Little River Medical Group, NPI 1558800706
Exclusive Provider Organization in Round Rock, 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 1558800706
NPI Entity Type Organization
Provider Name Little River Medical Group
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1 Chisholm Trl, Round Rock, TX, US
Provider Mailing Address 1 Chisholm Trl, Round Rock, TX, US, 786815008
Is Sole Proprietor? No
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Organization Official

Official Name Peggy Borgfeld
Official Position COO
Phone 512-481-7060

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

Little River Medical Group
1 Chisholm Trl

Round Rock, TX, US

Phone: 512-481-7060

Mailing Address

Little River Medical Group
1 Chisholm Trl
Round Rock, TX, US
ZIP 786815008
Phone: 512-481-7060

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