Rhode Island. Exclusive Provider Organization. Taxonomy Code 302F00000X(302f00000x)

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C

Cranston 1

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Providence 4

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Wakefield 1

Warwick 1

West Warwick 1

Westerly 1

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Exclusive Provider Organization Providers

NPI	Name	Type	Address
1487932836	Dmr Family & Cosmetic Dentistry	Organization	31 Crestview Dr Westerly, RI
1669651162	James K. Cardi,m.d.,inc	Organization	677 Atwood Ave Cranston, RI
1639564891	New England Dental	Organization	1387 Broad Street Providence, RI
1184010118	Mpch	Organization	149 Pomona Ave Providence, RI
1083690044	Pace Organization Of Ri	Organization	225 Chapman St Providence, RI
1790791069	Veterans Affairs Medical Center	Organization	132 Northbridge Ave Warwick, RI
1396844544	Gateway Professional Group	Organization	208 Governor St Providence, RI
1679638530	Vantage Point	Organization	1 James P Murphy Highway Suite 103 West Warwick, RI
1386762698	Joyful Learning Child Academy	Organization	1935 Kingstown Rd Wakefield, RI

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