Agena obgyn6/15/2023 ![]() 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. Gary Agena is registered with Medicare but maybe doesn't accept claims assignment. ![]() If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with St Tammany Parish Hospital. The CLIA number of Gary Michael Agena M.d. is 19D2041689 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Gary Michael Agena M.d. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing. 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. Maybe "What does it mean "accepts medicare assignment"? Providers must enroll in PECOS to avoid denied claims. When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. You may have to pay this amount, or it may be covered by another insurer.Įligible order / refer Part B Clinical Laboratory and ImagingĮligible order / refer Durable Medical EquipmentĮligible order / refer Home Health Agency (HHA)Įligible order / refer Power Mobility Devices Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.Ī provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. 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. What is the National Provider Indentifier (NPI)? Gary Agena is affiliated with the following medical facilities: Hospital Name 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. The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider. 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. The mailing address of the provider being identified. This address may contain the same information as the provider location address. 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).1 = Person: individual human being who furnishes health care.The entity type code describes the type of health care provider that is being assigned an NPI. Subparts are the components and separate physical locations of organization health care providers. 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. 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 provider other organization name codes are: The code identifying the type of other name. The date the provider was assigned a unique identifier (assigned an NPI).
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