Provider Types Flashcards by Wes Roach

Q

Provider Type 01

A

Physician, MD

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Q

Provider Type 02

A

Physician, MD (group)

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Q

Provider Type 03

A

Physician, DO

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Q

Provider Type 04

A

Physician, DO (group)

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Q

Provider Type 05

A

Hospital

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Q

Provider Type 06

A

Autism Intensive Intervention Provider

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Q

Provider Type 07

A

Pharmacy

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Q

Provider Type 08

A

Dental

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Q

Provider Type 09

A

Independent Laboratory

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Q

Provider Type 10

A

Independent Radiology

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Q

Provider Type 11

A

Skilled Nursing Facility

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Q

Provider Type 12

A

Unassigned (not used for Intermediate care facility as of 3/10/08)

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Q

Provider Type 13

A

Intermediate care facility for the mentally retarded

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Q

Provider Type 14

A

Home heath

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Q

Provider Type 15

A

Transportation

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Q

Provider Type 16

A

Prosthetic services

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Q

Provider Type 17

A

Podiatrist

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Q

Provider Type 18

A

Chiropractor

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Q

Provider Type 19

A

Psychology

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Q

Provider Type 20

A

Hearing services

Q

Provider Type 21

A

Therapy

Q

Provider Type 22

A

Optometrist/optician

Q

Provider Type 23

A

Optical dispensing contractor

Q

Provider Type 24

A

Clinics

Provider Type 25

Psychiatric facility - inpatient

Provider Type 26

Rehabilitation center (RSPMI)

Provider Type 27

Qualified Health Plan (QHP)

Provider Type 28

Ambulatory Surgical Center

Provider Type 29

Rural Health Clinic

Provider Type 30

Health Department

Provider Type 31

Dental Group

Provider Type 32

Personal Care

Provider Type 33

Hyperalimentation

Provider Type 34

Hemodialysis

Provider Type 35

Family Planning

Provider Type 36

Domiciliary Care

Provider Type 37

Ventilator Equipment

Provider Type 38

Private Duty Nursing

Provider Type 39

Adult Denture Laboratory

Provider Type 40

Substance Abuse

Provider Type 41

Medicare/Medicaid Crossover only

Provider Type 42

Therapy - Regular Group

Provider Type 43

Therapy School District / Education Service Cooperative Special

Provider Type 44

Psychology Group

Provider Type 45

School-based Child Health Services Clinic

Provider Type 46

Targeted Care Management

Provider Type 47

Hospice

Provider Type 48

Podiatry Group