Exclusive Provider Organizations

*

Specialization:

(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. **




Khairat Ahmed MD
Dr. Melecio Apostol MD
Bashir Awl 0615
Mrs. Bonnie Baltosser
Dr. Carlos Barbosa MD
Dr. Rafael Benitez Colon
Danelle Black RTR, ARDMS
Dr. James Bonczek LCSW
Mrs. Bette Brady PT
Miss Diana Brissette ASSOCIATES
Emma-Shivani Brown
Dr. Lorraine Brown DO
Ms. Heather Burrell LPN
Mrs. Sarah Caples LMFTA
Bonnie Carter
Teanika Chamberlain
Mrs. Evelyn Cuomo RN
Ms. Brenda Few LCPC, MA, NCC
Mrs. Christy Fuller LMT
Mr. Cameron Garland RN
Ms. Angela Gaskins LPN
Mr. Saadi Ghatan MD
Ms. Delores Gibson
Mary Heller LCSW
Derek Henningsen
Mr. Jeffrey Herndon
Dr. Stephanee Hethumuni MD
Deasa Holly
Jack Hurst MD
Dr. Chanh Huynh MD
Pamela Ingram RN
Mrs. Carol Ingrassia CASAC
Ada Johnson
Dr. Deanna Khan MD
Dana Kitchen MSW
Dr. Pang Kooi MD
William Lombardo
Roberto Luarca MD
Judin Lynch
Angelita Maez PHD
Loulu Marquez COTA/L
Ms. Jamie Mathews RN, MSN
Mrs. Denise Mcbroom PA
Dr. William Mccarthy MD
Dr. Nancy Miller MD
Matthew Momoh
Joseph Mooney MD
Mr. Otha Moore
Frederick Mosley MD
Valentine Ojong
Mrs. Azila Katherine Ortiz
Dr. Doris Pablo-Bustos MD
Mr. Michael Palmerston JR. BA
Kathryn Pearson-Brevik
Dr. Jorge Pena CLINICAL PSYCHOLOGIS
Mary Phipps
Dr. Thomas Powers MD
Mary Quigley MSW
Dr. Vimal Reddy PHARMD
Dr. John Reed JR. MD PHD
Dr. Mark Reed MD
Mr. Woodrow Roeback III CPC, CRC
Katrina Ross
David Schaner
Dr. Timur Sekercioglu
Mr. David Sheets DMD,LLC
Mrs. Ileana Soto RPH
Carol Tran MD
Orla Tuite
Rodrigo Vasquez PT
Mr. Robert Walton RN
Ms. Marie West
Mr. Randy White PROVIDER
Mrs. Cheryl Wilson RN
Gary Wofford MD

* Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

** Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.