![]() ![]() Who must obtain NPI? : All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations, suppliers of durable medical equipment, pharmacies) must obtain an NPI. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers. Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). There are two categories of health care providers for NPI enumeration purposes. Where NPI should be used? : The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act). The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. Provider Business Mailing Address Details:Ī pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Provider Business Practice Location Address Details: You might have to pay the entire charge at the time of service. These providers are called "non-participating". Non-participating providers haven't signed an agreement to accept assignment for all Medicare-covered services, but they can still choose to accept assignment for individual services. ![]() You can also correspond with Monica J Beamer through mail at her mailing address at Po Box 733784,, Dallas, Texas - 75373-3784 (mailing address contact number - 68).Īs per our records, Monica J Beamer does not participate in Medicare program. ![]() Her current practice location address is 4443 N Josey Ln Ste 150,, Carrollton, Texas and she can be reached out via phone at 97 and via fax at 97. The NPI Number for Monica J Beamer is 1497785554 and she holds a License No. She practices in Carrollton, Texas and has the professional credentials of MD. Beamer, MD appears to accept the following insurance providers: Blue Cross Blue Shield TX HealthSelect of Texas, Blue Cross Blue Shield of Texas HMO Blue Essentials, Blue Cross Blue Shield of Texas PPO, First Health Network*, Blue Cross Blue Shield of Texas PAR - Cook Children's Medical Center Only, FirstCare HMO & PPO, Blue Cross Blue Shield of Texas Premier, Humana Choice Care & Concentric Network, HealthScope*, USA Managed Care Organizations, MultiPlan Inc/PHCS*, * Does NOT include Physician Only Plans or Christian Healthcare Sharing Ministry Plans, Galaxy Healthcare Network, Cigna Healthcare of Texas**, Aetna**, Imagine Health, Fort Worth Firefighters 440, HealthSmart Payors Organization/HealthSmart*, Providence Health Alliance, EHN- Employers Health Network, ** Excluding exchange products, United Healthcare PPO/EPO** and Scott and White Health Plan (excluding individual products).Monica J Beamer is a physician based out of Carrollton, Texas and her medical specialization is Pediatrics. Please contact the provider's office to confirm that your insurance is accepted.ĭr. Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. ![]()
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