Medicare Blog

general surgeon who take medicare near me

by Ms. Bettye Herzog Published 2 years ago Updated 1 year ago
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Where can I find a doctor that accepts Medicare and Medicaid?

To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare.You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system.

Do oral surgeons take Medicare?

A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244

Can I make an appointment with a doctor who takes Medicare?

Apr 19, 2015 · Dr.Vandana Palagiri completed her residency in internal medicine at St. Agnes hospital, Baltimore, MD in 2011. Since then she has gained wide range of experience working at various hospitals including Reston hospital center, private practices, rehab centers, and …

How do I find orthopedic surgeons who take Medicare insurance?

Mar 22, 2021 · When choosing a Medicare plan, one important factor to consider is finding doctors who accepts Medicare near you.No matter if you are looking for a clinic, hospital, new doctor, or if you just ...

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Can I choose my own doctor with Medicare?

When admitted to NSW public hospitals, holders of Medicare cards have a choice to be treated as either a public or private patient. This is called your financial election. An election choice can be made before, at the time of, or as soon as practical after you are admitted.Sep 8, 2020

How does Medicare work with doctors?

When you visit a doctor outside a hospital, Medicare will reimburse 100% of the Medicare Benefits Schedule (MBS) fee for a general practitioner and 85% of the MBS fee for service provided by a specialist. If your doctor bills Medicare directly (bulk billing), you will not have to pay anything.

Do most doctors accept Medicaid?

Dive Insight: MACPAC found that only 71% of providers accept Medicaid. That's compared to 85% who take Medicare and 90% that accept private insurance. Physicians in general/family practice were less likely to accept Medicaid patients (68%) than Medicare (90%) or private insurance (91%).Jan 28, 2019

What is a Medicare participating provider?

Participating providers accept Medicare and always take assignment. Taking assignment means that the provider accepts Medicare's approved amount for health care services as full payment. These providers are required to submit a bill (file a claim) to Medicare for care you receive.

What will Medicare not pay for?

In general, Original Medicare does not cover: Long-term care (such as extended nursing home stays or custodial care) Hearing aids. Most vision care, notably eyeglasses and contacts. Most dental care, notably dentures.

Does Medicare pay for surgery?

Yes. Medicare covers most medically necessary surgeries, and you can find a list of these on the Medicare Benefits Schedule (MBS). Since surgeries happen mainly in hospitals, Medicare will cover 100% of all costs related to the surgery if you have it done in a public hospital.

Do doctors lose money on Medicare patients?

Summarizing, we do find corroborative evidence (admittedly based on physician self-reports) that both Medicare and Medicaid pay significantly less (e.g., 30-50 percent) than the physician's usual fee for office and inpatient visits as well as for surgical and diagnostic procedures.

Why do some doctors not accept Medicare?

The short answer is "yes." Thanks to the federal program's low reimbursement rates, stringent rules, and grueling paperwork process, many doctors are refusing to accept Medicare's payment for services. Medicare typically pays doctors only 80% of what private health insurance pays.

What are the disadvantages of Medicaid?

Disadvantages of MedicaidLower reimbursements and reduced revenue. Every medical practice needs to make a profit to stay in business, but medical practices that have a large Medicaid patient base tend to be less profitable. ... Administrative overhead. ... Extensive patient base. ... Medicaid can help get new practices established.

When a provider is non-participating they will expect?

When a provider is non-participating, they will expect: 1) To be listed in the provider directory. 2) Non-payment of services rendered. 3) Full reimbursement for charges submitted.

Why should physicians participate in Medicare?

Medicare provides a number of incentives for physicians to participate: The Medicare payment amount for PAR physicians is 5% higher than the rate for non-PAR physicians. Directories of PAR physicians are provided to senior citizen groups and individuals who request them.

What does it mean when a provider does not accept Medicare assignment?

A: If your doctor doesn't “accept assignment,” (ie, is a non-participating provider) it means he or she might see Medicare patients and accept Medicare reimbursement as partial payment, but wants to be paid more than the amount that Medicare is willing to pay.

How can I make a same-day appointment with a Primary Care Doctor who takes Medicare insurance?

On average, patients who use Zocdoc can search for a Primary Care Doctor who takes Medicare insurance, book an appointment, and see the Primary Ca...

How can I find a Primary Care Doctor who takes Medicare insurance?

Zocdoc lets you search specifically for a Primary Care Doctor who takes Medicare insurance. Just choose your carrier and plan from the drop-dow...

How can I book an appointment online with a Medicare Primary Care Doctor?

Zocdoc is a free online service that helps patients find Medicare Doctors and book appointments instantly . You can search for Medicare Doctors by...

How can I find a female Primary Care Doctor who takes Medicare insurance?

When you search for Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only see Doctors wh...

How can I find a Medicare Primary Care Doctor who sees patients after hours?

On Zocdoc, you can search specifically for Medicare Doctors with availability after 5 p.m.

How can I find a top-rated Medicare Primary Care Doctor?

You can use Zocdoc to find Medicare Doctors who are highly rated by other patients. These ratings are based on verified reviews submitted by real...

How can I find a video visit with a Primary Care Doctor online?

Doctors on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter your search res...

Are video visits with a Primary Care Doctor online covered by Medicare?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors who accept...

How can I find a Medicare Primary Care Doctor who sees patients in the morning or evening?

Zocdoc lets you search specifically for a Primary Care Doctor who has appointments available before 10:00 am, or after 5:00 pm. Just choose the spe...

Who is Jesse Golodner?

Mr. Jesse Golodner is a warm and friendly physician assistant at Swedish. He is skilled and experienced in treating various conditions such as hyperactive disorder, migraine, asthma, acid reflux, high blood pressure, and stomach pain. Based in Seattle, WA, Mr. Golodner earned his master's degree in physician assistant studies from Rocky Mountain University of Health Professions. He believes in keeping himself up-to-date with the latest advancements in his field and regularly attends seminars and conferences to do so. Mr. Golodner is committed to helping his patients enjoy a healthier lifestyle. He works with each one to discuss ways they can make better choices for their health.

Where is Matthew Yuskaitis?

Based in Seattle, WA , Dr. Matthew Yuskaitis is an esteemed primary care doctor. He earned his medical degree from Geisel School of Medicine at Dartmouth. He completed his residency at Providence Seattle Medical Center. Certified by the American Board of Family Medicine, Dr. Yuskaitis is a provider at Swedish. He sees patients presenting with high blood pressure, sore throat, urinary tract infections, skin problems, and abdominal pain. Dr. Yuskaitis is also affiliated with Swedish Medical Center / First Hill Campus and Swedish Medical Center / Cherry Hill Campus. With years of experience in the field, the quality of care he provides is impeccable.

Where is Monika Schlamminger?

At Swedish, in Seattle, WA , Dr. Monika Schlamminger is employed as a primary care doctor. She attended medical school at Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden. Following this, she completed a residency at MultiCare Tacoma Family Medicine. Dr. Schlamminger sees patients for a range of reasons. These include sexually transmitted diseases, birth control/contraception, urinary tract infections, skin screening tests, and general consultations. During appointments, she puts all her work aside to focus solely on her clients. Dr. Schlamminger is certified by the American Board of Family Medicine. She is also an active member of the American Academy of Family Physicians and the Washington State Medical Association. She works tirelessly to provide excellent care to patients of all communities.

Where is Jill Summerfield?

Practicing at Swedish in Seattle, WA , Dr. Jill Summerfield is a patient and thoughtful primary care doctor. She is also affiliated with Swedish Medical Center / First Hill Campus and Swedish Medical Center / Cherry Hill Campus. She can help treat a range of illnesses and can conduct tests as well as examinations. Dr. Summerfield acquired her medical degree from the University of Washington. After this, she completed a residency at the University of Washington Medical Center. Dr. Summerfield is certified by the American Board of Internal Medicine. She has a way of making everyone feel less anxious during procedures. Patients look forward to spending the years to come with her as their physician.

Who is April Rodriguez?

Ms. April Rodriguez is a knowledgeable nurse practitioner at Swedish. She treats a range of conditions and she is eager to help the wider community receive the care they deserve. She provides treatment plans for various conditions such as hyperactive disorder, migraine, asthma, acid reflux, and stomach pain. Based in Seattle, WA, Ms. Rodriguez has always been interested in pursuing a career in medicine. To accomplish her goal, she earned her master's degree in family nursing from Seattle University. Ms. Rodriguez is sensitive to the uniqueness of each patient's situation and adapts her consultations and treatment options appropriately to accommodate individual needs and concerns.

Where is Lisa Mohr?

Based in Seattle, WA , Dr. Lisa Mohr is a respectful primary care doctor. She is an attentive listener and possesses keen observation skills. For her, her patients’ mental and physical well-being is of top priority. Dr. Mohr received her medical degree from the University of Washington. Later on, she completed a residency at Swedish Family Medicine, Seattle. She is highly knowledgeable and reinforces the same with confidence. Dr. Mohr works at Swedish and is affiliated with Swedish Medical Center / First Hill Campus and Swedish Medical Center / Cherry Hill Campus. She can help treat illnesses, sexually transmitted diseases, and urinary tract infections. She is a thorough professional and makes an effort to provide the best advice to everyone she treats.

Where is Anita Uppal?

Anita Uppal is certified by the American Board of Internal Medicine. She earned her medical degree from Dayanand Medical College. Located in Seattle, WA, Dr. Uppal is affiliated with Swedish Medical Center / First Hill Campus, Swedish Medical Center / Cherry Hill Campus, and Swedish Medical Center / Issaquah Campus. She provides treatment plans for a host of conditions. Being bilingual in English and Punjabi, Dr. Uppal caters to patients across different cultural backgrounds. During consultations, she pays attention to every symptom and condition mentioned by the patient and devices the best treatment plan based on these symptoms.

How to find a doctor who accepts Medicare?

There are a few simple ways to find a doctor who accepts your Medicare plan: 1 Visit physician compare. The Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up doctors near you and compare them side-by-side. 2 Check the Medicare website. The official Medicare website has many resources for finding providers and facilities that accept Medicare near you. For example, you can find and compare hospitals or other providers and search what services are covered by your Medicare plan. 3 Check your insurance company provider listings. Medigap and Medicare Advantage are Medicare plans provided through private insurance companies. To find doctors that accept these forms of coverage, you’ll need to check with your selected provider for a listing. 4 Check your network. If your Medicare coverage is provided through an insurance provider with a network of doctors and hospitals, check with the company to be sure your doctor is in their network This can be done by calling your insurance provider or checking their website. 5 Ask trusted friends and family members. If you have any friends or family members who also use Medicare, ask them about their healthcare providers. How attentive is the doctor? Does the office handle their requests promptly and with ease? Do they have convenient hours?

Why is it important to verify that your doctor accepts Medicare?

The takeaway. For most people, having a doctor they trust who is located conveniently is an important part of their healthcare. While it is an extra step, it’s important to verify that your doctor accepts Medicare coverage or is in your Part C network to ensure you get the most from your Medicare benefits.

What is Medicare Advantage?

Medigap and Medicare Advantage are Medicare plans provided through private insurance companies. To find doctors that accept these forms of coverage, you’ll need to check with your selected provider for a listing. Check your network. If your Medicare coverage is provided through an insurance provider with a network of doctors and hospitals, ...

What is an HMO plan?

If you buy a type of Medicare Advantage plan called a Health Maintenance Organization (HMO), you’ll be given a list of in-network providers to choose from. If you decide to select a provider who is out of network, you may owe a higher cost or the full out-of-pocket amount for those services.

Who is Patrick Halpin?

Patrick Halpin, MD is an Orthopedic Surgeon in Olympia, WA. Patrick Halpin completed their Medical School at University Of Washington School Of Medicine. Following their education, Patrick Halpin was board certified by the American Board of Orthopaedic Surgery.

Where is Daytheon Sturges?

Mr. Daytheon Sturges is a warm and friendly physician assistant at UW Neighborhood - Northgate - Primary Care. He is skilled and experienced in treating various conditions, such as acne, skin problem, swelling in joints or muscles, and conducts consultations and physical exams. Based in Seattle, WA, Mr. Sturges earned his bachelor's degree from Louisiana Tech University. He completed another bachelor's degree and a master's degree in physician assistant studies at Louisiana State University. He also earned his post-master's certificate in interprofessional informatics from Texas Woman's University. Mr. Sturges received his certification from the National Commission on Certification of Physician Assistants. He conducts his appointments with the personalized care and attention that he would expect for his own family.

Where is Neysa Koury?

Based in Shoreline, WA, Ms. Neysa Koury is a friendly and attentive physician assistant. She earned her master's degree in physician assistant studies from the University of Washington. She received her certification from the National Commission on Certification of Physician Assistants. Ms. Koury practices at UW Neighborhood - Shoreline - Primary Care. Patients see her for a variety of reasons such as pediatric rash, panic attack, evaluation of cysts, and scar treatment. Ms. Koury works in association with the University of Washington Medical Center. She gives each patient her focused attention, and she prides herself on delivering the best treatment available. Patients trust her expertise because she consistently provides high-quality care.

Who is Bryna McCollum?

Ms. Bryna McCollum is an attentive physician assistant. Patients see her at UW Neighborhood - Northgate - Primary Care. She provides treatment plans for asthma, migraine, headache, diarrhea, and sleep problems. She is bilingual and speaks Spanish as well as English. Based in Seattle, WA, Ms. McCollum pursued her master's degree in physician assistant studies from George Washington University. She is affiliated with the University of Washington Medical Center and is certified by the National Commission on Certification of Physician Assistants. Ms. McCollum is committed to helping her patients enjoy a healthier lifestyle. She works with each one to discuss ways they can make better choices for their health. She is dedicated to helping patients receive the treatment they need so they can experience a positive and fulfilling lifestyle.

Who is Michelle Vierra?

Ms. Michelle Vierra serves the community of Issaquah, WA, as a certified physician assistant. Practicing as a part of UW Neighborhood - Issaquah - Primary Care, she offers consultations for various health concerns. These include bipolar disorder, foot pain, diarrhea, pediatric acne, and asthma. Ms. Vierra received her master’s degree in physician assistant studies from the University of Washington. She is certified by the National Commission on Certification of Physician Assistants and is affiliated with the University of Washington Medical Center in Seattle, WA. Ms.Vierra is fluent in English, Portuguese, and Spanish, which makes her widely accessible to a diverse clientele. She strives to help the wider community receive the care they deserve. She is sensitive to the uniqueness of each patient's situation and routinely adapts her consultations and treatment options appropriately to accommodate individual needs and concerns.

Where is Curtis Fanta?

Based in Federal Way, WA, Mr. Curtis Fanta practices medicine as a certified physician assistant. As a part of UW Neighborhood - Federal Way - Primary Care, he offers consultations for various health concerns. These include back pain, acid reflux, diarrhea, pediatric acne, migraines, and asthma. Mr. Fanta received his master’s degree in physician assistant studies from the University of Washington. He is certified by the National Commission on Certification of Physician Assistants and is affiliated with the University of Washington Medical Center in Seattle, WA. Mr. Fanta is devoted to ensuring the longevity of his patients’ health and developing long-lasting relationships with them. He takes his time to understand symptoms and give correct diagnoses to ensure the continued health of all his patients. Note: Mr. Fanta sees patients 4 years old and above.

Who is Timothy Dumontier?

Timothy Dumontier, MD is an Orthopedic Surgeon in Olympia, WA. Timothy Dumontier completed their Medical School at University Of Washington School Of Medicine. Following their education, Timothy Dumontier was board certified by the American Board of Orthopaedic Surgery.

What is primary care physician?

A primary care physician is the medical professional who generally oversees your health care, wellness visits, and preventive care. If you get sick, you generally see your primary care physician first. If you need specialist care, your primary care doctor may refer you to the specialist.

What is Medicare Advantage?

Medicare Advantage is another way to receive your Original Medicare benefits through a private insurance company. Medicare Advantage plans must cover everything that Original Medicare covers, except of hospice care, which is still covered by Medicare Part A.

What is a PCP?

According to the U.S. National Library of Medicine, a primary care provider (PCP) could be: 1 A generalist doctor who specializes in internal medicine or family practice 2 Nurse practitioners with training in adult care or geriatrics 3 Other practitioners

What is a PCP in medical terms?

National Library of Medicine, a primary care provider (PCP) could be: A generalist doctor who specializes in internal medicine or family practice. Nurse practitioners with training in adult care or geriatrics. Other practitioners.

Do you need a referral for Medicare Advantage?

Many Medicare Advantage HMO plans require a referral from your primary provider before they pay for tests or specialist care, even from providers within the plan network. If your plan requires a primary care referral and you don’t get one, the plan may not pay, even if the specialist service would otherwise be covered.

What is included in a medical emergency list?

The list usually includes not only primary care doctors, but also specialists, hospitals, pharmacies, and outpatient facilities contracted with the plan. Of course, if you have a medical emergency, you should get care from the closest appropriate provider, regardless of network.

Does Medicare cover doctor visits?

Medicare generally covers doctor visits in most medical settings, such as in the doctor’s office, in the hospital or outpatient department, in a nursing facility, or at an approved health clinic. If you enroll in a Medicare Advantage plan, you may need to select a primary care physician.

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