Pediatrics In Sylacauga Alabama

NPI list of 8 pediatrics registered providers with a business address in Sylacauga, AL of which 3 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
1083014658PATHWAY PEDIATRICS, INC.OrganizationPediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
Non-Participating ProviderNO
1114146446DAVID HARDYIndividualPediatrics115 W CLAY ST
SYLACAUGA, AL 35150
(256) 245-3267
Non-Participating ProviderNO
1114911518NADER BISHARAIndividualPediatrics209 W SPRING ST SUITE 100
SYLACAUGA, AL 35150
(256) 245-1237
Non-Participating ProviderNO
1184776551SYLACAUGA PEDIATRIC CLINIC, LLC
SUMMIT PEDIATRIC CLINIC, LLC
OrganizationPediatrics115 W CLAY ST
SYLACAUGA, AL 35150
(256) 245-3267
Non-Participating ProviderNO
1356531099COOSA VALLEY PEDIATRICSOrganizationPediatrics209 W SPRING ST SUITE 304
SYLACAUGA, AL 35150
(256) 208-0060
Non-Participating ProviderNO
1619904695SANDRA MARY ANN SOARESIndividualPediatrics291 JAMES PAYTON BLVD
SYLACAUGA, AL 35150
(256) 245-0297
Non-Participating ProviderYES
1790773380ALICE MANSELL HARDYIndividualPediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
Non-Participating ProviderNO
1912049420LESLIE ROBINSON SAWYERIndividualPediatrics209 W SPRING ST SUITE 300
SYLACAUGA, AL 35150
(256) 208-0060
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.