PARTNERS IN HEALTH CARE MANAGEMENT LLC


Address: 13818 Sw 152 Street, 387, Miami, FL 33186
Phone: (800) 256-5293

PARTNERS IN HEALTH CARE MANAGEMENT LLC (NPI# 1588188445) 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) 1588188445
Entity Type Organization
Organization Name PARTNERS IN HEALTH CARE MANAGEMENT LLC
Practice Address 13818 Sw 152 Street
387
Miami
FL 33186
Practice Telephone (800) 256-5293
Practice Fax Number 8882562846
Mailing Telephone 8002565293
Mailing Fax Number 8882562846
Enumeration Date 2017-08-01
Last Update Date 2017-08-01
Authorized Official Name DAYLIN DUENAS (CEO)
Authorized Official Telephone 8002565293
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 13818 SW 152 STREET
387
City MIAMI
State FL
Zip Code 33186

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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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1356825574 Doctors Choice Managment Service Inc. Exclusive Provider Organization 12750 Sw 189th St, Miami, FL 33177-3724 2018-09-24
1679082309 Quality Care Partners LLC Exclusive Provider Organization 13818 Sw 152nd St # 387, Miami, FL 33177-1164 2017-09-26
1912435264 Southeast Physician Associates 1, LLC. Exclusive Provider Organization 10621 N Kendall Dr Ste 211, Miami, FL 33176-1530 2017-05-31
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1306243381 Gentle Care Medical Center Exclusive Provider Organization 8000 West Flagler St, Suite 206, Miami, FL 33144 2014-11-19
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City MIAMI
Zip Code 33186

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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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