institution
Thedacare Aco, Llc
Exclusive Provider Organization in Appleton, Wisconsin
NPI 1033519046

Thedacare Aco, Llc is a Exclusive Provider Organization based in Appleton, WI. Thedacare Aco, Llc practices in Appleton, WI. The NPI Number for Thedacare Aco, Llc is 1033519046 and holds a License No. (Wisconsin).

The current practice location address for Thedacare Aco, Llc is 122 E College Ave, Appleton, WI and can be reached out via phone at 920-830-5950 and via fax at 920-830-5910.

Location: 122 E College Ave, Appleton, WI, 54911-5794
institution
Provider Profile Details
NPI Number
1033519046
Provider Name
Thedacare Aco, Llc
Credential
Provider Entity Type
Organization
Address
122 E College Ave, Appleton, WI, 54911-5794
Phone Number
920-830-5950
Fax Number
920-830-5910
Provider Enumeration Date
08/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
122 E College Ave
City
State
Zip
54911-5794
Phone Number
920-830-5950
Fax Number
920-830-5910
person
Provider Business Mailing Address Details
Address
122 E College Ave
City
State
Zip
54911-5794
Phone Number
920-830-5950
Fax Number
920-830-5910
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
License No.
()
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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