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Office Address:
232 Ponte Vedra Park Drive
Ponte Vedra Beach, Florida 32082
Ph: 904-285-7546
fax: 904-273-8511
email: consultation@
pvderm.com

Insurance Information / Cancellation Policies

We have two areas of billing. The two entities are separate and distinct. The first entity is our office...Ponte Vedra Dermatology & Aesthetic Surgery (PVDAS). This is where office visits and office surgery is performed. The second entity is our surgery center.. Ponte Vedra Surgery Center (PVSC). This is where we perform more aggressive surgeries or certain cosmetic procedures such as liposuction, laser resurfacing or eyelid surgery.

It is important to understand this because you may receive two (2) statements if you are having certain types of surgical procedures performed at our "office & surgery center complex". In such instances, the first statement would be generated as an office billable service (physician payment) and the second statement would be generated as a surgery center service (facility fee payment).

PONTE VEDRA DERMATOLOGY AND AESTHETIC SURGERY

Our office, Ponte Vedra Dermatology & Aesthetic Surgery (PVDAS) is currently participating with or accepting the following insurance plans.

(Effective September 15, 2006)

Aetna
Medicare
Blue Cross Blue Shield
Beech Street
Cigna
First Health PPO
Humana (Choicecare Only)
Southcare PPO
Tricare
United

PONTE VEDRA SURGERY CENTER

Our surgery center, Ponte Vedra Surgery Center (PVSC)  is a separate and distinct facility. In terms of a surgery center facility fee, A facility fee may be charged to either you and/or your insurance carrier if your case requires a complex repair, flap, or skin graft to close the wound”. Please check with your insurance carrier or our billing department for information on coverage, deductibles and co-pay information. If your insurance company is one that we do not participate with, you will be responsible for the facility fee. For more information, you may contact our billing department at
285-7546 ext 203 or
click here
.

PVSC Participating Plans

(Effective September 15, 2006)

Aetna
Medicare
United

 

The above is a partial listing meant to assist those seeking care through our office. If your insurance plan is not listed , please call the customer service number listed on the back of your card to determine if we are a network provider. The State of Florida does have an open access policy for dermatology care (5 visits within a twelve (12) month period for managed care). Remember, it is your responsibility to verify if a referral is needed and to maintain a record of the number of visits to our practice. Our office is staff is ready to assist you if you still have questions. Feel free to contact our billing department care of 904-285-7546 ext 203 or 206.

 


MEDICAL RECORDS POLICIES 

For a copy of your medical records, please allow us 5 business days notice. There will be a charge of $1.00 for the first 25 pages and $0.25 for every page after. If you would like to expedite your request we do need a signed medical records release form to proceed. Please make sure to fill this out completely. Click here to download the medical records release form. Once you have done so, you may fax this over to our office and send the appropriate compensation to our office. If you have any questions, please feel free to contact robert@pvderm.com or dial 904-285-7546 ext 203. Thank you.
 


CANCELLATION POLICIES

OFFICE VISITS

All office appointment cancellations require at least
24 hours notice unless an emergency (documented) arises. Failure to give a 24-hour cancellation notice will result in a 
$75 office visit assessment.
Call 904-285-7546 to cancel.

SURGERY VISITS

All surgery appointment cancellations require at least
72 hours notice unless an emergency (documented) arises. Failure to give a 72-hour cancellation notice will result in a $250 surgery visit assessment.
Call 904-285-7546 to cancel.

SPA VISITS

All spa appointment cancellations require at least 24 hours notice unless an emergency (documented) arises. Failure to give a 24-hour cancellation notice will result in a 
$50 spa visit assessment.
Call 904-285-7546 to cancel.
 

COSMETIC SURGERY

All cosmetic surgery appointment cancellations require at least a one week (7 day)notice  unless an emergency (documented) arises. Failure to give a one week (7 day) cancellation notice will result in a  50% charge or the entire scheduling  fee, whichever is greater, being retained by PVDAS. Call 904-285-7546 to cancel.

 
If you have any questions, or wish to schedule a consultation
, please call  Ponte Vedra Dermat
ology & Aesthetic Surgery at (904) 285-7546 or email consultation@pvderm.com.
 
 

 

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