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Primahealth Ipa Llc
Exclusive Provider Organization in Durham, North Carolina
NPI 1780677229

Primahealth Ipa Llc is a Exclusive Provider Organization based in Durham, NC. Primahealth Ipa Llc practices in Durham, NC. The NPI Number for Primahealth Ipa Llc is 1780677229 and holds a License No. (North Carolina).

The current practice location address for Primahealth Ipa Llc is 3710 University Dr, Durham, NC and can be reached out via phone at 919-419-2600 and via fax at 919-490-8340. You can also correspond with Primahealth Ipa Llc through the mailing address at 3710 UNIVERSITY DR, DURHAM, NC - 27707-6203 (mailing address contact number: 919-419-2600).

Location: 3710 University Dr, Durham, NC, 27707-6203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780677229
Provider Name
Primahealth Ipa Llc
Credential
Provider Entity Type
Organization
Address
3710 University Dr, Durham, NC, 27707-6203
Phone Number
919-419-2600
Fax Number
919-490-8340
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3710 University Dr
City
Durham
State
North Carolina
Zip
27707-6203
Phone Number
919-419-2600
Fax Number
919-490-8340
person
Provider Business Mailing Address Details
Address
3710 University Dr
City
Durham
State
North Carolina
Zip
27707-6203
Phone Number
919-419-2600
Fax Number
919-490-8340
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
()
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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