Professional Evaluation Medical Group - New York, NY

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. You can also correspond with Professional Evaluation Medical Group through the mailing address at 380 S BROADWAY, HICKSVILLE, NY - 11801-5033 (mailing address contact number: 516-935-4378).

Location: 229 W 36Th St Fl 10, New York, NY, 11801-5033

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

Address

229 W 36Th St Fl 10

City

New York

State

New York

Zip

10018-8949

Phone Number

212-463-8605

Fax Number

212-463-8579

Address

229 W 36Th St Fl 10

City

New York

State

New York

Zip

10018-8949

Phone Number

212-463-8605

Fax Number

212-463-8579

Type

Managed Care Organizations

Classification

Exclusive Provider Organization

Speciality

Taxonomy

302F00000X

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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