Pediatrics In Brewton Alabama

NPI list of 6 pediatrics registered providers with a business address in Brewton, AL of which 1 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
1063493690MARSHA D. RAULERSONIndividualPediatrics1205 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-3608
Non-Participating ProviderYES
1154302792ANN W. LAMBERTIndividualPediatrics
(Adolescent Medicine)
1205 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-3608
Non-Participating ProviderNO
1437280062MARINA LYNN THOMPSONIndividualPediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
Non-Participating ProviderYES
1467060954LODUCA PEDIATRICS, LLCOrganizationPediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240
Non-Participating ProviderNO
1700948841PAUL ANTHONY LODUCAIndividualPediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240
Non-Participating ProviderYES
1912988551AUDREY C. GUTHRIEIndividualPediatrics
(Adolescent Medicine)
1205 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-3608
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.