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Commonwealth Care Alliance
Exclusive Provider Organization in Charlestown, Massachusetts
NPI 1669924783

Commonwealth Care Alliance is a Exclusive Provider Organization based in Charlestown, MA. Commonwealth Care Alliance practices in Charlestown, MA. The NPI Number for Commonwealth Care Alliance is 1669924783 and holds a License No. (Massachusetts).

The current practice location address for Commonwealth Care Alliance is 529 Main St, Charlestown, MA and can be reached out via phone at 617-600-3195.

Location: 529 Main St, Charlestown, MA, 02129-1125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669924783
Provider Name
Commonwealth Care Alliance
Credential
Provider Entity Type
Organization
Address
529 Main St, Charlestown, MA, 02129-1125
Phone Number
617-600-3195
Fax Number
Provider Enumeration Date
10/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
529 Main St
City
Charlestown
State
Massachusetts
Zip
02129-1125
Phone Number
617-600-3195
Fax Number
person
Provider Business Mailing Address Details
Address
529 Main St
City
Charlestown
State
Massachusetts
Zip
02129-1125
Phone Number
617-600-3195
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
(Massachusetts)
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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