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Qualcare, Inc.
Exclusive Provider Organization in Bakersfield, California
NPI 1710302732

Qualcare, Inc. is a Exclusive Provider Organization based in Bakersfield, CA. Qualcare, Inc. practices in Bakersfield, CA. The NPI Number for Qualcare, Inc. is 1710302732 and holds a License No. (California).

The current practice location address for Qualcare, Inc. is 5080 California Ave, Bakersfield, CA and can be reached out via phone at 661-371-2790 and via fax at 661-371-3498.

Location: 5080 California Ave, Bakersfield, CA, 93309-1698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710302732
Provider Name
Qualcare, Inc.
Credential
Provider Entity Type
Organization
Address
5080 California Ave, Bakersfield, CA, 93309-1698
Phone Number
661-371-2790
Fax Number
661-371-3498
Provider Enumeration Date
02/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5319 01 CA HEALTH NET IPA #
institution
Provider Business Practice Location Address Details
Address
5080 California Ave
City
Bakersfield
State
California
Zip
93309-1698
Phone Number
661-371-2790
Fax Number
661-371-3498
person
Provider Business Mailing Address Details
Address
5080 California Ave
City
Bakersfield
State
California
Zip
93309-1698
Phone Number
661-371-2790
Fax Number
661-371-3498
person
Provider's Taxonomy Details 1
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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