Dr Elaina G Sexton, MD - Medicare General Practice in Tuscaloosa, AL

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Dr Elaina G Sexton, MD is a medicare enrolled "General Practice" physician in Tuscaloosa, Alabama. Her current practice location is 710 15th St E, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 509-2941.

Dr Elaina G Sexton is licensed to practice in Alabama (license number 29558) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528265238.

Contact Information

Dr Elaina G Sexton, MD
710 15th St E,
Tuscaloosa, AL 35401
(205) 509-2941
Not Available

Map and Direction




Physician's Profile

Full NameDr Elaina G Sexton
GenderFemale
SpecialityGeneral Practice
Location710 15th St E, Tuscaloosa, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528265238
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 08/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9931370715
  • Enrollment ID: I20110928000124

Medical Identifiers

Medical identifiers for Dr Elaina G Sexton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528265238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 29558 (Alabama)Secondary
208D00000XGeneral Practice 29558 (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Elaina G Sexton allows following entities to bill medicare on her behalf.
Entity NameAmerican Family Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157
Entity NameObstetrics & Gynecology Of Dothan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114021409
PECOS PAC ID: 9436051877
Enrollment ID: O20040124000415
Entity NamePickens County Healthcare Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093069569
PECOS PAC ID: 3678708427
Enrollment ID: O20140109001299

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elaina G Sexton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Elaina G Sexton, MD
806 Saint Vincents Dr, Suite 450,
Birmingham, AL 35205-1684

Ph: (205) 536-7676		Dr Elaina G Sexton, MD
710 15th St E,
Tuscaloosa, AL 35401

Ph: (205) 509-2941

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. 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 in lieu of legacy provider identifiers in the HIPAA standards 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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.