BILLIE JEAN BERTRAND PA-C – NPI #1700095106
Exclusive Provider Organization
(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.
BILLIE JEAN BERTRAND is an exclusive provider organization located in NEW YORK, NY. NPPES has assigned the NPI number 1700095106 to BILLIE JEAN BERTRAND on May 22, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 302F00000X from the Health Care Provider Taxonomy code set, which is classified as Exclusive Provider Organization.
The NPI profile was previously updated about 14 years ago on Nov 21, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BILLIE JEAN BERTRAND below.
NPI Profile for
BILLIE JEAN BERTRAND
(more than 19 years ago)
10TH FLOOR
NEW YORK, NY 10282 Phone: (212) 357-6339 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 302F00000X - Exclusive Provider Organization (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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