2016 provider directory - western asset...

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Y0040_DIR_PPO_16_FINAL 764 Approved R5826_GN86060Z116 Este directorio fue actualizado el This directory was updated on Provider Directory Directorio de Proveedores 2016 PD00058A To get the most up-to-date information about network providers in your area, you can visit Humana.com or call Customer Care. If you are a member of HumanaChoice Regional PPO, call Customer Care at 1-800-457-4708. If you use a TTY, call 711. You can call us seven days a week, from 8 a.m. to 8 p.m. However, please note that our automated phone system may answer your call during weekends and holidays from February 15 to September 30. Please leave your name and telephone number, and we'll call you back by the end of the next business day. If you are a member of Humana Medicare Employer Regional PPO, call Customer Care at 1-866-396-8810 (TTY: 711). We're available Monday through Friday from 8 a.m. to 9 p.m. Eastern time. Our phone system may answer your call after hours, and on Saturdays, Sundays and some holidays; leave a message and we'll call back by the end of the next business day. Para obtener la información más actualizada acerca de los proveedores de la red en su área, puede visitar Humana.com o llamar al departamento de Atención al Cliente. Si está afiliado al HumanaChoice PPO Regional, llame al departamento de Atención al Cliente al 1-800-457-4708. Si usa un TTY, llame al 711. Puede llamarnos los siete días de la semana, entre las 8 a.m. y las 8 p.m. Sin embargo, tenga en cuenta que nuestro sistema telefónico automatizado puede responder su llamada durante los fines de semana y los días festivos entre el 15 de febrero y el 30 de septiembre. Por favor deje su nombre y número de teléfono y le devolveremos la llamada antes del final del siguiente día hábil. Si está afiliado al Humana Medicare PPO Regional del Patrono, llame al departamento de Atención al Cliente al 1-866-396-8810 (TTY: 711). Estamos a su disposición de lunes a viernes de 8 a.m. a 9 p.m., hora del Este. Nuestro sistema telefónico podrá responder llamadas fuera del horario de atención, y los sábados, domingos y algunos días festivos; deje un mensaje le devolveremos la llamada antes de finalizar el siguiente día hábil. HumanaChoice Regional PPO Humana Medicare Employer Regional PPO HumanaChoice PPO Regional Humana Medicare PPO Regional del Patrono Arizona - Maricopa 09/16/2015. 09/16/2015.

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  • Y0040_DIR_PPO_16_FINAL 764 Approved R5826_GN86060Z116

    Este directorio fue actualizado el This directory was updated on

    Provider DirectoryDirectorio de Proveedores

    2016

    PD00058A

    To get the most up-to-date information about network providers in your area, you can visit Humana.com orcall Customer Care. If you are a member of HumanaChoice Regional PPO, call Customer Care at1-800-457-4708. If you use a TTY, call 711. You can call us seven days a week, from 8 a.m. to 8 p.m.However, please note that our automated phone system may answer your call during weekends andholidays from February 15 to September 30. Please leave your name and telephone number, and we'll callyou back by the end of the next business day. If you are a member of Humana Medicare Employer RegionalPPO, call Customer Care at 1-866-396-8810 (TTY: 711). We're available Monday through Friday from 8 a.m.to 9 p.m. Eastern time. Our phone system may answer your call after hours, and on Saturdays, Sundays andsome holidays; leave a message and we'll call back by the end of the next business day.

    Para obtener la informacin ms actualizada acerca de los proveedores de la red en su rea, puede visitarHumana.com o llamar al departamento de Atencin al Cliente. Si est afiliado al HumanaChoice PPORegional, llame al departamento de Atencin al Cliente al 1-800-457-4708. Si usa un TTY, llame al 711.Puede llamarnos los siete das de la semana, entre las 8 a.m. y las 8 p.m. Sin embargo, tenga en cuenta quenuestro sistema telefnico automatizado puede responder su llamada durante los fines de semana y losdas festivos entre el 15 de febrero y el 30 de septiembre. Por favor deje su nombre y nmero de telfono yle devolveremos la llamada antes del final del siguiente da hbil. Si est afiliado al Humana Medicare PPORegional del Patrono, llame al departamento de Atencin al Cliente al 1-866-396-8810 (TTY: 711). Estamosa su disposicin de lunes a viernes de 8 a.m. a 9 p.m., hora delEste. Nuestro sistema telefnico podr responder llamadas fuera del horariode atencin, y los sbados, domingos y algunos das festivos; deje unmensaje le devolveremos la llamada antes de finalizar el siguienteda hbil.

    HumanaChoice Regional PPOHumana Medicare EmployerRegional PPO

    HumanaChoice PPO RegionalHumana Medicare PPO Regional delPatrono

    Arizona - Maricopa

    09/16/2015.09/16/2015.

  • PROVIDER DIRECTORY 3

    HumanaChoice Regional PPO or Humana Medicare Employer RegionalPPO Provider Directory

    This directory is current as of

    This directory provides a list of HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPO networkproviders.

    This directory contains providers in the following State(s), counties, parishes ormunicipalities:AZ:Maricopa

    Some network providersmay have been added or removed from our network after this directory was printed. Wedo not guarantee that each provider is still accepting newmembers.

    R5826_GN86060Z116

    09/16/2015.

  • 4 PROVIDER DIRECTORY

    IntroductionThis directory provides a list of HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPO networkproviders. To get detailed information about your health care coverage, please see your Evidence of Coverage.

    How to get the most out of your networkAs a HumanaMedicare Employer Regional PPOmember, it's a good idea to select a doctor to act as your PrimaryCare Physician (PCP). Although you don't have to have a PCP, it's important to have someone focus on your totalhealthcare. A PCP can providemuch of your care. He or she can help ensure you get preventive care, provide timelyaccess to services and coordinate with other doctors if needed. This helps you improve andmanage your health.And you don't need a referral to see another doctor.

    As a HumanaChoice Regional PPOmember, you will have to choose one of our network providers who are listed inthis directory to act as your Primary Care Physician (PCP). A PCP can providemuch of your care. He or she can helpensure you get preventive care, provide timely access to services and coordinate with other doctors if needed. Thishelps you improve andmanage your health. And you dont need a referral to see another doctor.

    The "network providers" listed in this directory have agreed to provide you with your health care services. Youmaygo to any of our network providers listed in this directory. If you have been going to one network provider, you arenot required to continue to go to that same provider. With some plans, your network physicianmust call CustomerCare for prior authorization of all non-emergency and non-urgent network hospital admissions in order for servicesto be covered. Please refer to your Evidence of Coverage.

    Youmay get covered services from out of network providers. If you use out-of-network providers, yourout-of-pocket costsmay be higher except in emergencies or urgent care situations. In some cases wherecoinsurance is the same for services received both in and out-of-network, youmay still paymore out-of-network.This occurs when the out-of-network provider bills the Medicare allowed charge, and the in-network contractedamount would have been lower. To getmore information, please see your Evidence of Coverage or call CustomerCare (details on front and back cover pages).

    Sometimes the selection of in-network providers is limited in certain geographic areas or in some specialties. If thenetwork in your area doesn't offer the specialist you need, youmay be allowed to go to an out-of-network providerat the in-network rate. Call Customer Care (details on front and back cover pages) to find out if you qualify and getmore instructions. Be sure to contact out-of-network doctors before you see them tomake sure they acceptMedicare assignment.

    If your plan has providers with preferred cost-sharing as part of its benefits, please refer to the Evidence ofCoverage formore information on the cost-sharing for each tier.

  • PROVIDER DIRECTORY 5

    What you should do if you have bills from out-of-network providers that you think should be paid byHumanaChoice Regional PPO or Humana Medicare Employer Regional PPO.If an out-of-network provider asks you to pay for covered services, please call Customer Care (details on front andback cover pages). Or send the bill(s) with a note explaining the situation to:

    Humana Claims OfficeP.O. Box 14601

    Lexington, KY 40512-4601

    You should never pay any out-of-network providermore thanwhat the provider is allowed by Medicare. Ask theout-of-network provider to bill us first. If you have already paid for the covered services, wewill reimburse you forour share of the cost. If you get a bill for the services, you can send the bill to us for payment. Wewill pay yourout-of-network provider for our share of the bill andwill let you know the amount, if any, youmust pay.

    If you have an emergency, wewill talk with the doctors who are giving you emergency care to helpmanage andfollow up on your care. The doctors who are giving you emergency care will decide when your condition is stableand themedical 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 yourmedical condition and thecircumstances allow.

    Suppose that you are temporarily outside the plan's service area, but still in the United States and territories. If youhave an urgent need for care, you probably will not be able to find or get to one of the providers in our plan'snetwork. In this situation (when you are outside the service area and cannot get care from network providers), ourplanwill cover urgently needed care that you get from any provider.

    Our plan does not cover urgently needed care or any other non-emergency care if you receive the care outside ofthe United States and territories.

    If you receive emergency care at an out-of-network hospital and need inpatient care after your emergencycondition is stabilized, youmustmove to a network hospital in order to pay the in-network cost-sharing amountfor the part of your stay after you are stabilized. If you stay at the out-of-network hospital, your stay will becovered but you will pay the out-of-network cost-sharing amount for the part of your stay after you are stabilized.

    Hospitalist ProgramIf your Physician participates in the Hospitalist Program, and you are admitted to the hospital, all aspects of yourcare will be actively directed and coordinated by a full time physician specially trained in inpatient care. Thephysician is referred to as a hospitalist and is independently contracted and board-certified or eligible for boardcertification by the American Board of Internal Medicine.

    A casemanagement coordinator, anothermember of the hospitalist team, is a licensed nurse trained in patientcaremanagement. He or she coordinates your needs and services (such as lab work, X-rays, consultations andmore) with the hospitalist physician.

    Your hospitalist physician and casemanagement coordinator will report your condition and progress to yourPhysician regularly. Theymay also schedule a follow-up appointment with your Physician.

  • 6 PROVIDER DIRECTORY

    Mental HealthFormental health or substance abuse services, you or your doctor or counselor should call Humana BehavioralHealth for authorization. Please call 1-866-861-4478 (TTY: 1-800-735-2988). The hours are Monday throughThursday, 7 a.m. to 6:30 p.m. CST and Friday from 7 a.m. to 6 p.m. CST. For additional information, go toHumana.com or contact the phone number listed on your plan identification card.

    Transplant ServicesUse of a general service facility for transplant servicesmay result in substantial additional expense to you. Fortransplant related services, please call 1-866-421-5663, (TTY: 1-800-336-6709). Our hours are Monday throughFriday, 8:30 a.m. to 5 p.m.

    Humana FitnessNot all Medicare Advantage plans offer a fitness benefit. Please refer to your Evidence of Coverage for fitnessbenefit and contact information.

    Vision ProvidersIf you are amember of HumanaMedicare Employer PPO, vision providersmay vary. Please contact your BenefitsAdministrator for information on the available providers in your area.

    What is the service area for HumanaChoice Regional PPO or Humana Medicare Employer Regional PPOThe State(s), counties (parts of counties), parishes, ormunicipalities in our service area are listed below.HumanaChoice R5826-014 (Regional PPO);HumanaChoice R5826-070 (Regional PPO):AZ:Apache, Cochise,Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, Yuma

    How do you find HumanaChoice Regional PPO or Humana Medicare Employer Regional PPO networkproviders in your area?Providers are listed in this directory by the type of provider. Within each provider type, providers are listedalphabetically by state, and then by county, parish ormunicipality.

    Some of our network providersmay also be Medicaid certified. Please contact the provider's office in advance toverify their status.

    If you have questions about HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPO, please callour Customer Care Department (details on front and back cover pages) or visit our website atHumana.com.

  • PROVIDER DIRECTORY 7

    Network PharmaciesHow to get the most out of your pharmacy networkThe network pharmacies listed in this directory have agreed to provide you with your prescription coverage. Toget a complete description of your prescription coverage, including how to fill your prescriptions, please review theEvidence of Coverage and the Humana Prescription Drug Guide. Youmay go to any of our network pharmacieslisted in this directory. Inmost cases, your prescriptions are covered under HumanaChoice Regional PPO orHumanaMedicare Employer Regional PPO only if they are filled at a network pharmacy, or through ourmail-orderpharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill yourprescription. You can go to any of our network pharmacies. Wewill fill prescriptions at non-network pharmaciesunder certain circumstances as described in your Evidence of Coverage.

    Changes to our pharmacy networkmay occur during the benefit year. An updated Pharmacy Directory is locatedon our website atHumana.com. Youmay also call Customer Care for updated provider information.

    Medicare Part B prescription drug coverageMembers withMedicare Part B prescription drug coverage can use the network pharmacies included in thisdirectory to receive their approvedMedicare Part B drugs. Formore information about receivingMedicare Part Bdrugs through out-of-network pharmacies, see "Filling prescriptions outside the network" and "How to submit apaper pharmacy claim" beginning on page 8.

    Mail-Order PharmaciesPharmacies with preferredmail order cost-sharing are pharmacies in Humanas network inwhich Humana hasnegotiated lower cost-sharing than at pharmacies with standardmail order cost sharing for its planmembers forcovered prescription drugs. However, you will still have access to lower drug prices at pharmacies with standardmail-order cost-sharing than at out-of-networkmail-order pharmacies. Youmay go to either of these types ofnetworkmail-order pharmacies to receive your covered prescription drugs.

    If your plan does not have preferred and standardmail-order cost-sharing pharmacy benefits, youmay use anymail-order pharmacy listed.

    You can get prescription drugs shipped to your home through our networkmail order delivery service. Typically,you should expect to receive your prescription drugs from 7 to 10 days for refills and 10 to 14 days for newprescriptions from the time that themail order pharmacy receives the order. If you do not receive your prescriptiondrug(s) within this time, please contact Customer Care (details on front and back covers).

    To refill yourmail order prescriptions, please contact us 14 days before you think the drugs you have on handwillrun out to make sure your next order is shipped to you in time.

    If you are amember of a qualified State Pharmaceutical Assistance Program, please contact the program to verifythat themail-order pharmacy will coordinate with that program.

    Are home infusion pharmacies part of the pharmacy network?HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPO will cover infusion therapy drugs if: Your prescription drug is on your HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPOformulary, or you have a formulary exception;

    HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPO has approved your prescription drugfor home infusion therapy; and

    Your prescription is written by an authorized prescriber.

  • 8 PROVIDER DIRECTORY

    Are long-term care pharmacies part of the pharmacy network?Residents of a long-term care facility may access their prescription drugs covered under HumanaChoice RegionalPPO or HumanaMedicare Employer Regional PPO through the facility's long-term care pharmacy or anothernetwork long-term care pharmacy.

    Are Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies part of the pharmacynetwork?Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian HealthProgram (I/T/U) Pharmacies through HumanaChoice Regional PPO or HumanaMedicare Employer Regional PPOpharmacy network. Those other thanNative Americans and AlaskanNativesmay be able to access thesepharmacies under limited circumstances (e.g. emergencies).

    What are Physician Dispensing Pharmacies?These are Physicians/Clinics that are part of Humana's pharmacy networks that can dispense prescribedmedications from within their office.

    Filling prescriptions outside the networkGenerally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when anetwork pharmacy is not available. Before you fill your prescription in these situations, call Customer Care(details on front and back cover pages) to see if there is a network pharmacy in your area where you canfill your prescription. If you do go to an out-of-network pharmacy, youmay have to pay the full cost (rather thanpaying just your copayment) when you fill your prescription. You can ask us to reimburse you for our share of thecost by submitting a claim form.

    However, even after we reimburse you for our share of the cost, youmay paymore for a drug purchased at anout-of-network pharmacy because the out-of-network pharmacy's price is generally higher thanwhat a networkpharmacy would have charged. You should submit a claim to us if you fill a prescription at an out-of-networkpharmacy as any amount you pay will help you qualify for catastrophic coverage. To learn how to submit a paperclaim, please refer to "How to submit a paper pharmacy claim" below.We cannot pay for any prescriptionsthat are filled by pharmacies outside of the United States and territories, even for a medical emergency.

    How to submit a paper pharmacy claimWhen you go to a network pharmacy your claim is automatically submitted to us by the pharmacy. However, ifyou go to an out-of-network pharmacy, the pharmacymay not be able to submit the claim directly to us. Whenthat happens, youmay need to pay the full cost of your prescription. When you return home, simply submit yourpaper claim and your itemized receipt to the following address:

    Humana Claims OfficeP.O. Box 14140

    Lexington, KY 40512-4140

    Upon receipt, we will make an initial coverage determination on the claim. Please refer to your Evidence ofCoverage or call Customer Care (details on front and back cover pages) formore information on initialcoverage determinations.

  • DIRECTORIO DE PROVEEDORES 9

    Directorio de Proveedores de HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono

    Este directorio est actualizado a partir del

    Este directorio proporciona una lista de los proveedores de la red de HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono.

    Este directorio contiene proveedores en el/los siguiente(s) estado(s), condados, parroquias o municipalidades:AZ:Maricopa

    Algunos proveedores de la red pueden haber sido agregados o suprimidos de nuestra red despus de que seimprimiera este directorio. No garantizamos que los proveedores todava estn aceptando nuevos afiliados.

    R5826_GN86060Z116

    09/16/2015.

  • 10 DIRECTORIO DE PROVEEDORES

    IntroduccinEste directorio proporciona una lista de los proveedores de la red de HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono. Para obtener informacin detallada acerca de su servicios de atencinmdica,consulte su Evidencia de Cobertura.

    Cmo aprovechar al mximo su redComo un afiliado de HumanaMedicare PPO Regional del Patrono es buena idea seleccionar a unmdico para queacte como sumdico de atencin primaria (PCP). Aunque no necesita tener unmdico de atencin primaria, esimportante tener a alguien que se concentre en su atencinmdica general. Unmdico de atencin primariapuede proporcionarle gran parte de su atencin. l o ella puede ayudar a garantizar que usted reciba atencinpreventiva, proporcionar acceso oportuno a los servicios y coordinar con otrosmdicos, si es necesario. Esto leayuda amejorar y manejar su salud. Y no se necesita un referido para ver a otro mdico.

    Como un afiliado de HumanaChoice PPO Regional, tendr que elegir a uno de los proveedores de nuestra red queestn en este directorio para que acte como sumdico de atencin primaria (PCP). Unmdico de atencinprimaria puede proporcionarle gran parte de su atencin. l o ella puede ayudar a garantizar que usted recibaatencin preventiva, proporcionar acceso oportuno a los servicios y coordinar con otrosmdicos, si es necesario.Esto le ayuda amejorar y manejar su salud. Y no se necesita un referido para ver a otro mdico.

    Los "proveedores de la red" que estn en este directorio han aceptado proporcionarle sus servicios de atencinmdica. Puede visitar a cualquiera de los proveedores de nuestra red que estn en este directorio. Si usted haestado viendo a un proveedor de la red, no es obligatorio que siga viendo al mismo proveedor. Con algunos planes,sumdico de la red debe llamar al departamento de Atencin al Cliente para solicitar autorizacin previa paratodas las admisiones a hospitales de la red que no sean de emergencia ni de urgencia con el fin de que los serviciosestn cubiertos. Consulte su Evidencia de Cobertura.

    Usted puede recibir servicios cubiertos de proveedores fuera de la red. Si utiliza proveedores fuera de la red, suscostos de desembolso personal pueden serms altos excepto en emergencias o casos de urgencia. En algunoscasos donde el coaseguro es igual para servicios recibidos tanto dentro como fuera de la red, es posible que debapagarms fuera de la red. Esto ocurre cuando el proveedor fuera de la red factura el cargo permitido por Medicare,y la cantidad contratada dentro de la red hubiese sido ms baja. Para obtenerms informacin, consulte suEvidencia de Cobertura o llame al departamento de Atencin al Cliente (consulte la informacin detallada en laportada y la parte de atrs).

    Algunas veces la seleccin de proveedores dentro de la red est limitada en ciertas reas geogrficas o en algunasespecialidades. Si la red de su rea no ofrece el especialista que necesite, usted podr consultar a un especialistaque fuera de la red y pagar la tarifa que corresponda a proveedores dentro de la red. Llame al nmero deldepartamento de Atencin al Cliente (consulte la informacin detallada en la portada y la parte de atrs) paraverificar si usted califica y para obtenerms instrucciones. Asegrese de comunicarse con losmdicos fuera de lared antes de consultarles y de verificar que acepten las asignaciones de Medicare.

    Si su plan tiene proveedores con costo compartido preferido como parte de los beneficios, consulte la Evidencia deCobertura params informacin sobre el costo compartido de cada nivel.

  • DIRECTORIO DE PROVEEDORES 11

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    Qu debe hacer en caso de recibir facturas de proveedores fuera de la red y que usted cree que deberanser canceladas por HumanaChoice PPO Regional o Humana Medicare PPO Regional del Patrono.Si un proveedor fuera de la red le pide pagar por servicios cubiertos, comunquese con el departamento deAtencin al Cliente (consulte la informacin detallada en la portada y la parte de atrs). O enve la(s) factura(s) conuna nota explicando la situacin a:

    Humana Claims OfficeP.O. Box 14601

    Lexington, KY 40512-4601

    Usted nunca deber pagar a ningn proveedor fuera de la redms de la cantidad permitida por Medicare. Pdale alproveedor fuera de la red que nos enve una factura antes. Si usted ya pag por los servicios cubiertos, nosotros lereembolsaremos la parte que nos corresponde del costo. Si usted recibe una factura por los servicios, nos la puedeenviar para que nosotros la paguemos. Nosotros le pagaremos al proveedor fuera de la red la parte que noscorresponde de la factura y le informaremos a usted la cantidad que debe pagar, en caso de que sea necesario.

    Si tiene una emergencia, nosotros hablaremos con losmdicos que le estn proporcionando la atencin deemergencia para ayudar amanejar y hacer el seguimiento de su atencin. Losmdicos que le estnproporcionando la atencin de emergencia decidirn cundo su estado es estable y que la emergenciamdica haterminado.

    Despus de que la emergencia haya terminado usted tiene derecho a recibir atencin de control posterior paraasegurarse de que su estado contine estable. Nuestro plan cubrir su atencin de control posterior. Si su atencinde emergencia es proporcionada por proveedores fuera de la red, nosotros intentaremos coordinar para queproveedores de la red se encarguen de su atencin tan pronto como lo permitan las circunstancias y su afeccinmdica.

    Supongamos que usted se encuentra temporalmente fuera del rea de servicio del plan, pero dentro de losEstados Unidos y territorios. Si necesita atencinmdica de urgencia, es posible que no pueda encontrar oconseguir a uno de los proveedores de la red de nuestro plan. En este caso (cuando usted se encuentra fuera delrea de servicio y no puede obtener atencin de proveedores de la red), nuestro plan cubrir atencinmdica quese necesita con urgencia que usted reciba de cualquier proveedor.

    Nuestro plan no cubre atencinmdica que se necesita con urgencia ni ninguna otra atencin que no sea deemergencia si usted la recibe fuera de los Estados Unidos y sus territorios.

    Si usted recibe atencin de emergencia en un hospital fuera de la red y necesita atencin como paciente internodespus de que su afeccin de emergencia se estabiliza, debe cambiar a un hospital de la red para poder pagar lacantidad de costo compartido dentro de la red por la parte de su estada despus de que usted se estabiliza. Siusted queda en el hospital fuera de la red, su estada estar cubierta pero usted tendr que pagar la cantidad decosto compartido fuera de la red por la parte de su estada despus de que se estabiliza.

  • 12 DIRECTORIO DE PROVEEDORES

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    Programa de hospitalistasSi sumdico participa en el Programa de hospitalistas, y usted es admitido al hospital, todos los aspectos de suatencin sern dirigidos y coordinados activamente por unmdico de tiempo completo especialmente capacitadopara la atencinmdica de pacientes internos. El mdico se conoce como hospitalista y es contratado demaneraindependiente y tiene certificacin en su especialidad o rene los requisitos necesarios para su certificacin por laJunta Americana de Medicina Interna.

    Un coordinador de administracin de casos, otro miembro del equipo de hospitalistas, es un/a enfermero/a conlicencia capacitado/a en la administracin de atencin de pacientes. l o ella coordina todas las necesidades y losservicios (como los anlisis de laboratorio, radiografas, consultas ymuchoms) con el mdico hospitalista.

    Sumdico hospitalista y coordinador de administracin de casos darn informes regulares sobre su estado yprogreso a sumdico. Tambin podrn programar una cita de control posterior con sumdico.

    Salud mentalPara los servicios de saludmental o de tratamiento de abusos de substancias, usted o sumdico o asesor debellamar a Humana Behavioral Health para la autorizacin. Llame al 1-866-861-4478 (TTY: 1-800-735-2988). Elhorario es de lunes a jueves de 7 a.m. a 6:30 p.m., hora estndar de la zona central, y los viernes de 7 a.m. a 6 p.m.,hora estndar de la zona central. Para obtener informacin adicional, visiteHumana.com o llame al nmero detelfono que aparece en su tarjeta de identificacin del plan.

    Servicios de trasplanteEl uso de un centro de servicios generales para servicios de trasplante puede resultar en un costo adicionalsignificativo para usted. Para los servicios relacionados con los trasplantes, llame al 1-866-421-5663, (TTY:1-800-336-6709). Nuestro horario es de lunes a viernes, de 8:30 a.m. a 5 p.m.

    Humana FitnessNo todos los planes Medicare Advantage ofrecen un beneficio de acondicionamiento fsico. Para obtenerinformacin sobre los contactos y beneficios de acondicionamiento fsico consulte su Evidencia de Cobertura.

    Proveedores de atencin de la vistaSi est afiliado al Plan PPO de Patronos de Medicare de Humana, los proveedores de atencin de la vista puedenvariar. Para obtenerms informacin acerca de los proveedores disponibles en su rea, comunquese con suAdministrador de beneficios

    Cul es el rea de servicio de HumanaChoice PPO Regional o Humana Medicare PPO Regional del PatronoLos estado(s), condados (partes de los condados), parroquias o municipalidades de nuestra rea de servicioaparecen a continuacin.HumanaChoice R5826-014 (Regional PPO);HumanaChoice R5826-070 (Regional PPO):AZ:Apache, Cochise,Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, Yuma

  • DIRECTORIO DE PROVEEDORES 13

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    Cmo encuentra proveedores de la red de HumanaChoice PPO Regional o Humana Medicare PPO Regionaldel Patrono en su rea?Los proveedores estn en este directorio de acuerdo al tipo de proveedor. Dentro de cada tipo de proveedor, losproveedores estn en orden alfabtico por estado, y luego por condado, parroquia o municipalidad.

    Algunos de los proveedores de nuestra red tambin pueden ser certificados por Medicaid. Pngase en contacto conel consultorio del proveedor con anticipacin para verificar su estado.

    Si tiene alguna pregunta acerca de HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono,llame a nuestro departamento de Atencin al Cliente (consulte la informacin detallada en la portada y la parte deatrs) o visite nuestro sitio Web enHumana.com.

    Farmacias de la redCmo aprovechar al mximo su red de farmaciasLas farmacias de la red que estn en este directorio han aceptado proporcionarle su servicios demedicamentosrecetados. Para obtener una descripcin completa de su servicios demedicamentos recetados, incluyendo cmoobtener susmedicamentos recetados, revise la Evidencia de Cobertura y la Gua de Medicamentos Recetados deHumana. Puede visitar a cualquiera de las farmacias de nuestra red que estn en este directorio. En lamayora delos casos, susmedicamentos recetados estn cubiertos por HumanaChoice PPO Regional o HumanaMedicare PPORegional del Patrono slo si se obtienen en farmacias de la red, o a travs de nuestro servicio de farmacia de envopor correo. Una vez que visite una farmacia, no se le exige que contine visitando lamisma farmacia para obtenersusmedicamentos recetados. Puede ir a cualquiera de nuestras farmacias de la red. Bajo ciertas circunstanciascubriremosmedicamentos recetados obtenidos en farmacias que no pertenecen a la red, segn se describe en suEvidencia de Cobertura.

    Es posible que se produzcan cambios en nuestra red de farmacias durante el ao de beneficios. Puede consultar elDirectorio de Farmacias actualizado en nuestro sitio Web enHumana.com. Tambin puede llamar a nuestrodepartamento de Atencin al Cliente para obtener informacin actualizada sobre los proveedores.

    Cobertura de medicamentos recetados de la Parte B de MedicareLos participantes que tienen servicios demedicamentos recetados de la Parte B de Medicare pueden utilizar lasfarmacias de la red incluidas en este directorio para recibir susmedicamentos aprobados por la Parte B deMedicare. Para recibir ms informacin acerca de cmo recibir losmedicamentos de la Parte B de Medicare a

    fuera de la red" y "Cmo enviar una reclamacin de farmacia en papel".travs de farmacias fuera de la red, consulte a partir de la pgina 15 "Cmo obtenermedicamentos recetados

  • 14 DIRECTORIO DE PROVEEDORES

    asd

    Farmacias de envo por correoLas farmacias de envo por correo con costos compartidos preferidos son farmacias de la red de Humana con lasque Humana ha negociado un costo compartido inferior que con las farmacias de envo por correo con costoscompartidos estndar para sus afiliados del plan pormedicamentos recetados cubiertos. Sin embargo, usted antendr acceso a preciosms bajos enmedicamentos en farmacias de envo por correo con costos compartidosestndar que en farmacias de envo por correo fuera de la red. Puede ir a cualquiera de estos tipos de farmacias deenvo por correo de la red para recibir susmedicamentos recetados cubiertos.

    Si su plan no tiene beneficios de farmacias de envo por correo con costos compartidos estndar y preferidos,puede utilizar cualquier farmacia de envo por correo en la lista.

    Puede recibir medicamentos recetados enviados a su domicilio a travs del servicio de envo por correo de nuestrared. Por lo general, puede esperar recibir susmedicamentos recetados de 7 a 10 das para suministros adicionalesy de 10 a 14 das para nuevas recetas desde el momento en que la farmacia de envo por correo recibe el pedido. Sino recibe su(s) medicamento(s) recetado(s) en este tiempo, contacte el departamento de Atencin al Cliente(consulte la portada y la contraportada params detalles).

    Para obtener suministros adicionales demedicamentos por correo, comunquese con nosotros 14 das antes delmomento en que cree que se le acabarn losmedicamentos, para asegurar que el pedido por correo se enve atiempo.

    Si usted est afiliado a un Programa Estatal de Asistencia Farmacutica calificado, pngase en contacto con elprograma para verificar que la farmacia de envo por correo coordina con dicho programa.

    Forman parte de la red de farmacias las farmacias de infusin casera?HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono cubrir losmedicamentos de terapiade infusin casera si: Sumedicamento recetado se encuentra en su formulario de HumanaChoice PPO Regional o HumanaMedicarePPO Regional del Patrono, o tiene una excepcin al formulario;

    HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono ha aprobado sumedicamentorecetado para la terapia de infusin casera; y

    Su receta ha sido escrita por una persona autorizada.

    Forman parte de la red de farmacias las farmacias de atencin mdica a largo plazo?Los residentes de los centros de atencinmdica a largo plazo pueden tener acceso a susmedicamentosrecetados cubiertos por HumanaChoice PPO Regional o HumanaMedicare PPO Regional del Patrono a travs de lasfarmacias de atencinmdica a largo plazo de los centros o de otras farmacias de atencinmdica a largo plazode la red.

    Forman parte de la red de farmacias las Farmacias del Programa de Salud Indgena/Tribal/Urbano(I/T/U)?Solamente los indios americanos y de Alaska tienen acceso a las Farmacias del Programa de SaludIndgena/Tribal/Urbano (I/T/U) a travs de la red de farmacias de HumanaChoice PPO Regional o HumanaMedicarePPO Regional del Patrono. Es posible que las personas que no sean indios americanos y de Alaska puedan teneracceso a estas farmacias bajo circunstancias limitadas (por ejemplo, emergencias).

  • DIRECTORIO DE PROVEEDORES 15

    asd

    Qu son las farmacias con mdicos que despachan medicamentos?Sonmdicos/clnicas que forman parte de la red de farmacias de Humana que pueden despachar losmedicamentos recetados dentro de su consultorio.

    Cmo obtener medicamentos recetados fuera de la redPor lo general, slo cubrimosmedicamentos obtenidos en una farmacia fuera de la red en circunstancias limitadasy fuera de rutina, cuando no hay disponible una farmacia de la red. Antes de obtener sus medicamentosrecetados en estas situaciones, llame al departamento de Atencin al Cliente (consulte la informacindetallada en la portada y la parte de atrs) para verificar si hay una farmacia de la red en su rea dondepueda obtener sus medicamentos recetados. Si usted va a una farmacia fuera de la red, es posible que debapagar la totalidad del costo (en lugar de pagar slo su copago) cuando obtenga sumedicamento recetado. Puedesolicitarnos que le reembolsemos nuestra parte del costo envindonos un formulario de reclamacin.

    No obstante, incluso despus de que le hayamos reembolsado la cantidad que nos corresponde del costo, ustedpuede pagarms por unmedicamento comprado en una farmacia fuera de la red porque el precio de la farmaciafuera de la red, por lo general, esms alto del que cobrara una farmacia de la red. Debera enviarnos unareclamacin si obtiene unmedicamento recetado en una farmacia fuera de la red, ya que cualquier cantidad quepague le ayudar a calificar para la servicios catastrfica. Para aprender cmo se enva una reclamacin en papel,consulte a continuacin: "Cmo enviar una reclamacin de farmacia en papel".No podemos pagar pormedicamentos recetados que sean despachados por farmacias fuera de los Estados Unidos y susterritorios, incluso si se trata de una emergencia mdica.

    Cmo enviar una reclamacin de farmacia en papelCuando usted va a una farmacia de la red, sta nos enva automticamente su reclamacin. No obstante, si ustedva a una farmacia fuera de la red, es posible que la farmacia no nos pueda enviar la reclamacin directamente.Cuando eso sucede, es posible que usted necesite pagar el costo total de sumedicamento recetado. Al regresar acasa, simplemente debe enviar su reclamacin en papel y su recibo desglosado a la siguiente direccin:

    Humana Claims OfficeP.O. Box 14140

    Lexington, KY 40512-4140

    Una vez recibida la reclamacin, tomaremos una determinacin de servicios inicial sobre la reclamacin. Consultesu Evidencia de Cobertura o llame al departamento de Atencin al Cliente (consulte la informacin detallada en laportada y la parte de atrs) para obtenerms informacin sobre las determinaciones de servicios iniciales.

  • 16 PROVIDER DIRECTORY

    Provider Type Listing

    Spanish English

    Acupuntura AcupunctureAlergias e inmunologa Allergy & ImmunologyAnestesiologa AnesthesiologyAnestesiologa - controldel dolor

    Anesthesiology - PainManagement

    Arteterapia Art TherapyAsistentemdico Physician AssistantAsistente quirrgico Surgical AssistantAudiologa AudiologyBanco de sangre Blood BankCardiologa CardiologyCardiologa -intervencionista

    Cardiology -Interventional

    Centro de atencin deheridas

    Wound Care Center

    Centro de atencin deurgencia

    Urgent Care Center

    Centro de atencinmdicapara enfermedadesagudas

    Long Term Acute CareFacility

    Centro de cncerambulatorio

    Outpatient Cancer Center

    Centro de cncer demama

    Breast Cancer Center

    Centro de diagnstico porimgenes

    Imaging Center

    Centro de endoscopia Endoscopy CenterCentro de enfermeraespecializada

    Skilled Nursing Facility

    Centro demamografa Mammography CenterCentro de partos Birthing CenterCentro de salud conaprobacin federal

    Federally Qualified HealthCenter

    Centro mdicoambulatorio

    Ambulatory MedicalFacility

    Centro ptico Optical CenterCentro quirrgicoambulatorio

    Ambulatory SurgeryCenter

    Centros de cirugaambulatoria

    Outpatient SurgeryCenters

    Spanish English

    Ciruga SurgeryCiruga - Atencin crtica Surgery - Critical CareCiruga - Ciruga demanos Surgery - Hand SurgeryCiruga - Oral ymaxilofacial

    Surgery - Oral &Maxillofacial

    Ciruga - Torxica Surgery - ThoracicCiruga - Torxicacardiovascular

    Surgery - ThoracicCardiovascular

    Ciruga - Urolgica Surgery - UrologicalCiruga - Vascular Surgery - VascularCiruga ginecolgica Gynecologic SurgeryCiruga neurolgica Neurologic SurgeryCiruga neurolgica -Atencin crtica

    Neurologic Surgery -Critical Care

    Ciruga ortopdica Orthopedic SurgeryCiruga plstica Plastic SurgeryCiruga plstica - Cabeza ycuello

    Plastic Surgery - Head&Neck

    Ciruga plstica - Ciruga demanos

    Plastic Surgery - HandSurgery

    Clnica ClinicClnica conveniente para elcuidado de la salud

    Convenient Care Clinic

    Clnica de saludmental Mental Health ClinicClnica de salud rural Rural Health ClinicClnica de trastornos delsueo

    Sleep Disorder Clinic

    Consejero de saludmentalcon licencia

    LicensedMental HealthCounselor

    Control del dolor -Anestesiologa

    PainManagement -Anesthesiology

    Control del dolor -Psiquiatra y neurologa

    PainManagement -Psychiatry & Neurology

    Cuidados de hospicio ytratamiento paliativo

    Hospice and PalliativeCare

    Dentistera - Oral ymaxilofacial

    Dentistry - Oral &Maxillofacial

    Dermatologa DermatologyDermatologa - Cirugamicrogrfica

    Dermatology -Micrographic Surgery

  • PROVIDER DIRECTORY 17

    Spanish English

    Dermatologa -Inmunologadermatolgica

    Dermatology -DermatologicalImmunology

    Dermatopatologa DermatopathologyDiagnsticos cardacos Cardiac DiagnosticsDietista DieticianDiscapacidades delneurodesarrollo

    NeurodevelopmentalDisabilities

    Educacin para diabticos Diabetic EducationElectrofisiologa ElectrophysiologyElectrofisiologa cardaca Cardiac ElectrophysiologyEndocrinologa EndocrinologyEndocrinologareproductiva e infertilidad

    ReproductiveEndocrinology & Infertility

    Enfermedadcardiovascular

    Cardiovascular Disease

    Enfermedad pulmonar Pulmonary DiseaseEnfermedades infecciosas Infectious DiseaseEnfermera anestesista Nurse AnesthetistEnfermera partera Nurse MidwifeEnfermera practicante Nurse PractitionerEnfermera registrada Registered NurseEquipo mdico duradero Durable Medical

    EquipmentEspecialista enmanipulacin

    Special Proficiency InManipulation

    Farmacia PharmacyFlebotoma PhlebotomyGastroenterologa GastroenterologyGenticamdica Medical GeneticsGinecologa GynecologyHematologa y oncologa Hematology & OncologyHospicio HospiceHospital de rehabilitacin Rehabilitation HospitalHospital de saludmental Mental Health HospitalHospital esencial Essential HospitalHospitales HospitalsHospitalista HospitalistLaboratorio clnico/deinmunologa

    Clinical & LaboratoryImmunology

    Litotricia Lithotripsy

    Spanish English

    Medicina deelectrodiagnstico

    Electrodiagnostic Medicine

    Medicina de emergencia Emergency MedicineMedicina de emergencia -Toxicologamdica

    Emergency Medicine -Medical Toxicology

    Medicina del deporte Sports MedicineMedicina del deporte -Medicina fsica yrehabilitacin

    Sports Medicine - PhysicalMedicine & Rehabilitation

    Medicina del deporte -Ortopedia

    Sports Medicine -Orthopedic

    Medicina fsica yrehabilitacin

    Physical Medicine &Rehabilitation

    Medicina fsica yrehabilitacin - Control deldolor

    Physical Medicine &Rehabilitation - PainManagement

    Medicina fsica yrehabilitacin - Lesionesde lamdula espinal

    Physical Medicine &Rehabilitation - SpinalCord Injury

    Medicina geritrica Geriatric MedicineMedicina interna Internal MedicineMedicina interna -Atencin crtica

    Internal Medicine - CriticalCare

    Medicina interna -Especialista

    Internal Medicine -Specialist

    Medicinamanipulativaosteoptica

    Osteopathic ManipulativeMedicine

    Medicinamaterna y fetal Maternal & Fetal MedicineMedicinaneuromusculoesqueltica

    NeuromusculoskeletalMedicine

    Medicina nuclear Nuclear MedicineMedicina nuclear -Cardiologa nuclear

    Nuclear Medicine -Nuclear Cardiology

    Medicina nuclear - In Vivoe In Vitro

    Nuclear Medicine - In Vivo& In Vitro

    Medicina ocupacional Occupational MedicineMedicina para el sueo Sleep MedicineMedicina preventiva Preventive MedicineMedicina preventiva -Medicina aeroespacial

    Preventive Medicine -Aerospace Medicine

    Medicina preventiva -Ocupacional

    Preventive Medicine -Occupational

    Medicina preventiva -Subacuatica e hiperbrica

    Preventive Medicine -Undersea andHyperbaric

  • 18 PROVIDER DIRECTORY

    Spanish English

    Mdico de atencin deurgencia

    Hyperbaric Urgent CarePhysician

    Mdico de hogar paraconvalecientes

    Nursing Home Physician

    Nefrologa NephrologyNeurofisiologa clnica Clinical NeurophysiologyNeurologa NeurologyNutricin NutritionObstetricia y ginecologa Obstetrics & GynecologyOdontologa DentistryOdontologa - Endodoncia Dentistry - EndodonticsOdontologa - Patologaoral

    Dentistry - Oral Pathology

    Odontologa - Ortodoncia Dentistry - OrthodonticsOdontologa - Periodoncia Dentistry - PeriodonticsOdontologa -Prostodoncia

    Dentistry - Prosthodontics

    Oftalmologa OphthalmologyOftalmologa - Optometra Ophthalmology -

    OptometryOdo, nariz y garganta Ear, Nose, & ThroatOdo, nariz y garganta -Ciruga plstica de cabezay cuello

    Ear, Nose, & Throat - HeadandNeck Plastic Surgery

    Odo, nariz y garganta -Medicina para el sueo

    Ear, Nose, & Throat - SleepMedicine

    Oncologa ginecolgica Gynecologic OncologyOptometra OptometryOrtopedia - Ciruga demanos

    Orthopedic - Hand Surgery

    Patologa PathologyPatologa del habla y dellenguaje

    Speech& LanguagePathology

    Pediatra PediatricsPediatra - Cardiologa Pediatrics - CardiologyPediatra - Medicina parael sueo

    Pediatrics - Sleep Medicine

    Pediatra - Neonatologa yPerinatologa

    Pediatrics - Neonatology &Perinatology

    Pediatra - Psicologa Pediatrics - PsychologyPodologa PodiatryPodologa - Ciruga Podiatry - Surgery

    Spanish English

    Podologa - Ortopedia Podiatry - OrthopedicsPodologa - Prevencin ytratamiento de lesionespor enfermedad diabticaen los pies

    Podiatry - Prevention andTreatment of DiabeticFootWounds

    Prctica de grupo demltiples especialidades

    Multi - Specialty GroupPractice

    Prctica familiar Family PracticePrctica familiar -Especialista

    Family Practice - Specialist

    Prctica familiar -Medicina del deporte

    Family Practice - SportsMedicine

    Prctica familiar -Medicina geritrica

    Family Practice - GeriatricMedicine

    Prctica general General PracticePrctica general -Especialista

    General Practice -Specialist

    Primer asistente deenfermera

    Nurse First Assistant

    Primer asistente quirrgico Surgical First AssistantProctologa ProctologyProttica y ortopedia Prosthetics & OrthoticsProveedores de equipo deradiologa porttil

    Portable X-Ray Suppliers

    Psicologa PsychologyPsicologa - Clnica Psychology - ClinicalPsicologa -Neuropsicologa

    Psychology -Neuropsychology

    Psicologa - Psicoterapia Psychology -Psychotherapy

    Psiquiatra PsychiatryPsiquiatra - Adiccin Psychiatry - AddictionPsiquiatra - Forense Psychiatry - ForensicPsiquiatra - Geritrica Psychiatry - GeriatricPsiquiatra - Medicina parael sueo

    Psychiatry - SleepMedicine

    Psiquiatra para nios yadolescentes

    Child & AdolescentPsychiatry

    Psiquiatra y neurologa Psychiatry & NeurologyQuiroprctico ChiropractorQuiroprctico - Radiologa Chiropractor - RadiologyRadiologa RadiologyRadiologa de diagnstico Diagnostic Radiology

  • PROVIDER DIRECTORY 19

    Spanish English

    Radioterapia Radiation TherapyRadioterapia oncolgica Radiation OncologyRehabilitacin -Ambulatoria

    Rehabilitation - Outpatient

    Rehabilitacin -Especializada en lesionesde la columna vertebral yla cabeza

    Rehabilitation -Specialized Spinal & HeadInjury

    Rehabilitacin - Subaguda Rehabilitation - SubacuteRehabilitacin cardaca Cardiac RehabilitationResonanciamagntica(MRI)

    Magnetic ResonanceImaging (MRI)

    Reumatologa RheumatologySalud pblica Public HealthServicio de ambulancia Ambulance ServiceServicios de atencinmdica en el hogar

    Home Health CareServices

    Servicios de diagnsticoambulatorios

    Outpatient DiagnosticServices

    Servicios de dilisis Dialysis ServicesServicios de laboratorio Laboratory ServicesServicios de laboratorio -Afiliados al hospital

    Laboratory Services -Hospital Affiliated

    Servicios de saludmentaly tratamiento de abusosde substancias

    Mental Health &Substance Abuse

    Servicios de sillas deruedas

    Wheelchair Services

    Slo obstetricia Obstetrics OnlySuministrosmdicos Medical SuppliesSuministros para ladiabetes

    Diabetic Supplies

    Terapeuta de familia ymatrimonio con licencia

    Licensed Family AndMarriage Therapist

    Terapia de infusin Infusion TherapyTerapia de infusin casera Home Infusion TherapyTerapia de lasmanos Hand TherapyTerapia demasaje Massage TherapyTerapia fsica Physical TherapyTerapia ocupacional Occupational TherapyTerapia respiratoria Respiratory Therapy

    Spanish English

    Tocogineclogo -Endocrinologareproductiva e infertilidad

    OBGYN - ReproductiveEndocrinology & Infertility

    Tocogineclogo -Obstetricia y ginecologa -PCP

    OBGYN - Obstetrics &Gynecology - PCP

    Tocogineclogo -Oncologa ginecolgica

    OBGYN - GynecologicOncology

    Trabajador social conlicencia clnica

    Licensed Clinical SocialWorker

    Transporte de noemergencia

    Non-emergencyTransportation

    Urologa UrologyVivienda asistida Assisted Living

  • THIS PAGE IS LEFT BLANK BECAUSE OF PRINTING REQUIREMENTS

  • List of Network Providers

    Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

    Urgent Care Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

    Primary Care Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

    Specialists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

    Other Health Care Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

    Durable Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .333

    Laboratory Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .338

    Vision Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .341

    Pharmacies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .389

    Fitness Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402

    Mental Health/Substance Abuse Providers . . . . . . . . . . . . . . . . . . . . . . . . . . .408

    Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436

    (50 providers)

    (52 providers)

    (437 providers)

    (1350 providers)

    (1145 providers)

    (161 providers)

    (23 providers)

    (469 providers)

    (384 providers)

    (149 providers)

    (345 providers)

    . . . . . . . . . . . . . .

  • THIS PAGE IS LEFT BLANK BECAUSE OF PRINTING REQUIREMENTS

  • 1

    Hospitals

    Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

    HO

    SP

    ITA

    LS

    Hospitals

    ARIZONA

    Hospitals

    Abrazo Arizona Heart Hospital1930 E Thomas RdPhoenix, AZ 85016(602) 532-1000

    Abrazo Arrowhead Campus18701 N 67th AveGlendale, AZ 85308(623) 561-1000Medicaid Certified

    Abrazo Central Campus2000 W Bethany Home RdPhoenix, AZ 85015(602) 249-0212

    Abrazo Maryvale Campus5102 W Campbell AvePhoenix, AZ 85031(623) 848-5000Medicaid Certified

    Abrazo Scottsdale Campus3929 E Bell RdPhoenix, AZ 85032(602) 923-5000Medicaid Certified

    Abrazo West Campus13677 W McDowell RdGoodyear, AZ 85395(623) 882-1500Medicaid Certified

    Arizona Orthopedic and Surgical Specialty Hospital2905 W Warner RdChandler, AZ 85224(480) 603-9000Medicaid Certified

    Banner Baywood Medical Center6644 E Baywood AveMesa, AZ 85206(480) 981-4225Medicaid Certified

    Banner Behavioral Health Hospital7575 E Earll DrScottsdale, AZ 85251(480) 941-7500Medicaid Certified

    Banner Boswell Medical Center10401 W Thunderbird BlvdSun City, AZ 85351(623) 832-4000

    Banner Del E Webb Medical Center14502 W Meeker BlvdSun City West, AZ 85375(623) 524-4000

    Banner Desert Medical Center1400 S Dobson RdMesa, AZ 85202(480) 412-3000Medicaid Certified

    Banner Estrella Medical Center9201 W Thomas RdPhoenix, AZ 85037(623) 327-4000Medicaid Certified

    Banner Gateway Medical Center1900 N Higley RdGilbert, AZ 85234(480) 543-2000Medicaid Certified

    Banner Heart Hospital6750 E Baywood AveMesa, AZ 85206(480) 981-4225Medicaid Certified

    Banner Thunderbird Medical Center5555 W Thunderbird RdGlendale, AZ 85306(602) 865-5555Medicaid Certified

    Banner University Medical Center Phoenix Campus1111 E McDowell RdSte TPhoenix, AZ 85006(602) 839-2000Medicaid Certified

    Cardon Childrens Medical Center at Banner Desert Medical Ctr1400 S Dobson RdMesa, AZ 85202(480) 512-3773

    Chandler Regional Medical Center1955 W Frye RdChandler, AZ 85224(480) 728-3000Medicaid Certified

    John C Lincoln Hospital Deer Valley19829 N 27th AvePhoenix, AZ 85027(623) 879-6100Medicaid Certified

    John C Lincoln Hospital North Mountain250 E Dunlap AvePhoenix, AZ 85020(602) 870-6060Medicaid Certified

    Los Ninos Hospital2303 E Thomas RdPhoenix, AZ 85016(602) 954-7311Medicaid Certified

    Mercy Gilbert Medical Center3555 S Val Vista DrGilbert, AZ 85297(480) 728-8000Medicaid Certified

    Mountain Vista Medical Center1301 S Crismon RdMesa, AZ 85209(480) 358-6100Medicaid Certified

    OASIS Hospital750 N 40th StPhoenix, AZ 85008(602) 797-7700

    Scottsdale Healthcare Osborn Medical Center7400 E Osborn RdScottsdale, AZ 85251(480) 882-4000Medicaid Certified

    Scottsdale Healthcare Shea Medical Center9003 E Shea BlvdScottsdale, AZ 85260(480) 323-3000

    MARICOPA COUNTY

  • 2

    Hospitals

    Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

    HO

    SP

    ITA

    LS

    Scottsdale Healthcare Thompson Peak Hospital7400 E Thompson Peak PkwyScottsdale, AZ 85255(480) 324-7000Medicaid Certified

    St Josephs Hospital and Medical Center350 W Thomas RdPhoenix, AZ 85013(602) 406-3000

    St Josephs Westgate Medical Center7300 N 99th AveGlendale, AZ 85307(623) 772-0026

    St Lukes Medical Center1800 E Van Buren StPhoenix, AZ 85006(602) 251-8100Medicaid Certified

    Tempe St Lukes Hospital a Campus of St Lukes Medical C1500 S Mill AveTempe, AZ 85281(480) 784-5500Medicaid Certified

    Wickenburg Community Hospital520 Rose LnWickenburg, AZ 85390(928) 684-5421Medicaid Certified

    Mental Health Hospital

    Aurora Behavioral Health System6015 W Peoria AveGlendale, AZ 85302(623) 344-4400

    Aurora Behavioral Health-care Tempe LLC6350 S Maple AveTempe, AZ 85283(480) 345-5400

    Banner Behavioral Health Hospital7575 E Earll DrScottsdale, AZ 85251(480) 941-7500Medicaid Certified

    Banner Del E Webb Medical Center Behavioral Health14502 W Meeker BlvdSun City West, AZ 85375(623) 524-4000

    Banner Psychiatric Center7575 E Earll DrBldg 500Scottsdale, AZ 85251(480) 941-7500

    Banner Thunderbird Medical Center5555 W Thunderbird RdGlendale, AZ 85306(602) 865-5555Medicaid Certified

    Banner University Medical Center Phoenix Campus1111 E McDowell RdSte TPhoenix, AZ 85006(602) 839-2000Medicaid Certified

    Friendship Community Mental Health Center730 E Highland AvePhoenix, AZ 85014(602) 241-6656

    Haven Senior Horizon1201 S 7th AvePhoenix, AZ 85007(623) 236-2000Medicaid Certified

    Inner Work Counseling3231 S Country Club WaySte 111Tempe, AZ 85282(480) 755-4016

    Oasis Behavioral Health Hospital2190 N Grace BlvdChandler, AZ 85225(480) 917-9301Medicaid Certified

    Remuda Ranch Center for Eating Disorders Residential LLC111 S Hearthstone WayChandler, AZ 85226(800) 445-1900

    St Lukes Behavioral Health-Care Mesa460 N Mesa DrSte 110Mesa, AZ 85201(602) 251-8535

    St Lukes Behavioral Hospital2432 W Peoria AveSte 1113Phoenix, AZ 85029(602) 251-8535

    St Lukes Behavioral Hospital LP1800 E Van Buren StPhoenix, AZ 85006(602) 251-8110Medicaid Certified

    20823 N 19th AveSte 6Phoenix, AZ 85027(602) 794-8965

    460 N Mesa DrSte 110Mesa, AZ 85201(602) 251-8535

    St Lukes Medical Center1800 E Van Buren StPhoenix, AZ 85006(602) 251-8100Medicaid Certified

    Valley Hospital3550 E Pinchot AvePhoenix, AZ 85018(602) 952-3900

  • 3

    Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    ARIZONA

    Urgent Care Center

    Abrazo Medical Group Urgent Care LLC6565 E Greenway PkwySte 100AScottsdale, AZ 85254(480) 905-2700

    Alliance Urgent Care PLLC9897 W McDowell RdSte 100Tolleson, AZ 85353(623) 474-2300

    ALLKids Urgent Care LLC1430 N Cooper RdSte 101Gilbert, AZ 85233(480) 633-1111Medicaid Certified

    Arcadia Urgent Care4730 E Indian School RdSte 211Phoenix, AZ 85018(602) 354-3491

    Bell Urgent Care LLC6345 E Bell RdSte 4Scottsdale, AZ 85254(480) 219-2811

    Chandler Valley Urgent Care Clinic Inc936 W Chandler Blvd Ste 1Chandler, AZ 85225(480) 792-1025

    Concentra Urgent Care12808 N Black Canyon HwyPhoenix, AZ 85029(602) 375-1155Medicaid Certified

    14155 N 83rd AveBldg 8 Suite 148Peoria, AZ 85381(623) 487-8598

    1710 W Southern AveMesa, AZ 85202(480) 644-7900Medicaid Certified

    1818 E Sky Harbor Cir NSte 150Phoenix, AZ 85034(602) 244-9500Medicaid Certified

    1959 S Val Vista DrSte 106Mesa, AZ 85204(480) 545-1398Medicaid Certified

    3532 W Thomas RdSte 5Phoenix, AZ 85019(602) 272-7662Medicaid Certified

    5340 W Buckeye RdSte 3Phoenix, AZ 85043(602) 233-2117Medicaid Certified

    950 W Southern AveTempe, AZ 85282(480) 868-7200Medicaid Certified

    Desert Valley Urgent Care250 W Chandler Heights RdChandler, AZ 85248(480) 659-2759

    DRX Arizona I LLC DBA Doctors Express3931 E Camelback RdPhoenix, AZ 85018(877) 474-9373

    Express Urgent Care13755 N Litchfield RdSte 105Surprise, AZ 85379(623) 322-5900

    Express Urgent Care PC10249 W Thunderbird Blvd Ste 300Sun City, AZ 85351(623) 889-7285

    333 W Thomas RdSte 100Phoenix, AZ 85013(602) 368-1400

    9002 N Central AveSte 100Phoenix, AZ 85020(602) 322-4900

    FastMed Urgent Care12775 W Bell RdSte 101Surprise, AZ 85378(623) 215-0082

    1507 N Litchfield RdSte 200Goodyear, AZ 85395(623) 215-0044

    1810 S Power RdSte 101Mesa, AZ 85206(480) 214-0045

    1955 S Signal Butte RdSte 103Mesa, AZ 85209(480) 214-4466

    2875 W Ray RdSte 8Chandler, AZ 85224(480) 899-3077

    3131 E Thunderbird RdSte 73Phoenix, AZ 85032(602) 283-3609

    3244 S Mill Ave# 101Tempe, AZ 85282(480) 214-0621

    3705 S Arizona AveSte 1Chandler, AZ 85248(480) 214-7828

    3730 W Happy Valley RdSte 100Glendale, AZ 85310(623) 277-4140

    415 N Val Vista DrSte 101Mesa, AZ 85213(480) 654-5661Medicaid Certified

    4902 E Shea BlvdSte 101Scottsdale, AZ 85254(480) 214-4468

    4959 W Ray RdSte 33Chandler, AZ 85226(480) 214-2188

    MARICOPA COUNTY

  • 4

    Urgent Care Centers

    Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    7730 E McDowell RdSte 101Scottsdale, AZ 85257(480) 699-3314

    920 E Williams Field RdSte 101Gilbert, AZ 85295(480) 855-9400

    940 E University DrSte 101Tempe, AZ 85281(480) 214-0622

    FastMed Urgent Care - Lower Buckeye9870 W Lower Buckeye RdSte 170Tolleson, AZ 85353(623) 215-0189

    FastMed Urgent Care Baseline2070 W Baseline RdTempe, AZ 85283(602) 777-6000

    FastMed Urgent Care Indian School5259 W Indian School RdPhoenix, AZ 85031(623) 888-5101

    FastMed Urgent Care- Peoria2860 W Peoria AveSte BPhoenix, AZ 85029(602) 283-0595

    Good Night Pediatrics Central Phoenix3600 N 3rd AvePhoenix, AZ 85013(602) 412-4033

    Good Night Pediatrics East Valley PC1452 N Higley RdGilbert, AZ 85234(480) 813-9600

    Good Night Pediatrics Northwest Valley8801 W Union Hills DrBldg APeoria, AZ 85382(632) 241-9026

    Good Night Pediatrics South Mountain PC325 E Baseline RdPhoenix, AZ 85042(602) 824-4228Medicaid Certified

    Health First Urgent Care LLC888 S Greenfield RdSte 101Gilbert, AZ 85296(480) 892-1300

    JCL Urgent Care LLC3648 W Anthem WaySte HAnthem, AZ 85086(623) 434-6444

    Laveen Urgent Care5045 W Baseline RdSte 110Laveen, AZ 85339(602) 237-7373

    Mesa Urgent Care1242 E McKellips RdSte 103Mesa, AZ 85203(480) 733-2273Medicaid Certified

    MinuteClinic1212 S Greenfield RdMesa, AZ 85206(866) 389-2727

    Nextcare Urgent Care10240 N 43rd AveSte 3Glendale, AZ 85302(623) 742-2060

    NextCare Urgent Care1066 N Power RdSte 101Mesa, AZ 85205(800) 639-8227Medicaid Certified

    1066 N Power Rd Ste 101Mesa, AZ 85205(888) 381-4858Medicaid Certified

    13075 W McDowell RdSte D106Avondale, AZ 85323(800) 639-8227Medicaid Certified

    Nextcare Urgent Care14800 W Mountain View Blvd Ste 190Surprise, AZ 85374(602) 530-6189

    NextCare Urgent Care1701 E Thomas RdSte A104Phoenix, AZ 85016(888) 381-4858Medicaid Certified

    18589 N 59th AveSte 101Glendale, AZ 85308(800) 639-8227Medicaid Certified

    20470 N Lake Pleasant RdSte 102Peoria, AZ 85382(800) 639-8227Medicaid Certified

    20470 N Lake Pleasant Rd Ste 102Peoria, AZ 85382(888) 381-4858Medicaid Certified

    20950 N Tatum BlvdSte 190Phoenix, AZ 85050(800) 639-8227Medicaid Certified

    20950 N Tatum Blvd Ste 190Phoenix, AZ 85050(888) 381-4858

    3130 E Baseline RdSte 105Mesa, AZ 85204(800) 639-8227Medicaid Certified

    4401 E McKellips Rd Ste 102Mesa, AZ 85215(888) 381-4858

    4730 E Indian School RdSte 211Phoenix, AZ 85018(602) 354-3491

    535 E McKellips RdSte 101Mesa, AZ 85203(888) 381-4858

    Nextcare Urgent Care5410 W Thunderbird Rd Ste 101Glendale, AZ 85306(602) 530-6189

  • 5

    Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Urgent Care Centers

    NextCare Urgent Care5920 W McDowell RdPhoenix, AZ 85035(888) 381-4858

    600 S Dobson RdSte 26Chandler, AZ 85224(800) 639-8227Medicaid Certified

    7425 E Shea BlvdSte 108Scottsdale, AZ 85260(800) 639-8227Medicaid Certified

    914 N Scottsdale RdSte 104Tempe, AZ 85281(800) 639-8227Medicaid Certified

    9494 W Northern Ave Ste 101Glendale, AZ 85305(888) 381-4858

    9745 W Bell RdSte 105Sun City, AZ 85351(623) 742-2999

    NextCare Urgent Care -19TH8101 N 19th Ave Ste APhoenix, AZ 85021(602) 845-4505

    Now Care Urgent Care8251 W Union Hills DrSte 140Glendale, AZ 85308(623) 875-7900Medicaid Certified

    Oasis Urgent Care LLC2181 E Pecos RdSte 1Chandler, AZ 85225(480) 398-3638

    Parkway Urgent Care6565 E Greenway PkwySte 100Scottsdale, AZ 85254(480) 348-3200

    Quick Visit Urgent Care Center and Walk-In Clinic Inc1930 W Thunderbird RdSte 102Phoenix, AZ 85023(602) 850-0000

    Scottsdale Healthcare Urgent Care Plus13843 N Tatum BlvdSte 1Phoenix, AZ 85032(480) 323-3366

    Southwest Urgent Care PLC535 E McKellips RdSte 101Mesa, AZ 85203(480) 844-7400

    Speedy Pediatrics4921 E Bell RdSte 103Scottsdale, AZ 85254(480) 543-1543

    Statclinix1151 N Gilbert RdMesa, AZ 85213(480) 610-0688

    15223 N 87th StSte 110Scottsdale, AZ 85260(480) 682-4100

    Sun Valley Pediatric Urgent Care801 W Ray RdSte 1Chandler, AZ 85225(480) 355-5437

    Surprise Family Urgent Care17014 W Bell RdSte 100Surprise, AZ 85374(623) 249-7852

    Tri-City Express Care PLLC1804 W Elliot RdTempe, AZ 85284(480) 456-0444

    2301 N 44th StPhoenix, AZ 85008(602) 808-8786Medicaid Certified

    2423 W Dunlap AveSte 150Phoenix, AZ 85021(602) 216-6862Medicaid Certified

    3302 W Thomas RdSte 10Phoenix, AZ 85017(602) 233-2900

    401 E Bell RdSte 18Phoenix, AZ 85022(602) 368-1403

    5201 N 19th AveSte 150Phoenix, AZ 85015(602) 795-1411

    8260 W Indian School RdSte 1Phoenix, AZ 85033(623) 846-7122

    835 W University DrMesa, AZ 85201(480) 664-6007

    Urgent Care Extra1120 S Gilbert RdMesa, AZ 85204(480) 558-5278

    1215 S Higley RdMesa, AZ 85206(480) 218-4022

    1355 S Higley RdSte 104Gilbert, AZ 85296(480) 840-6600

    1641 E Guadalupe RdGilbert, AZ 85234(480) 813-4233

    3000 N Arizona AveChandler, AZ 85225(480) 355-1575

    3126 S Higley RdSte 109Gilbert, AZ 85295(480) 436-8102

    3160 E Queen Creek RdSte 104Gilbert, AZ 85297(480) 889-1157

  • 6

    Urgent Care Centers

    Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    3200 S Gilbert RdChandler, AZ 85286(480) 471-6404

    3247 E Bell RdSte Pb-1Phoenix, AZ 85032(602) 996-1316

    4232 W Bell RdSte C1Glendale, AZ 85308(602) 639-4535

    6323 S Rural RdSte 107Tempe, AZ 85283(480) 775-2657

    641 W Warner RdGilbert, AZ 85233(480) 722-9828

    6501 E Greenway PkwySte 3-104Scottsdale, AZ 85254(480) 948-3314

    7611 W Cactus RdPeoria, AZ 85381(623) 242-0049

    7952 N 43rd AveGlendale, AZ 85301(623) 847-0901

    931 E Elliot RdSte 115Tempe, AZ 85284(480) 988-9108

    Urgent Care Extra AZ10330 N Scottsdale RdSte 25Paradise Valley, AZ 85253(480) 825-7496

    3141 S McClintock Dr Ste 1&2Tempe, AZ 85282(480) 389-3756

    6702 W Bethany Home RdSte 13-15Glendale, AZ 85303(623) 435-7000

    Urgent Care Extra Dobson1955 W Guadalupe RdMesa, AZ 85202(480) 207-2990

    Urgent Care Extra Litchfield3328 N Litchfield RdGoodyear, AZ 85395(623) 239-0394

    Urgent Care of Arizona LLC2315 W Bethany Home RdSte 101Phoenix, AZ 85015(602) 249-2848

    Valley del Sol Urgent Care4338 W Thomas RdSte 116 117Phoenix, AZ 85031(623) 385-7950

    We Care Urgent Care Centers PLLC7615 W Thunderbird RdSte 106Peoria, AZ 85381(623) 773-2273

    West Valley Urgent Care17218 N 72nd Dr Ste 100Glendale, AZ 85308(623) 334-8670

    4110 N 108th Ave Ste 101Phoenix, AZ 85037(623) 218-0780

    West Valley Urgent Care II14811 W Bell RdSte 101Surprise, AZ 85374(623) 815-9073

  • 7

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Primary Care ProvidersPrimary Care Providers

    ARIZONA

    Family Practice

    21st Century Family Medicine2735 W Union Hills DrPhoenix, AZ 85027(480) 963-1853Le, Long H MDPCP# 223872

    (602) 973-3100Vu, Xuan N MD *PCP# 219447VietnameseMedicaid Certified

    2735 W Union Hills DrSte 101Phoenix, AZ 85027(602) 863-3322Cooper, Joel R DOPCP# 121822Gramstad, N Dean DO *PCP# 781352Medicaid Certified

    Merritt, Brock A DOPCP# 766907Medicaid Certified

    Turnansky, Stuart M MDPCP# 918280

    6677 W Thunderbird RdSte C142Glendale, AZ 85306(623) 247-1081Cooper, Joel R DOPCP# 121822

    (480) 963-1853Le, Long H MDPCP# 223872

    (623) 247-1081Merritt, Brock A DOPCP# 766907Medicaid Certified

    Ryan, Lawrence R DOPCP# 206177SpanishMedicaid Certified

    Turnansky, Stuart M MDPCP# 918280

    (602) 973-3100Vu, Xuan N MD *PCP# 219447VietnameseMedicaid Certified

    7550 N 19th AveSte 201Phoenix, AZ 85021(602) 973-3100Cooper, Joel R DOPCP# 121822Gramstad, N Dean DO *PCP# 781352Medicaid Certified

    (480) 963-1853Le, Long H MDPCP# 223872

    (602) 973-3100Merritt, Brock A DOPCP# 766907Medicaid Certified

    Turnansky, Stuart M MDPCP# 918280Vu, Xuan N MD *PCP# 219447VietnameseMedicaid Certified

    4C Medical Group PLC11000 N Scottsdale RdSte 120Scottsdale, AZ 85254(480) 455-3000Djurisic, Tamara MD *PCP# 199724Spanish, Serbian, Serbo-Croation, Roman, French, Croatian

    (602) 923-6666Fauer, Robert J MD *PCP# 190650

    (480) 455-3000Koochek, Keyvan MDPCP# 127165Medicaid Certified

    Soni, Rajesh N MD *PCP# 968177Spanish, Gujarati

    4045 E Bell RdSte 105Phoenix, AZ 85032(602) 923-6666Cheshani, Mila E MD *PCP# 215239Djurisic, Tamara MD *PCP# 199724Spanish, Serbian, Serbo-Croation, Roman, French, Croatian

    Adam S Nally DO PC14800 W Mountain View BlvdSte 250Surprise, AZ 85374(623) 584-7805Nally, Adam S DO *PCP# 748408JapaneseMedicaid Certified

    Adelante Healthcare Inc100 N Gila BlvdGila Bend, AZ 85337(877) 809-5092Castro, Maria D MD *PCP# 986002Not accepting patientsInman Jr, Thomas E DOPCP# 175958SpanishMedicaid Certified

    Sanvanson, Christian J MD *PCP# 986320Age 18 and up

    15351 W Bell RdSurprise, AZ 85374(877) 809-5092Castro, Maria D MD *PCP# 986002Not accepting patientsInman Jr, Thomas E DOPCP# 175958SpanishMedicaid Certified

    Kramer, Robyn T MD *PCP# 199529LeStourgeon, Sara M MD *PCP# 142207SpanishSanvanson, Christian J MD *PCP# 986320Age 18 and up

    1705 W Main StMesa, AZ 85201(877) 809-5092Castro, Maria D MD *PCP# 986002Not accepting patientsChang, Eileen Y DO *PCP# 835748Spanish, German

    MARICOPA COUNTY

  • 8

    Primary Care Providers

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Inman Jr, Thomas E DOPCP# 175958SpanishMedicaid Certified

    2204 S Dobson RdSte 101Mesa, AZ 85202(877) 809-5092Catero, Martin E MD *PCP# 967673SpanishSanvanson, Christian J MD *PCP# 986320Age 18 and up

    306 E Monroe AveBuckeye, AZ 85326(877) 809-5092Castro, Maria D MD *PCP# 986002Not accepting patientsInman Jr, Thomas E DOPCP# 175958SpanishMedicaid Certified

    Juarros Hanlon, Wanda D MD *PCP# 137713SpanishMedicaid Certified

    Sanvanson, Christian J MD *PCP# 986320Age 18 and up

    7725 N 43rd AveSte 510Phoenix, AZ 85051(877) 809-5092Castro, Maria D MD *PCP# 986002Not accepting patients

    Inman Jr, Thomas E DOPCP# 175958SpanishMedicaid Certified

    Nguyen, Jocelyn V MD *PCP# 808622Vietnamese, Spanish, FrenchSanvanson, Christian J MD *PCP# 986320Age 18 and upWigal, Gayla D MD *PCP# 808283Spanish

    811 N Tegner StSte 113Wickenburg, AZ 85390(877) 809-5092Aranas, Edward P DOPCP# 847094SpanishMedicaid Certified

    Castro, Maria D MD *PCP# 986002Not accepting patientsInman Jr, Thomas E DOPCP# 175958SpanishMedicaid Certified

    Meek, Bradley J DOPCP# 730582Sanvanson, Christian J MD *PCP# 986320Age 18 and up

    Ageless Mens Health3651 E Baseline RdSte E104Gilbert, AZ 85234(480) 218-7105Onofrei, Alex J MD *PCP# 814930Spanish

    Ahwatukee Family Physicians13838 S 46th PlSte 320Phoenix, AZ 85044(480) 759-5151Nichols, James R MD *PCP# 796183Medicaid Certified

    All Family Care PC4120 N 108th AveSte 116Phoenix, AZ 85037(623) 872-1818Javdan, Goshtasb MD *PCP# 968763Spanish, Persian, Modern, Farsi

    Allen Family Medicine7233 E Baseline RdSte 126Mesa, AZ 85209(480) 699-2222Allen, Gregory S MDPCP# 997845Spanish

    Allergy and Environmental Treatment Center8952 E Desert Cove DriveSte 114Scottsdale, AZ 85260(480) 634-2985Liszewski, Lawrence J DO *PCP# 904400Medicaid Certified

    Allied Family Care1205 S 7th AvePhoenix, AZ 85007(602) 824-3300Medicaid Certified

    Anastasi, Matthew B MD*4545 E Chandler BlvdSte 104Phoenix, AZ 85048(480) 728-4400PCP# 185326

    Arcadia Family Clinic4131 N 24th StSte B102Phoenix, AZ 85016(602) 955-6632Aggarwal, Gautam MD *PCP# 174884Banuelos, Rosa MD *PCP# 198214Bowey, Claire N MD *PCP# 119352SpanishMedicaid Certified

    Doris, Jacqueline I MD *PCP# 731035PolishMedicaid Certified

    Hinds, Jeannine L MD *PCP# 190266OToole, Heather K MD *PCP# 123640SpanishThom-Shealey, Kristin J MD *PCP# 778277Tosca, Mark A DOPCP# 167517Medicaid Certified

    Woellner, John V MDPCP# 766195SpanishMedicaid Certified

    Arizona Back Institute20940 N Tatum BlvdSte 350Phoenix, AZ 85050(480) 503-3344

  • 9

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Primary Care Providers

    Arizona Community Health Care LLC13640 N Plaza Del Rio BlvdSte 350Peoria, AZ 85381(623) 876-3800Kowaleski, Edward H MD *PCP# 831285Established patients onlyMedicaid Certified

    Arizona Preferred Primary Care PLC3035 S Ellsworth RdSte 103Mesa, AZ 85212(480) 736-1777Acevedo-Mogharbel, Karen M DO *PCP# 953639Age 2 and upSpanish, FrenchMedicaid Certified

    Arrowhead Family and Sports Medicine7717 W Deer Valley RdSte 125Peoria, AZ 85382(623) 561-6300Luberto, Robert P DO *PCP# 768972Spanish

    Arrowhead Family Health Center16222 N 59th AveSte A100Glendale, AZ 85306(623) 334-4000Flyte, Patrick L MD *PCP# 985349Medicaid Certified

    Gilreath, Valerie S DOPCP# 198396

    Johnston, Janice MDPCP# 719178Morton, Joel A DOPCP# 985210Age 120 and underTamil, Spanish, Persian, ModernVosler, Kent D DOPCP# 795628

    17061 N Avenue Of The ArtsSte 100Surprise, AZ 85378(623) 334-4000Flyte, Patrick L MD *PCP# 985349Medicaid Certified

    Johnston, Janice MDPCP# 719178

    (623) 321-1938Sethi, Asha MDPCP# 203294

    (623) 334-4000Vosler, Kent D DOPCP# 795628

    2629 N Scottsdale RdSte 200Scottsdale, AZ 85257(623) 334-4000Flyte, Patrick L MD *PCP# 985349Medicaid Certified

    Johnston, Janice MDPCP# 719178Morton, Joel A DOPCP# 985210Tamil, Spanish, Persian, ModernVosler, Kent D DOPCP# 795628

    5845 E Still CirSte 104Mesa, AZ 85206(623) 334-4000Flyte, Patrick L MD *PCP# 985349Medicaid Certified

    Johnston, Janice MDPCP# 719178

    (623) 298-1805Morton, Joel A DOPCP# 985210Age 120 and underTamil, Spanish, Persian, Modern

    (623) 334-4000Vosler, Kent D DOPCP# 795628

    Arrowhead Medical and Aesthetics Center LLC20325 N 51st AveSte 100Glendale, AZ 85308(623) 434-0336Espiritu, Redentor T MD *PCP# 811668Tagalog, Filipino (philipino)

    Atrinea Health LLC1982 W Main StSte 101Mesa, AZ 85201(505) 338-3851Briggs, Philip D MDPCP# 158735Spanish

    (480) 295-4880Djurisic, Tamara MD *PCP# 158736Spanish, Serbian, Serbo-Croation, Roman, French, Croatian

    Aveon Health7699 E Pinnacle Peak RdSte 115Scottsdale, AZ 85255(480) 300-4663Fereidouni, Sam S MD *PCP# 180040Age 100 and underPersian, Modern

    AZ Family Medicine and Sports Medicine6130 E Brown RdMesa, AZ 85205(480) 807-3554Onofrei, Alex J MD *PCP# 728442Spanish

    Ballecer, Michelle M MD*20325 N 51st AveSte 170 Bldg 9Glendale, AZ 85308(623) 249-4928PCP# 976866Established patients only

    Banner Desert Sky Medical Clinic9305 W Thomas RdSte 350Phoenix, AZ 85037(623) 327-7500Norley, Julie A DO *PCP# 820122Medicaid Certified

  • 10

    Primary Care Providers

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

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    Banner Hospital Based Physi-cians Arizona LLC1900 N Higley RdGilbert, AZ 85234(480) 543-2000McCurry, Victoria R MDPCP# 225036

    Banner Primary Care Physi-cians Arizona LLC10150 N 67th AveSte 101Glendale, AZ 85302(623) 561-4547Heyer, John M MD *PCP# 984923Pham, John A DOPCP# 984920

    10204 W Happy Valley RdSte 160Peoria, AZ 85383(623) 327-8800Hoang, Alyssa T MD *PCP# 977411Established patients only

    13640 N Plaza Del Rio BlvdPeoria, AZ 85381(623) 876-3800Bressler, Christopher N MD *PCP# 115209Kowaleski, Edward H MD *PCP# 977378Medicaid Certified

    Pham, John A DOPCP# 984920Schwartz, Tisha K MD *PCP# 105598

    13640 N Plaza Del Rio BlvdFl 2Peoria, AZ 85381(623) 876-3800

    Kowaleski, Edward H MD *PCP# 977378Established patients onlyMedicaid Certified

    Leech, Linda E MD *PCP# 985062Established patients onlySpanishMedicaid Certified

    13640 N Plaza Del Rio BlvdFl 3Peoria, AZ 85381(623) 876-3800Kowaleski, Edward H MD *PCP# 977378Established patients onlyMedicaid Certified

    Leech, Linda E MD *PCP# 985062Established patients onlySpanishMedicaid Certified

    13995 W Statler BlvdSurprise, AZ 85374(623) 478-3100Abawi, Heeran MD *PCP# 132907Bressler, Christopher N MD *PCP# 115209Worhacz, Richard A DOPCP# 985356Not accepting patientsSpanish

    13995 W Statler BlvdSte 200Surprise, AZ 85374(623) 478-3100Bressler, Christopher N MD *PCP# 115209

    1435 S Alma School RdChandler, AZ 85286(480) 668-1600Kesara, Vivek R MD *PCP# 119154Telugu, Spanish, HindiTruong, Frank MD *PCP# 135559

    14416 W Meeker BlvdSun City West, AZ 85375(623) 876-3800Lane, Melanie A MD *PCP# 112534Pham, John A DOPCP# 984920Sandhu, Pritpal S MD *PCP# 980156Medicaid Certified

    Schwartz, Tisha K MD *PCP# 105598Singh-Karnik, Shalini MDPCP# 146539

    14416 W Meeker BlvdBldg C Ste 200Sun City West, AZ 85375(623) 876-3980Keiser, Paul W DOPCP# 985403French

    (623) 583-5083Kowaleski, Edward H MD *PCP# 977378Established patients onlyMedicaid Certified

    (623) 583-5271Leech, Linda E MD *PCP# 985062Established patients onlySpanishMedicaid Certified

    14416 W Meeker BlvdBldg C Ste 300Sun City West, AZ 85375(623) 583-5271Leech, Linda E MD *PCP# 985062Established patients onlySpanishMedicaid Certified

    14416 W Meeker BlvdSte 100Sun City, AZ 85375(623) 583-5100Worhacz, Richard A DOPCP# 985356Not accepting patientsSpanish

    1459 S Higley RdSte 106Gilbert, AZ 85296(480) 543-6780Challa, Sridevi MDKesara, Vivek R MD *PCP# 119154Telugu, Spanish, HindiMcCurry, Victoria R MDPCP# 225034Muscha, Bennie W MD *PCP# 119158Spanish

    155 E Warner RdGilbert, AZ 85296(480) 649-6600Bair, Stephen A DO *PCP# 189536Frei, Rhett R DOPCP# 225032Lea, Syerra N DOPCP# 184540Wellock, Matthew T MD *PCP# 119159

  • 11

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    1917 S Crismon RdMesa, AZ 85208(480) 610-7100Muscha, Bennie W MD *PCP# 119158Spanish

    1917 S Crismon RdMesa, AZ 85209(480) 610-7100Dufner, Justin D DOPCP# 225031McCurry, Victoria R MDPCP# 225034Regnaert, Jessica MD *PCP# 135558

    2034 S Alma School RdSte 2Mesa, AZ 85210(480) 831-0150Kohring, Gary C DO *PCP# 225029Schneider, Raymond H DO *PCP# 223006German

    20751 W Market StBuckeye, AZ 85396(623) 463-5000Bonati, Christopher S MD *PCP# 985347Age 65 and underCox, Steven T DOPCP# 116379Established patients onlyMedicaid Certified

    Getz, Terez J DOPCP# 152015Willis, Jennifer L MD *PCP# 105601Spanish

    21772 S Ellsworth Loop RdQueen Creek, AZ 85142(480) 512-3700Brooks, Nathan M MDPCP# 173401McClure, Daryn N MD *PCP# 127802Spanish, PortugueseMedicaid Certified

    Muscha, Bennie W MD *PCP# 119158SpanishSheard, Simon M DOPCP# 133070SpanishVergason, Michael B DOPCP# 135560

    2600 E Southern AveSte B2Tempe, AZ 85282(480) 827-5265Lowe, Cynthia J MD *PCP# 985401Medicaid Certified

    2730 S Val Vista DrSte 152Gilbert, AZ 85295(480) 222-7664Davis, Thomas J MD *PCP# 976919SpanishMedicaid Certified

    Kahlon, Diem-Thuy N DOPCP# 976911VietnameseMedicaid Certified

    McCurry, Victoria R MDPCP# 225034Valenzuela, David M MD *PCP# 960032Spanish

    3336 E Chandler Heights Rd Bldg ASte 101Gilbert, AZ 85298(480) 412-5900Cheng, Jason J MD *PCP# 960024Medicaid Certified

    Herrera, Despina T DOPCP# 960026Valenzuela, David M MD *PCP# 960032Spanish

    4400 N 32nd StSte 200Phoenix, AZ 85018(602) 839-0444Bowley, Steven J MD *PCP# 114290Medicaid Certified

    Darby-Stewart, Andrea L MD *PCP# 176834SpanishMedicaid Certified

    Le, Minh-Hoang N MD *PCP# 976915SpanishRiley, William D MD *PCP# 173400

    4860 N Litchfield RdSTE 102Litchfield Park, AZ 85340(623) 474-8370Bonati, Christopher S MD *PCP# 985347Cox, Steven T DOPCP# 116379Medicaid Certified

    Getz, Terez J DOPCP# 152015

    Pena, Thomas R DOPCP# 977804SpanishWillis, Jennifer L MD *PCP# 105601Spanish

    5220 N Dysart RdBldg G Ste 174Litchfield Park, AZ 85340(623) 474-8370Pena, Thomas R DOPCP# 977804Spanish

    9165 W Thunderbird RdPeoria, AZ 85381(623) 876-3800Sandhu, Pritpal S MD *PCP# 980156Medicaid Certified

    Schwartz, Tisha K MD *PCP# 105598

    (623) 523-6555Worhacz, Richard A DOPCP# 985356Not accepting patientsSpanish

    9780 S Estrella PkwyGoodyear, AZ 85338(623) 474-8101Bonati, Christopher S MD *PCP# 985347Cox, Steven T DOPCP# 116379Established patients onlyMedicaid Certified

    Getz, Terez J DOPCP# 152015Truong, Duc N MD *PCP# 222775Vietnamese, Chinese, Cantonese

  • 12

    Primary Care Providers

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Banner-UMC Phoenix Campus Family Medicine1300 N 12th StSte 605Phoenix, AZ 85006(602) 839-4567Brown, Steven R MD *PCP# 809570Medicaid Certified

    Coles, Sarah M MD *PCP# 171378Dabbs, William S MDPCP# 182152Evans, Ryan A MDPCP# 222632Grizzle, Lindsay J MD *Medicaid Certified

    Gurule, Charlotte V MD *PCP# 756367SpanishMedicaid Certified

    Holland, William W MD *PCP# 848950Hunter, Kam D MD *PCP# 820785Leubner, Jason K MD *PCP# 119156Miller, Sandra MD *PCP# 756371Medicaid Certified

    Pojar, Sabrina K DOPCP# 222643Thomas, Sarah W MDWild, Susanne G MD *PCP# 810082GermanWolfrey, Jeffrey MD *PCP# 756424Medicaid Certified

    Barbara Garcia MD PC5251 W Campbell AveSte 200Phoenix, AZ 85031(623) 241-9100Garcia, Barbara L MDPCP# 738083SpanishMedicaid Certified

    Bell Road Family Medicine5425 E Bell RdSte 125Scottsdale, AZ 85254(480) 882-7301Vogt Jr, James B MD *PCP# 168378

    Bode, Gregory A DO19636 N 27th AveSte 308Phoenix, AZ 85027(623) 780-1999PCP# 846877Spanish

    Bracamonte, Jesse D DO20325 N 51st AveSte 170 Bldg 9Glendale, AZ 85308(623) 249-4928PCP# 977857Established patients onlySpanishMedicaid Certified

    Brown Road Family Medicine2310 E Brown RdMesa, AZ 85213(480) 649-9000Bruce, David I DO *PCP# 104662Laufer, Robert D DOPCP# 772186

    Shockey, Jerry R MD *PCP# 772188Medicaid Certified

    Brown, Linda M MD*6151 W Olive AveSte 5Glendale, AZ 85302(623) 939-8618PCP# 723880SpanishMedicaid Certified

    Calavar Family Medicine3525 W Calavar RdPhoenix, AZ 85053(602) 938-8150Corbett, Allen B DOPCP# 961587Medicaid Certified

    Camelback Family Health care3900 E Camelback RdSte 150Phoenix, AZ 85018(602) 368-5861Lee, Sonia Y DOPCP# 972647Spanish, KoreanReed, Anne Marie DOPCP# 826217SpanishMedicaid Certified

    Canyon Physicians13206 N 7th StPhoenix, AZ 85022(602) 866-2277Edison, Leslie D DOPCP# 815083

    Cave Creek Family Medicine20330 N Cave Creek RdSte 160Phoenix, AZ 85024(602) 730-8443Patton, Andrea MD *PCP# 179133Veatch, Corina J MDPCP# 114771

    Central Phoenix Family Medi-cine PLC333 W Thomas RdSte 207Phoenix, AZ 85013(602) 495-8960Sayegh, Steven I MD *PCP# 768461Spanish, Arabic

    Central Phoenix Medical Clinic LLC7600 N 15th StSte 190Phoenix, AZ 85020(602) 200-3800Berry, Barbara A MDPCP# 553171SpanishMedicaid Certified

    Chandler Family Care6245 W Chandler BlvdSte E4Chandler, AZ 85226(480) 940-0088Meyerowitz, Arnold H MD *PCP# 580605Age 18 and upSpanish, AfrikaMedicaid Certified

  • 13

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Chiricahua Community Health Centers Inc18404 N Tatum BlvdSte 101Phoenix, AZ 85032(602) 992-1900Naranjo, Tammie S MD *PCP# 135549SpanishMedicaid Certified

    Choice Medical Walk In2525 W Carefree HwyBldg 1 Ste 102Phoenix, AZ 85085(623) 434-5748Foy, David B DOPCP# 908666Spanish

    3624 W Anthem WaySte C106Anthem, AZ 85086(623) 434-5748Foy, David B DOPCP# 908666Spanish

    9947 W Happy Valley RdSte 104Peoria, AZ 85383(623) 434-5748Foy, David B DOPCP# 908666Spanish

    Clinica Familiar Bella Vista PC5041 W Northern AveSte BGlendale, AZ 85301(623) 931-4300Innocent, Will MDPCP# 766909Spanish, French, Creole

    Complete Care Medicine Inc1489 S Higley RdSte 101Gilbert, AZ 85296(480) 457-8800Herrera, Michael A DOPCP# 808462SpanishMedicaid Certified

    Smith, Kody J MD *PCP# 137107Spanish

    Corbett, Allen B DO5040 N 15th AveSte 202Phoenix, AZ 85015(602) 248-0123PCP# 961587Medicaid Certified

    PCP# 778277Medicaid Certified

    Cornerstone Family Medicine4545 E Southern AveSte 103Mesa, AZ 85206(480) 981-6100Crawford, Rustin W DOPCP# 746132Willden, Jeffery D DOPCP# 746673Spanish

    DC Ranch Family Medicine PLLC20945 N Pima RdSte 110Scottsdale, AZ 85255(480) 800-3550Perez, Arneyo MD *PCP# 180045Established patients only

    20945 N Pima Rd B-110Scottsdale, AZ 85255(480) 800-3550Perez, Arneyo MD *PCP# 180045

    Dearing Family Medicine19841 N 27th AveSte 101Phoenix, AZ 85027(602) 942-8512Dearing, James J DOPCP# 855745SpanishMeleth, Jason J MD *PCP# 941775Wall, Richard A MDPCP# 158209

    Deer Valley Family Practice19636 N 27th AveSte 308Phoenix, AZ 85027(623) 780-1999Avilez, Maria E MD *PCP# 104755Phillips, Wendell B DOPCP# 703443SpanishMedicaid Certified

    Robinson, Stanley E MD *PCP# 963029SpanishMedicaid Certified

    Whitaker, Mark D DOPCP# 807217Medicaid Certified

    Zhao, Haihong H MD *PCP# 784231Spanish, Chinese

    Deer Valley Medical6206 W Bell RdSte 5Glendale, AZ 85308(602) 375-5440Aranas, Edward P DOPCP# 979754SpanishMedicaid Certified

    Cerato, Louis M DO *PCP# 755974Medicaid Certified

    Hajaig, Nasser MDPCP# 172196ArabicMedicaid Certified

    Lindo, Veronica J MD *PCP# 169781Medicaid Certified

    Stewart, Jerome R DOPCP# 182156Wheat, Carrol E DOPCP# 749759Medicaid Certified

    Wilson, Robert DOPCP# 219974Winter, Robert A DOPCP# 221160Zills, Lynette Y MD *PCP# 165845

    Del Lago Family Medicine20470 N Lake Pleasant RdSte 110Peoria, AZ 85382(623) 266-4699Boor, Aaron B DOPCP# 942889Spanish, GermanGawelko, Paul E DOPCP# 999810Medicaid Certified

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    Primary Care Providers

    * Board Certified ProviderHumana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed

    in this directory or otherwise selected by you.

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    Deseret Family Medicine1425 S Greenfield RdSte 101Mesa, AZ 85206(480) 981-3000Fazz, Hugo MD *PCP# 741541SpanishMedicaid Certified

    Desert Foothills Family Medicine5505 W Chandler BlvdSte B13Chandler, AZ 85226(480) 361-4780Blanco, Jessica A MD *PCP# 755088Spanish

    Desert Grove Family Medical LLC10238 E Hampton AveSte 508Mesa, AZ 85209(480) 539-6550Dinsdale, Richard J MDPCP# 714083SwedishMedicaid Certified

    (480) 834-7546Safo, Ann L DOPCP# 147071Spanish

    5656 S Power RdSte 126Gilbert, AZ 85295(480) 539-6550Kaplan, Allison K MD *PCP# 794973SpanishMedicaid Certified

    Lau, Linda L MD *PCP# 753021Medicaid Certified

    840 E McKellips RdSte 101Mesa, AZ 85203(480) 834-7546Dinsdale, Richard J MDPCP# 714083SwedishMedicaid Certified

    Woods, Jacob T DOPCP# 174999

    Desert Pain and Rehab Specialists PLLC11047 N 19th AvePhoenix, AZ 85029(602) 944-2222Ber