PLASTIC SURGERY OF NORTHEAST SAN ANTONIO


Address: 19315 Nacogdoches Rd, Ste. 305, San Antonio, TX 78266-2516
Phone: 2106564216

PLASTIC SURGERY OF NORTHEAST SAN ANTONIO (NPI# 1548575707) 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) 1548575707
Entity Type Organization
Organization Name PLASTIC SURGERY OF NORTHEAST SAN ANTONIO
Practice Address 19315 Nacogdoches Rd
Ste. 305
San Antonio
TX 78266-2516
Practice Telephone 2106564216
Practice Fax Number 2106564217
Mailing Telephone 2106564216
Mailing Fax Number 2106564217
Enumeration Date 2010-08-12
Last Update Date 2010-08-12
Authorized Official Name MRS. MARY E FLORES (DR.'S ASSISTANT/ BILLING PERSONEL)
Authorized Official Telephone 2106564216
Is Organization Subpart Y
Parent Organization Name KENZER J DIRKSON MD

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization K7278 TX Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
TX 127561201 05

Office Location

Street Address 19315 NACOGDOCHES RD
STE. 305
City SAN ANTONIO
State TX
Zip Code 78266-2516

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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 SAN ANTONIO
Zip Code 78266

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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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