Pediatrics In Arroyo Grande California

NPI list of 11 pediatrics registered providers with a business address in Arroyo Grande, CA of which 6 are registered as organizations and 5 as individuals. A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

NPI Name Type Taxonomy Address Medicare PECOS
1063884252VILLAGE PEDIATRICS OF ARROYO GRANDE, INC.OrganizationPediatrics201 STATION WAY
ARROYO GRANDE, CA 93420
(805) 473-2828
Non-Participating ProviderNO
1093133340JILLIAN RENEE DAVENPORTIndividualPediatrics260 STATION WAY
ARROYO GRANDE, CA 93420
(805) 473-6201
Non-Participating ProviderYES
1184972226ROBERTA JOY HAYERTZIndividualPediatrics912 PRINTZ RD
ARROYO GRANDE, CA 93420
(805) 473-0297
Non-Participating ProviderYES
1518913581WILLIAM S MORGAN MD FAAP INCOrganizationPediatrics154 TRAFFIC WAY
ARROYO GRANDE, CA 93420
(805) 473-3262
Non-Participating ProviderNO
1578547741JEFFREY S. THOMPSONIndividualPediatrics260 STATION WAY SUITE D
ARROYO GRANDE, CA 93420
(805) 473-2828
Non-Participating ProviderNO
1700964665THE PEDIATRIC SPECIALISTS MEDICAL GROUP, INC.
PEDIATRIC SPECIALISTS
OrganizationPediatrics138 W BRANCH ST SUITE A
ARROYO GRANDE, CA 93420
(805) 481-3166
Non-Participating ProviderNO
1760443634EVELYN MARY BOYLEIndividualPediatrics336 S HALCYON RD
ARROYO GRANDE, CA 93420
(805) 481-3658
Non-Participating ProviderNO
1760880223JEFFREY THOMPSON MDOrganizationPediatrics260 STATION WAY STE D
ARROYO GRANDE, CA 93420
(805) 473-2828
Non-Participating ProviderNO
1861480212THE PEDIATRIC SPECIALISTOrganizationPediatrics145 BRIDGE ST
ARROYO GRANDE, CA 93420
(805) 481-3166
Non-Participating ProviderNO
1952370314THE PEDIATRIC SPECIALISTOrganizationPediatrics
(Pediatric Infectious Diseases)
145 BRIDGE ST
ARROYO GRANDE, CA 93420
(805) 481-3166
Non-Participating ProviderNO
1972508943WILLIAM S. MORGANIndividualPediatrics154 TRAFFIC WAY
ARROYO GRANDE, CA 93420
(805) 473-3262
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.