Overview
Name: PACIFIC CREST HEALTHCARE INDEPENDENT PROVIDER ASSOCIATION, INC.
Specialty: Exclusive Provider Organization
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Managed Care Organizations
Classification: Exclusive Provider Organization
Specialization: .
Definition of Specialty: (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.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: PACIFIC CREST HEALTHCARE INDEPENDENT PROVIDER ASSOCIATION, INC.,6 VERANDA,NEWPORT COAST,CA,926571632,US
Mailing Address: PACIFIC CREST HEALTHCARE INDEPENDENT PROVIDER ASSOCIATION, INC.,6 VERANDA,NEWPORT COAST,CA,926571632,US
Contact #
Practice location phone #: 8183998996
Practice location fax #:
Mailing address Phone #: 8183998996
Mailing Address fax #:
Authorized official Name/Telephone #:MS., LAN, PHAN, MPH, ADMINISTRATOR 8183998996
Misc
Date NPI was obtained: 11/18/2021
Last data data was updated: 11/18/2021
Insurances: