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Professional Evaluation Medical Group
Exclusive Provider Organization in Hicksville, New York
NPI 1104960962

Professional Evaluation Medical Group is a Exclusive Provider Organization based in Hicksville, NY. Professional Evaluation Medical Group practices in Hicksville, NY. The NPI Number for Professional Evaluation Medical Group is 1104960962 and holds a License No. 147150 (New York).

The current practice location address for Professional Evaluation Medical Group is 380 S Broadway, Hicksville, NY and can be reached out via phone at 516-935-4378 and via fax at 516-931-3117.

Location: 380 S Broadway, Hicksville, NY, 11801-5033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104960962
Provider Name
Professional Evaluation Medical Group
Credential
Provider Entity Type
Organization
Address
380 S Broadway, Hicksville, NY, 11801-5033
Phone Number
516-935-4378
Fax Number
516-931-3117
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
380 S Broadway
City
Hicksville
State
New York
Zip
11801-5033
Phone Number
516-935-4378
Fax Number
516-931-3117
person
Provider Business Mailing Address Details
Address
380 S Broadway
City
Hicksville
State
New York
Zip
11801-5033
Phone Number
516-935-4378
Fax Number
516-931-3117
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
147150 (New York)
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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