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Supplmental Health Care
Exclusive Provider Organization in Modesto, California
NPI 1336433283

Supplmental Health Care is a Exclusive Provider Organization based in Modesto, CA. Supplmental Health Care practices in Modesto, CA. The NPI Number for Supplmental Health Care is 1336433283 and holds a License No. OT534 (California).

The current practice location address for Supplmental Health Care is 1717 Marston Way, Modesto, CA and can be reached out via phone at 209-523-8745.

Location: 1717 Marston Way, Modesto, CA, 95355-1940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336433283
Provider Name
Supplmental Health Care
Credential
Provider Entity Type
Organization
Address
1717 Marston Way, Modesto, CA, 95355-1940
Phone Number
209-523-8745
Fax Number
Provider Enumeration Date
06/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 Marston Way
City
Modesto
State
California
Zip
95355-1940
Phone Number
209-523-8745
Fax Number
person
Provider Business Mailing Address Details
Address
1717 Marston Way
City
Modesto
State
California
Zip
95355-1940
Phone Number
209-523-8745
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
OT534 (California)
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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