Directory of top Exclusive Provider Organizations in Silver Spring, Maryland, USA
Taxonomy Code 302F00000X
The directory of Exclusive Provider Organizations in Silver Spring, Maryland was last updated 6/30/2024
Beverly A. Johnson, MD, PC11161 NEW HAMPSHIRE AVE, SILVER SPRING, MD Telephone Number: (301)-593-7546 Dermatologist |
Has Referral Data |
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Date NPI Record created: 3/22/2012 |
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Sapphire Dermatology Llc10801 LOCKWOOD DR STE 285, SILVER SPRING, MD Telephone Number: (301)-814-0880 Dermatologist |
No Referral Data |
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Date NPI Record created: 8/23/2022 |
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Derm Associates Llc10313 GEORGIA AVE, SUITE 309, SILVER SPRING, MD Telephone Number: (301)-681-7000 Dermatologist |
Has Referral Data |
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Date NPI Record created: 8/3/2005 |
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Rock Creek Dermatology And Skin Cancer Center, LLC3925 FERRARA DR, SILVER SPRING, MD Telephone Number: (301)-933-1547 Dermatologist |
Has Referral Data |
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Date NPI Record created: 5/25/2016 |
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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.
