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St.mary's Healthcare System For Children
Exclusive Provider Organization in New Hyde Park, New York
NPI 1619226750

St.mary's Healthcare System For Children is a Exclusive Provider Organization based in New Hyde Park, NY. St.mary's Healthcare System For Children practices in New Hyde Park, NY. The NPI Number for St.mary's Healthcare System For Children is 1619226750 and holds a License No. 021574 (New York).

The current practice location address for St.mary's Healthcare System For Children is 5 Dakota Dr, New Hyde Park, NY and can be reached out via phone at 718-281-8579.

Location: 5 Dakota Dr, New Hyde Park, NY, 11042-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619226750
Provider Name
St.mary's Healthcare System For Children
Credential
Provider Entity Type
Organization
Address
5 Dakota Dr, New Hyde Park, NY, 11042-1107
Phone Number
718-281-8579
Fax Number
Provider Enumeration Date
09/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 Dakota Dr
City
New Hyde Park
State
New York
Zip
11042-1107
Phone Number
718-281-8579
Fax Number
person
Provider Business Mailing Address Details
Address
5 Dakota Dr
City
New Hyde Park
State
New York
Zip
11042-1107
Phone Number
718-281-8579
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
021574 (New York)
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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