Directory of top Exclusive Provider Organizations in Lanham, Maryland, USA
Taxonomy Code 302F00000X
The directory of Exclusive Provider Organizations in Lanham, Maryland was last updated 6/30/2024
Joyce P. Hair, M.d. Ltd.307 MAPLE AVE W, SUITE C, VIENNA, VA Telephone Number: (703)-698-7160 Medical Specialty Clinic/Center |
Has Referral Data |
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Date NPI Record created: 7/18/2010 |
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A. Larry Miller, Md Ltd311 MAPLE AVE W, SUITE H, VIENNA, VA Telephone Number: (703)-938-5660 Medical Specialty Clinic/Center |
No Referral Data |
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Date NPI Record created: 3/7/2008 |
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Ophthalmopathy Eye Clinic, LLC2110 C GALLOWS RD, SUITE # 2, VIENNA, VA Telephone Number: (703)-918-0020 Medical Specialty Clinic/Center |
No Referral Data |
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Date NPI Record created: 3/9/2009 |
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Dawn Health10610 VICKERS DR, VIENNA, VA Telephone Number: (202)-557-5361 Medical Specialty Clinic/Center |
No Referral Data |
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Date NPI Record created: 10/12/2022 |
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Nova Neuroscience8230 BOONE BLVD STE 360, VIENNA, VA Telephone Number: (703)-748-1000 Medical Specialty Clinic/Center |
Has Referral Data |
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Date NPI Record created: 8/1/2017 |
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Nita Sumida, M.d. , P.L.L.C.8320 OLD COURTHOUSE RD, SUITE 100, VIENNA, VA Telephone Number: (703)-734-1069 Medical Specialty Clinic/Center |
Has Referral Data |
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Date NPI Record created: 9/3/2006 |
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Pinnacle Surgical Group, Pllc2235 CEDAR LN, SUITE 101, VIENNA, VA Telephone Number: (703)-778-6000 Medical Specialty Clinic/Center |
No Referral Data |
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Date NPI Record created: 2/28/2013 |
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Exclusive Provider Organizations
Taxonomy Code 302F00000X
Classification: Exclusive Provider Organization
Description
(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.
Notes
Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) Glossary of terms used in managed care Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.
