Top 10 Medicare Provider Specialties:
- Family Doctor (60995 providers)
- Internist (58610 providers)
- Psychiatrist (20468 providers)
- Obstetrician / Gynecologist (OBGYN) (20027 providers)
- Pediatrician (Kids / Children Specialist) (17354 providers)
- Radiologist (16976 providers)
- Orthopedic Surgeon (16627 providers)
- Surgeon (16116 providers)
- Cardiologist (Heart Specialist) (15253 providers)
Full Answer
How can I find a doctor who accepts Medicare?
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. This tool will provide you with a list of ...
Is there any Dr that takes Medicaid insurance?
Find Healthcare Providers: Compare Care Near You | Medicare. Find & compare nursing homes, hospitals & other providers near you. Learn more about the types of providers listed here. What's New? Click to begin searching for doctors & clinicians Click to begin searching for hospitals Click to begin searching for nursing homes Click to begin ...
How to find doctors who accept Medicare patients?
Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services. NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used ...
Are more doctors leaving Medicare?
Top 10 Medicare Provider Specialties: Family Doctor (58846 providers) Internist (56237 providers) Psychiatrist (19879 providers) Obstetrician / Gynecologist (OBGYN) (19267 providers) Pediatrician (Kids / Children Specialist) (16714 providers) Radiologist (16545 providers) Orthopedic Surgeon (16005 providers) Surgeon (15303 providers)
What is SNP in medical?
Special Needs Plans (SNP) Generally, you must get your care and services from doctors or hospitals in the Medicare SNP network, except: Emergency or urgent care, like care you get for a sudden illness or injury that needs medical care right away. If you have. End-Stage Renal Disease (Esrd)
What is a PPO plan?
Preferred Provider Organization (PPO) Plans. A person or organization that's licensed to give health care. Doctors, nurses, and hospitals are examples of health care providers. , or hospital in PPO Plans. PPO Plans have network doctors, other health care providers, and hospitals.
What is end stage renal disease?
End-Stage Renal Disease (Esrd) Permanent kidney failure that requires a regular course of dialysis or a kidney transplant. and need out-of-area dialysis. Medicare SNPs typically have specialists in the diseases or conditions that affect their members.
Can you go out of network with HMO?
Health Maintenance Organization (HMO) Plans. In some plans, you may be able to go out-of-network for certain services. But, it usually costs less if you get your care from a network provider. This is called an HMO with a point-of-service (POS) option.
What does it mean when a provider opts out of Medicare?
What it means when a provider opts out of Medicare. Certain doctors and other health care providers who don't want to work with the Medicare program may "opt out" of Medicare. Medicare doesn't pay for any covered items or services you get from an opt out doctor or other provider, except in the case of an emergency or urgent need.
What is a private contract?
A private contract is a written agreement between you and a doctor or other health care provider who has decided not to provide services to anyone through Medicare. The private contract only applies to the services provided by the doctor or other provider who asked you to sign it.
Do you have to sign a private contract with Medicare?
Rules for private contracts. You don't have to sign a private contract. You can always go to another provider who gives services through Medicare. If you sign a private contract with your doctor or other provider, these rules apply: You'll have to pay the full amount of whatever this provider charges you for the services you get.
Does Medicare cover health care?
You're always free to get services Medicare doesn't cover if you choose to pay for a service yourself. You may want to contact your State Health Insurance Assistance Program (SHIP) to get help before signing a private contract with any doctor or other health care provider.
Can you pay out of pocket for Medicare?
Instead, the provider bills you directly and you pay the provider out-of-pocket. The provider isn't required to accept only Medicare's fee-for -service charges. You can still get care from these providers, but they must enter into a private contract with you (unless you're in need of emergency or urgently needed care).
How to find out about Medicare Advantage?
Find out more about the Medicare Advantage coverage options in your area by calling a licensed insurance agent at. 1-800-557-6059. 1-800-557-6059 TTY Users: 711 24 hours a day, 7 days a week, or by requesting a free no-obligation quote on line.
What is an internist doctor?
This will depend on the particular doctor. An internal medicine doctor, or internist, specializes in the prevention, diagnosis and treatment of diseases in adults. Ask your friends and family. It never hurts to ask your close friends and family about their doctor.
What is Medicare assignment?
This means the doctor accepts Medicare patients and agrees to accept the Medicare-approved amount as full payment for their goods or services. Does not accept assignment.
Who is Christian Worstell?
Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareAdvantage.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options. .. Read full bio
What does "D.O." mean in medical terms?
A doctor with “D.O.” (Doctor of Osteopathic Medicine) after their name – instead of the traditional “M.D.” (Doctor of Medicine) – may combine some traditional medical training with additional and alternative medicine practices. This will depend on the particular doctor.
What is the role of a primary care physician?
One part of the role of a primary care physician is to coordinate a patient’s care between various specialists, labs and other health care facilities. This type of coordinated care can help improve communication and foster a more “team” approach to your care. Convenience.
Can you pay for Medicare out of pocket?
Depending on which type of Medicare Advantage plan you belong to, you may receive less coverage when receiving care outside of the network, or you may pay entirely out of pocket. There are several different types of doctors who can all serve as a primary care physician.
Who is Sandra Loyer?
Based in Lacey, WA, Ms. Sandra Loyer is a responsible physician assistant. She is a part of Providence Medical Group, where she sees patients for a range of reasons. These include asthma, migraines, sleep problems, headache, and back pain. Ms. Loyer wished to pursue her dream of becoming a healthcare professional. She earned her bachelor's degree in physician assistant studies from Idaho State University. Additionally, she is certified by the National Commission on Certification of Physician Assistants. During consultations, Ms. Loyer ensures that her patients are comfortable and feel relaxed. She creates an environment of safety and security and reassures her patients that they are in good hands. She deals with her patients in a calm and composed manner and encourages them to discuss their problems freely.
Who is Glenda Joyce Waller?
Ms. Glenda Joyce Waller is a caring and considerate nurse practitioner. As part of her formal education, she earned her master's degree in nursing from Pacific Lutheran University. She is a well-read practitioner driven to provide the best care to all her patients. Based in Olympia, WA, Ms. Waller practices at Providence St. Peter Family Medicine. She is also affiliated with Providence Saint Peter Hospital. Patients visit her for sore throat, migraines, headaches, and rashes. Ms. Waller is an active member of the American Association of Nurse Practitioners. As a practitioner, she understands that emotional health is as important as physical health. She understands the needs of her patients and treats every person with the compassion, respect, and attention they deserve.
Who is Jennifer Strobel?
Ms. Jennifer Strobel is a nurse practitioner currently associated with Swedish. Based in Seattle, WA, she can treat a range of issues, such as illnesses, sinus problems, and urinary tract infections. She can also provide sessions for cholesterol/lipid and colon cancer screening tests.
Who is Emily Hilderman?
Ms. Emily Hilderman is a skilled and experienced nurse practitioner. She treats patients at UW Neighborhood - Northgate - Primary Care. Affiliated with the University of Washington Medical Center, patients see her for various consultations, treatment options, administration of vaccines, screening tests, and therapies. Based in Seattle, WA, Ms. Hilderman attended the University of Washington and is a doctor of nursing. She exhibits her passion for her field in the care and precision she takes with her patients. Ms. Hilderman is dedicated to helping patients receive the treatment they need so they can enjoy a positive and fulfilling lifestyle. Patients trust her expertise because she consistently provides high-quality care that leads to positive and lasting health outcomes.
Who is Catherine Ramsey?
Based in Bellevue, WA, Ms. Catherine Ramsey is an empathetic and caring nurse practitioner. She obtained her master's degree in nursing from Seattle University. She is affiliated with the University of Washington Medical Center. She is humbled by the opportunity presented to her, where she can provide patients with the care they deserve. Ms. Ramsey is a practitioner at UW Neighborhood – Factoria– Primary Care. She welcomes patients across all ages, from infants to seniors. She treats various illnesses and devices the best treatment plans making sure to address all of the patient's concerns. Ms. Ramsey is sensitive to the uniqueness of each patient's situation and adapts her consultations and treatment options appropriately. She believes in listening to each patient and creating a partnership to maintain and improve lifelong health.
Who is Kerry Meyer?
Serving the community of Issaquah, WA, Ms. Kerry Meyer is a compassionate and enthusiastic nurse practitioner. In addition to seeing patients for annual pap smears, she is experienced in offering a variety of comprehensive care services. Before joining UW Neighborhood - Issaquah - Primary Care, Ms. Meyer earned her master’s degree in nursing from Vanderbilt University. She completed her PhD in nursing and health informatics at the University of Maryland. Ms. Meyer practices in affiliation with the University of Washington Medical Center in Seattle, WA. She is uncompromising in her dedication to her patients' well-being and is deeply committed to providing the best medical care available.
Who is Carrie Welty?
Ms. Carrie Welty is a caring nurse practitioner. As part of her education, she received her master's degree in nursing from Pacific Lutheran University. She strives to keep herself updated with the latest advancements to help treat her patients better. Ms. Welty works with Providence Medical Group, located in Lacey, WA. Additionally, she is also affiliated with Providence Saint Peter Hospital. She can help treat problems of the back, foot pain, and headaches. Ms. Welty is a member of the American Association of Nurse Practitioners and the Sigma Theta Tau International, Honor Society of Nursing. Her passion for patient care is rooted in building relationships with her clients. She finds it rewarding to help people improve their lifestyles.
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 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.
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 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.
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.
