MS. Toni Mariia Burroughs, NPI 1467637694
Exclusive Provider Organization in Austin, TX, 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 1467637694
NPI Entity Type Individual
Provider Name MS. Toni Mariia Burroughs
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5405 Harvest Ln, Austin, TX, US
Provider Mailing Address 5405 Harvest Ln, Austin, TX, US, 787453140
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

302F00000X

Taxonomy Name Exclusive Provider Organization
Classification

Exclusive Provider Organization

Group

Managed Care Organizations

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

MS. Toni Mariia Burroughs
5405 Harvest Ln

Austin, TX, US

Phone: 512-733-3869
Fax: 512-916-1601

Mailing Address

MS. Toni Mariia Burroughs
5405 Harvest Ln
Austin, TX, US
ZIP 787453140
Phone: 512-733-3869
Fax: 512-916-1601

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