institution
Professional Evaluation Medical Group
Exclusive Provider Organization in New York, New York
NPI 1790818573

Professional Evaluation Medical Group is a Exclusive Provider Organization based in Hicksville, NY. Professional Evaluation Medical Group practices in New York, NY. The NPI Number for Professional Evaluation Medical Group is 1790818573 and holds a License No. 147150 (New York).

The current practice location address for Professional Evaluation Medical Group is 229 W 36Th St Fl 10, New York, NY and can be reached out via phone at 212-463-8605 and via fax at 212-463-8579.

Location: 229 W 36Th St Fl 10, New York, NY, 11801-5033
institution
Provider Profile Details
NPI Number
1790818573
Provider Name
Professional Evaluation Medical Group
Credential
Provider Entity Type
Organization
Address
229 W 36Th St Fl 10, New York, NY, 11801-5033
Phone Number
212-463-8605
Fax Number
212-463-8579
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
229 W 36Th St Fl 10
City
State
Zip
10018-8949
Phone Number
212-463-8605
Fax Number
212-463-8579
person
Provider Business Mailing Address Details
Address
229 W 36Th St Fl 10
City
State
Zip
10018-8949
Phone Number
212-463-8605
Fax Number
212-463-8579
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
License No.
147150 (New York)
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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