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Pediatrust Lake Charles, Llc
Exclusive Provider Organization in Lake Charles, Louisiana
NPI 1518359165

Pediatrust Lake Charles, Llc is a Exclusive Provider Organization based in Baton Rouge, LA. Pediatrust Lake Charles, Llc practices in Lake Charles, LA. The NPI Number for Pediatrust Lake Charles, Llc is 1518359165 and holds a License No. 2203782281 (Louisiana).

The current practice location address for Pediatrust Lake Charles, Llc is 4250 5Th Ave, Lake Charles, LA and can be reached out via phone at 337-562-7818. You can also correspond with Pediatrust Lake Charles, Llc through the mailing address at 6270 SEVENOAKS AVE, BATON ROUGE, LA - 70806-7330 (mailing address contact number: 225-252-7633).

Location: 4250 5Th Ave, Lake Charles, LA, 70806-7330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518359165
Provider Name
Pediatrust Lake Charles, Llc
Credential
Provider Entity Type
Organization
Address
4250 5Th Ave, Lake Charles, LA, 70806-7330
Phone Number
337-562-7818
Fax Number
Provider Enumeration Date
02/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2203782281 05 LA
institution
Provider Business Practice Location Address Details
Address
4250 5Th Ave
City
Lake Charles
State
Louisiana
Zip
70607-3900
Phone Number
337-562-7818
Fax Number
person
Provider Business Mailing Address Details
Address
4250 5Th Ave
City
Lake Charles
State
Louisiana
Zip
70607-3900
Phone Number
337-562-7818
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
2203782281 (Louisiana)
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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