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Lake Wilderness Medical Clinic Llc
Exclusive Provider Organization in Maple Valley, Washington
NPI 1982879045

Lake Wilderness Medical Clinic Llc is a Exclusive Provider Organization based in Ravensdale, WA. Lake Wilderness Medical Clinic Llc practices in Maple Valley, WA. The NPI Number for Lake Wilderness Medical Clinic Llc is 1982879045 and holds a License No. MD00023662 (Washington).

The current practice location address for Lake Wilderness Medical Clinic Llc is 26907 Maple Valley Black Diamond Rd Se, Maple Valley, WA and can be reached out via phone at 425-432-9611 and via fax at 206-973-5399.

Location: 26907 Maple Valley Black Diamond Rd Se, Maple Valley, WA, 98051-1142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982879045
Provider Name
Lake Wilderness Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
26907 Maple Valley Black Diamond Rd Se, Maple Valley, WA, 98051-1142
Phone Number
425-432-9611
Fax Number
206-973-5399
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26907 Maple Valley Black Diamond Rd Se
City
Maple Valley
State
Washington
Zip
98038-8314
Phone Number
425-432-9611
Fax Number
206-973-5399
person
Provider Business Mailing Address Details
Address
26907 Maple Valley Black Diamond Rd Se
City
Maple Valley
State
Washington
Zip
98038-8314
Phone Number
425-432-9611
Fax Number
206-973-5399
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
MD00023662 (Washington)
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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