The primary Medicare provider number database to use for a Medicare provider number lookup is something called the National Plan and Provider Enumeration System (NPPES).You can search using the provider's first name, last name, practicing city, practicing state or practicing zip code. More Info At pocketsense.com ›› Visit site
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How do I find my Primary Care Provider ID?
Primary Care Physicians. Insurance carriers ask for a Provider Name and Provider ID for plans that require a Primary Care Physician designation (HMO plans and POS plans). In most cases, the Provider ID can be found by searching for the provider on your insurance carrier's Find A Provider tool on their website.
What is a Provider ID number (NPI)?
Provider ID numbers are sometimes referred to as National Provider Identifier ( NPI ). Using the doctor's name and location, employees can find NPI numbers using an online search.
How do I find a doctor's NPI number?
Using the doctor's name and location, employees can find NPI numbers using an online search. Questions should be routed to your broker or insurance carrier. Was this article helpful?
How do I select a primary care doctor for my plan?
Then, choose your health plan name and select primary care. You’ll be able to see which doctors are in network, if they're accepting new patients, and what their patient ratings and average costs are. If you already have a primary care doctor and want to make sure they're in the network, no problem.
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Finding an in-network provider can be easy
Simply select which type of provider you need (e.g., general practice, internist, dermatologist, etc.) and your coverage network type and enter your ZIP code. Now you’ll see a list of the in-network providers in your area along with their contact information.
Staying in network may save you money
Receive the care you need while potentially saving money on your medical costs. Some out-of-network deductibles may be twice as high as in-network deductibles, so it’s important that you choose an in-network doctor whenever possible.
You may save money by staying in network
Our doctor finder tool can help you locate a medical, dental or vision provider in your area who is part of Humana’s provider network.
Where is the Medicare Advantage on my ID?
On Your ID Card: Look for the words "Health New England Medicare Advantage" at the bottom of your ID card.
Where to find HMO plan on ID card?
You can find the type of plan (HMO, POS, PPO, HDHP) on the right hand side of your card.
How to contact Health New England?
If you have questions about the Health New England network in which you currently are enrolled, please contact Member Services at (413) 787-4004 or toll-free at (800) 310-2835.
Looking for a doctor outside of Michigan?
PriorityPPO, PriorityPOS and MyPriority PPO members have access to care outside the state of Michigan through the Cigna Open Access Plus network.*
Are you a Medicare member?
If you see " Out-of-network coverage " or " Out-of-state travel benefit " on your card, you're covered.*
Access your Priority Health account
Managing your health insurance is easier than ever with Priority Health. Log in on desktop or mobile to find the doctors you need, keep track of your spending and use tools to help you save money on the cost of your care–all in one place.
Questions?
Send us a message in your member account or call the Customer Service number on the back of your member ID card.
What does a primary care doctor do?
Your primary care doctor may save you money (for example: fewer emergency room visits) and connect you with specialists. They can advocate on your behalf. Once you establish a relationship, they’re also more likely to recommend preventive screenings, checkups and tests. 5
How to check if PCP is in network?
If you’re not sure if a PCP is in your network, verify by calling the number on your health plan ID card.
How to get a good read on a doctor?
Sometimes you can’t get a good read on a doctor until you’re in their office, interacting with them. You’ll be sharing personal health information —make sure you feel comfortable. Meet for an informal interview.
How to research a doctor?
As with every service in our lives, it’s important to do some research. Read the provider’s website. Is their tone more formal or more casual? Check their online reputation. Do they have a social media presence? Read consumer reviews. (Although remember that reviews are just that—opinions. Unless a doctor receives a number of reviews, one or two won’t paint the whole picture.)