METCARE HEATLH PLANS, INC.


Address: 250 South Australian Ave, Ste 400, West Palm Beach, FL 33401
Phone: 5618058500

METCARE HEATLH PLANS, INC. (NPI# 1821210089) 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) 1821210089
Entity Type Organization
Organization Name METCARE HEATLH PLANS, INC.
Practice Address 250 South Australian Ave
Ste 400
West Palm Beach
FL 33401
Practice Telephone 5618058500
Practice Fax Number 5618058501
Mailing Telephone 5618058500
Mailing Fax Number 5618058501
Enumeration Date 2007-05-03
Last Update Date 2020-08-22
Authorized Official Name MR. JEFFREY SCRIBNER (DIRECTOR OF COMPLIANCE)
Authorized Official Telephone 5618058500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302R00000X Health Maintenance Organization 05651137990 FL Managed Care Organizations

Office Location

Street Address 250 SOUTH AUSTRALIAN AVE
STE 400
City WEST PALM BEACH
State FL
Zip Code 33401

Providers in the same zip code

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1205318664 Phanette Turene Behavior Technician 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 2018-09-02
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
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. 20; (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

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Competitor

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City WEST PALM BEACH
Zip Code 33401

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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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