NPI Registry for Health Maintenance Organization Doctors in Baton Rouge. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup for all Doctors

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NPI for Health Maintenance Organization Doctors in Baton Rouge

Find National Provider Identifier (NPI) Number of Health Maintenance Organization Doctors in Baton Rouge. 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 Health Maintenance Organization Doctors in Baton Rouge.

Definition of Health Maintenance Organization - (1) A form of health insurance in which its members prepay a premium for the HMO
Just simply click on the name of the doctor whose details you want to know from the below list.

Provider Name/NPIAddressTaxonomy (Code)
Midcity Urgent Care Center Inc
NPI- 1003168089
 3844 Convention Street,
Baton Rouge - 70806		 Health Maintenance Organization
(302R00000X)
Restoring Hearts Ministry
NPI- 1043504400
 1821 Wooddale Ct Ste 121,
Baton Rouge - 70806		 Health Maintenance Organization
(302R00000X)
Dove Business Services Inc.
NPI- 1417081597
 6489 Vineyard Dr,
Baton Rouge - 70812		 Health Maintenance Organization
(302R00000X)
Louisiana Case Management Northwest,llc
NPI- 1508280298
 8352 Bluebonnet Blvd,
Baton Rouge - 70810		 Health Maintenance Organization
(302R00000X)
Community Health Network, Inc.
NPI- 1578863692
 7936 Office Park Blvd, Suite A
Baton Rouge - 70808		 Health Maintenance Organization
(302R00000X)
Evergreen Psychosocial Services Inc.
NPI- 1639373004
 13000 Justice Ave., Suite 11
Baton Rouge - 70816		 Health Maintenance Organization
(302R00000X)
The Physicians Alliance Corporation
NPI- 1699944900
 7907 Wrenwood Blvd, Ste B
Baton Rouge - 70809		 Health Maintenance Organization
(302R00000X)
Wellcare Health Insurance Of Arizona, Inc.
NPI- 1740447085
 11603 Southfork Ave,
Baton Rouge - 70816		 Health Maintenance Organization
(302R00000X)
Franklin & Warner Consulting Services
NPI- 1740464536
 1821 Wooddale Ct Ste 101,
Baton Rouge - 70806		 Health Maintenance Organization
(302R00000X)
Michael J Goff Dc Apcc
NPI- 1760646707
 6010 Jones Creek Rd Ste B,
Baton Rouge - 70817		 Health Maintenance Organization
(302R00000X)
Louisiana Healthcare Connections Inc.
NPI- 1801101514
 4550 North Blvd, Suite 120
Baton Rouge - 70806		 Health Maintenance Organization
(302R00000X)
Community Care Alliance Llc
NPI- 1972982189
 5638 Superior Dr Ste E,
Baton Rouge - 70816		 Health Maintenance Organization
(302R00000X)
Aetna Better Health, Inc.
NPI- 1982919692
 5615 Corporate Blvd Ste 400b,
Baton Rouge - 70808		 Health Maintenance Organization
(302R00000X)

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What is NPI Number?
The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Benefits of an NPI
- Simple electronic transmission of HIPAA standard transactions
- Standard unique health identifiers for health care providers, health care plans, and employers and
- Efficient coordination of benefit transactions


Where NPI should be used?
The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. There are two categories of health care providers for NPI enumeration purposes. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.
Obtaining an NPI Does Not:
- Ensure a provider is licensed or credential
- Guarantee payment by a health plan
- Enroll a provider in a health plan
- Turn a provider into a covered provider
- Require a provider to conduct HIPAA transactions or
- Change or replace the current Medicare enrolment or certification process
Who Must Obtain an NPI?
All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations [HMOs], suppliers of durable medical equipment, pharmacies) must obtain an NPI. The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so.
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