PROFESSIONAL EVALUATION MEDICAL GROUP is an exclusive provider organization in New York, NY. The provider is (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. PROFESSIONAL EVALUATION MEDICAL GROUP NPI is 1790818573. The provider is registered as an organization entity type.
The provider's business location address is:
229 W 36TH ST FL 10
NEW YORK, NY
ZIP 10018-949
Phone: (212) 463-8605
Fax: (212) 463-8579
The provider's authorized official is James Michael Sheehy .
The authorized official title is Executive Director and has the following contact phone number (516) 935-1730.
The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/10/2011.