Delaware. Exclusive Provider Organization. Taxonomy Code 302F00000X(302f00000x)

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C

Claymont 1

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Dover 1

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Townsend 1

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Wilmington 1

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Exclusive Provider Organization Providers

NPI	Name	Type	Address
1134348527	Elias Mamberg Md Pa	Organization	1301 North Harrison Street Wilmington, DE
1053612804	Henry U. Isiocha Llc	Organization	1177b S Governors Ave Dover, DE
1912213844	Affinity Health And Medical Systems	Organization	3301 Green St Claymont, DE
1801271861	Informed Touch Massage Therapy	Organization	905 Ibiza Ct Townsend, DE

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...

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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