institution
Phycare Ipa
Exclusive Provider Organization in Valley Stream, New York
NPI 1225469505

Phycare Ipa is a Exclusive Provider Organization based in Valley Stream, NY. Phycare Ipa practices in Valley Stream, NY. The NPI Number for Phycare Ipa is 1225469505 and holds a License No. (New York).

The current practice location address for Phycare Ipa is 20 E Sunrise Hwy, Valley Stream, NY and can be reached out via phone at 516-823-8900 and via fax at 516-823-0520.

Location: 20 E Sunrise Hwy, Valley Stream, NY, 11581-1260
institution
Provider Profile Details
NPI Number
1225469505
Provider Name
Phycare Ipa
Credential
Provider Entity Type
Organization
Address
20 E Sunrise Hwy, Valley Stream, NY, 11581-1260
Phone Number
516-823-8900
Fax Number
516-823-0520
Provider Enumeration Date
12/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 E Sunrise Hwy
City
State
Zip
11581-1260
Phone Number
516-823-8900
Fax Number
516-823-0520
person
Provider Business Mailing Address Details
Address
20 E Sunrise Hwy
City
State
Zip
11581-1260
Phone Number
516-823-8900
Fax Number
516-823-0520
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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