Alabama Care Plan, NPI 1396137402
Exclusive Provider Organization in Birmingham, AL, US
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 | 1396137402 |
| NPI Entity Type | Organization |
| Provider Name | Alabama Care Plan |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 417 20th St N, Suite 1100, Birmingham, AL, US |
| Provider Mailing Address | 417 20th St N, Suite 1100, Birmingham, AL, US, 352033203 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Brad Rollow |
| Official Position | SECRETARY-TREASURER |
| Phone | 205-558-7401 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Exclusive Provider Organization |
| Classification | |
| Group | |
| License No. | MEDICAID RCO |
| License State | AL |
| 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. |
Other Providers in AL, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
MRS. Ariel Michelle Beam Individual |
800 Lakeshore Dr |
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DR. PHD, LMFT Luciana Cunha Silva Individual |
2208 University Blvd Ste 102 |
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ALC Ahna Denete Ravan Individual |
224 1st St N Ste 250 |
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Lindsay Higgins Individual |
1802 6th Ave S |
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NP Byron Jawon Hathorn Individual |
3005 Citizens Pkwy |
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Allison Michelle Kirkpatrick Individual |
4941 Promenade Pkwy |
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Ecm Health Group Llc Organization |
1751 Veterans Dr |
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Decatur Orthopaedic Clinic, Llc Organization |
1107 14th Ave Se Ste 300 |
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Eat. Talk. Play. Therapy Organization |
400 19th St E |
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DR. M.D. Evan Daniel Broder Individual |
2105 E South Blvd |
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DR. C.R.N.P. Arlinda Wormely Individual |
500 S 5th St |
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Ole Reliable Transport Organization |
1400 S Long St Lot 1002 |
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DR. Kathy Farley-cook Individual |
13 Office Park Cir Ste 5 |
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PA Rylee Mishell Loya Individual |
101 Sivley Rd Sw |
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DR. DC Cynthia J Louis Individual |
2316 Knollwood Dr Ste 5 |
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Amanda J August Individual |
21308 County Road 68 N |
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DR. M.D. Harrison B Pearl Individual |
1711 N Mckenzie St Ste 102 |
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|
Hemant K Sinha Pc Organization |
Gadsden Regional Medical Center 1107 Goodyear Ave. |
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|
M.D. Robert Detrinis Individual |
7400 Roper Ln |
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|
MD Anand Shanker Balachandran Individual |
400 Whitesport Dr Sw Ste 103 |
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