Pediatrics In Decatur Alabama

NPI list of 25 pediatrics registered providers with a business address in Decatur, AL of which 15 are registered as organizations and 10 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
1013900166DAVILA PEDIATRICS P.C.OrganizationPediatrics1874 BELTLINE RD SW SUITE 110
DECATUR, AL 35601
(256) 355-8077
Non-Participating ProviderNO
1134185770ME'LISSA R YOUNG-HARKINSIndividualPediatrics1802 PRESBYTERIAN DR SW
DECATUR, AL 35603
(256) 301-5405
Non-Participating ProviderNO
1164574943PAUL AUGUST MARQUESIndividualPediatrics1221 13TH AVE SE
DECATUR, AL 35601
(256) 350-2711
Non-Participating ProviderNO
1255528444SOUTHERN RURAL HEALTH CARE CONSORTIUMOrganizationPediatrics2112 6TH AVENUE SE
DECATUR, AL 35601
(256) 340-1251
Non-Participating ProviderNO
1356616429JENNIFER LYNN MENONIndividualPediatrics1874 BELTLINE RD SW STE 300
DECATUR, AL 35601
(256) 973-6175
Non-Participating ProviderNO
1396790457CHILDRENS MEDICAL CENTER OF DECATUROrganizationPediatrics1874 BELTLINE RD SW
DECATUR, AL 35601
(256) 351-2273
Non-Participating ProviderNO
1437350196ROBYN DENISE JOHNSONIndividualPediatrics1874 BELTLINE RD SW SUITE 110
DECATUR, AL 35601
(256) 301-3435
Non-Participating ProviderNO
1477013720DECATUR MORGAN PEDIATRICSOrganizationPediatrics1215 7TH ST SE STE 210
DECATUR, AL 35601
(256) 973-6175
Non-Participating ProviderNO
1508389016DECATUR MORGAN PEDIATRICS-RIVERSIDEOrganizationPediatrics1304 13TH AVE SE STE B
DECATUR, AL 35601
Non-Participating ProviderNO
1538574116GROWING TOGETHER PEDIATRICSOrganizationPediatrics1215 7TH ST SE SUITE 230
DECATUR, AL 35601
(256) 351-5405
Non-Participating ProviderNO
1659357192JAMES MIZEIndividualPediatrics1225 13TH AVE SE
DECATUR, AL 35601
(256) 350-0675
Non-Participating ProviderNO
1699908673PEDIATRIC ASSOCIATES OF DECATUR LLCOrganizationPediatrics1874 BELTLINE RD SW SUITE 160
DECATUR, AL 35601
(256) 306-9400
Non-Participating ProviderNO
1700150026HH HEALTH SYSTEM-MORGAN INC.
MILESTONE PEDIATRICS
OrganizationPediatrics1874 BELTLINE RD SW SUITE 110
DECATUR, AL 35601
(256) 301-3435
Non-Participating ProviderNO
1710100052DRS. JAMES & KATHRYN MIZE PCOrganizationPediatrics
(Adolescent Medicine)
1225 13TH AVE SE
DECATUR, AL 35601
(256) 350-0675
Non-Participating ProviderNO
1720128598DECATUR GENERAL HOSPITAL
DECATUR PEDIATRICS
OrganizationPediatrics1304 13TH AVE SE SUITE D
DECATUR, AL 35601
(256) 340-2560
Non-Participating ProviderNO
1720448897RIVERSIDE PEDIATRICS OF DECATUR LLPOrganizationPediatrics1304 13TH AVE SE STE D
DECATUR, AL 35601
(256) 355-1843
Non-Participating ProviderNO
1780057042WILLIAM WALKERIndividualPediatrics1561 BLACKHALL LN SE
DECATUR, AL 35601
(256) 353-4516
Non-Participating ProviderNO
1780940494DECATUR GENERAL HOSPITAL
TANYA D DELAVERGNE, MD
OrganizationPediatrics1215 7TH ST SE SUITE 230
DECATUR, AL 35601
(256) 350-4855
Non-Participating ProviderNO
1831138155DAVID V PARMERIndividualPediatrics1304 13TH AVE SE, SUITE D
DECATUR, AL 35601
(256) 355-1843
Non-Participating ProviderNO
1831378967KIDS TOWN PEDIATRICS, P.C.OrganizationPediatrics2506 DANVILLE RD SW # A SUITE 103
DECATUR, AL 35603
(256) 301-9479
Non-Participating ProviderNO
1861689168YOUSEF F. KHOURI, MD, PCOrganizationPediatrics1304 13TH AVE SE SUITE P
DECATUR, AL 35601
(256) 355-1843
Non-Participating ProviderNO
1871579391KATHRYN S MIZEIndividualPediatrics1225 13TH AVE SE
DECATUR, AL 35601
(256) 350-0675
Non-Participating ProviderNO
1891726527ELLEN VIRGINIA DRAGSTENIndividualPediatrics68 MARCO DRIVE SE
DECATUR, AL 35603
(256) 432-2007
Non-Participating ProviderNO
1902093206DAVID V. PARMER, MD, PCOrganizationPediatrics1304 13TH AVE SE SUITE D
DECATUR, AL 35601
(256) 355-1843
Non-Participating ProviderNO
1962512988JEFFREY W HULLIndividualPediatrics1215 7TH ST SE SUITE 210
DECATUR, AL 35601
(256) 306-0101
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.