABIGAIL QUINNIndividualOccupational Therapist2924 WOODVIEW DR
ERIE, PA 16506
(814) 464-6285
Non-Participating ProviderNO
1780905265STEPHANIE L MBOUCKIndividualOccupational Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8833
Non-Participating ProviderNO
1780927525GINA KRAHNKEIndividualOccupational Therapist2312 JAMESTOWN DR
ERIE, PA 16506
(814) 450-5035
Non-Participating ProviderNO
1790074987DAVID JOHN AUSTINIndividualOccupational Therapist300 STATE ST SUITE 206
ERIE, PA 16507
(814) 453-4743
Non-Participating ProviderNO
1811367378GABRIELLE HAYESIndividualOccupational Therapist2519 POPLAR ST
ERIE, PA 16502
(800) 330-7711
Non-Participating ProviderNO
1811430424KILEY MIERIndividualOccupational Therapist2631 W 8TH ST
ERIE, PA 16505
(814) 464-0627
Accepts MedicareNO
1811533698JENNIFER ERIN MCLAUGHLINIndividualOccupational Therapist8436 BEECH TREE LN
ERIE, PA 16510
(814) 490-6263
Non-Participating ProviderNO
1821328691CHRISTINE LINKIEIndividualOccupational Therapist4134 VENICE DR
ERIE, PA 16506
(814) 528-3789
Non-Participating ProviderNO
1831484187JENNIFER LYNN BOWESIndividualOccupational Therapist227 W 22ND ST
ERIE, PA 16502
(814) 878-2624
Non-Participating ProviderNO
1841578200KIMBERLY MARIE GNARRAIndividualOccupational Therapist607 E 26TH ST
ERIE, PA 16504
(814) 451-1334
Non-Participating ProviderNO
1841788858SARAH MATSONIndividualOccupational Therapist
(Driving and Community Mobility)
560 E 3RD ST
ERIE, PA 16507
(814) 506-8212
Non-Participating ProviderNO
1851414338ANN NECKERSIndividualOccupational Therapist101 E 6TH ST
ERIE, PA 16501
(814) 459-2755
Non-Participating ProviderNO
1861491094HAND AND ARTHRITIS REHABILITATION CENTER INC.OrganizationOccupational Therapist300 STATE ST SIUTE 206
ERIE, PA 16507
(814) 453-4743
Non-Participating ProviderNO
1891022968KYLE ARDEN FIGASKIIndividualOccupational Therapist100 BARBER PL
ERIE, PA 16507
(814) 453-7661
Non-Participating ProviderNO
1891231247AMY WITHERITEIndividualOccupational Therapist560 E 3RD ST
ERIE, PA 16507
(814) 878-4965
Non-Participating ProviderNO
1891776324PATRICIA A SCHMITT-SLAUGHTERIndividualOccupational Therapist1910 SASSAFRAS ST SUITE 200
ERIE, PA 16502
(814) 452-5231
Non-Participating ProviderNO
1902088222MEGAN ELIZABETH NICOLASIndividualOccupational Therapist897 CHERRY HILL BLVD
ERIE, PA 16509
(913) 742-1525
Non-Participating ProviderNO
1912161316KELLY JEAN TOBINIndividualOccupational Therapist1330 W 26TH ST
ERIE, PA 16508
(814) 459-9300
Non-Participating ProviderNO
1922483486BRITTANY JOYCEIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1932330735TERRI L WOLFEIndividualOccupational Therapist300 STATE ST SUITE 206
ERIE, PA 16507
(814) 453-4743
Non-Participating ProviderNO
1942573191ERIN LEIGH YOUNGIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1942653761OLUMAYOWA ENOMAIndividualOccupational Therapist
(Gerontology)
1141 E 38TH ST
ERIE, PA 16504
(301) 254-0883
Non-Participating ProviderNO
1952674103LISA ANN WONDERLINGIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1952824450ALEXIS CAMPBELLIndividualOccupational Therapist4950 W 23RD ST STE 1
ERIE, PA 16506
(814) 459-2755
Non-Participating ProviderNO
1952913865DANIELLE SNYDERIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1972051910AMBER BALANDISIndividualOccupational Therapist4950 W 23RD ST SUITE 1
ERIE, PA 16506
(814) 459-2755
Non-Participating ProviderNO
1972818409JAMIE ALANE GOULETIndividualOccupational Therapist135 E 38TH ST
ERIE, PA 16504
(814) 868-8661
Non-Participating ProviderNO
1972853778STEPHANIE MARIE VAUGHNIndividualOccupational Therapist201 STATE ST
ERIE, PA 16550
(814) 877-6000
Non-Participating ProviderNO
1982849113JENNIFER LYNN MEJIAIndividualOccupational Therapist4114 SCHAPER AVE
ERIE, PA 16508
(814) 868-0831
Non-Participating ProviderNO

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.