Organization · Type 2 NPI

Professional Evaluation Medical Group

Exclusive Provider Organization · Hicksville, NY

NPI number 1104960962 Active

Practice location

380 S Broadway
Hicksville, NY 11801-5033

Fax (516) 931-3117

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000X147150 (NY)

Exclusive Provider Organization: (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 t…

2 other providers at this address

About NPI 1104960962

Professional Evaluation Medical Group's National Provider Identifier is 1104960962, issued on Feb 16, 2007. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Hicksville, NY. The record was last updated on Nov 10, 2011.