institution
Sanford Heights Hearing Center Inc.
Exclusive Provider Organization in Maplewood, New Jersey
NPI 1134459258

Sanford Heights Hearing Center Inc. is a Exclusive Provider Organization based in Maplewood, NJ. Sanford Heights Hearing Center Inc. practices in Maplewood, NJ. The NPI Number for Sanford Heights Hearing Center Inc. is 1134459258 and holds a License No. (New Jersey).

The current practice location address for Sanford Heights Hearing Center Inc. is 1984 Springfield Ave, Maplewood, NJ and can be reached out via phone at 973-275-1006 and via fax at 973-275-1106.

Location: 1984 Springfield Ave, Maplewood, NJ, 07040-3437
institution
Provider Profile Details
NPI Number
1134459258
Provider Name
Sanford Heights Hearing Center Inc.
Credential
Provider Entity Type
Organization
Address
1984 Springfield Ave, Maplewood, NJ, 07040-3437
Phone Number
973-275-1006
Fax Number
973-275-1106
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4501171 01 NJ AETNA NON-HMO
3909476000 01 NJ AMERIHEALTH
60015958 01 NJ HORIZON NJ HEALTH
1007016 01 NJ AETNA HMO
5352908 05 NJ
institution
Provider Business Practice Location Address Details
Address
1984 Springfield Ave
City
State
Zip
07040-3437
Phone Number
973-275-1006
Fax Number
973-275-1106
person
Provider Business Mailing Address Details
Address
1984 Springfield Ave
City
State
Zip
07040-3437
Phone Number
973-275-1006
Fax Number
973-275-1106
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
License No.
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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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