NPI 1366700759 TMGHEALTH DUNMORE PA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Tmghealth - NPI: 1366700759

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: TMGHEALTH
NPI Number: 1366700759
Entity Type Code: Organizational (2)
Authorized Official Name: TAMI GEROSKI
(VP CORPORATE COMPLIANCE)
Mailing Address: 1205 Oneill Hwy
Dunmore
State: PA US
Postal Code: 185121723
Phone Number: 5703445138
Fax Number:
NPI Enumeration Date: 04/24/2012
NPI Last Update Date: 04/24/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 302F00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Managed Care Organizations
Taxonomy Classification: Exclusive Provider Organization
Taxonomy Specialization:
Taxonomy 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.


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