DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC


Address: 5505 Ew 75th Rd, Cushing, OK 74023-5555
Phone: 9182253137

DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC (NPI# 1710134580) 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) 1710134580
Entity Type Organization
Organization Name DR. LIVELY'S CHILD & FAMILY WELLNESS CTR. PC
Other Organization Name DR. K. FOR KIDS, PC
Practice Address 5505 Ew 75th Rd
Cushing
OK 74023-5555
Mailing Address Po Box 990
Cushing
OK 74023-0990
Practice Telephone 9182253137
Practice Fax Number 9183550298
Mailing Telephone 9182253137
Mailing Fax Number 9183550298
Enumeration Date 2008-08-25
Last Update Date 2008-08-25
Authorized Official Name DR. KATHY LYNN LIVELY (DIRECTOR)
Authorized Official Telephone 9182253137
Authorized Official Credential PHD
Is Organization Subpart Y
Parent Organization Name DR. K.FOR KIDS, PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 766 OK Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Dr. K. FOR KIDS, PC Doing Business As Name - Organization

Office Location

Street Address 5505 EW 75TH RD
City CUSHING
State OK
Zip Code 74023-5555

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1689056509 Victoria Moran Nash Counselor 321 E. Main, Cushing, OK 74023 2015-06-27
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1043520695 Cheryl Kelly Physical Therapist 2809 E 9th St, Cushing, OK 74023 2010-10-18
1821279746 Michael A Miller Counselor 100 S Jones, Cushing Valley Hope, Cushing, OK 74023 2007-11-20
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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 CUSHING
Zip Code 74023

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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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