Specialist In Sheffield Alabama

NPI list of 15 specialist registered providers with a business address in Sheffield, AL of which 7 are registered as organizations and 8 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
1215092796DAS S. KANURU, M. D.OrganizationSpecialist1100 S JACKSON HWY SUITE 100
SHEFFIELD, AL 35660
(256) 386-4300
Non-Participating ProviderNO
1306914544F.C. GAPULTOS, JR., M.D.
WOMEN'S CLINIC SHOALS
OrganizationSpecialist1100 S JACKSON HWY SUITE 200
SHEFFIELD, AL 35660
(256) 386-4488
Non-Participating ProviderNO
1326013558A LYNN RIDGEWAYIndividualSpecialist342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
Accepts MedicareYES
1396715843MARK WALKER SMITHIndividualSpecialist1015 S JACKSON HWY
SHEFFIELD, AL 35660
(256) 381-5510
Accepts MedicareYES
1457429532LAURENCE C CARMICHAEL MD PC
LAURENCE C CARMICHAEL MD
OrganizationSpecialist1111 S RALEIGH AVE STE 600
SHEFFIELD, AL 35660
(256) 381-8835
Non-Participating ProviderNO
1477523272FREDERICK LARRY HOLCOMBIndividualSpecialist1015 S JACKSON HWY
SHEFFIELD, AL 35660
(256) 381-5510
Non-Participating ProviderNO
1528323615SHOALS MEDICAL TRIALS, INC.OrganizationSpecialist1300 S MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 386-4001
Non-Participating ProviderNO
1528476017JANNA HESSIndividualSpecialist1100 S JACKSON HWY STE 200
SHEFFIELD, AL 35660
(256) 386-4488
Accepts MedicareYES
1639237340A LYNN RIDGEWAY MD PCOrganizationSpecialist342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
Non-Participating ProviderNO
1700995065FILOMENO C. GAPULTOSIndividualSpecialist1100 S JACKSON HWY STE 200
SHEFFIELD, AL 35660
(256) 386-4488
Accepts MedicareYES
1710053087TENNESSEE VALLEY ENT CLINIC, P.C.OrganizationSpecialist323 N MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 381-6673
Non-Participating ProviderNO
1730159112MICHAEL ROBERT YORDYIndividualSpecialist1015 S JACKSON HWY
SHEFFIELD, AL 35660
(256) 381-5510
Non-Participating ProviderYES
1790755528ROBERT DAVID MATHEWSIndividualSpecialist1015 S JACKSON HWY
SHEFFIELD, AL 35660
(256) 381-5510
Non-Participating ProviderNO
1790879559SURGICAL ASSOCIATES OF THE SHOALS, PCOrganizationSpecialist1120 S JACKSON HWY SUITE 105
SHEFFIELD, AL 35660
(256) 386-1125
Non-Participating ProviderNO
1871568063KENNETH F LEMASTERIndividualSpecialist323 N MONTGOMERY AVE
SHEFFIELD, AL 35660
(256) 381-6673
Non-Participating ProviderYES

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.