Dr Jm Llc is a Point of Service based in Brick, NJ. Dr Jm Llc practices in Brick, NJ. The NPI Number for Dr Jm Llc is 1659601789 and holds a License No. 25MA06682500 (New Jersey).
The current practice location address for Dr Jm Llc is 525 Route 70 East, Brick, NJ and can be reached out via phone at 732-279-6537 and via fax at 732-279-6542.
Location: 525 Route 70 East, Brick, NJ, 08723-4022
Provider Profile Details
NPI Number
1659601789
Provider Name
Dr Jm Llc
Credential
Provider Entity Type
Organization
Address
525 Route 70 East, Brick, NJ, 08723-4022
Phone Number
732-279-6537
Fax Number
732-279-6542
Provider Enumeration Date
01/13/2010
Last Update Date
03/12/2024
Provider Business Practice Location Address Details
Address
525 Route 70 East
City
State
Zip
08723-4022
Phone Number
732-279-6537
Fax Number
732-279-6542
Provider Business Mailing Address Details
Address
525 Route 70 East
City
State
Zip
08723-4022
Phone Number
732-279-6537
Fax Number
732-279-6542
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
License No.
25MA06682500 (New Jersey)
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.
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Health Maintenance Organization
Speciality
-
Taxonomy
License No.
25MA06682500 (New Jersey)
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
25MA06682500 (New Jersey)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Provider's Taxonomy Details 4
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
25MA06682500 (New Jersey)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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