This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X |
| NPI Number | 1184192643 |
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| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 11/02/2018 | ||||||||
| Last updated | 11/02/2018 - About 8 years ago | ||||||||
| Identifiers |
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LUANN BAUER
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| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |