Exclusive Provider Organization in Pennsylvania

(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.

Providers

NameTypeCity
ABA SUPPORT SERVICE LLCOrganizationHUNTINGDON VALLEY
ABSOLUTE MEDICAL BILLING SOLUTIONS, LLCOrganizationPITTSBURGH
ADVANCED DENTISTRYOrganizationMONTGOMERYVILLE
ALEXANDRA B. MCLEAN, M.D., PCOrganizationARDMORE
ALL CARE REGISTRY, LLCOrganizationPITTSBURGH
AMERI-CARE HOME HEALTH CARE AGENCYOrganizationPITTSBURGH
C. S. RESHMI, M.D. INC.OrganizationPITTSBURGH
CHILDRENS BEHAVIORAL HEALTH SERVICES, INC.OrganizationEDWARDSVILLE
CHIROHEALTH, LLCOrganizationSTRASBURG
CHRISTINE MASCIARELLI-WALKEROrganizationPHILADELPHIA
CLINICAL & INTERVENTIONAL CARDIOLOGY, INCOrganizationPITTSBURGH
CPR REHABILITATIONOrganizationPHILADELPHIA
DR.CAVINESSOrganizationLANGHORNE
ELEANOR S TIONGSON MD PCOrganizationDREXEL HILL
FAMILY PRACTICE PROFESSIONAL CO.OrganizationLANGHORNE
FREEDOM BEHAVIORAL HEALTHCAREOrganizationTREVOSE
GREAT AMERICAN HOME CARE LTDOrganizationNORTH EAST
JOSEPH F CAMPANA MD ASSOCIATES INCOrganizationWILLIAMSPORT
KINGSTREE GROUP INCOrganizationWAYNE
LEADBITTER SPINE & SPORTSOrganizationMONONGAHELA
LIVING INDEPENDENTLY FOR ELDERSOrganizationPHILA
MANAGED HEALTHCARE INCOrganizationEASTON
MARI WARGO-DORSEY, DPMOrganizationBEAVER FALLS
MARIO A. SPOTO, D.C., P.C.OrganizationDOWNINGTOWN
MARY PHIPPSIndividualYORK
MEGAN OHYSICAL THERAPY AND REHABILITATIONOrganizationPHILADELPHIA
MEN MAKERS LLCOrganizationPHILADELPHIA
MILESTONE CENTERS INCOrganizationPITTSBURGH
NANCY FOLK FOLK, BSCIndividualBEDFORD
NEW STORYOrganizationDUNMORE
ORLA TUITEIndividualNEW OXFORD
PAUL JORDANIndividualPHILADELPHIA
PAUL M SHIPKIN M.D., P.C.OrganizationWARMINSTER
PHYSICIAN ONCOLOGY, LTD.OrganizationPHILADELPHIA
POUVOIR COMPANY LLCOrganizationMASONTOWN
POUVOIR COMPANY LLCOrganizationCONNELLSVILLE
PROVIDER OF CO-OP SERVICESOrganizationCHESTER SPRINGS
RESPAIR MARRIAGE AND FAMILY THERAPY, LLCOrganizationUNIONTOWN
TMGHEALTHOrganizationDUNMORE
TUCKER CHIROPRACTIC CENTER, PCOrganizationLANGHORNE
VALENTINE OJONGIndividualERIE
VECTOR CORPOrganizationPHILA
WE CAN HELP LLC.OrganizationSAXTON
WILSON CONSULTING, LLCOrganizationVENETIA

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Derived from NPPES (public domain) and CMS Medicare data. Not affiliated with CMS, NPPES, or any government agency.