Taxonomy Code 302F00000X(302f00000x)
Exclusive Provider Organization. Providers: 171
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Exclusive Provider Organization Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
James J Murray Md Pc |
Organization |
8 Circular St Saratoga Springs, NY |
|
|
Physicians Independant Practioners Association |
Organization |
400 W Main St Ste 337 Babylon, NY |
|
|
R&r Speech And Language Services, Pc |
Organization |
1921 Bay Ave Apt 6l Brooklyn, NY |
|
|
Project Renewal |
Organization |
8 E 3rd St New York, NY |
|
|
J.corea Mental Health Counseling Pc |
Organization |
585 Stewart Ave Ste 700 Garden City, NY |
|
|
Dr.d Passariello |
Organization |
8740 25th Ave Brooklyn, NY |
|
|
Hilton East Assisted Living |
Organization |
231 East Ave Hilton, NY |
|
|
Corinthian Medical Ipa |
Organization |
481 Fort Washington Ave New York, NY |
|
|
Pier17 Professional Medical Mgmt |
Organization |
3165 Emmons Ave Ste C2-c3 Brooklyn, NY |
|
|
New American Empowerment |
Organization |
129 Mclennan Ave # A1310 Syracuse, NY |
|
|
Vsvl Medical Services Pllc |
Organization |
1170 Castle Hill Ave Bronx, NY |
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 |