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Type 1 Individual Provider
Exclusive Provider Organization in Silver Spring, Maryland
NPI 1952543191

Type 1 Individual Provider is a Exclusive Provider Organization based in Silver Spring, MD. Type 1 Individual Provider practices in Silver Spring, MD. The NPI Number for Type 1 Individual Provider is 1952543191 and holds a License No. LC2381 (Maryland).

The current practice location address for Type 1 Individual Provider is 1620 Elton Rd, Silver Spring, MD and can be reached out via phone at 301-439-7191.

Location: 1620 Elton Rd, Silver Spring, MD, 20903-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952543191
Provider Name
Type 1 Individual Provider
Credential
Provider Entity Type
Organization
Address
1620 Elton Rd, Silver Spring, MD, 20903-1740
Phone Number
301-439-7191
Fax Number
Provider Enumeration Date
04/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1620 Elton Rd
City
Silver Spring
State
Maryland
Zip
20903-1740
Phone Number
301-439-7191
Fax Number
person
Provider Business Mailing Address Details
Address
1620 Elton Rd
City
Silver Spring
State
Maryland
Zip
20903-1740
Phone Number
301-439-7191
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
LC2381 (Maryland)
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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