Mario A. Spoto, D.c., P.c. - Downingtown, PA

Mario A. Spoto, D.c., P.c.

Exclusive Provider Organization in Downingtown, Pennsylvania

NPI 1740525583

Mario A. Spoto, D.c., P.c. is a Exclusive Provider Organization based in Downingtown, PA. Mario A. Spoto, D.c., P.c. practices in Downingtown, PA. The NPI Number for Mario A. Spoto, D.c., P.c. is 1740525583 and holds a License No. DC001967L (Pennsylvania).

The current practice location address for Mario A. Spoto, D.c., P.c. is 305 E Lancaster Ave, Downingtown, PA and can be reached out via phone at 610-269-7662 and via fax at 610-873-1255.

Location: 305 E Lancaster Ave, Downingtown, PA, 19335-5903

NPI Number

1740525583

Provider Name

Mario A. Spoto, D.c., P.c.

Credential

Provider Entity Type

Organization

Address

305 E Lancaster Ave, Downingtown, PA, 19335-5903

Phone Number

610-269-7662

Fax Number

610-873-1255

Provider Enumeration Date

12/05/2012

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
SPO065339	01	PA	BCBS
51145	01	PA	AETNA
0026945000	01	PA	INDEPENDENCE BLUE CROSS

Address

305 E Lancaster Ave

City

Downingtown

State

Pennsylvania

Zip

19335-5903

Phone Number

610-269-7662

Fax Number

610-873-1255

Address

305 E Lancaster Ave

City

Downingtown

State

Pennsylvania

Zip

19335-5903

Phone Number

610-269-7662

Fax Number

610-873-1255

Type

Managed Care Organizations

Classification

Exclusive Provider Organization

Speciality

Taxonomy

302F00000X

License No.

DC001967L (Pennsylvania)

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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