NPI | Name | Type | Address |
---|---|---|---|
Life Wellness Center Inc |
Organization |
3119 Coral Way Suite 200 Coral Gables, FL |
|
Dental Partners Of Gables |
Organization |
5511 Sw 8th St Coral Gables, FL |
|
Acare Management Llc |
Organization |
219 Menores Ave Suite 1 Coral Gables, FL |
|
Tellus Clinical Research, Inc |
Organization |
2500 S Douglas Rd Suite B & C Coral Gables, FL |
|
Community Health Providers |
Organization |
3970 W Flagler St Suite 204 Coral Gables, FL |
|
United Physicians Solutions |
Organization |
460 Leucadendra Dr Coral Gables, FL |
|
Unified Management Solutions, Llc |
Organization |
460 Leucadendra Dr Coral Gables, FL |
|
Unified Healthcare Services, Llc |
Organization |
460 Leucadendra Dr Coral Gables, FL |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
Taxonomy Code | 302F00000X |
Display Name | Exclusive Provider Organization |
Taxonomy Group | Managed Care Organizations |
Taxonomy Classification | Exclusive Provider Organization |
Definition | (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. |
Effective Date | September 30, 2009 |