Psychologist In Roseville California

NPI list of 110 psychologist registered providers with a business address in Roseville, CA of which 13 are registered as organizations and 97 as individuals. A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

NPI Name Type Taxonomy Address Medicare PECOS
1003013491KENNETH ALAN LOGANIndividualPsychologist
(Clinical)
1891 E ROSEVILLE PKWY SUITE 100
ROSEVILLE, CA 95661
(916) 789-7082
Non-Participating ProviderNO
1013247238DAVID ZUCCOLOTTOIndividualPsychologist
(Clinical)
2110 PROFESSIONAL DR SUITE 120
ROSEVILLE, CA 95661
(916) 536-2500
Accepts MedicareYES
1013262658OLIVIA ROLDIndividualPsychologist2330 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661
(279) 201-9612
Non-Participating ProviderYES
1023159191MICHAEL A. MOLYNIndividualPsychologist
(Clinical)
VALLEY PSYCHOLOGICAL CENTER 1891 E. ROSEVILLE PARKWAY, SUITE 100
ROSEVILLE, CA 95661
(916) 870-4484
Non-Participating ProviderNO
1033231071MICHELLE MARIE COXIndividualPsychologist2412 PROFESSIONAL DR
ROSEVILLE, CA 95661
(858) 361-1372
Non-Participating ProviderNO
1033246137HEATHER JANE FORDEIndividualPsychologist
(Clinical)
970 RESERVE DR STE 205
ROSEVILLE, CA 95678
(916) 780-1070
Non-Participating ProviderNO
1033295456DIANE J HUISINGAIndividualPsychologist729 SUNRISE AVE STE 101
ROSEVILLE, CA 95661
(916) 771-7852
Accepts MedicareYES
1043860661IPSYCHOLOGICAL PCOrganizationPsychologist
(Clinical)
5800 STANDFORD RANCH RD, SUITE 610
ROSEVILLE, CA 95661
(916) 975-4358
Non-Participating ProviderNO
1053442251JENNIFER A GRIGORIOUIndividualPsychologist
(Clinical)
333 SUNRISE AVE SUITE 701
ROSEVILLE, CA 95661
(209) 205-0930
Accepts MedicareYES
1063400422LOTHAR ENGELBERT MADERIndividualPsychologist2130 PROFESSIONAL DR SUITE 240
ROSEVILLE, CA 95661
(916) 782-2100
Non-Participating ProviderYES
1063538254KATHI JONES-LORENZIndividualPsychologist
(Clinical)
1891 E ROSEVILLE PKWY SUITE 120
ROSEVILLE, CA 95661
(916) 774-6000
Accepts MedicareYES
1063610004CHASSITY ANGENY-SHOWALTERIndividualPsychologist1741 E ROSEVILLE PKWY SUITE 200
ROSEVILLE, CA 95661
(916) 784-1120
Non-Participating ProviderNO
1083896658FALL CREEK COUNCELING ASSOCIATESOrganizationPsychologist775 SUNRISE AVE 110
ROSEVILLE, CA 95661
(916) 595-7233
Non-Participating ProviderNO
1093262768STEPHANIE SMITHIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY STE 160
ROSEVILLE, CA 95661
(916) 878-4004
Non-Participating ProviderYES
1093862203LEILANI ANN JENNINGSIndividualPsychologist
(Clinical)
1380 LEAD HILL BLVD SUITE 110
ROSEVILLE, CA 95661
(916) 956-7762
Non-Participating ProviderNO
1104999556MARVIN B BERMANIndividualPsychologist775 SUNRISE 120
ROSEVILLE, CA 95661
(916) 554-0664
Maybe Accepts MedicareYES
1114041191DEBRA MOORE, PH.D.
FALL CREEK COUNSELING ASSOCIATES
OrganizationPsychologist775 SUNRISE AVE SUITE 110
ROSEVILLE, CA 95661
(916) 344-0900
Non-Participating ProviderNO
1124175310ANNE BECHTLE HIGGINSIndividualPsychologist
(Clinical)
1001 RIVERSIDE AVE MEDICINE 4
ROSEVILLE, CA 95678
(916) 746-4675
Non-Participating ProviderYES
1124243076BRUCE W. EBERTIndividualPsychologist
(Forensic)
775 SUNRISE AVE SUITE 160
ROSEVILLE, CA 95661
(916) 781-7875
Non-Participating ProviderNO
1134288079DIANA MARIE DORHOFERIndividualPsychologist
(Health Service)
2120 PROFESSIONAL DR STE 225
ROSEVILLE, CA 95661
(916) 771-7732
Non-Participating ProviderYES
1134367832RAINIE D TABISHIndividualPsychologist
(Clinical)
2235 DOUGLAS BLVD STE 500
ROSEVILLE, CA 95661
(916) 622-2620
Accepts MedicareYES
1154628857KELLY ELIZABETH STEINBACHIndividualPsychologist1430 BLUE OAKS BLVD STE 120
ROSEVILLE, CA 95747
(916) 765-4779
Accepts MedicareYES
1164575924CERI PAGANELLIIndividualPsychologist1600 EUREKA RD
ROSEVILLE, CA 95661
(916) 784-4000
Non-Participating ProviderYES
1174291868CHRISTINA E PARKERIndividualPsychologist1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderNO
1174687016THOMAS EMERSON ELMOREIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY KAISER DEPARTMENT OF PSYCHIATRY
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderNO
1174688303MICHAEL EDWARD ALAN HANLONIndividualPsychologist1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 973-5300
Accepts MedicareYES
1184203291JOSEPHINE NGOIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 878-4377
Non-Participating ProviderYES
1215313523MARK LEVINE M.D. MINDFULLNESS ASSOCIATES, P.C.OrganizationPsychologist
(Group Psychotherapy)
4190 DOUGLAS BLVD STE 300
ROSEVILLE, CA 95746
(855) 500-6463
Non-Participating ProviderNO
1215940812KRISTIN ANN CLEMENSIndividualPsychologist
(Clinical)
8775 SIERRA COLLEGE BLVD STE 200
ROSEVILLE, CA 95661
(916) 382-7200
Opted out of MedicareYES
1225117302DAVID H SANDERSIndividualPsychologist
(Clinical)
775 SUNRISE AVENUE SUITE # 140
ROSEVILLE, CA 95661
(916) 784-1244
Accepts MedicareYES
1225187644ERIC A EGLIIndividualPsychologist
(Health Service)
1001 RIVERSIDE AVE
ROSEVILLE, CA 95678
(918) 746-4671
Maybe Accepts MedicareYES
1225568306ELIJAH S MEEKERIndividualPsychologist
(Clinical)
2235 DOUGLAS BLVD STE 500
ROSEVILLE, CA 95661
(916) 975-4358
Accepts MedicareYES
1255402830LAURA M LOWRYIndividualPsychologist
(Clinical)
1895 E ROSEVILLE PKWY STE 190
ROSEVILLE, CA 95661
(916) 532-5777
Accepts MedicareYES
1265651574CAROLYN BAHOH JAVETEIndividualPsychologist
(Clinical)
1624 SANTA CLARA DR STE 145
ROSEVILLE, CA 95661
(916) 764-7022
Non-Participating ProviderNO
1275762452TRAVIS H. OWENS, PSY.D. INC.OrganizationPsychologist
(Clinical)
1891 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 789-7082
Non-Participating ProviderNO
1295306215PLACER PSYCHOLOGICAL WELLNESS GROUP, INCOrganizationPsychologist
(Clinical)
420 FOLSOM ROAD SUITE D
ROSEVILLE, CA 95678
(530) 767-4637
Non-Participating ProviderNO
1316094717THEODORE LASSERIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 878-4033
Non-Participating ProviderNO
1316107873MARK ALLAN GRABAUIndividualPsychologist1899 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 220-4527
Non-Participating ProviderNO
1316455926JENNY ELIZABETH NICHOLSIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(167) 844-0009
Non-Participating ProviderYES
1326061813KINA ANNETTE JOHNSON CLARKIndividualPsychologist
(Clinical)
1380 LEAD HILL BLVD #110
ROSEVILLE, CA 95661
(916) 726-4030
Maybe Accepts MedicareYES
1326528530KATELYNN MENGIndividualPsychologist
(School)
1250 CANEVARI DR
ROSEVILLE, CA 95747
(916) 789-7100
Non-Participating ProviderNO
1346840543JESSICA PAIGE HARTERIndividualPsychologist
(Clinical)
1891 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 899-3507
Non-Participating ProviderNO
1356412464LAURIE WIGGENIndividualPsychologist
(Clinical)
915 DOUGLAS BLVD SUITE 17
ROSEVILLE, CA 95678
(916) 257-2520
Non-Participating ProviderNO
1366884611TIARE M BENDRISSIndividualPsychologist1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderYES
1376815308MOLLY JOAN HARRISONIndividualPsychologist
(School)
2330 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661
(530) 263-3206
Non-Participating ProviderNO
1396224572JOYCE MOOREIndividualPsychologist
(School)
8849 COOK RIOLO ROAD
ROSEVILLE, CA 95747
(916) 770-8845
Non-Participating ProviderNO
1396877346CYNTHIA M THORPIndividualPsychologist
(Clinical)
300 HARDING BLVD SUITE 112C
ROSEVILLE, CA 95678
(916) 764-0915
Accepts MedicareYES
1407392012DUSTIN BRETT BRIDGESIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 342-5168
Non-Participating ProviderYES
1427110816JERRY AUGUSTINE DIREGOLOIndividualPsychologist
(Clinical)
1600 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7610
Non-Participating ProviderNO
1427273507RANDY ALLAN GILCHRISTIndividualPsychologist
(Clinical)
1899 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 899-4990
Accepts MedicareYES
1477644326ROBERT DOBLE EDLINGIndividualPsychologist1110 MELODY LN STE 122
ROSEVILLE, CA 95678
(916) 521-5947
Non-Participating ProviderNO
1477918654WILLIAM HAYWARD STASOIndividualPsychologist2137 RHODES LN
ROSEVILLE, CA 95747
(916) 899-2638
Non-Participating ProviderNO
1477936920BARBARA JANE WILSONIndividualPsychologist
(Clinical)
1891 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 789-7082
Accepts MedicareYES
1497780399SPENCER DANIEL ROSENBERGIndividualPsychologist
(Clinical)
2130 PROFESSIONAL DR
ROSEVILLE, CA 95661
(916) 879-2641
Accepts MedicareYES
1497987150JOHN FIELDERIndividualPsychologist
(Clinical)
300 HARDING BLVD SUITE 118
ROSEVILLE, CA 95678
(916) 878-0355
Non-Participating ProviderYES
1508087909NICOLE SOLOMONIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY STE 160
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderYES
1508804808CLARENCE ROSS HILLIARDIndividualPsychologist
(Clinical)
8640 TRINIDAD WAY
ROSEVILLE, CA 95747
(916) 984-2131
Accepts MedicareYES
1508831934KAREN ETTA JAKOBOVITSIndividualPsychologist
(Clinical)
1895 E ROSEVILLE PKWY SUITE 190
ROSEVILLE, CA 95661
(916) 498-8774
Accepts MedicareYES
1508922006JESSICA M DEL POZOIndividualPsychologist
(Health Service)
1001 RIVERSIDE AVE
ROSEVILLE, CA 95678
(916) 784-4050
Accepts MedicareYES
1518611649VANESSA NICHOLSONIndividualPsychologist
(Clinical)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
(209) 201-8795
Non-Participating ProviderNO
1528129053ROSALIE ANN KEIKO CALABRESEIndividualPsychologist
(Clinical)
1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderYES
1538385406MELISSA NOEL GRABAUIndividualPsychologist
(Prescribing (Medical))
1899 E ROSEVILLE PKWY STE. 100
ROSEVILLE, CA 95661
(916) 743-3870
Accepts MedicareYES
1558489138JOHN C BOLFIndividualPsychologist
(Clinical)
101 CIRBY HILLS DR
ROSEVILLE, CA 95678
(916) 787-8814
Non-Participating ProviderNO
1558726166MANDEEP KAUR TUMBERIndividualPsychologist1660 E ROSEVILLE PKWY STE 160
ROSEVILLE, CA 95661
(916) 878-4006
Non-Participating ProviderYES
1568502748TANDA M ALMONTIndividualPsychologist
(Clinical)
2330 PROFESSIONAL DR SUITE 100
ROSEVILLE, CA 95661
(916) 770-6166
Non-Participating ProviderNO
1578073508SIRINTIP RHEEIndividualPsychologist1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 878-4378
Non-Participating ProviderYES
1578629390KENNETH RAY PHILIPPIndividualPsychologist1891 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 789-7082
Non-Participating ProviderNO
1578939658PATRICIA L. BACH, PSYD, INC., A PSYCHOLOGICAL CORPORATIONOrganizationPsychologist
(Clinical)
300 HARDING BLVD STE 203K
ROSEVILLE, CA 95678
(916) 662-0767
Non-Participating ProviderNO
1588034318SHARON MARIE MUHAIndividualPsychologist1700 EUREKA RD STE 155
ROSEVILLE, CA 95661
(916) 802-2816
Non-Participating ProviderNO
1588308340EMILY GOSNELLIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderNO
1609396183KENNETH L. LARSON, PH.D., INC.OrganizationPsychologist
(Clinical)
1891 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Non-Participating ProviderNO
1619039005RANDI PARIS-SALBIndividualPsychologist1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 973-5300
Non-Participating ProviderNO
1619908852JANICE MOORE PETTISIndividualPsychologist
(Clinical)
219 ESTATES DRIVE SUITE 102
ROSEVILLE, CA 95678
(916) 786-9323
Non-Participating ProviderNO
1629188578PAUL DAVID CECCHETTINIIndividualPsychologist420 FOLSOM ROAD SUITE D
ROSEVILLE, CA 95678
(530) 767-4637
Non-Participating ProviderNO
1629213897ANGELA MARIE CHANTERIndividualPsychologist
(Addiction (Substance Use Disorder))
1895 E ROSEVILLE PKWY SUITE 190
ROSEVILLE, CA 95661
(916) 439-5638
Non-Participating ProviderNO
1629597208AMY LOUISE GOSSETTIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 878-4023
Non-Participating ProviderYES
1659407104RACHEL SHENANDOAH COVER-BRIGGSIndividualPsychologist1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 878-4056
Accepts MedicareYES
1679586127RITA LOUISE KIRKIndividualPsychologist
(Clinical)
775 SUNRISE AVE STE.110
ROSEVILLE, CA 95661
(916) 801-6685
Non-Participating ProviderNO
1689737694GLORIA S SIMARDIndividualPsychologist406 SUNRISE AVE STE 220
ROSEVILLE, CA 95661
(916) 772-0121
Non-Participating ProviderNO
1699021766JAZMINE MCCOYIndividualPsychologist
(Clinical)
8775 SIERRA COLLEGE BLVD STE 250
ROSEVILLE, CA 95661
(916) 772-1642
Non-Participating ProviderNO
1700878550HOLLY ILFELDIndividualPsychologist
(Clinical)
1380 LEAD HILL BLVD STE. 110
ROSEVILLE, CA 95661
(916) 481-4585
Non-Participating ProviderNO
1700932688GARY NORMAN SLUTZKYIndividualPsychologist
(Clinical)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
(916) 878-4003
Non-Participating ProviderYES
1700948791PATRICIA L OWENIndividualPsychologist
(Clinical)
1430 BLUE OAKS BLVD
ROSEVILLE, CA 95747
(559) 978-6606
Non-Participating ProviderNO
1710046594PETER J. ADAMSIndividualPsychologist
(Clinical)
1600 EUREKA RD
ROSEVILLE, CA 95661
(916) 746-3957
Non-Participating ProviderYES
1720471766VANESSA BRIENIndividualPsychologist729 SUNRISE AVE STE 101
ROSEVILLE, CA 95661
(916) 782-3800
Non-Participating ProviderYES
1720637028JENNIFER GLASPELLIndividualPsychologist
(School)
5345 ANGELROCK LOOP
ROSEVILLE, CA 95747
(808) 365-2354
Non-Participating ProviderNO
1730119892CHRISTINE A. VOLKERIndividualPsychologist775 SUNRISE AVE SUITE 120
ROSEVILLE, CA 95661
(916) 812-3004
Non-Participating ProviderNO
1730248519NICOLE ERICA BERLANTIndividualPsychologist
(Clinical)
1600 EUREKA RD KAISER PERMANENTE
ROSEVILLE, CA 95661
(916) 746-3956
Non-Participating ProviderNO
1760542161STEPHEN GROUELLIndividualPsychologist
(Clinical)
1840 SIERRA GARDENS DRIVE KAISER PEDIATRICS, STATION D
ROSEVILLE, CA 95661
(916) 787-6434
Non-Participating ProviderNO
1790777399ROBERT WINSTON BENNETTIndividualPsychologist
(Clinical)
1380 LEAD HILL BLVD STE. 110
ROSEVILLE, CA 95661
(916) 556-4178
Non-Participating ProviderNO
1801554126MICHELLE RUTZIndividualPsychologist
(Counseling)
8303 SIERRA COLLEGE BLVD
ROSEVILLE, CA 95661
(916) 234-6894
Non-Participating ProviderNO
1811061864STEPHEN GARY MCCLUREIndividualPsychologist
(Clinical)
729 SUNRISE AVE SUITE 101
ROSEVILLE, CA 95661
(916) 782-3800
Accepts MedicareYES
1821577172ADAM BOTWINIKIndividualPsychologist
(School)
8849 COOK RIOLO ROAD
ROSEVILLE, CA 95747
(916) 770-8800
Non-Participating ProviderNO
1831315811PATRICIA DALEY BRUNNERIndividualPsychologist
(Clinical)
2412 PROFESSIONAL DR
ROSEVILLE, CA 95661
(916) 678-0798
Opted out of MedicareYES
1831621291VITALITY FRP MULTIDISCIPLINARY PSYCHOLOGY AND PHYSIOTHERAPY FOR CHRONIOrganizationPsychologist
(Clinical)
1650 LEAD HILL BLVD
ROSEVILLE, CA 95661
(510) 967-2474
Non-Participating ProviderNO
1831685197SUNRISE PSYCHOLOGICAL SERVICESOrganizationPsychologist
(Clinical)
729 SUNRISE AVE STE 101
ROSEVILLE, CA 95661
(916) 782-3800
Non-Participating ProviderNO
1871613976JULIA LUCASIndividualPsychologist
(Clinical)
2412 PROFESSIONAL DR
ROSEVILLE, CA 95661
(916) 813-8844
Opted out of MedicareYES
1871934646JOSINA GRASSI MOAKIndividualPsychologist
(Clinical)
2412 PROFESSIONAL DR
ROSEVILLE, CA 95661
(916) 580-5130
Opted out of MedicareYES
1881974533SASHA TURNERIndividualPsychologist1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 878-4067
Non-Participating ProviderYES
1891337820SUNRISE PSYCHOLOGICAL SERVICES, PC
SUNRISE COUNSELING GROUP
OrganizationPsychologist
(Clinical)
729 SUNRISE AVE STE 101
ROSEVILLE, CA 95661
(916) 782-3800
Non-Participating ProviderNO
1891787644HEARTHSTONE COUNSELING SERVICES, INC.OrganizationPsychologist
(Clinical)
1380 LEAD HILL BLVD STE. 110
ROSEVILLE, CA 95661
(916) 481-4585
Non-Participating ProviderNO
1891806675KENNETH L. LARSONIndividualPsychologist
(Clinical)
1891 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
(916) 789-7082
Non-Participating ProviderYES
1891854741THOMAS L. CURTISIndividualPsychologist
(Clinical)
1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7613
Non-Participating ProviderNO
1902966062VALERIE ANN WOLFEIndividualPsychologist1001 RIVERSIDE AVE
ROSEVILLE, CA 95678
(916) 746-4537
Non-Participating ProviderYES
1942361274DARCY UNO FUJIOKAIndividualPsychologist
(Cognitive & Behavioral)
1001 RIVERSIDE AVE
ROSEVILLE, CA 95678
(916) 746-4675
Non-Participating ProviderYES
1942510813SHERRILYN ROBERTSON WESTBROOKIndividualPsychologist
(Clinical)
1643 EUREKA RD
ROSEVILLE, CA 95661
(916) 771-7611
Non-Participating ProviderYES
1952596645KERI LYN TURNERIndividualPsychologist300 HARDING BLVD SUITE 108
ROSEVILLE, CA 95678
(530) 902-4867
Non-Participating ProviderNO
1962580951JOHN M. KENDRAIndividualPsychologist2130 PROFESSIONAL DR STE 220
ROSEVILLE, CA 95661
(916) 780-0580
Non-Participating ProviderNO
1972729069JEFFREY A. STONEIndividualPsychologist
(Counseling)
3300 DOUGLAS BLVD SUITE 190
ROSEVILLE, CA 95661
(916) 787-0555
Non-Participating ProviderNO
1972936466THE ANXIETY TREATMENT CENTER OF SACRAMENTOOrganizationPsychologist
(Clinical)
1899 E ROSEVILLE PKWY STE 140
ROSEVILLE, CA 95661
(916) 366-0647
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.