DR. LUIS H ZAMORA-SILIEZAR M.D.
Accepted Insurance for NPI 1316285521
Pediatrics - Pediatric Endocrinology in Marshfield, WI
Quality Rating: 94.07 out of 100 score
NPI Status: Active since January 22, 2013
Contact Information
1000 N OAK AVENUE
MARSHFIELD, WI
ZIP 54449
Phone: (715) 387-5511
Fax: (715) 387-5477
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with DR. LUIS H ZAMORA-SILIEZAR M.D., a practicing pediatrics professional in Marshfield, WI. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 29 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, HealthPartners, and Medica. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.
Insurance Carrier Navigation Index
Anthem Blue Cross and Blue Shield
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
HealthPartners
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NETWORK Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NETWORK Tier
Accepted Plan ID Variations
Medica
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Coverage Information & FAQs
- HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
- PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
- EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
- POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.
