Surgery In Sheffield Alabama

NPI list of 7 surgery registered providers with a business address in Sheffield, AL of which 2 are registered as organizations and 5 as individuals. A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

NPI Name Type Taxonomy Address Medicare PECOS
1275538498DAVID T COZARTIndividualSurgery1120 S JACKSON HWY STE 203
SHEFFIELD, AL 35660
(256) 314-6947
Accepts MedicareYES
1730313974DAVID SCOTT THERRIENIndividualSurgery1120 S JACKSON HWY STE 203
SHEFFIELD, AL 35660
(256) 314-6947
Accepts MedicareYES
1760647556JAMES RYAN CONNERIndividualSurgery1120 S. JACKSON HWY SUITE 105
SHEFFIELD, AL 35660
(256) 386-1125
Accepts MedicareYES
1780021337RANDALL KEITH MANSELLIndividualSurgery1120 S JACKSON HWY SUITE 105
SHEFFIELD, AL 35660
(256) 386-1125
Accepts MedicareYES
1790955920AVALON SURGICAL,P.C.OrganizationSurgery1120 S JACKSON HWY STE 307
SHEFFIELD, AL 35660
(256) 381-0030
Non-Participating ProviderNO
1871523597ADVANCED SURGICAL CARE PCOrganizationSurgery1120 S JACKSON HWY STE 203
SHEFFIELD, AL 35660
(256) 314-6947
Non-Participating ProviderNO
1871530766ALAN L BILLSBYIndividualSurgery342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
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.