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Tristate Health Partners Inc.
Exclusive Provider Organization in Hagerstown, Maryland
NPI 1942551833

Tristate Health Partners Inc. is a Exclusive Provider Organization based in Hagerstown, MD. Tristate Health Partners Inc. practices in Hagerstown, MD. The NPI Number for Tristate Health Partners Inc. is 1942551833 and holds a License No. (Maryland).

The current practice location address for Tristate Health Partners Inc. is 10715 Downsville Pike, Hagerstown, MD and can be reached out via phone at 240-313-9940 and via fax at 240-313-9941.

Location: 10715 Downsville Pike, Hagerstown, MD, 21740-7240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942551833
Provider Name
Tristate Health Partners Inc.
Credential
Provider Entity Type
Organization
Address
10715 Downsville Pike, Hagerstown, MD, 21740-7240
Phone Number
240-313-9940
Fax Number
240-313-9941
Provider Enumeration Date
10/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10715 Downsville Pike
City
Hagerstown
State
Maryland
Zip
21740-7240
Phone Number
240-313-9940
Fax Number
240-313-9941
person
Provider Business Mailing Address Details
Address
10715 Downsville Pike
City
Hagerstown
State
Maryland
Zip
21740-7240
Phone Number
240-313-9940
Fax Number
240-313-9941
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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