Professional Healthcare Medical Management, Inc - Miami, FL

Professional Healthcare Medical Management, Inc

Exclusive Provider Organization in Miami, Florida

NPI 1437468477

Professional Healthcare Medical Management, Inc is a Exclusive Provider Organization based in Miami, FL. Professional Healthcare Medical Management, Inc practices in Miami, FL. The NPI Number for Professional Healthcare Medical Management, Inc is 1437468477 and holds a License No. (Florida).

The current practice location address for Professional Healthcare Medical Management, Inc is 1250 S Miami Ave, Miami, FL and can be reached out via phone at 786-299-9529.

Location: 1250 S Miami Ave, Miami, FL, 33130-4100

NPI Number

1437468477

Provider Name

Professional Healthcare Medical Management, Inc

Credential

Provider Entity Type

Organization

Address

1250 S Miami Ave, Miami, FL, 33130-4100

Phone Number

786-299-9529

Fax Number

Provider Enumeration Date

09/24/2010

Last Update Date

03/09/2024

Address

1250 S Miami Ave

City

Miami

State

Florida

Zip

33130-4100

Phone Number

786-299-9529

Fax Number

Address

1250 S Miami Ave

City

Miami

State

Florida

Zip

33130-4100

Phone Number

786-299-9529

Fax Number

Type

Managed Care Organizations

Classification

Exclusive Provider Organization

Speciality

Taxonomy

302F00000X

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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