NPI Registry for Exclusive Provider Organization Doctors in Laurel Springs. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup for all Doctors

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NPI for Exclusive Provider Organization Doctors in Laurel Springs

Find National Provider Identifier (NPI) Number of Exclusive Provider Organization Doctors in Laurel Springs. 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). You can also find mailing address, contact information and other necessary information of all Exclusive Provider Organization Doctors in Laurel Springs.

Definition of Exclusive Provider Organization - (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.
Just simply click on the name of the doctor whose details you want to know from the below list.

Provider Name/NPIAddressTaxonomy (Code)
James A Prate Llc
NPI- 1487994802
1405 Chews Landing Rd,
Laurel Springs - 08021
Exclusive Provider Organization
(302F00000X)

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