Taxonomy Code 302F00000X(302f00000x)
Exclusive Provider Organization. Providers: 12
Exclusive Provider Organization Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Mi Amigo Pediatra, Pa |
Organization |
240 Hialeah Dr Hialeah, FL |
|
|
Physicians Care Group Health Choice Inc. |
Organization |
3520 W. 18 Ave. Suite #115 Hialeah, FL |
|
|
West Technical Service Center Inc |
Organization |
1140 W 50th St Suite 310 Hialeah, FL |
|
|
Av Services Center Inc |
Organization |
1140 W 50th St Suite 407 Hialeah, FL |
|
|
Goal Seal Medical |
Organization |
3408 West 84 Street St 117 Hialeah, FL |
|
|
Physicians Care Group Health Choice Inc. |
Organization |
4201 Palm Ave Ste C Hialeah, FL |
|
|
Reflections Medical Center, Corp |
Organization |
3912 W 12th Ave Hialeah, FL |
|
|
Sanchez-cazau Medical Group, P.a |
Organization |
777 East 25th Street Suite 501 Hialeah, FL |
|
|
Maria E. Ramon-coton Md Faap |
Organization |
7000 W 12th Ave Suite 11-12 Hialeah, FL |
|
|
Practice Choice Consultants Llc |
Organization |
1490 W 49th Pl Ste 507 Hialeah, FL |
|
|
Healthmax Doctor Care At Home, Llc |
Organization |
1140 W 50th St Ste 207 Hialeah, FL |
|
|
Superior Dental Team Llc |
Organization |
148 Hialeah Dr Hialeah, FL |
How to obtain, renew, or terminate an NPI
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 |