Specialist In Fountain Hills Arizona

NPI list of 8 specialist registered providers with a business address in Fountain Hills, AZ of which 4 are registered as organizations and 4 as individuals. An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

NPI Name Type Taxonomy Address Medicare PECOS
1407131659MONICA GOUDEYIndividualSpecialist16428 E KINGSTREE BLVD
FOUNTAIN HILLS, AZ 85268
(480) 837-4565
Non-Participating ProviderNO
1437214285SHERRY LEE SLEDGEIndividualSpecialist16913 E ENTERPRISE DR SUITE 103
FOUNTAIN HILLS, AZ 85268
(480) 816-3900
Non-Participating ProviderNO
1508021676INDEPENDENT PHYSICAL THERAPYOrganizationSpecialist13215 N VERDE RIVER DR 5
FOUNTAIN HILLS, AZ 85268
(480) 837-1530
Non-Participating ProviderNO
1518131457AMY ELIZABETH KENNEDYIndividualSpecialist16455 E AVENUE OF THE FOUNTAINS
FOUNTAIN HILLS, AZ 85268
(480) 816-5805
Non-Participating ProviderNO
1598291312HUMMEL FAMILY MEDICINE, PLLCOrganizationSpecialist16838 E PALISADES BLVD BUILDING C SUITE 153
FOUNTAIN HILLS, AZ 85268
(480) 445-9199
Non-Participating ProviderNO
1811153992360 PHYSICAL THERAPY, LLCOrganizationSpecialist12545 N SAGUARO BLVD
FOUNTAIN HILLS, AZ 85268
(480) 837-1530
Non-Participating ProviderNO
1821764754FHMC OPERATING PCOrganizationSpecialist9700 N SAGUARO BLVD STE 100
FOUNTAIN HILLS, AZ 85268
(602) 671-7981
Non-Participating ProviderNO
1952456816KEVIN J CRAIGIndividualSpecialist11607 N SPARROW LN
FOUNTAIN HILLS, AZ 85268
(517) 402-5811
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.