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 | |||
Pharmacotherapy |
1835P1200X |
| NPI Number | 1831696251 |
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| LBN Legal business name | SOVEREIGN MEDICAL CONSULTING LLC | ||||||||||||
| Authorized official | EDWARD GRACE - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/11/2018 | ||||||||||||
| Last updated | 04/11/2018 - About 8 years ago | ||||||||||||
| Identifiers |
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