Exclusive Provider Organization In San Marino California

NPI list of 8 exclusive provider organization registered providers with a business address in San Marino, CA, all registered as organizations. (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.

NPI Name Type Taxonomy Address Medicare PECOS
1053604454AVANTE BEST CARE IPAOrganizationExclusive Provider Organization2360 HUNTINGTON DR STE 201
SAN MARINO, CA 91108
(626) 656-2370
Non-Participating ProviderNO
1124441696IMPERIAL HEALTH HOLDINGS, A PROFESSIONAL MEDICAL CORPORATIONOrganizationExclusive Provider Organization2295 HUNTINGTON DR # D
SAN MARINO, CA 91108
(626) 656-2370
Non-Participating ProviderNO
1215372040DOCTORS CHOICE MEDICAL GROUPOrganizationExclusive Provider Organization2295-A HUNTINGTON DRIVE
SAN MARINO, CA 91108
(818) 399-8996
Non-Participating ProviderNO
1316132178CAL CARE IPAOrganizationExclusive Provider Organization2360 HUNTINGTON DR STE 201
SAN MARINO, CA 91108
(626) 656-2370
Non-Participating ProviderNO
1447445200CLINICA MEDICA SAN MIGUEL IPA, A MEDICAL GROUP, INC.OrganizationExclusive Provider Organization2360 HUNTINGTON DR STE 201
SAN MARINO, CA 91108
(626) 656-2370
Non-Participating ProviderNO
1578017778MESA ADVANTAGE MEDICAL GROUPOrganizationExclusive Provider Organization2295 HUNTINGTON DR # D
SAN MARINO, CA 91108
(626) 656-2370
Non-Participating ProviderNO
1831449222APCN-ACO, A MEDICAL PROFESSIONAL CORPOrganizationExclusive Provider Organization2360 HUNTINGTON DRIVE #201 C/O MSO, INC. OF SOUTHERN CALIFORNIA
SAN MARINO, CA 91108
(818) 399-8996
Non-Participating ProviderNO
1942593348AFFILIATED PHYSICIANS MEDICAL GROUPOrganizationExclusive Provider Organization2360 HUNTINGTON DR STE 201
SAN MARINO, CA 91108
(626) 656-2370
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.