NORTH CENTRAL TEXAS ADVANCED NEUROLOGY PA
Accepted Insurance for NPI 1982984001
Psychiatry & Neurology - Neurology in Decatur, TX
NPI Status: Active since August 20, 2011
Contact Information
2351 SFM 51 SUITE 100
DECATUR, TX
ZIP 76234
Phone: (940) 626-8634
Fax: (940) 626-8637
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with NORTH CENTRAL TEXAS ADVANCED NEUROLOGY PA, a practicing psychiatry & neurology professional in Decatur, TX. 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 107 individual coverage options managed by medical networks, including networks like Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, and Ambetter from Louisiana Healthcare Connections. 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
Ambetter from Arizona Complete Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Arkansas Health & Wellness
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Ambetter from Louisiana Healthcare Connections
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Ambetter from Superior HealthPlan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Ambetter of Oklahoma
Market Classification Rank: Individual Coverage Framework
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Molina Healthcare
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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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.
