SHERMAN & BALHOFF, APDC


Address: 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826
Phone: 2257691276

SHERMAN & BALHOFF, APDC (NPI# 1699057190) 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) 1699057190
Entity Type Organization
Organization Name SHERMAN & BALHOFF, APDC
Practice Address 8311 Bluebonnet Blvd
Baton Rouge
LA 70810-2826
Practice Telephone 2257691276
Practice Fax Number 2257673751
Mailing Telephone 2257691276
Mailing Fax Number 2257673751
Enumeration Date 2011-09-12
Last Update Date 2011-09-12
Authorized Official Name DR. STEPHEN L SHERMAN (OWNER)
Authorized Official Telephone 2257691276
Authorized Official Credential DDS, MS
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 8311 BLUEBONNET BLVD
City BATON ROUGE
State LA
Zip Code 70810-2826

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336279520 Stephen L. Sherman Dentist 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 2007-03-06
1568012854 Kramer G Sherman Dentist 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 2019-09-18
1811469356 Stephen Lee Sherman Jr. Dentist 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 2018-12-21
1508029000 David Andrew Balhoff Dentist 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 2008-07-03

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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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Competitor

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City BATON ROUGE
Zip Code 70810

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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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