PHYSICIAN CARE MANAGMENT, LLC.


Address: 2655 S Le Jeune Rd, #804, Miami, FL 33134-5832
Phone: 3052631090

PHYSICIAN CARE MANAGMENT, LLC. (NPI# 1235407396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235407396
Entity Type Organization
Organization Name PHYSICIAN CARE MANAGMENT, LLC.
Practice Address 2655 S Le Jeune Rd
#804
Miami
FL 33134-5832
Mailing Address 2655 Lejeune Road
#804
Coral Gables
FL 33134
Practice Telephone 3052631090
Enumeration Date 2011-12-05
Last Update Date 2011-12-05
Authorized Official Name SANTIAGO FREIRE (PRESIDENT)
Authorized Official Telephone 3052631090
Is Organization Subpart Y
Parent Organization Name PHYSICIAN CARE MANAGMENT, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 2655 S LE JEUNE RD
#804
City MIAMI
State FL
Zip Code 33134-5832

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy 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.
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.

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City MIAMI
Zip Code 33134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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