Top 10 Medicare Provider Specialties:
- Family Doctor (60977 providers)
- Internist (58708 providers)
- Psychiatrist (20469 providers)
- Obstetrician / Gynecologist (OBGYN) (20079 providers)
- Pediatrician (Kids / Children Specialist) (17360 providers)
- Radiologist (16984 providers)
- Orthopedic Surgeon (16622 providers)
- Surgeon (16122 providers)
- Cardiologist (Heart Specialist) (15246 providers)
- Emergency Doctor (13438 providers)
Full Answer
Which doctors accept 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 professionals or group …
Where can I find a doctor that accepts Medicare and Medicaid?
Jan 15, 2022 · Most doctors accept Medicare. Medicare is accepted by almost all primary care doctors. Confirming Medicare coverage prior to your appointment can help you see a specialist to ensure it works. Contact your doctor’s office and let them know which coverage you need.
Will my doctor accept Medicare?
Mar 22, 2021 · There are a few simple ways to find a doctor who accepts your Medicare plan: 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 ... Check the Medicare website. The official Medicare website has many ...
Who accepts Medicare patients?
Jul 16, 2021 · Doctors who accept Medicare are either a participating doctor, non-participating doctor, or they opt-out. When it comes to Medicare’s network, it’s defined in one of three ways. Participating Provider: Providers that accept Medicare Assignment agree to accept what Medicare establishes per procedure, or visit, as payment in full.
Why do doctors not like Medicare?
Medicare pays for services at rates significantly below their costs. Medicaid has long paid less than Medicare, making it even less attractive. If doctors accept patients in these programs, there's no negotiation over rates. The government dictates prices on a take-it-or-leave-it basis.
Do Medicare patients get treated differently?
Outpatient services are charged differently, with the patient typically paying 20% of the Medicare-approved amount for each service.Mar 23, 2021
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.
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.
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.
What is a private contract with Medicare?
A Medicare private contract is for doctors that opt-out of Medicare payment terms. Once you sign a contract, it means that you accept the full amount on your own, and Medicare can’t reimburse you. Signing such a contract is giving up your right to use Medicare for your health purposes.
What is Medicare assignment?
Medicare assignment is a fee schedule agreement between Medicare and a doctor. Accepting assignment means your doctor agrees to the payment terms of Medicare. Doctors who accept Medicare are either a participating doctor, non-participating doctor, or they opt-out. When it comes to Medicare’s network, it’s defined in one of three ways.
What does "non-participating provider" mean?
Participating Provider: Providers that accept Medicare Assignment agree to accept what Medicare establishes per procedure, or visit, as payment in full. Non-Participating Provider: Providers in this category do accept Medicare, but do not accept the amount Medicare says a procedure or visit should cost. These providers reserve the right ...
Do doctors accept Medicare Advantage?
Do Most Doctors Accept Medicare Advantage? Unlike a Medicare Supplement, a Medicare Advantage Plan replaces your Original Medicare. Your health coverage is the insurance company and you don’t have the freedom to simply go to any doctor. Advantage plans are subject to plan networks and rules for services.
What is assignment of benefits?
The assignment of benefits is when the insured authorizes Medicare to reimburse the provider directly. In return, the provider agrees to accept the Medicare charge as the full charge for services. Non-participating providers can accept assignments on an individual claims basis. On item 27 of the CMS-1500 claim form non participating doctors need ...
Who is Lindsay Malzone?
Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare.
Can you compare doctors?
You can easily compare doctors now with the Care Compare Tool. The tool allows you to personalize results for doctors and hospitals in your area. Also, the tool is available on smartphones and tablets. The Care Compare Tool can give you things like contact information, quality ratings, and directions to healthcare facilities. Further, this tool can give you information on nursing homes, hospice, dialysis centers, rehab care, and Long-Term care facilities.
What Doctors Can You See with Medicare?
Original Medicare doesn’t restrict you to a network of doctors. But, you’ll save money if you make sure first that providers accept Medicare. The easiest way to find a doctor near you is to use the Physician Search tool on Medicare.gov. To use the tool, type your location and whether you’re searching for a primary care physician or a specialist.
Do All Doctors Accept Medicare Advantage?
Unlike Original Medicare, Advantage plans come with provider networks. You’ll want to make sure that all of your doctors are in the plan’s network. Otherwise, you’ll be paying out-of-pocket. There are different types of Advantage plans. Refer to the details of your plan for specific information about your network.
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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 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 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 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.
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 Dr. Caballero?
Dr. Beatrice Caballero is a dedicated and skilled family physician - resident currently training with the University of Washington Neighborhood - Northgate - Primary Care. She is affiliated with the University of Washington Medical Center. Based in Seattle, WA, Dr. Caballero earned her medical degree from the University of Arizona. Patients visit her for treatment against various diseases like jaundice, diarrhea, abscess, and various other illnesses. She also conducts general consultations and annual physical exams. Dr. Caballero is devoted to ensuring the longevity of her patients’ health and developing long-lasting relationships with them. She takes her time to understand symptoms and give correct diagnoses to ensure the continued health of all her patients.
Who is Dr. Annamarie Mackey?
Dr. Annamarie Mackey is an experienced and accomplished primary care doctor. She is currently a part of Swedish, based in Edmonds, WA. She is qualified to treat a diverse range of conditions and has dedicated herself to the well-being of every patient she treats. Dr. Mackey attended the University of Washington, where she received her medical degree. She is also board certified by the American Board of Family Medicine. She believes in listening to each patient and creating a partnership to maintain and improve lifelong health. Dr. Mackey's medical experience is vast and impressive. She has treated and managed a diverse range of medical dysfunctions and is committed to providing comprehensive care. During her consultations, she thoroughly explains patients’ conditions and helps them choose an appropriate treatment plan.
What is Bethany's career?
Bethany enjoys working with patients and families across the lifespan from birth to older age. She has special interests in pediatric care, helping patients maintain independence at home as they age, and medical ethics. Her career goals include helping patients manage rheumatologic conditions and teaching student nurse practitioners. Bet hany takes a team approach in caring for her patients. Her belief is that patients are the center of their own care. Bethany helps a patient define their own health goals. Her role is to provide excellent medical care to help patients achieve these goals. She focuses on preventative care in every stage of life to promote wellness and independence. Bethany comes from a family filled with health care professionals. She is also an active member of a local nurse practitioner association.
Where is Dr. Staloff?
Dr. Jonathan Adam Staloff is a family physician resident currently training with UW Neighborhood - Northgate - Primary Care, based in Seattle, WA. He is also affiliated with the University of Washington Medical Center in the same location. Dr. Staloff acquired his bachelor's and master's degree in population medicine from Brown University. He then earned his medical degree from the same institution. He sees patients for a variety of reasons, including diarrhea, jaundice, and various illnesses. As a part of his services, Dr. Staloff also offers general consultations. He is uncompromising in his dedication to the well-being of his patients and is committed to helping them enjoy a healthier lifestyle.
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.
Where is Dr. Chen?
He obtained his bachelor's degree from Duke University. He completed his medical degree at the University of Southern Carolina. Based in Seattle, WA, Dr. Chen is affiliated with the University of Washington Medical Center. He treats diseases like jaundice, diarrhea, abscess, and various other illnesses and conducts general consultations and annual physical exams. Dr. Chen is sensitive to the uniqueness of each patient's situation and adapts his consultations and treatment options appropriately to accommodate individual needs and concerns. He conducts his appointments with the personalized care and attention that he would expect for his own family.
Where is Dr. Chris Coppeans?
Based in Federal Way, WA, Dr. Chris Coppeans is a family physician and primary care doctor. He is employed at the UW Neighborhood UWNC Federal Way. He welcomes patients of all ages, from infants to seniors. Dr. Coppeans received his medical degree from Augusta University. Following this, he completed his internship and residency in family medicine at Kaiser Permanente. He prepares carefully curtailed, personalized treatment plans for every patient he treats. Dr. Coppeans is affiliated with the University of Washington Medical Center in Seattle, WA. He has also been certified by the American Board of Family Medicine. He is regarded as one of the best doctors in his field and continues to provide top-notch care to all his patients.
Does Medicare pay less than Medicaid?
Medicare pays for services at rates significantly below their costs. Medicaid has long paid less than Medicare, making it even less attractive. If doctors accept patients in these programs, there’s no negotiation over rates. The government dictates prices on a take-it-or-leave-it basis.
Is Medicare a low income program?
Medicare now faces the same tell-tale signs of trouble as Medicaid, the low-income health program. One-third of primary care doctors won’t take new patients on Medicaid. While the number of Medicare decliners remains relatively small, the trend is growing.
What does it mean when a doctor is not a participant in Medicare?
If your doctor is what’s called a non-participating provider, it means they haven’t signed an agreement to accept assignment for all Medicare-covered services but can still choose to accept assignment for individual patients. In other words, your doctor may take Medicare patients but doesn’t agree to the program’s reimbursement rates. These nonparticipating providers can charge up to 15% over the official Medicare reimbursement amount. 10
How much is Medicare Part B 2021?
All you’ll likely have to pay is the monthly Medicare Part B premium ($148.50 base cost in 2021) and the annual Part B deductible: $203 for 2021. 6 As a Medicare patient, this is the ideal and most affordable scenario.
What are the benefits of the Cares Act?
On March 27, 2020, President Trump signed a $2 trillion coronavirus emergency stimulus package, called the CARES (Coronavirus Aid, Relief, and Economic Security) Act, into law. 16 It expanded Medicare's ability to cover treatment and services for those affected by COVID-19. The CARES Act also: 17 1 Increases flexibility for Medicare to cover telehealth services. 2 Authorizes Medicare certification for home health services by physician assistants, nurse practitioners, and certified nurse specialists. 3 Increases Medicare payments for COVID-19–related hospital stays and durable medical equipment.
Do urgent care centers accept Medicare?
Many provide both emergency and non-emergency services including the treatment of non-life-threatening injuries and illnesses, as well as lab services. Most urgent care centers and walk-in clinics accept Medicare. Many of these clinics serve as primary care practices for some patients.
Who is Amy Bell?
Amy Bell is an expert on investing and personal finance as well as the founder of WritePunch Inc. Amy has 15+ years of experience as a professional journalist, copywriter, and ghostwriter. She graduated from the University of Georgia with a B.A. in journalism and a minor in English.
Can a doctor see Medicare patients?
If your doctor is what’s called an opt-out provider, they may still be willing to see Medicare patients but will expect to be paid their full fee; not the much smaller Medicare reimbursement amount. These docs accept absolutely no Medicare reimbursement, and Medicare doesn't pay for any portion of the bills you receive from them. That means you are responsible for paying the full bill out of pocket.
