2016 provider and pharmacy directory - cigna

FINAL_15 Cover_Pharmacy Directory PRINT.indd 1 9/4/15 3:17 PM

2016

Directorio de farmacias y proveedores

PROVIDER AND PHARMACY DIRECTORY

Cigna-HealthSpring Middle Tennessee TN Counties/Condados: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson

For more information, please contact Cigna-HealthSpring Customer Service at 1-800-668-3813 or, for TTY users, 711, 7 days a week, 8 a.m. - 8 p.m., or visit www.cignahealthspring.com. Para ms informacin, favor de ponerse en contacto con el Departamento de servicio al cliente de Cigna-HealthSpring al 1-800-6683813 o, para usuarios TTY, 711, 7 das de la semana, o bien visite www.cignahealthspring.com. This Provider and Pharmacy Directory was updated on 08/13/15. Este Directorio de proveedores y farmacias se actualiz el 08/13/15. 2015 Cigna 16_D_16_TNMI_16 Y0036_16_31997aBL_FINAL_15 Approved 08142015

http:www.cignahealthspring.comhttp:www.cignahealthspring.com

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., Cigna HealthCare of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. The pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. This information is available for free in other languages. Please call our customer services number at 1-800-668-3813 (TTY 711), 7 days a week, 8 a.m. - 8 p.m. Esta informacin est disponible de forma gratuita en otros idiomas. Por favor, llame a nuestro servicio al cliente al 1-800-668-3813 (TTY 711), 7 das de la semana, 8 a.m. - 8 p.m. This document may be available in other formats such as Braille, large print or other alternate formats. Contact the plan for more information.

Cigna-HealthSpring HMO Plan Provider Directory

Provider Directory

This directory provides a list of Cigna-HealthSprings network providers.

This directory is for TN Counties: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson. This directory is current as of August 2015. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Cigna-HealthSprings network providers in your area, you can visit www.cignahealthspring.com or call our Customer Service Department at 1-800-668-3813, October 1 February 14, 8:00 a.m. 8:00 p.m. local time, 7 days a week. From February 15 September 30, Monday Friday 8:00 a.m. 8:00 p.m. local time, Saturday 8:00 a.m. 6:00 p.m. local time. Messaging service used weekends, after hours, and on federal holidays. TTY users should call 711.

Y0036_16_31997aBL_FINAL_15 Approved 08142015 16_D_16_TNMI_16

http:www.cignahealthspring.com

Section 1 Introduction This directory provides a list of Cigna-HealthSprings network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your healthcare services from your PCP. Your PCP is a physician who is trained to provide general medical care. Your PCP can also coordinate the rest of the covered services you need. The network providers listed in this directory have agreed to provide you with your healthcare, vision and dental services. Please note: Not all Cigna-HealthSpring plans have vision and dental benefits. Please check your Evidence of Coverage to see if your plan has a vision and/or dental benefit. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers. Other physicians/providers are available in our network. For POS Plans: While you are a member of our plan, you may use providers outside of the network. Your out-of-pocket costs may be higher if you use out-of-network providers, except for emergency care, out-of-area urgent care, or out-of-area dialysis services. You dont need to get a referral, but you may need prior authorization for some plans* when you get care from out-ofnetwork providers. In non-emergent situations, please tell out-of-network providers that you are a Cigna-HealthSpring member before you see them to ensure that they will see Cigna-HealthSpring members. Our payment for out-of-network services is based on the Medicare Allowable Amount. If the out-of-network provider charges more than the Medicare Allowable Amount, you may be liable for the difference between the Medicare Allowable Amount and the providers total charge. (*Cigna-HealthSpring Premier (HMO-POS) and Cigna-HealthSpring Premier Plus (HMO-POS) do require prior authorization for out-of-network providers.) For POS Plans: Cigna-HealthSpring offers a Point-of-Service (POS) option. The POS option allows you to use out-of-network area providers. You must notify Cigna-HealthSpring prior to using out-of-network area providers. If you use an out-of-network area provider for non-emergent services, your out-of-pocket costs may be higher. If you do not notify the plan prior to using an out-of-network provider, you will be responsible for 100% of the cost(s) billed. Neither Cigna-HealthSpring nor Medicare will pay for these services. Please refer to your Evidence of Coverage for details. Even though your PCP is trained to handle the majority of common health needs, there may be a time when you need more specialized treatment. In those situations, you may see a plan specialist. Specialists are doctors who are trained to provide health services for a specific disease or part of the body. For some types of specialists, you will need to obtain a referral from your PCP before you can schedule an appointment with the specialist. Below is a list of provider specialty types that require referrals from your PCP before you can schedule an appointment with them. Please note: Some provider types may have been added or removed from the list after this directory was printed. You should check with your PCP or call Customer Service at the phone number on the cover to see if a referral is required to see a specialist or other provider. Note that a referral is different from prior authorization, which is required before certain services procedures can be performed.

Allergy & Immunology Medical Genetics Physical Therapy Anesthesiology Medical Oncology Plastic Surgery Audiology Nephrology Podiatry Cardiovascular Disease Neurosurgery Proctology Cardiovascular Surgery Neurology Prosthodontics Chiropractor Occupational Therapy Pulmonary Disease Colon and Rectal Surgery Ophthalmology Radiology Dermatology Oral Surgery Respiration Therapy Endocrinology Orthopedic Surgery Rheumatology Gastroenterology Otolaryngology Speech Language Pathologist General Surgery Pain Management Speech Therapy Gynecologic Oncology Pediatric Cardiology Sports Medicine Hand Surgery Pediatric Endocrinology Thoracic Surgery Hematology Pediatric Hematology-Oncology Urology Hematology/Oncology Pediatric Rehabilitation Medicine Vascular and Interventional Infectious Disease Pediatric Surgery Vascular Surgery Maxillofacial Surgery Physical Medicine/Rehabilitation In addition, each PCP has certain plan specialists and hospitals they use for referrals. This means that the Cigna-HealthSpring specialists or hospitals you can use may depend on which PCP you select. If there are specialists or hospitals that you want to use, it is important to find out if your chosen PCP refers to them. Cigna-HealthSpring has different types of Primary Care Provider relationships. We have contracts with independent physicians, Independent Physician Associations, Physician Organized Delivery system and clinic based providers. The following paragraphs describe the relationship these providers have with Cigna-HealthSpring.

Independent Physician Associations (IPA) Independent Physician Associations (IPAs) consist of Primary Care and Specialist Physicians located in and around your area. If you select a Primary Care Physician who belongs to an IPA, you should be aware that your PCP will refer you to specialists and hospitals affiliated with the same IPA and with whom they work closely to coordinate your care. You will receive all of your care, including gynecological and specialty care from the physicians within the same IPA. Gynecological care can be accessed by any Gynecologist in the network. Your IPA is designed to provide a team of primary care and specialty physicians who can manage your care needs. However, if your medical condition should ever require you to seek care outside the IPA, your primary care physician will continue to assist you in the coordination of any needed services outside the IPA. The following IPAs are network providers with your plan.

HCA-TriStar Medical Network

A Physician Organized Delivery (POD) system represents a network of physicians with similar referral patterns, organized to administer healthcare services to the plans membership. If you select a Primary Care Physician who belongs to a POD, you should be aware that your PCP will refer you to specialists affiliated with the same POD and with whom they work closely to coordinate your care. However, your primary care physician can refer you to any other in-network physician outside of the POD, and your primary care physician will continue to assist you in the coordination of any needed services outside the POD. The following PODs are network providers with your plan.

Core Physicians POD

DeKalb Medical Network North POD

South POD Upper Cumberland Vanderbilt Medical Group POD

Independent physicians

Independent physicians are of Primary Care and Specialist physicians located in and around your area that are not part of an IPA or POD. If you select an independent Primary Care Physician you should be aware that your PCP will refer you to specialists and hospitals with whom he/she is affiliated and with whom they work closely to coordinate your care. Please confirm whether the referred physician or hospital is a network provider with your plan. You will receive all of your care, including gynecological and specialty care from the physicians affiliated with your PCP. Gynecological care can be accessed through any independent Gynecologist.

There may also be times when you get a bill from a provider for the full cost of medical care you have received. In many cases, you should contact Customer Service or send this bill to us instead of paying it. We will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly. (Please note that we cannot pay a provider who has opted out of the Medicare program. Check with your provider before receiving services to confirm that they have not opted out of Medicare.) If we determine that the services are not covered or were not medically necessary, we may deny coverage and you will be responsible for the entire cost. You may get emergency medical care whenever you need it, anywhere in the United States or its territories. Our plan covers ambulance services in situations where getting to the emergency room in any other way could endanger your health. Please refer to your Evidence of Coverage for details. You may get covered emergency medical care whenever you need it, anywhere in the world. If you have an emergency, we will talk with the doctors who are giving you emergency care to help manage and follow up on your care. The doctors who are giving you emergency care will decide when your condition is stable and the medical emergency is over. After the emergency is over you are entitled to follow-up care to be sure your condition continues to be stable. Your follow-up care will be covered by our plan. If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Cigna-HealthSpring will be responsible for the costs. For POS Plans: If you obtain routine care from out-of-network providers you will have to pay the out-of-network cost-sharing, except for emergency care, out-of-area urgent care, or out-of-area dialysis services. Please refer to your Evidence of Coverage for more information. Behavioral Healthcare Services Behavioral Health services, including mental health and substance abuse services, for beneficiaries covered by Cigna-HealthSpring are provided through Cigna-HealthSpring Behavioral Healthcare Services. Members and providers may access Cigna-HealthSpring Behavioral Healthcare Services by calling 1-866-780-8546 (TTY 711) for assistance in finding a behavioral healthcare professional or to arrange for inpatient admission authorization. Cigna-HealthSpring Behavioral Healthcare Services is available 24 hours per day, 7 days a week. What is the service area for Cigna-HealthSpring? The counties in our service area are listed below. TN Counties: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dick son, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson

How do you find Cigna-HealthSpring providers in your area? To choose a PCP from the Provider Directory, turn to the Primary Care Provider section for a listing of primary care providers in your area. You can also call Customer Service at the number listed below for assistance. When you select a PCP, you will find a space on your Enrollment Application to enter the PCPs name. If you choose a PCP after your Enrollment Application has been submitted, call Customer Service and inform them of your PCP selection. Please keep in mind that if you do not select a PCP at the time of enrollment, Cigna-HealthSpring will select one for you based on where you live. If you want to change to another PCP, you may do so at any time by calling Customer Service at the number listed below. The name and office telephone number of your PCP are printed on your membership card. To choose a specialist, hospital, pharmacy or other provider, please turn to the applicable section in the Provider Directory for a listing of providers in your area. For example, to find hospitals in your area, turn to the Hospitals section of the directory. If you have questions about Cigna-HealthSpring or require assistance in selecting a PCP, please call our Customer Service Department at 1-800-668-3813, October 1 February 14, 8:00 a.m. 8:00 p.m. local time, 7 days a week. From February 15 September 30, Monday Friday 8:00 a.m. 8:00 p.m. local time, Saturday 8:00 a.m. 6:00 p.m. local time. Messaging service used weekends, after hours, and on federal holidays. TTY users should call 711. Or, visit www.cignahealthspring.com. Again, if you want to use a particular Cigna-HealthSpring specialist or hospital, you should check with your PCP to make sure they can make referrals to that specialist or hospital. The providers listed in this directory are part of a sub-network of Cigna-HealthSpring providers. You are not limited to the providers in this directory and can get the most-up-to-date list of all available providers in your area by calling Customer Service at 1-800-668-3813 (TTY 711), October 1 February 14, 8:00 a.m. 8:00 p.m. local time, 7 days a week. From February 15 September 30, Monday Friday 8:00 a.m. 8:00 p.m. local time, Saturday 8:00 a.m. 6:00 p.m. local time. Messaging service used weekends, after hours, and on federal holidays or by visiting our website at www.cignahealthspring.com. A hard copy directory is also available by request.


Section 2 List of Network Providers This directory is organized to help you find the type of provider you need. Providers are listed in the following sections:

- Independent Physician Association (IPA) o Primary Care Providers (PCP) o Specialists o Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

- Physician Organized Delivery System (POD)

o Primary Care Provider (PCP) o Specialist o Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

- Independent Providers o Primary Care Provider (PCP) o Specialists o Hospitals o Psychiatric Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

How to use this directory to choose a Primary Care Provider There are two ways to select a primary care provider:

- You can choose a particular Primary Care Provider by name; or - You can choose your Primary Care Provider by location.

If you are looking for a particular Primary Care Provider by name: 1. Go to the Alphabetical Index, which is the last section of the directory. 2. Find the doctor by last name and the page number(s) on which he or she is listed. 3. Go to that page number for information on the Primary Care Provider.

If you are looking for a Primary Care Provider by location: 1. Go to the Primary Care Provider section.

2. Find the City and/or zip code. 3. Select a Provider.

How to use this directory to choose a Specialist Specialist physicians and other primary care providers in this directory are listed by specialty of care, followed by geographic location, and name. How to use this directory to choose a Provider that accepts both Medicare and Medicaid Plan providers that accept both Medicare and Medicaid are located throughout this Provider Directory and are marked by an asterisk (*). For example, this provider would be a Medicare and Medicaid provider: Dr. John Doe* However, this provider would not be a Medicare and Medicaid provider: Dr. Jane Doe

How to use this directory to choose other Plan Providers Plan providers in this directory, other than primary care providers and specialists, are listed by geographic location then the name of the provider. Provider Directory Symbol Key In this directory, some providers will have a symbol at the end of their name. Below are the symbols and what they mean:

Symbol Meaning * Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^ POS Provider

Total Number of Providers within this Directory: PCPs: 426 Specialists: 5087 Hospitals: 45 Skilled Nursing Facilities: 100 Behavioral Health Providers: 483 Ambulatory Surgical Centers/Urgent Care Facilities: 92 Ancillary Providers: 599 Dental Providers: 1 Vision Providers: 84 Pharmacies: 2391

Todos los productos y servicios de Cigna se brindan exclusivamente por o a travs de subsidiarias operativas de Cigna Corporation, incluyendo Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., y Bravo Health Pennsylvania, Inc. El nombre de Cigna, los logotipos, y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. Cigna-HealthSpring tiene contrato con Medicare para planes PDP, planes HMO y PPO en ciertos estados, y con ciertos programas estatales de Medicaid. La inscripcin en Cigna-HealthSpring depende de la renovacin de contrato. La red de farmacias, y/o la red de proveedores pueden cambiar en cualquier momento. Recibir un aviso cuando sea necesario. This information is available for free in other languages. Please call our customer services number at 1-800-668-3813 (TTY 711), 7 days a week, 8 a.m. - 8 p.m. Esta informacin est disponible de forma gratuita en otros idiomas. Por favor, llame a nuestro servicio al cliente al 1-800-668-3813 (TTY 711), 7 das de la semana, 8 a.m. - 8 p.m. Este documento est disponible en otros formatos como Braille, impresin grande u otros formatos alternativos. Para ms informacin, pngase en contacto con el plan.

Directorio de proveedoresdel Plan HMO de Cigna-HealthSpring Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring.

Directorio de proveedores

Este directorio es para los Condados en TN de: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson. Este directorio est actualizado a partir de agosto de 2015. Es posible que se hayan agregado o eliminado de la lista algunos proveedores de la red, despus de la impresin de este directorio. No garantizamos que los proveedores estn aceptando miembros nuevos. Para obtener informacin actualizada sobre los proveedores de la red de Cigna-HealthSpring en su rea, visite www.cignahealthspring.com o bien, llame al Departamento de servicio al cliente al 1-800-668-3813, del 1 de octubre al 14 de febrero, 8:00 a.m. 8:00 p.m. hora local, 7 das de la semana. Del 15 de febrero al 30 de septiembre, de lunes a viernes, 8:00 a.m. 8:00 p.m. hora local, sbado 8:00 a.m. 6:00 p.m. hora local. Si llama los fines de semana, fuera del horario de servicio o un da festivo federal, entrar el servicio de contestadora automtica. Los usuarios de TTY deben llamar al 711.

Y0036_16_31997aBL_FINAL_15 Approved 08142015 16_D_16_TNMI_16

http:www.cignahealthspring.com

Seccin 1 Introduccin Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring. Para obtener informacin detallada acerca de su cobertura de atencin mdica, por favor consulte su Evidencia de Cobertura.

Deber elegir uno de nuestros proveedores de la red que figuran en este directorio para que sea su Mdico de cabecera (PCP, por sus siglas en ingls). El trmino PCP se usar en todo este directorio. Por lo general, debe recibir sus servicios de atencin mdica de su PCP. Su PCP es un mdico capacitado para brindarle atencin mdica general. Su PCP tambin puede coordinar el resto de los servicios en cobertura que usted necesite.

Los proveedores de la red que aparecen en este directorio han aceptado brindarle sus servicios de atencin mdica, cuidado de la vista y atencin dental. Por favor tenga en cuenta: No todos los planes de Cigna-HealthSpring tienen beneficios del cuidado de la vista y atencin dental. Por favor lea su Evidencia de cobertura para ver si su plan tiene el beneficio de cuidado de la vista y/o atencin dental. Usted puede acudir a cualquiera de los proveedores de nuestra red que figuran en este directorio; no obstante, es posible que algunos servicios requieran una referencia. Si usted ha estado acudiendo a un proveedor de la red, no es necesario que contine consultando a dicho proveedor. En algunos casos, puede recibir servicios cubiertos de proveedores que no pertenecen a la red. Otros mdicos/proveedores estn disponibles en nuestra red.

For POS Plans: Mientras sea miembro de nuestro plan, puede acudir a proveedores que no pertenezcan a la red. Es posible que sus costos no reembolsables sean ms altos si acude con proveedores fuera de la red, excepto para atencin de emergencia, atencin urgente fuera del rea, o servicios de dilisis fuera del rea. No necesita una referencia, pero es posible que necesite la autorizacin previa de algunos planes* para recibir atencin de proveedores que no pertenezcan a la red. En situaciones que no son de emergencia, antes de acudir con un proveedor fuera de la red, infrmele que usted es miembro de Cigna-HealthSpring para asegurarse de que dicho proveedor atiende a miembros de Cigna-HealthSpring. Nuestro pago por los servicios fuera de la red se basa en el Monto permitido de Medicare. Si los honorarios del proveedor fuera de la red son superiores al Monto permitido de Medicare, es posible que usted deba pagar la diferencia entre el Monto permitido de Medicare y los honorarios totales del proveedor. (*Cigna-HealthSpring Premier (HMO-POS) y Cigna-HealthSpring Premier Plus (HMO-POS) requieren de autorizacin previa para los proveedores fuera de la red). For POS Plans: Cigna-HealthSpring ofrece la opcin de Punto de servicio (POS). La opcin POS le permite acudir con proveedores fuera del rea de la red. Debe avisarle a Cigna-HealthSpring antes de que acuda con proveedores fuera del rea de la red. Si acude con proveedores fuera del rea de la red, para recibir servicios que no sean de emergencia, es posible que sus costos no reembolsables sean ms altos. Si no le avisa al plan que va a acudir con un proveedor fuera del rea de la red, usted ser responsable de pagar el 100% del(los) costo(s) facturados(s). Ni Cigna-HealthSpring ni Medicare pagarn por dichos servicios. Para ms detalles, por favor consulte su Evidencia de cobertura.

A pesar de que su PCP est capacitado para manejar la mayora de las necesidades comunes de salud, es posible que, en ocasiones, usted necesite un tratamiento ms especializado. En esas situaciones, puede consultar un especialista del plan. Los especialistas son mdicos que estn capacitados para proporcionar servicios mdicos para una enfermedad o parte del cuerpo especficos. Para algunos tipos de especialistas, deber obtener una "referencia" de su PCP antes de que pueda programar una cita con el especialista. A continuacin est una lista de los tipos de proveedores especialistas que requieren referencias de su PCP antes de que pueda programar una cita con ellos. Recuerde: Es posible que se hayan agregado o eliminado de la lista algunos tipos de proveedores, despus de la impresin de este directorio. Usted debe consultar con su PCP o llamar al Departamento de servicio al cliente al telfono que est en la portada para saber si requiere una referencia para visitar un especialista u otro proveedor. Tenga en cuenta que una referencia es diferente a un "autorizacin previa", misma que se requiere antes de que se puedan realizar ciertos servicios o procedimientos. Alergia e inmunologa Ciruga maxilofacial Ciruga vascular Anestesiologa Ciruga oral Dermatologa Audiologa Ciruga ortopdica Endocrinologa Cardiologa peditrica Ciruga peditrica Endocrinologa peditrica Ciruga cardiovascular Ciruga plstica Enfermedad infecciosa Ciruga de la mano Ciruga rectal y de colon Enfermedad pulmonar Ciruga General Ciruga torcica Enfermedades cardiovasculares

Fisioterapia Nefrologa Prostodoncia Gastroenterologa Neurociruga Quiroprctico Gentica mdica Neurologa Radiologa Hematologa Oftalmologa Radiologa vascular e Hematologa-Oncologa peditrica Oncologa Ginecolgica intervencionista Hematologa/Oncologa Oncologa mdica Reumatologa Manejo del dolor Otorrinolaringologa Terapia del habla Medicina de rehabilitacin peditrica Patlogo del habla y del lenguaje Terapia ocupacional Medicina del deporte Podologa Terapia respiratoria Medicina fsica / rehabilitacin Proctologa Urologa

Adems, cada PCP tiene ciertos especialistas y hospitales del plan que debe usar para las referencias. Esto significa que es posible que los especialistas u hospitales de Cigna-HealthSpring a los que puede acudir dependan de los que su PCP haya seleccionado. En caso de que desee acudir con ciertos especialistas o a ciertos hospitales, es importante que verifique si su PCP lo enviar con los mismos. Cigna-HealthSpring tiene diferentes tipos de relaciones con los mdicos de cabecera. Tenemos contrato con mdicos independientes, Asociaciones de mdicos independientes, el sistema organizado de prestaciones mdicas y proveedores que trabajan en clnicas. Los siguientes prrafos describen la relacin que los proveedores tienen con Cigna-HealthSpring. Asociaciones de mdicos independientes (IPA)

Las Asociaciones de mdicos independientes (IPA) estn formadas por mdicos generales y especialistas que se encuentran en y alrededor de su rea. Si selecciona a un mdico independiente que sea parte de una IPA, debe saber que su PCP lo enviar nicamente con especialistas y a hospitales que estn afiliados a la misma IPA, y con quienes trabaje de cerca para coordinar su atencin. Recibir toda su atencin mdica, incluyendo la atencin de gineclogos y especialistas, de mdicos que estn afiliados a la misma IPA. Podr recibir la atencin de cualquier gineclogo de la red. Su IPA est diseada para proveer un equipo de mdicos generales y mdicos especialistas que pueden manejar sus necesidades de atencin mdica. Sin embargo, si su condicin mdica alguna vez requiere que usted busque atencin fuera de la IPA, su mdico de cabecera seguir asistindolo en la coordinacin de cualquier servicio necesario fuera de la IPA. Las siguientes IPA son proveedores de la red de su plan. HCA-TriStar Medical Network

Un Sistema organizado de prestaciones mdicas (POD) representa una red de mdicos con patrones de referencia

similares, organizados para administrar los servicios de atencin mdica para los miembros del plan. Si selecciona un Mdico de cabecera que sea parte de un POD debe saber que su PCP lo enviar nicamente con especialistas que estn afiliados al mismo POD, y con quienes trabaje de cerca para coordinar su atencin. Sin embargo, su PCP puede enviarlo con cualquier otro doctor de la red que no sea del POD, y su mdico de cabecera seguir ayudndole con la coordinacin de cualquier servicio que necesite fuera del POD. Los siguientes POD son proveedores de la red de su plan. Core Physicians POD

DeKalb Medical Network North POD

South POD

Upper Cumberland

Vanderbilt Medical Group POD

Mdicos independientes

Los mdicos Independientes son mdicos generales y especialistas que se encuentran en y alrededor de su rea que no son parte de una IPA o un POD. Si selecciona a un mdico independiente, debe saber que su PCP lo enviar nicamente con especialistas y a hospitales con los que l o ella est afiliado/a y con quienes trabaje de cerca para coordinar su atencin. Por favor confirme si el mdico u hospital al que se le envi pertenece a la red del plan. Recibir toda su atencin mdica, incluyendo la atencin de gineclogos y especialistas, de mdicos que estn afiliados con su PCP. Podr recibir la atencin de cualquier gineclogo de la red de gineclogos independientes.

Adems, es posible que algunas veces reciba una factura de un proveedor por el costo total de la atencin mdica que haya recibido. En muchos casos, debe comunicarse con el Departamento de servicio al cliente o enviarnos esta factura en lugar de pagarla. Revisaremos la factura y decidiremos si los servicios deberan cubrirse. Si decidimos que deberan estar cubiertos, le

pagaremos directamente al proveedor. (Tenga en cuenta que no podemos pagarle a un proveedor que ha decidido retirarse del programa de Medicare. Consulte a su proveedor antes de recibir los servicios para confirmar que no se retir del programa de Medicare). Si determinamos que los servicios no son cubiertos o no fueron mdicamente necesarios, podemos rechazar la cobertura y usted deber pagar el costo total. Puede recibir atencin mdica de emergencia cuando lo necesite, en cualquier lugar de los Estados Unidos o sus territorios. Nuestro plan cubre servicios de ambulancia en situaciones en las que llegar a una sala de urgencias por otro medio podra poner en peligro su salud. Para ms detalles, por favor consulte su Evidencia de cobertura. Puede recibir atencin mdica de emergencia siempre que la necesite, en cualquier parte del mundo. Si tiene una emergencia, nos comunicaremos con los mdicos que le proporcionen la atencin de emergencia para ayudar a manejar su atencin y darle el seguimiento a la misma. Los mdicos que le proporcionen la atencin mdica decidirn cundo su estado es estable y ya no representa una emergencia mdica. Cuando termine la emergencia, usted tendr derecho a recibir atencin de seguimiento para asegurarse de que su estado contina estable. Su atencin de seguimiento estar cubierta por nuestro plan. Si su atencin de emergencia es proporcionada por proveedores fuera de la red, intentaremos organizar para que proveedores de la red se hagan cargo de su atencin inmediatamente cuando su afeccin mdica y las circunstancias lo permitan. Debe acudir con los proveedores del plan excepto en situaciones de emergencia o atencin mdica urgente o para dilisis renal fuera del rea u otros servicios. Si recibe atencin de rutina de proveedores fuera de la red, ni Medicare ni Cigna-HealthSpring sern responsables de los costos. For POS Plans: Si recibe atencin de rutina de proveedores fuera de la red, tendr que pagar el costo compartido fuera de la red, excepto para atencin de emergencia, atencin urgente fuera del rea, o servicios de dilisis fuera del rea. Para ms detalles, por favor consulte su Evidencia de cobertura. Servicios de atencin de la salud emocional Los servicios de atencin de la salud emocional, incluyendo los servicios de salud mental y de abuso de sustancias, para los beneficiarios en cobertura de Cigna-HealthSpring se reciben a travs de los Servicios de atencin de la salud emocional de Cigna-HealthSpring. Los miembros y los proveedores pueden acceder a los Servicios de atencin de la salud emocional de Cigna-HealthSpring llamando al 1-866-780-8546 (TTY 711) para recibir ayuda para encontrar un profesional de atencin de la salud emocional o para solicitar una autorizacin de internamiento. Los Servicios de atencin de la salud emocional de Cigna-HealthSpring estn disponibles las 24 horas del da, los 7 das de la semana. Cul es el rea de servicio de Cigna-HealthSpring? Los condados que son parte de nuestra rea de servicio son: Condados de TN: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson Cmo encontrar proveedores de Cigna-HealthSpring en su rea? Para elegir un PCP del Directorio de proveedores, dirjase a la seccin Mdicos de cabecera para consultar la lista de mdicos de cabecera dentro de su rea. Tambin puede llamar al Departamento de servicio al cliente al nmero que aparece ms abajo, donde con gusto le ayudarn. Una vez que haya elegido un PCP, deber ingresar el nombre del PCP en el espacio correspondiente en su Solicitud de inscripcin. Si elige un PCP despus de haber presentado su Solicitud de inscripcin, llame al Departamento de servicio al cliente e infrmeles su eleccin de PCP. Recuerde que si no elige un PCP al momento de la inscripcin, Cigna-HealthSpring elegir uno por usted segn su lugar de residencia. Si desea cambiar por otro PCP, puede hacerlo en cualquier momento llamando al Departamento de servicio al cliente al nmero que figura aparece ms abajo. El nombre y el nmero de telfono del consultorio de su PCP estn impresos en su tarjeta de membresa.

Para elegir un especialista, hospital, farmacia u otro proveedor, dirjase a la seccin correspondiente del Directorio de proveedores para ver la lista de proveedores de su rea. Por ejemplo, para encontrar hospitales en su rea, dirjase a la seccin Hospitales del directorio. Deber tambin elegir un podlogo. Para elegir un podlogo de este directorio, consulte la Seccin de Podlogos para ver la lista de podlogos en su rea. Una vez que elija un podlogo, encontrar un espacio en su Solicitud de inscripcin para ingresar el nombre del podlogo. Si elige un podlogo cuando ya se haya enviado su Solicitud de inscripcin, llame al Departamento de servicio al cliente y dgales cul el podlogo que eligi. Por favor recuerde que si no elige un podlogo en el momento de la inscripcin, Cigna-HealthSpring elegir uno por usted en base al lugar en el que vive. Si desea cambiar a otro podlogo, puede hacerlo en cualquier momento llamando al Departamento de servicio al cliente al nmero siguiente. El nombre y el nmero de telfono del Pdologo van impresos en su tarjeta de membresa. Si tiene alguna pregunta sobre Cigna-HealthSpring o necesita ayuda para seleccionar un PCP, por favor llame al Departamento de servicio al cliente al 1-800-668-3813, del 1 de octubre al 14 de febrero, 8:00 a.m. 8:00 p.m. hora local, 7 das de la semana. Del 15 de febrero al 30 de septiembre, de lunes a viernes, 8:00 a.m. 8:00 p.m. hora local, sbado 8:00 a.m. 6:00 p.m. hora local. Si llama los fines de semana, fuera del horario de servicio o un da festivo federal, entrar el servicio de contestadora automtica. Los usuarios de TTY deben llamar al 711. O, visite www.cignahealthspring.com. Nuevamente, si desea acudir con ciertos especialistas o a ciertos hospitales de Cigna-HealthSpring, es importante que verifique si su PCP lo enviar a ese especialista u hospital. Los proveedores mencionados en este directorio son parte de una sub-red de provedores de Cigna-HealthSpring. Usted no est limitado a los proveedores de este directorio y puede consultar una lista ms actualizada de todos los proveedores disponibles en su area llamando al Departamento de servicio al cliente al 1-800-668-3813 (TTY 711), del 1 de octubre al 14 de febrero, 8:00 a.m. 8:00 p.m. hora local, 7 das de la semana. Del 15 de febrero al 30 de septiembre, de lunes a viernes, 8:00 a.m. 8:00 p.m. hora local, sbado 8:00 a.m. 6:00 p.m. hora local. Si llama los fines de semana, fuera del horario de servicio o un da festivo federal, entrar el servicio de contestadora automtica o vistando nuestra pgina de Internet www.cignahealthspring.com. Puede recibir una copia impresa de este directorio si as lo solicita.


Seccin 2 Lista de proveedores de la red Este directorio est organizado para ayudarlo a encontrar el tipo de proveedor que necesita. Los proveedores figuran en las siguientes secciones:

- Asociacin de mdicos independientes (IPA) o Mdico de cabecera (PCP) o Especialistas o Hospitales o Centros de enfermera especializada o Proveedores de atencin de la salud emocional o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

- Sistema organizado de prestaciones mdicas (POD)

o Mdico de cabecera (PCP) o Especialistas o Hospitales o Centros de enfermera especializada o Proveedores de atencin de la salud emocional o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

- Proveedores independientes

o Mdico de cabecera (PCP) o Especialistas o Hospitales o Hospitales Psiquitricos o Centros de enfermera especializada o Proveedores de atencin de la salud emocional o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

Cmo usar este directorio para elegir un Mdico de cabecera? Hay dos maneras de elegir un Mdico de cabecera:

- Puede elegir un Mdico de cabecera particular por nombre; o - Puede elegir un Mdico de cabecera por ubicacin.

Si busca un Mdico de cabecera en particular por nombre: 1. Consulte el ndice alfabtico, que se encuentra en la ltima seccin del directorio. 2. Encuentre el mdico por apellido y el(los) nmero(s) de pgina en los que figura. 3. Vaya a ese nmero de pgina para obtener informacin acerca del Mdico de cabecera.

Si busca un Mdico de cabecera por ubicacin: 1. Vaya a la seccin Mdico de cabecera. 2. Busque la ciudad y/o el cdigo postal. 3. Seleccione un proveedor.

Cmo usar este directorio para elegir un especialista? Los mdicos especialistas y otros mdicos de cabecera de este directorio se encuentran por especialidad de atencin, seguidos de la ubicacin geogrfica y el nombre. Cmo usar este directorio para elegir un proveedor que acepte tanto Medicare como Medicaid? Los proveedores del plan que aceptan tanto Medicare como Medicaid se encuentran en todo este Directorio de proveedores y estn marcados con un asterisco (*). Por ejemplo, este proveedor sera un proveedor de Medicare y de Medicaid: Dr. John Doe* No obstante, este proveedor no sera un proveedor de Medicare y de Medicaid: Dr. Jane Doe Cmo usar este directorio para elegir otros proveedores del plan? Los proveedores del plan de este directorio, que no sean mdicos de cabecera y especialistas, figuran por ubicacin geogrfica seguida por el nombre del proveedor. Clave del smbolo del Directorio de proveedores En este directorio, algunos proveedores tendrn un smbolo al final de su nombre. A continuacin estn los smbolos y lo que significan:

Smbolo Significado * Acepta Medicare y Medicaid Slo acepta pacientes existentes No acepta pacientes nuevos ^ Proveedor POS

Nmero total de proveedores dentro de este directorio: Mdicos de cabecera (PCP): 426 Especialistas: 5087 Hospitales: 45 Centros de enfermera especializada: 100 Proveedores de atencin de la salud emocional: 483 Centros de ciruga ambulatoria/Centros de atencin de emergencia: 92 Proveedores auxiliares: 599 Proveedores de atencin dental: 1 Proveedores del cuidado de la vista: 84 Farmacias: 2391

Table of Contents / tabla de contenidos

Provider Directory / Directorio de proveedores IPA HCA-TriStar Medical Network Primary Care Providers / Mdico de cabecera ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1Specialists / Especialistas ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................5

POD CORE Physicians POD Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................39

DeKalb Medical Network Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................40

North POD Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................41

South POD Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................43

Upper Cumberland Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................45

Vanderbilt Medical Group POD Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................46

Independent Provider / Los proveedores independientes Primary Care Providers / Mdico de cabecera ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................50Specialists / Especialistas .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................55

Hospitals / Hospitales ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................181Skilled Nursing Facilities / Centros de Enfermeria Especializada ..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................183Behavioral Health Providers / Proveedores de atencin de la salud emocional ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................186Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros de atencin de

emergencia ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................199Ancillary Providers / Proveedores Auxiliarios ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................202Dental Providers / Proveedores odontolgicos .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................221Vision Providers / Proveedores del cuidado de la vista .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................222Cigna-HealthSprings Network Pharmacies / Farmacias de la red de Cigna-HealthSpringRetail Pharmacies, including Chain Pharmacies / Farmacias de venta al menudeo, incluyendo Farmacias de cadena ........................................................................227Mail Order Pharmacies / Farmacias de orden por correo ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................236Home Infusion Pharmacies / Farmacias de infusin en el hogar ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................237Long-Term Care Pharmacies / Farmacias de atencin a largo plazo ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................238

Last Name Index / ndice de Apellidos ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................242Group Name Index / Grupo ndice de nombres .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................274IPA/POD Index / IPA/POD ndice ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................280Language Index / ndice de idioma ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................281

HCA-TriStar Medical NetworkPrimary Care Providers / Mdico de cabecera

IPA HCA-TriStar Medical

Network Cheatham

Primary Care Providers /Mdico de cabecera

Family Practice / MedicinaFamiliar

Anderson, James R MDThe Frist Clinic 111 W Kingston Springs RdKingston Springs, TN 37082(615) 952-2011A97682 Anderson, James R MDThe Frist Clinic 313 N Main St Ashland City, TN 37015(615) 792-1911A97682 Smith, Rebecca H MDThe Frist Clinic 313 N Main St Ashland City, TN 37015(615) 792-1911HSPCP0000003201 Internal Medicine / Medicina

InternaKoay, Kelly W MDThe Frist Clinic 111 W Kingston Springs RdKingston Springs, TN 37082(615) 952-20116041989

Davidson Family Practice / Medicina

Familiar Bishop Jr, Robert G MDFamily Practice Associates ofSouthern Hills 397 Wallace Rd Suite 100 C Nashville, TN 37211(615) 834-6166H06044

Brust, Matthew L MD Holloway, Christopher DFamily Practice Associates of MD Southern Hills Southern Hills Family Practice397 Wallace Rd Associates Cain RidgeSuite 100 C 3534 Murfreesboro Rd Nashville, TN 37211 Suite 104 (615) 834-6166 Antioch, TN 37013G27138 (615) 641-6767

H28173 Chothmounethinh,Phaythoune MD Holmes III, George L MDSkyline Medical Group Family Practice Associates of304 Northcreek Blvd Southern Hills Suite 200 397 Wallace Rd Goodlettsville, TN 37072 Suite 100 C (615) 859-8488 Nashville, TN 372116042102 (615) 834-6166

B02538 Gomez, Julia E MDSterling Primary Care Holmes, Keren M MD4200 Stammer Pl Family Practice Associates ofSuite 500 Southern Hills Nashville, TN 37215 397 Wallace Rd (615) 320-4100 Suite 100 Bldg C6031984 Nashville, TN 37211

(615) 834-6166Greene, Jeffrey Carlin MD* 6017502 Family Practice Associates ofSouthern Hills Macmillan Jr, Robert Duncan397 Wallace Rd MD Bldg C 100 Sterling Primary CareNashville, TN 37211 2400 Patterson St (615) 834-6166 Suite 500 F84940 Nashville, TN 37203

(615) 327-7400Hartman, Daniel R DO 6030218 HCA Physician Services397 Wallace Rd Pilkinton Sr, Robert D MD*Suite 100 Bldg C Skyline Medical GroupNashville, TN 37211 304 Northcreek Blvd (615) 834-6166 Goodlettsville, TN 37072HSPCP0000001303 (615) 855-0058

B01489 Holloway, Christopher DMD Sanders, Burton P MDSouthern Hills Family Practice Sterling Primary CareAssociates Cain Ridge 2400 Patterson St 397 Wallace Rd Suite 500 Suite 100 C Nashville, TN 37203Nashville, TN 37211 (615) 327-7400(615) 834-6166 A88535 H28173

Schweitzer, Meredith DOFamily Practice Associates ofSouthern Hills 3534 Murfreesboro Rd Suite 104 Antioch, TN 37013(615) 641-67676126377 Spisak, Donald A MDSkyline Medical Group303 Northcreek Blvd Suite 120 Goodlettsville, TN 37072(615) 855-00586037407 Wright, Craig Thomas MDSterling Primary Care740 Cool Springs BlvdSuite 110 Nashville, TN 37067(615) 791-94406123398 Internal Medicine / Medicina

InternaAl Omary, Malek H MDInternal Medicine Associates of Southern Hills 393 Wallace Rd Suite 104 A Nashville, TN 37211(615) 331-4104G21157 Allen, David W MDThe Frist Clinic 2400 Patterson St Suite 400 Nashville, TN 37203(615) 342-5900F40560 Anderson, John E MDThe Frist Clinic 2400 Patterson St Suite 400 Nashville, TN 37203(615) 342-5900D93201

*Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^POS Provider *Acepta Medicare y Medicaid Slo acepta pacientes recurrentes No acepta pacientes nuevos ^Proveedor del POS

1


Davidson (cont.) Internal Medicine / Medicina

Interna (cont.)

Beckham, Michael T MDBeckham Internal Medicine The Frist Clinic Internal Medicine Associates3901 Central Pk 2400 Patterson St of Southern HillsSuite 352 Suite 400 393 Wallace RdHermitage, TN 37076 Nashville, TN 37203 Suite 104 A(615) 882-4000 (615) 342-5900 Nashville, TN 37211

F80998 F62651 (615) 331-4104

G09151Beuter, Matthew J MD Lickey, Harold Mark MDThe Frist Clinic Sterling Primary Care Nabors, Cheryl MD2400 Patterson St 2400 Patterson St Sterling Primary Care

Suite 400 Suite 500 2400 Patterson StNashville, TN 37203 Nashville, TN 37203 Suite 500(615) 342-5900 (615) 327-7400 Nashville, TN 37203

G26480 6062808 (615) 327-7400

I13411Clamp, Chrystal G MD Lizarraga, William A MDThe Frist Clinic The Frist Clinic Prest, Jessica L MD2400 Patterson St 2400 Patterson St Skyline Medical Group

Suite 400 Suite 400 3443 Dickerson PkNashville, TN 37203 Nashville, TN 37203 Suite G30(615) 342-5900 (615) 342-5900 Nashville, TN 37207

I34576 6029833 (615) 234-6390

PendingDunn, Julie R MD Mann, Steven L MDSkyline Medical Group Skyline Medical Group Quinn, Robert S MD3443 Dickerson Pk 3443 Dickerson Pk Sterling Primary Care

Suite 30 G Suite 30 G 4200 Stammer PlNashville, TN 37207 Nashville, TN 37207 Suite 500(615) 234-6390 (615) 234-6390 Nashville, TN 37215

H32580 A49518 (615) 320-4100

B03182Edwards, David L MD Martin, Richard B MDSterling Primary Care The Frist Clinic Rigtrup, Kevin M MD2400 Patterson St 2400 Patterson St The Frist ClinicSuite 500 Suite 400 2400 Patterson StNashville, TN 37203 Nashville, TN 37203 Suite 400(615) 327-7400 (615) 342-5900 Nashville, TN 37203

A97602 F75863 (615) 342-5900

G59586Ewart, David MD McKechnie, Kevin S MDSkyline Medical Group The Frist Clinic Scarpero, Stephen C MD3443 Dickerson Pk 2400 Patterson St Skyline Medical Group

Suite 30 G Suite 400 3443 Dickerson PkNashville, TN 37207 Nashville, TN 37203 Suite 30 G(615) 234-6390 (615) 342-5900 Nashville, TN 37207

6052059 H35573 (615) 234-6390

G74299Heusinkveld, David C MD* Michaud, Marilynn E MDCentennial Primary Care The Frist Clinic Sutton, Hyatt D MD330 23rd Ave N 2400 Patterson St The Frist ClinicSuite 150 Suite 400 2400 Patterson StNashville, TN 37203 Nashville, TN 37203 Suite 400(615) 342-6800 (615) 342-5900 Nashville, TN 37203

F73308 G06212 (615) 342-5900

G70955

Bal, Deepinder S MDThe Frist Clinic2400 Patterson StSuite 400Nashville, TN 37203

(615) 342-5900

G08542Bal, Indumeet B MD*3443 Dickerson PkSuite 440Nashville, TN 37207

(615) 865-4232

Language(s): Hindi

G64047Barfield, Lee C MDThe Frist Clinic2400 Patterson StSuite 400Nashville, TN 37203

(615) 342-5900

PendingBarrett, Sterling I MDThe Frist Clinic2400 Patterson StSuite 400Nashville, TN 37203

(615) 342-5900

6015119Beck Jr, Robert MDThe Frist Clinic2400 Patterson StSuite 400Nashville, TN 37203

(615) 342-5900

6050188Beck, Andrea MDThe Frist Clinic2400 Patterson StSuite 400Nashville, TN 37203

(615) 342-5900

6050187

Johnson, Louis C MD Mohyuddin, Shuaib M MD


2


Davidson (cont.) Internal Medicine / Medicina

Interna (cont.) Turner Winbush, Beverly MDCentennial Primary Care330 23rd Ave N Suite 150 Nashville, TN 37203(615) 342-6800I07999 Vandevender, F Karl MDThe Frist Clinic 2400 Patterson St Suite 400 Nashville, TN 37203(615) 342-5900B04613 Vargas, Kenneth E MDSterling Primary Care2400 Patterson St Suite 500 Nashville, TN 37203(615) 327-7400G42529 Zimmerman, Thomas F MDSkyline Medical Group3443 Dickerson Pk Suite 30 G Nashville, TN 37207(615) 234-6390B03972

Maury Family Practice / Medicina

Familiar Brewer, Raymond M MDHCA Physician Services3001 Reserve Blvd Suite 200 Spring Hill, TN 37174(615) 302-0701B00095 Broyles, Jennifer S MDSpring Hill Physicians3001 Reserve Blvd Suite 200 Spring Hill, TN 37174(615) 302-0701X86581

Harrelson, Philip R MDHCA Physician Services3001 Reserve Blvd Suite 200 Spring Hill, TN 37174(615) 302-0701H66137

Rutherford Family Practice / Medicina

Familiar Born, Laura J MDStonecrest Family Physicians2933 Medical Center PkwySuite A Murfreesboro, TN 37129(615) 890-1455Pending Bunce, Kristen Bekker MDStoneCrest Family Physicians300 Stonecrest Blvd Suite 100 Smyrna, TN 37167(615) 223-95026042456 Childs, Adam MDStoneCrest Family Physicians2933 Medical Center PkwySuite A Murfreesboro, TN 37129(615) 890-14556056331 Cobb, Peter F MDStoneCrest Family Physicians2933 Medical Center PkwySuite A Murfreesboro, TN 37129(615) 768-7838H07974 Hixson, Joshua M MDStoneCrest Family Physicians300 Stonecrest Blvd Suite 100 Smyrna, TN 37167(615) 223-9502I47821

Kozinski, Bryan J MDHCA Physician Services300 Stonecrest Blvd Suite 100 Smyrna, TN 37167(615) 223-9502H58683 Thompson, Christopher OMD StoneCrest Family Physicians300 Stonecrest Blvd Suite 100 Smyrna, TN 37167(615) 223-9502G51618 Internal Medicine / Medicina

InternaJones, Cindi E MDStonesCrest Internal Medicine 300 Stonecrest Blvd Suite 110 Smyrna, TN 37167(615) 223-9233H93083 Owen, Sara E MDStoneCrest Internal Medicine 300 Stonecrest Blvd Suite 110 Smyrna, TN 37167(615) 223-9233QMP000003524169 Singh, Amit MDStoneCrest Family Physicians300 Stonecrest Blvd Suite 110 Smyrna, TN 37167(615) 223-92336055317

Sumner Family Practice / Medicina

Familiar Kellogg, Lisa S MDPortland Primary Care103 Redbud Dr Suite E Portland, TN 37148(615) 325-1206X60242

Kellogg, Lisa S MDPortland Primary Care1720 Nashville Pk Suite 100 Gallatin, TN 37066(615) 325-1206X60242 Kellogg, Michael S MDPortland Primary Care Fairvue1483 Nashville Pk Suite 302 Gallatin, TN 37066(615) 230-9750I66966 Kellogg, Michael S MDPortland Primary Care Fairvue1720 Nashville Pk Suite 100 Gallatin, TN 37066(615) 230-9750I66966 Kucich, Alison D MDPortland Primary Care Fairvue1483 Nashville Pk Suite 302 Gallatin, TN 37066(615) 230-8601I66965 Kucich, Alison D MDPortland Primary Care Fairvue1720 Nashville Pk Suite 100 Gallatin, TN 37066(615) 230-8601I66965 Internal Medicine / Medicina

InternaAllen, Brandon D MD*Portland Primary Care Fairvue1483 Nashville Pk Suite 302 Gallatin, TN 37066(615) 230-86016120171 Allen, Brandon D MD*Portland Primary Care Fairvue1720 Nashville Pk Suite 100 Gallatin, TN 37066(615) 230-86016120171


3

Sumner (cont.) Internal Medicine / Medicina

Interna (cont.)


Carmack Jr, James N MDHendersonville Primary Care105 Glen Oak Blvd Suite 100 Hendersonville, TN 37075(615) 822-6701D70169 Ludi, Guillermo S MDPortland Primary Care103 Redbud Dr Suite E Portland, TN 37148(615) 325-1206F97424

Williamson Family Practice / Medicina

Familiar Hartman, Daniel R DOBrentwood East FamilyMedicine 6716 Nolensville Rd Suite 100 Brentwood, TN 37027(615) 941-7501HSPCP0000001303 Johnson, Steven P MDBrentwood East FamilyMedicine 6716 Nolensville Rd Suite 100 Brentwood, TN 37027(615) 941-7501G56983 McDonald, Shannon C MDSouthern Hills Family Medicineat Brentwood 317 Seven Springs WaySuite 104 Brentwood, TN 37027(615) 377-4999G88790


4

HCA-TriStar Medical NetworkSpecialists / Especialistas

IPA HCA-TriStar Medical

Network Benton

Specialists / Especialistas Neurological Surgery /Ciruga Neurolgica

Schlosser, Michael J MD*Neurosurgical Associates115 Hwy 641 SCamden, TN 38320(615) 986-1256 Schwarz, Jacob P MD*Neurosurgical Associates115 Hwy 641 SCamden, TN 38320(615) 986-1256

Cannon Neurological Surgery /Ciruga Neurolgica

Schlosser, Michael J MD*Neurosurgical Associates370 Doolittle Rd Woodbury, TN 37190(615) 986-1256

Cheatham Cardiology / Enfermedadescardiovasculares

Long, Brian R MDCentennial Heart 254 Ren Mar Dr Suite 100 Pleasant View, TN 37146(615) 746-0203 Sunil, Kaza MDCentennial Heart 254 Ren Mar Dr Suite 100 Pleasant View, TN 37146(615) 746-0203Language(s): Hindi, Telugu Nephrology / Nefrologa

Kaplan, Mark R MDNephrology Associates313 N Main St Ashland City, TN 37015(615) 792-0318

Neurological Surgery /

Ciruga Neurolgica

Schlosser, Michael J MD*eurosurgical Associates13 N Main St shland City, TN 37015615) 986-1256

N3A(Orthopedic Surgery / Ciruga

OrtopdicaVissers, Christian F MD*111 W Kingston Springs RdSuite 104 Kingston Springs, TN 37082(615) 329-6710

Coffee Neurological Surgery /Ciruga Neurolgica

Schlosser, Michael J MD*Neurosurgical Associates1034 McArthur Dr Manchester, TN 37355(615) 986-1256 Obstetrics & Gynecology /

Obstetricia y ginecologaGood, Michael C MD1321 McArthur St Suite B Manchester, TN 37355(931) 723-8723 Orthopedic Surgery / Ciruga

OrtopdicaBrown, Shervondalonn R MDTennessee OrthopaedicAlliance PA 1034 McArthur Dr Manchester, TN 37355(931) 728-3445 Greenberg, Robert C MDTennessee OrthopaedicAlliance PA 1034 McArthur Dr Manchester, TN 37355(931) 728-3445 Joyner, Kyle S MDTennessee OrthopaedicAlliance PA 1034 McArthur Dr Manchester, TN 37355(931) 728-3445

Steinagle, Timothy J MDTennessee OrthopaedicAlliance PA 1034 McArthur Dr Manchester, TN 37355(931) 728-3445

Davidson Allergy & Immunology /Alergia e Inmunologa

Cain, William T MD*Allergy Associates PA5045 Old Hickory BlvdSuite 201 Hermitage, TN 37076(615) 475-0148 Norvell, John M MD*95 White Bridge RdSuite 400 Nashville, TN 37203(615) 574-6045 Overholt, John P MDAllergy Associates PA95 White Bridge RdSuite 400 Nashville, TN 37205(615) 574-6045 Stauffer, Megan PartridgeMD* Allergy Associates PA5045 Old Hickory BlvdSuite 201 Hermitage, TN 37076(615) 475-0148 Wolf, Bruce L MDAllergy and Asthma SpecialistPLLC 4230 Harding PkSuite 307 Nashville, TN 37205(615) 292-8299 Cardiac Electrophysiology /

Electrofisiologa CardacaBorek, Przemyslaw PeterMD* Centennial Heart 111 Hwy 70 ESuite G Dickson, TN 37055(615) 515-1900Language(s): Polish

Borek, Przemyslaw PeterMD* Centennial Heart 2400 Patterson St Suite 502 Nashville, TN 37203(615) 515-1900Language(s): Polish Jones, Robert ChristopherMD Centennial Heart 2400 Patterson St Suite 502 Nashville, TN 37203(615) 515-1900 Williams Jr, Thomas A MDCentennial Heart 5651 Frist Blvd Suite 603 Hermitage, TN 37076(615) 889-7891 Cardiac Surgery / Ciruga

CardiacaBaxter, Tammy M MDCentennial Surgical Clinic2400 Patterson St Suite 215 Nashville, TN 37203(615) 342-7345 Drinkwater Jr, Davis C MDHCA Physician Services2400 Patterson St Suite 307 Nashville, TN 37203(615) 342-6900 Lancaster, Lifford Lee MDAdvanced Diagnostic ImagingPC 3443 Dickerson Pk Suite 400 Nashville, TN 37207(615) 860-1772 Pass, Lawrence J MD2400 Patterson St Suite 307 Nashville, TN 37203(615) 340-6900


5

HCA-TriStar Medical NetworkSpecialists / Especialistas

Davidson (cont.) Cardiac Surgery / CirugaCardiaca (cont.)

Reddy, Venkatapuram S MDTriStar Cardiovascular Surgery2400 Patterson St Suite 307 Nashville, TN 37203(615) 342-6900 Walton, K Brian MDAdvanced Diagnostic ImagingPC 3901 Central Pk Suite 555 Hermitage, TN 37076(615) 872-1092 Wilcox Jr, A Brian MD*Baptist Healthcare Group2010 Church St Suite 303 Nashville, TN 37203(615) 329-7878 Cardiology / Enfermedadescardiovasculares

Bashian, Gregory G MDCentennial Heart 2400 Patterson St Suite 502 Nashville, TN 37203(615) 515-1900 Chandler, Gina G MD2400 Patterson St Suite 215 Nashville, TN 37203(615) 515-2929 Conley, Christo

2016 provider and pharmacy directory - cigna

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