Thomas A Malec Md Pc, NPI 1346414620
Exclusive Provider Organization in Grand Rapids, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1346414620
NPI Entity Type Organization
Provider Name Thomas A Malec Md Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 515 Lakeside Dr Se, Suite 207, Grand Rapids, MI, US
Provider Mailing Address 515 Lakeside Dr Se, Suite 207, Grand Rapids, MI, US, 495062931
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Thomas Anthony Malec
Official Position PRESIDENT OF CORPORATION
Phone 616-459-3564

Primary Taxonomy

Taxonomy Code

302F00000X

Taxonomy Name Exclusive Provider Organization
Classification

Exclusive Provider Organization

Group

Managed Care Organizations

License No. 4301026401
License State MI
Description (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Business Address

Thomas A Malec Md Pc
515 Lakeside Dr Se
Suite 207

Grand Rapids, MI, US

Phone: 616-459-3564
Fax: 616-459-3868

Mailing Address

Thomas A Malec Md Pc
515 Lakeside Dr Se
Suite 207
Grand Rapids, MI, US
ZIP 495062931
Phone: 616-459-3564
Fax: 616-459-3868

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Pharmacist

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Ada, MI

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