NPI 1467504100 STEPHEN M. GROSS, OD, PC ATMORE AL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Stephen M. Gross, Od, Pc - NPI: 1467504100

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: STEPHEN M. GROSS, OD, PC
NPI Number: 1467504100
Entity Type Code: Organizational (2)
Authorized Official Name: STEPHEN MORGAN GROSS
(PRESIDENT)
Mailing Address: 166 Lindberg Ave
Atmore
State: AL US
Postal Code: 365023206
Phone Number: 2513688767
Fax Number: 2513684565
NPI Enumeration Date: 01/16/2007
NPI Last Update Date: 07/07/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 302F00000X
License Number: S486TA041
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AL
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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