Directory of top Exclusive Provider Organizations in Auburn, New York, USA
Taxonomy Code 302F00000X
The directory of Exclusive Provider Organizations in Auburn, New York was last updated 6/30/2024
Malys Physical Therapy77 NELSON ST, SUITE 130, AUBURN, NY Telephone Number: (315)-253-6891 Physical Therapist |
No Referral Data |
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Date NPI Record created: 9/22/2006 |
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Active Physical Therapy Solutions Pc40 W LAKE AVE, AUBURN, NY Telephone Number: (315)-515-3117 Physical Therapist |
Has Referral Data |
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Date NPI Record created: 2/12/2009 |
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Cayuga Orthopedic & Sports Pt37 W GARDEN ST, SUITE 103, AUBURN, NY Telephone Number: (315)-253-3291 Physical Therapist |
Has Referral Data |
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Date NPI Record created: 11/8/2006 |
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Moochler Physical Therapy, Pc278 GENESEE ST, AUBURN, NY Telephone Number: (315)-282-0067 Physical Therapist |
Has Referral Data |
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Date NPI Record created: 5/19/2006 |
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James M Swartz Pt197 STATE STREET, SUITE 200, AUBURN, NY Telephone Number: (315)-252-5715 Physical Therapist |
Has Referral Data |
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Date NPI Record created: 9/7/2006 |
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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.
