MEDSTAR FAMILY CHOICE, INC


Address: 8094 Sandpiper Cir, Suite O, Baltimore, MD 21236-4907
Phone: 4109333014

MEDSTAR FAMILY CHOICE, INC (NPI# 1669604930) 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) 1669604930
Entity Type Organization
Organization Name MEDSTAR FAMILY CHOICE, INC
Practice Address 8094 Sandpiper Cir
Suite O
Baltimore
MD 21236-4907
Practice Telephone 4109333014
Practice Fax Number 4109333019
Mailing Telephone 4109333014
Mailing Fax Number 4109333019
Enumeration Date 2009-08-19
Last Update Date 2009-08-19
Authorized Official Name MRS. LESLEY WALLACE (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 4109333013
Is Organization Subpart Y
Parent Organization Name MEDSTAR HEALTH

Taxonomy

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

Office Location

Street Address 8094 SANDPIPER CIR
SUITE O
City BALTIMORE
State MD
Zip Code 21236-4907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336116672 Patryce A. Toye Internal Medicine 8094 Sandpiper Cir, Ste O, Baltimore, MD 21236-4907 2006-03-07
1457425183 Wanda Hussein Gass Physician Assistant 8094 Sandpiper Cir, Suite O, Baltimore, MD 21236-4907 2006-11-17

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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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1790867802 Veterans Affairs Maryland Health Care System Exclusive Provider Organization 10 N Greene St, Baltimore, MD 21201-1524 2006-10-19

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Competitor

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City BALTIMORE
Zip Code 21236

Improve Information

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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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