Providers must enroll in PECOS to avoid denied claims. A NPI number is necessary to register in PECOS. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS Enrollment and Medicare Participation Status The typical physician office visit costs for Medicare beneficiaries in this area are: $23.56 for a new patient copayment and $27.26 for an established patient copayment. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.83, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. According to Medicare claims data she has hospital affiliations with Sutter Medical Center, Sacramento. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. 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.Įlizabeth Kann 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. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Elizabeth Kann is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care.

8170 LAGUNA BLVD SUITE 114 ELK GROVE, CA 95758ġ0470 OLD PLACERVILLE RD SUITE 100 SACRAMENTO, CA 95827Ī primary care provider (PCP) like Elizabeth Kann sees people with common medical problems.

Elizabeth kann