DR. LAINE P MCDONALD MD NPI 1578545711

Emergency Medicine in Gardendale, AL

NPI 1578545711 Individual Female Years of Experience 21 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About LAINE MCDONALD

Laine Mcdonald is a provider established in Gardendale, Alabama and her medical specialization is emergency medicine with more than 21 years of experience. She graduated from University Of Alabama School Of Medicine in 2001. The NPI number of Laine Mcdonald is 1578545711 and was assigned on November 2005. The practitioner's primary taxonomy code is 207P00000X with license number 24906 (AL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

Laine Mcdonald is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Laine Mcdonald is registered with Medicare and accepts claims assignment, this 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 copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Medical West, An Affiliate Of Uab Health System and University Of Alabama Hospital.

NPI

1578545711

Provider NameDR. LAINE P MCDONALD MD
Provider Location Address960 MOUNT OLIVE RD GARDENDALE, AL 35071
Provider Mailing AddressPO BOX 55310 BIRMINGHAM, AL 35255
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-15-2005
Last Update Date02-28-2019


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.24906
License StateAL
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. LAINE P MCDONALD MD
960 MOUNT OLIVE RD
GARDENDALE, AL
ZIP 35071
Phone: (205) 631-3452
Fax: (205) 631-3173

Get Directions


Mailing Address

DR. LAINE P MCDONALD MD
PO BOX 55310
BIRMINGHAM, AL
ZIP 35255
Phone: (205) 731-9701



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4688604648
PECOS Enrollment IDI20050818000901
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laine Mcdonald is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM995 9TH AVENUE SOUTHWEST
BESSEMER, AL 35021
(205) 481-7000Acute Care Hospitals10114
UNIVERSITY OF ALABAMA HOSPITAL619 SOUTH 19TH STREET
BIRMINGHAM, AL 35233
(205) 934-4011Acute Care Hospitals10033

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
051530864OTHER (01)AL
051556553MEDICAID (05)AL

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659614196 MATTHEW PFLEDERER M.D.
Individual
Internal Medicine (Cardiovascular Disease)960 MOUNT OLIVE RD
GARDENDALE, AL 35071
(205) 631-3452
1801234398DR. JENNIFER WILSON DRUMMONDS DNP, CRNP
Individual
Nurse Practitioner (Adult Health)960 MOUNT OLIVE RD
GARDENDALE, AL 35071
(205) 443-1702
1639729692MR. MATTHEW THOMAS HALL CRNP
Individual
Nurse Practitioner (Acute Care)960 MOUNT OLIVE RD
GARDENDALE, AL 35071
(205) 263-0952
1932745205MR. JOHN DANIEL WHALEY RN
Individual
Registered Nurse960 MOUNT OLIVE RD
GARDENDALE, AL 35071
(205) 531-2357

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.