takecare insurance provider directory

Provider Directory

A guide to help you makethe right choice.

TIC-PD_MHP_111913

Extended Hours

671.646.5825 | www.takecareasia.com

At FHP, you come �rst.SM

Whether your child has aches, flu or minor injuries, getting the non-emergency medical care you need is NOW even more convenient for you and your family.

■ Extended hours from 7:00 am to 11:00 pm ■ Every day, 7 Days a Week.■ No appointments. Just Walk-in.■ Everyone welcome. Most insurances accepted.

FHP Urgent Care provides full service, comprehensive care including laboratory, radiology and pharmacy in a comfortable and convenient location.

Guam Only

TABLE OF CONTENTS

Introduction.......................................................................1

PARTICIPATING PROVIDERS

FHP Health Center ....................................................2

I. DOCTORS

II. SPECIALISTS

III. MEDICAL SERVICES

IV. DENTAL SERVICES

Provider Directory .................................................3-18

I. PRIMARY CARE PROVIDERS.......................................3-5

II. PRIMARY CARE BY CLINIC .........................................6-7

III. SPECIALISTS..............................................................8-10

IV. MEDICAL SERVICES................................................11-12

V. DENTAL SERVICES.....................................................13

VI. OFF-ISLAND SERVICES ..........................................14-15

VII. OFF-ISLANDNETWORK............................................... 16

VIII. ASIA NETWORK ...........................................................17

IX. VISITINGOFFISLANDPROVIDERS/SPECIALISTS.........18

Legend

Medicare Healthcare Provider**List of Providers, in the TakeCare Network, accepting Medicare. A Medicare provider is a participating/contracted provider who accepts Medicare fees/rates as a basis of payment for their services. This provider only bills you for any deductible and copayment/coinsurance amounts under your Medicare coverage. TakeCare Network Providers, identified herein as Providers who accept Medicare, are subject to change depending on whether the provider continues to accept Medicare covered members.

PARTICIPATING PROVIDERSThe true measure of any health care organization is the quality of the care you receive. And at the heart of this is your relationship with your participating provider. Your participating provider is essential in providing your day to day health care needs as well as providing the avenue for health care alternatives such as specialty care. That’s why, at TakeCare, you have the freedom to make the most important health care decision of all-the choice of your participating provider. This provider directory serves as a helpful tool to select a participating provider.

HOW TO SELECT A PARTICIPATING PROVIDER

Choose a Participating Provider (Medical Group or Individual Physician) from this directory. You and your enrolled dependents may choose a different Participating Provider. You may switch Participating Providers as often as needed by simply calling the TakeCare Customer Service Department, Monday-Friday, 8 am to 5 pm at (671) 647-3526 on Guam, (670) 235-7687 in the CNMI and (680) 488-4715 in Palau. Your new selection will be effective immediately. Services received through providers not listed in this Provider Directory may be covered at a lesser coverage level. Please refer to your Schedule of Benefits for specific Out-of-Network Benefits.

HELPFUL INFORMATION

Who is a Participating Provider? A Participating Provider is any individual practice association, individual physician, pharmacy, hospital or group of licensed providers who have entered in to a written agreement with TakeCare to provide medical or dental services to you and your enrolled dependents.

How are Participating Providers Compensated (paid)?TakeCare pays its Participating Providers using various payment methods, including per diem and fee-for-service arrangements. Per diem means paying a fixed dollar amount per day for all services rendered. Fee-for-

service means paying the provider’s usual, customary and regular fee at a discount for having a written agreement for TakeCare members.

What is a Primary Care Provider and a Specialty Care Provider and how many of each do you have in your network of providers?

A Primary Care Provider is responsible for providing or authorizing your medical care services. A Primary Care Provider may be physicians of Internal Medicine, Pediatrics, Family Practice or General Practice. A Specialty Care Provider is a duly licensed physician, osteopath, psychologist or other practitioner that your Primary Care Provider may refer you to. TakeCare has the largest on-island contracted provider network with over 100 Primary Care and Specialty Care Providers.

When am I able to access a Specialty Care Provider?

When you or your Primary Care Provider feel you need more specialized treatment, you may request a referral to seek a specialist for an office consultation. However, before any treatment begins, you may need to have prior authorization from TakeCare’s Medical Management Department. Once the request is reviewed and approved, treatment can commence.

WHO TO CALL FOR HELP

If you have any questions, please feel free to call the Take Care Customer Service Department, Monday-Friday, 8am-5pm at: Guam (671) 647-3526 or 24/7, toll free 1-(877) 484-2411, CNMI (670) 235-7687 or Palau (680) 488-4715.

1

MEDICAL

Urgent CarePinzon, Renato D., M.D. Rozycki, Thomas, M.D.Sistoza, Lillibeth, M.D. Stanley, W. Ed, PA-CWinter, William J., PA-C

Family PracticeDuenas, Helene A., PA-CKaufman, Karyn, PA-CMariano, Maria Chela A., M.D.Stratton, Walter, PA-C

Internal MedicineDulay, Marylou, M.D.Supit, Edwin J., M.D.

OncologyChaudhry, Aftab A., M.D.

OrthopedicsThebaut Jr., Ben R., M.D.

PediatricsLeon Guerrero, Robert, M.D.Sarmiento, Dennis, M.D.Stadler, James, M.D.

RadiologyPowell, Douglas A., D.O.

DENTAL

General DentistryKowal, Robert, D.D.S.Lee, Thomas K., D.D.S.Sullivan, John, D.D.S.

Endodontic DentistryBaugh, Dean, D.D.S.

HEALTH CENTER SERVICES·

·Health Education·Home Health·Hospice·Laboratory·Mammography·OB/GYN·Optical·Oncology·Pharmacy·Radiology·Surgi-Center

FHP VISION CENTER

Dizon, Joel, O.D.McDonald, Jay, O.D.San Nicolas, Marlene, O.D.

FAMILY PRACTICEAdolphson, Arania, M.D.American Medical CenterUpper Tumon, 647-8262

Akimoto, Vincent, M.D.American Medical CenterUpper Tumon, 647-8262

Amby, Alexander S., M.D.American Medical CenterUpper Tumon, 647-8262

Bryson, Julie H., M.D.SDA Guam ClinicTamuning, 646-8881

Campus, Hieu T., M.D.American Medical CenterUpper Tumon, 647-8262

Cruz, Luis, M.D.American Medical CenterUpper Tumon, 647-8262

Dombrowski, Chris, M.D.PMC Isla Health System Tamuning, 647-6201

Duenas, Helene A., PA-CFHP Health CenterTamuning, 646-5825

Ericson, Debra G., M.D.The Doctors’ ClinicTamuning, 649-5018/23

Flores, Lisa D., M.D.SDA Guam ClinicTamuning, 646-8881

Frickel, Wendy D., M.D.PMC Isla Health SystemsTamuning, 647-6201

Galgo, Geoffrey, M.D.Guam Medical Care ClinicUpper Tumon, 647-4174

Gerling, William L., M.D.SDA Guam ClinicTamuning, 646-8881

Kaufman, Karyn, PA-CFHP Health CenterTamuning, 646-5825

Lom, Jitka, M.D.Express CareHagatna, 477-2873

Lombard, Gabriel P.N., M.D.The Doctors’ ClinicTamuning, 649-5018/23

Lujan, Davina, M.D.PMC Isla Health SystemsTamuning, 647-6201

Mariano, Maria Chela A. , M.D.FHP Health Center Tamuning, 646-5825

McNabb, Amy, PA-CThe Doctor’s ClinicTamuning, 649-5018/23

Mercado, Gemma M., M.D.SDA Guam ClinicTamuning, 646-8881

Mercado, Michael G., M.D.SDA Guam ClinicTamuning, 646-8881

Namm, Julie, M.D.SDA Guam ClinicTamuning, 646-8881

Nguyen, Hoa Van, M.D.American Medical CenterUpper Tumon, 647-8262

Nozaki, James K., M.D.SDA Guam ClinicTamuning, 646-8881

Parker, Erica M., M.D.SDA Guam ClinicTamuning, 646-8881

Perez, Walter Chris, M.D.The Doctors’ ClinicTamuning, 649-5018/23

Robinson, Michael J., M.D.SDA Guam Clinic Tamuning, 646-8881

Rozycki, Thomas, M.D.FHP Health CenterTamuning, 646-5825

Samaniego, Maria Melissa, M.D. Take Care EmployerSolutions, LLC Old Airport, 645-8359/60 Santos, Patrick C., M.D. Tumon Medical Office Upper Tumon, 649-5052

Silan, Rodolfo D., M.D. Guam Medical and Foot Clinic Tamuning, 646-7678

Stratton, Walter, PA-C FHP Health Center Tamuning, 646-5825

Terlaje, Ricardo, M.D. IHP Medical Group655 Harmon Loop Road, Ste. 108Dededo, 633-4447

Tochikura, Keiko, M.D.American Medical CenterUpper Tumon,647-8262

Turon, John, M.D.SDA Guam ClinicTamuning, 646-8881

INTERNAL MEDICINEAlford, Erika M., M.D.American Medical Center Upper Tumon, 647-8262

Alvez, Laura D., M.D.Pacific Medical GroupTamuning, 649-7232

Bez, Ellen P., M.D.Marianas Physicians GroupTamuning, 647-1830

Chang, Young, M.D.Photo Town PlazaTamuning, 646-2984 Chaya, Craig J., M.D.SDA Guam ClinicTamuning, 646-8881

Chenet, Alix, M.D.Guam Adult Pediatric Clinic Dededo, 633-4272

De Guzman, Eugene V., M.D.Pacific Medical GroupTamuning, 649-7232

Duenas, Vincent A., M.D.The Doctors’ Clinic Tamuning, 649-5018/23

Dulay, Marylou, M.D. FHP Health Center Tamuning, 646-5825

Guzman, Pablo, M.D. St. Anthony’s Clinic Tamuning, 646-5266/9696/5277

Iampornpipopchai, Pichet, M.D. Pacific Medical Group 633 Gov. Carlos Camacho Rd. Ste. 205, Tamuning, 649-7232

Kallingal, Matilda, M.D. Kallingal’s Medical Clinic Barrigada, 632-9078

Lim, Doris, M.D. ITC Medical Clinic, Ste. 1266126 GITC Bldg. 590 S. Marine Dr. Tamuning, 646-8844/45 Lim, Johnny Jr., M.D. Adult Health Care Clinic 2211 Army Drive, Suite 105 Dededo, 647-5546

Lizama, Florencio T., M.D. IHP Medical Group655 Harmon Loop Rd., Ste. 108Dededo, 633-4447

Madantchi, Mohammad H., M.D. Hafa Adai Specialist Group Tamuning, 647-4542

Magcalas, Edgar, M.D. 125 Jose Tun Tove Way Tamuning, 646-5227/8

Nerves, Robert, M.D. Pacific Medical Group Tamuning, 649-7232

Ouhadi, Faraz, M.D. Pacific Medical Group Tamuning, 649-7232

Preston, Donald C., M.D. Guam Adult Pediatric Clinic Tamuning, 633-4272

Rubio, Joel M., M.D. Health Partners. LLC 125 Jose Tun Tove Way Tamuning, 646-5227/8

Safabakhsh, Saied, M.D. Pacific Medical Group Tamuning, 649-7232

Samonte, Romeo, M.D. Pacific Health Care Harmon, 647-4533

Santos, Mary Grace, M.D.Pacific Medical GroupTamuning, 649-7232

Sistoza, Lilybeth C., M.D. FHP Health Center Tamuning, 646-5825

Supit, Edwin J., M.D. FHP Health Center Tamuning, 646-5825

Taitano, John R., M.D. The Doctors’ Clinic Tamuning, 649-5018/23

Troxel, Tiffanny, PA-C Pacific Medical Group Tamuning, 649-7232

OB/GYNAnderson, Teresa L., CNMMarianas Physicians GroupPe Mar PlaceTamuning, 647-1830

Bieling, Friedrich, M.D.PMC Isla Health SystemsTamuning, 647-6201

Bordallo, Annie U., M.D.Marianas Physician GroupTamuning, 647-1830

Coelho, Isaias, C., M.D.SDA Guam ClinicTamuning, 646-8881

Ericson, Debra, M.D.The Doctor’s ClinicTamuning, 649-5018/23

Graybill, Cassandra N.K., M.D. SDA Guam ClinicTamuning, 646-8881

Jensen, Faye, M.D.SDA Guam ClinicTamuning, 646-8881

Leliukas, Alice, CNMMarianas Physicians GroupPe Mar PlaceTamuning, 647-1830

Melsness, Janna M., CNMMarianas Physicians GroupPe Mar PlaceTamuning, 647-1830

Nightingale, Janet, CNMSDA Guam ClinicTamuning, 646-8881

Park-Hwang, Esther M., M.D. SDA Guam ClinicTamuning, 646-8881

Pettigrew, Karen E., CNMMarianas Physicians GroupPe Mar PlaceTamuning, 647-1830

Shieh, Thomas, M.D.643 Chalan San Antonio Ste.108Tamuning, 648-2229

Sidell, Jonathan, M.D. PMC Isla Health System Tamuning, 647-6201

Walker, Diane, CNMMarianas Physicians GroupPe Mar PlaceTamuning, 647-1830

PEDIATRICS

Blancaflor, Maria, M.D. MPG Pediatrics Tamuning, 648-5437

Carrera, Yolanda, M.D. Harmon PediatricsHarmon, 649-1058/9

FHP Health Center#548 South Marine Corps Drive,Tamuning, Guam 96913(671) 646-5825

All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

Chen, Wen Yen, M.D. Central Medical Clinic Dededo, 637-8112

Domalanta, Dina D., M.D. Pediatric and Adolescent Clinic Tamuning, 647-7337/7336

Fojas, Milliecor, M.D. American Medical Center Upper Tumon, 647-8262

Garcia, Antonio, M.D. Pediatric and Asthma Clinic, PC Tamuning, 647-4121

Garrido, John, M.D. Isla Pediatrics Tamuning, 647-4466/8495

Hidalgo, Edgardo, M.D.Pediatric and Asthma Clinic, PC Tamuning, 647-4121

Leon Guerrero, Robert, M.D. FHP Health Center Tamuning, 646-5825

Linsangan, Gladys, M.D. Polymedic Clinic/PrimaryPediatric ClinicDededo,637-9661/3/646-2185

Manaloto, Ma. Cristina, M.D. American Pediatric Clinic Tamuning, 647-2721/22

McDonnell, Emily R., M.D.PMC Isla Health SystemsTamuning, 647-6201

Santos, Edna, M.D.Tumon Pediatric Clinic Upper Tumon, 649-7337

Sarmiento, Dennis, M.D.FHP Health Center Tamuning, 646-5825

Stadler, James, M.D. FHP Health Center Tamuning, 646-5825

Thio, Kevin A., M.D. SDA Guam Clinic Tamuning, 646-8881

FHP HEALTH CENTER548 S. Marine Corps Drive Tamuning, 646-5825

Family PracticeDuenas, Helene A., PA-C Kaufman, Karyn, PA-C Mariano, Maria Chela, M.D. Stratton, Walter, PA-C

Internal MedicineDulay, Marylou, M.D. Supit, Edwin J., M.D.

PediatricsLeon Guerrero, Robert, M.D.Sarmiento, Dennis, M.D. Stadler, James, M.D.

Urgent CarePinzon, Renato, D., M.D.Rozycki, Thomas, M.D.Stanley, W. Ed, PA-CSistoza, Lillibeth, M.D.Winter, William J., PA-C

ADULT HEALTH CARE CLINIC2211 Army Drive, Suite 105 Dededo, 647-5546Internal Medicine Lim, Johnny Jr., M.D.

AMERICAN MEDICAL CENTER1244 N. Marine Drive, Suite 101 Upper Tumon, 647-8262 Family PracticeAdolphson, Arania, M.D.Akimoto, Vincent, M.D. Amby, Alexander S., M.D. Campus, Hieu T., M.D.Cruz, Luis, M.D. Nguyen, Hoa Van, M.D.Tochikura, Keiko, M.D. Internal MedicineAlford, Erika M., M.D. PediatricsFojas, Milliecor, M.D.

AMERICAN PEDIATRIC CLINICOka Bldg., Suite 106 Tamuning, 647-2721/22PediatricsManaloto, Ma. Cristina, M.D.

CENTRAL MEDICAL CLINIC 330 W. Marine Drive Dededo, 637-8112 PediatricsChen, Wen Yen, M.D.

DEDEDO POLYMEDIC CLINIC 172 E. Buena Vista Avenue Dededo, 637-9661PediatricsLinsangan, Gladys, M.D.

THE DOCTORS’ CLINIC 851 Carlos Camacho Road Tamuning, 649-5018/23

Family Practice Ericson, Debra G., M.D. Lombard, Gabriel, P.N., M.D.McNabb, Amy, PA-C. Perez, Walter Chris, M.D., F.A.A.F.P

Internal MedicineDuenas, Vincent A., M.D.Taitano, John R., M.D.

DR. CHANG’S CLINIC353 Chalan San Antonio #100 Photo Town Plaza Tamuning, 646-2984 Internal MedicineChang, Young, M.D.

DR. SHIEH’S CLINIC643 Chalan San Antonio Suite 108Tamuning, 648-2229OB/GYNShieh, Thomas, M.D.

EDGAR M. MAGCALAS, M.D., P.C. 125 Jose Tun Tove Way Tamuning, 646-5227/8 Internal MedicineMagcalas, Edgar, M.D.

EXPRESS CARE Agana Shopping Center 302 S.Rte 4 Ste. 207 Hagatna, 477-2873 Family PracticeLom, Jitka, M.D.

GUAM ADULT/PEDIATRIC CLINIC612 North Marine Drive Dededo, 633-4272 Internal MedicineChenet, Alix, M.D.Preston, Donald, M.D.

GUAM MEDICAL CARE CLINIC 744 North Marine Drive Upper Tumon, 647-4174 Family Practice Galgo,Geoffrey, M.D.

GUAM MEDICAL & FOOT CLINIC SONY Bldg., Ste. 104 Tamuning, 647-2925 Family PracticeSilan, Rodolfo D., M.D.

HARMON PEDIATRICSHarmon, 649-1058/9 PediatricsCarrera, Yolanda, M.D.

HEALTH PARTNERS, LLC125 Jose Tun Tove Way Tamuning, 646-5227/8 Internal MedicineRubio, Joel M., M.D., FACE.

IHP MEDICAL GROUP 655 Harmon Loop Road, Ste. 108, Dededo, 633-4447Family PracticeTerlaje, Ricardo, M.D.

Internal MedicineLizama, Florencio, M.D.

ISLA PEDIATRICSE. Espiritu St.Tamuning, 647-4466/8495 PediatricsGarrido, John, M.D.

KALLINGAL’S MEDICAL CLINICRoute 16 Barrigada, 632-9078/7500 Internal MedicineKallingal, Matilda, M.D.

MARIANAS PHYSICIANS GROUP 472 Chalan San Antonio Tamuning, 647-1830Internal MedicineBez, Ellen P., M.D.

OB/GYNAndersen, Teresa L., CNMBordallo, Annie U., M.D.Leliukas, Alice, CNMMelsness, Janna M., CNMPettigrew, Karen E., CNMWalker, Diane, CNM

MICRONESIA MEDICAL &ANESTHESIA ASSOCIATESGITC Building, Ste. 126 Tamuning, 646-8844 Internal MedicineLim, Doris, M.D.

MPG PEDIATRICS396 Chalan San Antonio, Ste. 103 Tamuning, 648-5437 PediatricsBlancaflor, Maria B., M.D.

PACIFIC HEALTH CAREGuam Business Center,Ste.108 Harmon, 647-4533 Internal MedicineSamonte, Romeo, M.D.

PACIFIC MEDICAL GROUP 633 Gov.Carlos Camacho Rd. Ste. 205,Tamuning, 649-7232 Internal MedicineAlvez, Laura D., M.D.DeGuzman, Eugene V., M.D.Iampornpipopchai, Pichet, M.D. Nerves, Robert, M.D.Ouhadi, Faraz, M.D.Safabakhsh, Saied, M.D.Santos, Grace, M.D.Troxel, Tiffany, PA-C

PEDIATRIC & ADOLESCENT CLINIC472 Chalan San AntonioTamuning, 647-7337/7336 PediatricsDomalanta, Dina, M.D.

PEDIATRIC AND ASTHMA CLINIC, PC 428 Chalan San AntonioTamuning, 647-4121 PediatricsGarcia, Antonio, M.D.Hidalgo, Edgardo, M.D.

PMC ISLA HEALTH SYSTEM177AChalanPasaheru,SuiteF Tamuning, 647-6201 Family PracticeDombrowski, Chris, M.D.Frickel, Wendy D., M.D.Lujan, Davina, M.D.

OB/GYNBieling, Friedrich, M.D.Sidell, Jonathan, M.D.

PediatricsMcDonnell, Emily R., M.D.

POLYMEDIC CLINIC/PRIMARY PEDIACTRIC CLINIC172 Buena Vista Avenue Unit 5 Dededo, 637-9661/3 or 646-2185 PediatricsLinsangan, Gladys, M.D.

SDA GUAM CLINIC 388 Ypao Road Tamuning, 646-8881 Family Practice Bryson, Julie H., M.D.Flores, Lisa D., M.D.Gerling, William L., M.D.Mercado, Gemma M., M.D.Mercado, Michael G., M.D.Namm, Julie, M.D.Nozaki, James K., M.D.Parker, Erika, M., M.D.Robinson, Michael, M.D.Turon, John, M.D.

Internal MedicineChaya, Craig J., M.D.

OB/GYNCoelho, Isaias C., M.D.Graybill, Cassandra N.K., M.D.Jensen, Faye J., M.D.Nightingale, Janet, CNMPark-Hwang, Esther M., M.D.

PediatricsThio, Kevin A., M.D.

ST. ANTHONY’S CLINICTamuning, 646-9696/5277Internal MedicineGuzman, Pablo, M.D.

TAKECARE EMPLOYER SOLUTIONS, LLCOld AirportTamuning, 645-8359/60Family PracticeSamaniego, Maria Melissa, M.D.

TUMON MEDICAL OFFICEUpper Tumon, 649-5052 Family PracticeSantos, Patrick C., M.D.

TUMON PEDIATRIC CLINICUpper Tumon, 649-7337PediatricsSantos, Edna, M.D.

BEHAVIORAL HEALTH

Aguon, Risha M., M.A. 178 Francisco Javier Ave., Unit C-12 Agana Heights, 477-3311

Babauta, Tom, Q.C.S.W., M.S.W., IMFT Sunflower Villa Ste. 205 Tumon,777-7732

Baza, Lisa V. , M.A., IMFT American Medical CenterUpper Tumon, 647-8262

Bellis, Kirk, D.O. Sunflower Villa Ste. 205 Tumon, 646-4757/67

Blas, Florence Sgro, M.S.Health Services of the Pacific 384 Governor Carlos Camacho Road Tamuning, 647-5357

Borja, Dennis T., D.C Isla Chiropractic Isla Plaza Bldg. Tamuning, 649-6822

Camacho, Rosemarie, M.A., IMFT 472 Chalan San Antonio Ste. 105, PeMar Plaza Tamuning, 649-2080

Cristobal, Hope, Psy.D.472 Chalan San Antonio Suite 105, PeMar PlazaTamuning, 649-2080

Cruz, Jason I., M.A., IMFTPeace of Mind, GICC Bldg. Ste 500BHagatna, 777-2444

Davis-Finch, Katheryn, IMFT Serenity by the Sea1753 Halsey Drive Piti, 472-1753

De Jesus, Ione J., M.D.Guam Psychiatric Services, LLC Suite 105 Oka Bldg. Tamuning, 649-7792

Fegurgur, Mary, L.C.S.W.-IMFT Center Point Bldg., Ste. 104 Tamuning,649-5910

Frain, Elizabeth M., Ph.DResilent Life Counseling151-3 Beja RoadIpan,747-1747

Ismael, Ariel, M.D.Guahan Behavioral Health Clinic 2nd Floor UIU Bldg. 2D267 S. Marine Corp Drive Tamuning, 646-7972

Kallingal, George K., Ph.D. Kallingal’s Medical Clinic Barrigada, 632-9078

Kane, Stephen, Ph.D.PMB 1301270 N . Marine Corps Drive Suite 101,Tamuning, 789-0803

Lizama, Tricia Atoigue, MSW, ACSW American Medical CenterUpper Tumon, 647-8262

Natividad, Lisalinda, Ph.D., L.C.S.W.Pangelinan, Hope Marie, CSW, IMFT American Medical CenterUpper Tumon, 647-8262

Perez, Lilli Ann, Ph.D., LCSW, RPT-S Family Pacific Behavioral Health Clinic DNA Building, Ste. 403-C Hagatña, 477-4619

Perez, Victor,M.D.Suite 403-C PDN Building Hagatna,477-4619

Rapadas, Juan, Ph.D.GCIC Building, Suite 500x Hagatna, 988-4274/898-6744

Reyes, Valerie, IMFT, CSAC IIIAmerican Medical CenterUpper Tumon, 647-8262

Sanctuary406 MaiMai Rd. Chalan Pago,475-7101

Sukola, Kelly, IMFT Guahan Behavioral Health Clinic 267 S. Marine Corp Drive 2nd Floor UIU Bldg. 2DTamuning, 646-7972

Tolentino, Doris, MSW, MPH, IMFTGCIC Building, Suite 501B Hagatña, 477-1389

ANESTHESIOLOGY

Buckley, Michael A., D.OHead, David K., M.D.FHP Health CenterTamuning, 646-5825DeGuzman, Fernan, M.D.Lim, Reynald, M.DHafa Adai Specialist GroupTamuning, 647-4542

Johnson, Barry, M.D.Lee, Hai Soon, M.D.SDA Guam ClinicTamuning, 646-8881

CARDIOLOGY

Kim, Byungsoo, M.D., F.A.C.C.PeMar Place, Ste. 103Tamuning, 646-3880

DERMATOLOGY

Latour, Donn, M.D. SDA Guam ClinicTamuning, 646-8881

ENDOCRINOLOGY

Alford, Erika M., M.D.American Medical Center Upper Tumon, 647-8262

Rubio, Joel M., M.D., FACEHealth Partners, LLCTamuning, 646-5227/8

GERIATRICS

Tochikura, Keiko, M.D.American Medical CenterUpper Tumon, 647-8262


GYNECOLOGY

Griley, Edmund, M.D.Pregnancy Control ClinicTamuning, 646-6111

NEPHROLOGY

Alvez, Laura D., M.D.DeGuzman, Eugene V., M.D.Iampornpipopchai, Pichet, M.D.Nerves, Robert, M.D. Safabakhsh, Saied, M.D.Pacific Medical Group Tamuning, 649-7232Philips, Sherif, M.D.Tumon Kidney CenterUpper Tumon, 646-3773

NEUROLOGY

Barthlen, Gabriele M., M.D.Slattery, Michael R., M.D.Guam Sleep CenterTamuning, 647-6669Carlos, Ramel, M.D.Neurology ClinicTamuning, 646-6463

ONCOLOGY (Medical)

Chaudhry, Aftab A.,M.D.FHP Health CenterTamuning,646-5825

ONCOLOGY (Radiation)

Au, Kin-Sing, M.D.Goselin, Sylvia, M.D.Suasin, Winlove B., M.D.Island Cancer Center Tamuning, 646-3363

OPHTHALMOLOGY

Burton, Gregory P., M.D.Flowers, Charles W., M.D.Jack, Robert S., M.D.Lombard, Peter N., M.D.Smith, Anthony J., M.D.Island Eye CenterTamuning, 647-5381-4

Chaya, Craig J., M.D.Seery, Loren, M.D.Wresch, Robert, M.D.SDA Guam ClinicTamuning, 646-8881

DeBenedictis, Marjorie, M.D.Lombard, Peter N., M.D.St. Lucy’s Eye ClinicGuam Medical Plaza, Ste. 103Tamuning, 647-5829

ORAL ANDMAXILLOFACIAL SURGERY

Richardson, Darius, D.M.D., M.D.318 Father Duenas Dr.Tamuning, 647-0060/61

ORTHOPEDIC SURGEON

Arafiles, Ruben P., M.D.Bollinger, Jan, M.D.Guam Orthopedic AssociatesGuam Medical Plaza, Ste. 212Tamuning, 646-6356/6610/6491

Cunningham, Glenn, M.D. Hafa Adai Specialist GroupSunflower Villa, 280 Pale San VitoresTamuning,647-4542/53

Fitzsimmons, Sean, M.D.Island Medical Specialists, PC.Guam Medical Plaza, Suite 212 Tamuning, 646-6356

Thebaut Jr., Ben R., M.D.FHP Health CenterTamuning, 646-5825

PERINATOLOGY

Hirata, Greigh, M.D., Tamuning, 648-2229

PHYSICAL THERAPY

Rimando, Marlon P., M.D.American Medical ClinicUpper Tumon, 647-8262

Duenas, Julienne, P.T.S.O.A.R. Physical TherapyOka Building, Suite 201Tamuning, 647-0110/1

Golez, Rolan S., P.T. Hwang, Chan, M.D.Lossev, Grace, M.P.T.Roa, Jessie P.T.SDA Guam ClinicTamuning, 646-8881

PODIATRY

Sangalang, Maria Melinda, D.P.M. Island Foot Specialist633 Gov. Carlos Camacho Rd., Ste 212Tamuning, 646-3375

Damian, Teresa A., D.P.M.Marianas Footcare Clinic122 Tun Jose WayTamuning, 649-3338

Hazen, Larry W., D.P.M.The Doctors’ ClinicTamuning, 649-5018/23

Silan, Noel, D.P.M.TheGuam Foot Clinic136 Kayen Chando St.Dededo, 633-3668

RADIOLOGY

DeJesus, Dennis, M.D.Hu, Ningmei, M.D.,Lizama, Vincent, M.D.Mudd, Michael,M.D.Young, John, M.D.MDx Imaging Center Tamuning, 648-6390

Powell, Douglas, A., D.O.FHP Radiology Tamuning,646-5825

Mudd, Michael, M.D.Lizama, Vincent, M.D.Schneider, Michael, M.D.Pacific Radiology Tamuning, 649-2346

SURGERY (General)

Cruz, Michael, M.D., F.A.C.S.Eusebio, Ricardo, M.D., F.A.C.S.Island Surgical Center171 Farenholt AvenueTamuning,646-0443/4

Bates, Brian E., M.D.Bray, Jerome L., M.D.Im, Sunggeun, M.D.Mariano, Myron, M.D.McCanse, Webb R., M.D.Medina, Marcelino, M.D.Saw, Eng, M.D.SDA Guam ClinicTamuning, 646-8881

Kobayashi, Ronald, M.D.Guam Surgical GroupITC Building, Ste. 211Tamuning, 649-7588

SURGERY (General) cont.

Rahmani, Kia, M.D.Saad, Adham R., M.D.Hafa Adai Specialist GroupSunflower Villa, 280 Pale San VitoresTamuning, 647-4542/53

SURGERY (Hand)

Landstrom, Jerone T., M.D.Pacific Hand Surgery Center 633 Governor Carlos Camacho Rd. Ste. 104 Tamuning, 646-4263

SURGERY(Reconstruction and Plastic)

Fegurgur, John, M.D.Hafa Adai Specialist GroupSunflower Villa,280 Pale San VitoresTamuning,647-4542

UROLOGY

Richter, Jaroslav K., M.D.Good Samaritan ClinicSuite 100, Photo Town Plaza 353 Chalan San Antonio Tamuning,646-2984

ACUPUNCTUREPlease refer to your Schedule of Benefits brochure for specific information regarding your Acupuncture coverage

Chen, AlbertChen’s Happy Dragon646-8417

Chong, Chang HunHME Oriental Medical Research Clinic 206 Lotus Bldg., Ste. 1C Harmon, 637-4443

Yu,JongChin,Lic.Ac.Yu’sChina Acupuncture Clinic263 Sanchez St.Harmon, 646-7565

BIRTHING CENTERS

Sagua ManaguPemar Place#472 Chalan San AntonioTamuning, 647-1417/1418

CHIROPRACTIC

Please refer to your Schedule of Benefits brochure for specific information regarding your Chiropractic coverage

Martinez, Roger, D.C.A.D.I.O ChiropracticClinic562 Harmon Loop Rd., Ste 129 Compadres Mall Dededo, 637-8901

Arthur, Steve, D.C.Cogan,William, D.C.Active Life Chiropractic306 E. Marine Corps Drive,Tamuning, 477-3472

White, Roderick, D.C.Advanced Chiropractic Clinic2025 Army Drive, Suite 103 Tamuning, 648-2225/6

Borja, Dennis, D.C.Isla ChiropracticTamuning, 649-6822

Klosinski,Thomas R., D.C.UIU Building, Room 2GTamuning, 649-0545

Larkin, Gary C., D.C.1023 N. Marine Corp Dr., Suite A4, Tamuning, 646-2225

Larkin, Scott R., D.C.Larkin, Lani M., D.C.#330West Marine Dr., Suite #4, Dededo, 632-4262/633-2225

Dimalanta, AlbertJ.,D.C.Lohas Chiropractic Clinic782 South Marine Corp Drive, Ste. 101Tamuning, 649-4871

Miller,Gregory, D.C.Chiropractic Offices of Dr. Gregory Miller2078 Route 16 Ste. C Dededo, 637-7926/6683

Mitchell, Glenda B., D.C.A-One Building, #7Dededo, 637-8909

Nicdao, Placido D.C.Nicdao Chiropractic131 Haiguas Dr. Ste. K-10Agana Heights, 472-2225

Gregory, Robert, D.C.Gregory, Barbara, D.C.Pacific Life Chiropractic761 S. Marine Dr., Suite A-5B Tamuning, 649-9355/2225

DIALYSIS CENTERS

Guam Dialysis Center265 Chalan Santo PapaHagatna, 475-3600

Tumon Kidney Center1406 N. Marine Corps Drive Upper Tumon, 647-2029/646-3773

DMEIsla Home Infusion Center202 Farenholt Ave. Suite 101-102 Tamuning, 646-1266

MedQuest Medical Supply#103 Boon Bldg. 1270 N. Marine Corps DriveUpper Tumon, 646-6875

HEALTH IMPROVEMENT

TakeCare WellnessFitness/Health EducationTamuning, 646-6956

HEARING SERVICES

Audiological Associates545 Chalan San Antonio, Ste. 305Tamuning, 649-2902

Ross Hearing Aids655 Harmon Loop Road, Suite 108-ADededo, 637-4327

HOME HEALTH

FHP Health Center Home Health Tamuning, 646-5825

HOSPICE

Health Services of the Pacific384 Governor Carlos Camacho Road Tamuning, 647-5357

LABORATORY SERVICES

Diagnostic Laboratory Services, Inc. (DLS) Main Location:G.I.T.C. Building Suite 124 590 S. Marine Drive Tamuning, 646-5770

Satellite Locations:Dededo Polymedic Center 172 East Buena Vista Avenue Dededo, 632-0043

FHP Health Center#548 S. Marine Corps Drive Tamuning, 646-5825

2

LABORATORY SERVICEScon’t.

PeMar Place472 Chalan San Antonio Tamuning, 649-5079

The Doctors’ Clinic#851 Carlos Camacho Road Tamuning, 649-5022 ext.136

OPTOMETRISTS

Dizon, Joel, O.D.McDonald,Jay,O.D.SanNicolas,Marlene,O.D.FHP Health CenterBaltej Pavilion Ste. 111 Tamuning, 646-5825

Storey,Jeannette,O.D.Woesner, Kristina L.,O.D.Yang, Sheryl Jinyu,O.D.SDA Guam ClinicTamuning, 646-8881

PHARMACIES

FHP PharmacyTamuning, 646-5825 Refill line: 646-5950

Community Pharmacy I 177-C Chalan Pasaheru Tamuning, 646-6160

Community Pharmacy II472 Chalan San AntonioTamuning, 646-6160

Community Pharmacy III612 N. Marine Corps Dr.Dededo, 637-3323

Express Med Pharmacy136 Kayen ChandoDededo, 922-2000

Guam Rexall Drugs646 S. Marine Corps Drive Tamuning, 646-4827

Harmon DrugsRoute16Harmon 637-1473

ITC Pharmacy I 1st Floor, GITC Bldg. Tamuning, 646-6395

ITC Pharmacy II Good Samaritan Clinic Tamuning, 649-1977

Kmart Pharmacy404 N. Marine Drive Tamuning, 649-7843/44Mega Drug ISuite 101, Oka Plaza Bldg. Tamuning, 646-5355

Mega Drug IISuite A6, Daily Plaza Bldg. Dededo, 632-3385

Oka Pharmacy Inc. 241 Farenholt Ave., Tamuning, 647-1193

Pacific HealthCare PharmacyGuam Business Center Ste. 108Harmon, 649-6831

Perezville PharmacyThe Doctors’ ClinicTamuning, 649-5018/23; 649-9400 (directline)

Sagan Amot Pharmacy875 N. Rt. 2Agat, 565-3043

SDA Guam Clinic388 Ypao RoadTamuning, 649-3856

Super Drugs Dededo214 W. Marine DriveDededo, 637-9793

Super Drugs Agana118 ASC Rt. 4Agana, 477-3627

Super Drugs Oka 291 Farenholt Ave.Tamuning, 646-6183

SURGERY CENTERS

FHP Surgicenter #548 South Marine Corps. DriveTamuning, 646-5825

Guam Surgicenter, LLC Guam Medical Plaza Bldg.633 Gov. Carlos G. Camacho RdTamuning, 646-3855

IN AREA HOSPITAL

Guam Memorial Hospital 850 Gov. Carlos G. Camacho Road Oka,Tamuning, 647-2555 thru 9

Medicare Healthcare Provider*












































































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Primary Care ProvidersChen, Wen Yen, M.D. Central Medical Clinic Dededo, 637-8112




























































BEHAVIORAL HEALTH


























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CARDIOLOGY


DERMATOLOGY


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Primary Care ProvidersChen, Wen Yen, M.D. Central Medical Clinic Dededo, 637-8112




























































BEHAVIORAL HEALTH


























ANESTHESIOLOGY



CARDIOLOGY


DERMATOLOGY


ENDOCRINOLOGY



GERIATRICS



GYNECOLOGY


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BEHAVIORAL HEALTH


























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GERIATRICS



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BEHAVIORAL HEALTH


























ANESTHESIOLOGY



CARDIOLOGY


DERMATOLOGY


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GERIATRICS



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ANESTHESIOLOGY



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ANESTHESIOLOGY



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ANESTHESIOLOGY



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MEDICAL Services

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BEHAVIORAL HEALTH


























ANESTHESIOLOGY



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MEDICAL ServicesLABORATORY SERVICEScon’t.



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ANESTHESIOLOGY



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ORTHOPEDIC SURGEON





PERINATOLOGY


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HOME HEALTH


HOSPICE


LABORATORY SERVICES




GENERAL DENTISTRY

FHP Health CenterAnnex Building Tamuning, 646-5825

Kowal, Robert, D.D.S.Lee, Thomas K., D.D.S.Sullivan, John, D.D.S.

Family Dental CenterGuam Polyclinic Tamuning, 646-6510646-6822

Malilay, Janice, D.D.S.Silos, Nerissa, D.M.D.

Fernandez Dental Office148 Loreta St. Ste. BDededo, 633-1995 Fernandez, Michael, D.D.S.

GCIC DentalGCIC Building, Suite 300Hagåtña, 472-2489/477-6779

Valles, Gerson S., D.D.S.

Gentle Care DentalHengi Plaza, Suite 102Tamuning, 646-8858/78

Sule, Hugh L., D.D.S.Ha, Joon Suk, D.D.S.

Guam Dental Arts140 Punzalan StreetTamuning, 646-8462/6689

Brady,Timothy P., D.D.S.Hartup, Jason, D.M.D.

Hafa Adai Family DentalITC Bldg, Suite 104Tamuning, 649-7851-2

Cheng, Victoria, D.M.D.Marutani, David, D.M.D.Takenaka, Yasunori, D.D.S.

Harmon Loop Dental Office505 Harmon Loop Rd., Ste. 300 Dededo,637-9696/9700Alegria, Conrado V., D.D.S.Hartup, Jason, D.M.D

Rapadas, Cristina, D.D.S.Sison, Suzanne, D.D.S.Webb, Corazon A., D.D.S.

Hightower Dental ClinicTamuning, 646-7281/84

Hightower, William, C., D.D.S.Hightower, William, C. II, D.D.S.

Isa DentalNanbo Insurance Bldg. 1st Flr.Hagatna, 646-7982/5437

Johnson, Jeffrey, D.D.S.

Malabanan, Ben, Jr., D.D.S.2211 Army Dr., Suite 202Tamuning, 649-4446

Ordot Dental Clinic159 Judge Sabian St.Ordot, 477-8215, 472-8720

Eusebio, Andrew, D.D.S.Rapadas, Antonio, D.D.S.

Paradise Smiles384 Governor Carlos Camacho Rd Tamuning, 646-2010

Bourgeois, Kenny, D.D.S.

Reflection Center Dental Care Reflection Center Suite 304222 East Chalan Sto. PapaHagatna, 472-6824/25

Ives, Jeffrey,D.D.S.Phan,Christopher C.,D.D.S.Reynolds, Bruce,D.D.S.

Seventh Day Adventist Clinic388 Ypao RoadTamuning, 646-8881, ext. 400

Johnson, Elwood, Jr., D.D.S.Onjukka, Tommy R.,D.D.S.Parker,ScottM.,D.D.S.Ward,Wayne,D.D.S.

Veloria, Tom S., D.M.D. Baltej Pavilion, Ste 303-304 Tamuning, 646-5146/649-9593

Yang, Robert J., D.M.D., P.C.744 N. Marine Dr., Ste. 107Tamuning, 647-8702/3

Yasuhiro, Stanley Y., D.D.S.667 N. Marine Drive, Ste. 204Tamuning, 646-2823/3679

ENDODONTICS

FHP Health CenterBaugh, Dean P., D.D.S.Annex BuildingTamuning, 646-5825

Hightower Dental ClinicHightower, William C., D.D.S.Center Point, Suite #301-304Tamuning, 646-7281/84

ORAL ANDMAXILLOFACIALSURGERY

Richardson, Darius, D.M.D., M.D.Father Duenas Dr.Tamuning, 647-0060/61

PEDIATRIC DENTISTRY

The Pediatric DentistryKo, Hee Soo, D.M.D.655 Harmon Loop Rd. Suite 108, Dededo, 637-8334

The Pediatric Dental Center222 Chalan Sto. Papa, Ste 301Hagatna, 477-6235Romero, Francisco J, D.D.S., MSD SanNicolas,Francisco,“Koko”,D.D.S.,MSD

Isa DentalTerlaje, Rayner, D.D.SNanbo Insurance Bldg. 1st Flr.Hagatna, 646-7982/5437

PERIODONTICS

Gatewood, Robert R., D.D.S.Reflection Center Hagatna, 477-2379/2380

DENTAL Services

13




OPTOMETRISTS



PHARMACIES




















SURGERY CENTERS



IN AREA HOSPITAL



SAIPANSAIPAN PRIMARY CAREPROVIDER & SUPPORT SERVICES

FAMILY / GENERAL PRACTICE

FHP Health Center2nd Floor, TSL Plaza, Beach Rd. Garapan, Saipan MP 96950P.O. Box 500118San Jose, Saipan, MP96950 (670) 235-0994, 235-0996 Hocog, Lorenzo B., M.D. Sablan, Roca Q., CNM-NP Van Gils, Amada C., PA-C

Marianas Medical CenterSan Antonio Rd. Saipan (670) 234-3926/3925/3927 Stearns, Anthony, M.D. Willis, Tiffany, M.D.

Medical Associates of the Pacific, LLCSuite101 MHII Bldg.Marina Heights Business Park, Saipan, MP 96950(670)323-9000 Ada, Norma S.,M.D. Arafiles, Ruben, M.D. Borja, Leticia P., M.D. Camacho,Bertha,NP Fergurgur, John, M.D. Hofschneider, James, M.D. Lowe, Chad C., D.D. Schraudenbach, Cooper C., M.D. Turshani, Yousef Y., M.D.

Pacific Medical Center(670) 233-1613/8100/8101Al-Alou, Ahmad, M.D.Al-Alou, Fahd, M.D.DeGuzman, Gabriel, M.D.

ACUPUNCTURE

Jung Sang Park, A.C.Brothers ClinicSaipan, (670)234-7674

BEHAVIORAL HEALTH

Brenn, Adrian, Ph.D., M.A.Erhard, Anne, Ph.D.Pacific Clinic & ConsultingSaipan, (670) 322-1925

Murphy, Patty LMFTMarianas Business PlazaSaipan, (670) 287-1200

CHIROPRACTIC

Goins, Jonathan, D.C.Pacific Family ChiropracticQuad L Bldg.Flores Rosa St., Garapan, Saipan, (670) 233-6671

DME

Marianas Medical SuppliesM&H Building, Middle Road Saipan, (670) 233-6671

HOME HEALTH/ OUTPATIENT PHYSICAL THERAPY

Eucon Medical Health ServicesSevero, Siasoyco B. II, B.S.P.T.Gualo Rai Plaza, Ste #6, Gualo Rai Saipan, (670) 233-3647

Marianas Health ServicesSaipan Plaza Bldg., Ste 7 Saipan, (670) 233-4647

Marianas Visiting NursesKim’s Bldg., Middle Road, Gualo Rai Saipan, (670) 323-7720

PT RehabDotimas, Carlo R., B.S.P.T. Solano, Winnie E., P.T.Saipan, (670)323-6780

LABORATORY SERVICES

Diagnostic Laboratory Services Inc. (DLS) 2nd Floor, TSL Plaza Beach Road, Garapan Saipan, (670)235-0233

NEUROLOGY

Pacific Sleep CenterHutchinson, Kimberly, M.D.Saipan,(670)322-6302

OPHTHALMOLOGY

Hardt Eye ClinicBeach Road,Garapan, Saipan 96950 (670)235-2030

Marianas Eye InstituteGodnig, Edward C., O.D.Khorram,David,M.D.Beach Road, Garapan Saipan(670)235-9090

OPTOMETRY

Hardt Eye ClinicHardt, David, O.D.Hardt, Donald, O.D.Beach Road, Garapan, Saipan 96950 (670)235-2030

Marianas Eye InstituteKhorram, David,M.D.Robertson, Mark,O.D.Beach Road, Garapan Across 13 Fisherman Monument Saipan, (670) 235-9090

PHARMACY

Brabu Pharmacy101 Akari Bldg.Chalan Pale Arnold Rd.Saipan, CNMI, (670) 233-2668

FHP Pharmacy2nd Floor, TSL Plaza, Beach Road Garapan, Saipan MP 96950San Jose, CNMI, (670)235-0994

OFF-ISLAND Services

14


CNMI DENTAL NETWORK

GENERAL DENTISTRY

Dental CareMiddle Road, Garapan Saipan 96950 (670) 233-1100 Gogan, Fred, D.D.S.

New Wave Dental ClinicMiddle Road, Garapan Saipan 96950(670) 233-3300 Hall, Michael E., D.D.S.

Saipan Adventist ClinicQuarter Master Road, Chalan Laulau, Saipan 96950(670)234-6323

Pierson, Crystal, D.D.S. Pierson, Kenneth, D.D.S. Reedstrom, Dean M.,D.D.S. Shearer, Sarah-Jane, D.D.S. Shearer, William J.B.,D.D.S. Stafford, Michael, D.D.S.

ToothworksDentalClinicKulot De Rosa St. Chalan Kiya, Saipan 96950 (670)234-3810 Markoff, Alan, D.D.S.

PERIODONTICS

Saipan Adventist Clinic Quarter Master Road, Chalan Laulau, Saipan 96950 (670) 234-6323 Gatewood, Robert, D.D.S., M.D. Ko,Hee Soo, D.M.D.

POHNPEIGenesis Island Family Clinic & Hospital (691) 320-8660

Berysins CommunityHealth Center (691) 320-6115/7740

PALAUPRIMARY CARE AND GENERAL SURGERY

Belau National Hospital P.O. Box 6027 Koror, Republic Of Palau 96940 (680)488-2552/3

Roberts, Emais, M.D.Family Surgical ClinicP.O. Box 1652, Koror, Republic Of Palau (680) 488-6920/21/22

Capili, Wendy, M.D.Yano, Victor M., M.D.Belau Medical Clinic P.O. Box 822 Koror, Republic Of Palau (680) 488-2688/87

GENERAL DENTISTRY

Belau National Hospital P.O. Box 6027Koror, Republic Of Palau 96940 (680)488-2552/3

OPTOMETRY

Belau National HospitalP.O. Box 6027Koror, Republic Of Palau 96940(680) 488-2552/3

Pacific Family Medical SuppliesP.O. Box 1523Koror, Republic Of Palau(680) 488-6655

PHARMACY & MEDICAL SUPPLIES

Pacific Family Medical SuppliesP.O. Box 1523 Koror, Republic Of Palau (680) 488-6655

OFF-ISLAND Services con’t.

15

HAWAII

Gentle Dental Aiea/Perlridge98-211 Pali Momi St., Ste. 715 Aiea, Hawaii 96701Tel:(808) 488-8119

Gentle Dental Kona75-1028 Henry St., Ste. 203 Kailua-Kona, Hawaii 96740 Tel:(808) 329-4425

Gentle Dental Makakilo/Kapolei92-605 Makakilo Dr. Kapolei, Hawaii 96707 Tel:(808) 672-0397

Gentle Dental Mililani95-1249 Meheula Pkwy. Ste. 115 Mililani, Hawaii 96789 Tel:(808) 623-2888

Gentle Dental Waianae Coast86-078 Farrington Hwy. Ste. 210 Waianae, Hawaii 96792 Tel:(808) 697-1310

Kapi‘olani Medical Center at PaliMomi 98-1079 Moanalua Road Aiea, Hawaii 96701 Tel:(808) 486-6000

Kapi‘olani Medical Center for Women and Children1319 Punahou Street Honolulu, Hawaii 96826 Tel:(808) 983-6000

Straub Clinic and Hospital 888 South King Street Honolulu, Hawaii 96813Tel:(808) 522-4000

MAINLAND UNITED STATES

Anaheim Memorial Medical Center*111W.La Palma Ave.Anaheim,CA 92801 Tel:(714) 774-1451

Good Samaritan Hospital*1225 Wilshire Blvd. Los Angeles, CA 90017Tel:(213)977-2121

Long Beach Memorial Medical Center2801 Atlantic Ave.Long Beach, CA 90804Tel:(562) 933-2000

Miller Children’s Hospital2801 Atlantic Ave.Long Beach, CA 90806Tel:(562) 933-5437

MultiPlan, Inc.www.multiplan.comFor more information, contact TakeCare Customer Service at 1-671-647-3526

UCLA Medical Center10920 Wilshire Blvd. Ste.1800Los Angeles, CA 90024 Tel:(310) 794-8759Santa Monica-UCLAMedical CenterTel:(310) 319-4000

Western Medical Center Santa Ana1001 North Tustin AvenueSanta Ana, CA 92705Tel:(714) 953-3500

OFF-ISLAND NetworkTakeCare Participating Providers with Prior Authorization by Medical Management Department is Required

Please contact the Medical Management or Customer Service Departments for other available providers.

* Preferrred Provider:A preferred provider is a participating provider that has entered into a written agreement with TakeCare to provide off-island care or treatment at a preferential or greater discounted rate which allows TakeCare to provide greater coverage to you. The participating providers which are identified herein as preferred providers are subject to change from time-to-time depending on the terms and rates for services of the written agreements. Please be sure to check with TakeCare’s Medical Management Department to confirm the identity of preferred providers.

16

PHILIPPINES

Cebu Doctor’s University Hospital, Inc.Osmena Blvd., Capitol Cebu CityTel: (632) 253-7511

Makati Medical CenterNo. 2 Amorsolo St., Legaspi VillageMakati City, Philippines 1229Tel: (632) 8888999

St. Luke’s Medical Center**

279 E. Rodriguez Boulevard Sr.Quezon City, Philippines 1102Tel: (632) 726-5770 (632) 726-6937

32nd St. Bonifacio Global City Taguig City, Philippines Tel: (632) 789-7700

The Medical City*Ortigas Avenue, Pasig CityTel: (632) 635-6789 or (632) 631-8626

Angeles Clinic76 Sto. Entierro, Sto. CristoAngeles City, Pampanga 2009 Tel: (63-45) 887-2882 or (63-45) 887-2885

IloiloLocsin St. Brgy. Tap-ocMolo, Iloilo City, Philippines Tel: (63-33) 338-1505 to 1513

Please contact the TakeCare Medical Referral Office at:Room 718 North Tower Cathedral Heights BuildingTel: (632) 726-5770 (632) 726-6937St.Luke’s Trunkline: (632) 723-0101 Local 5718

JAPAN

Kameda Medical Center929 Higashi-cho Kamogawa City Chiba, Japan Tel: 0470-92-2211

KOREA

Samsung Medical Center 50 Irwon-don, Kangnam-Ku, Seoul, Korea Tel: 82(2) 3410-0200/022

MALAYSIA

Sime Darby Healthcare 1, Jalan SS 12/1A, 47500 Subang Jaya, Selanger, Malaysia Tel: +860.3.56391212

SINGAPORE

Raffles Hospital585 North Bridge Road Raffles Hospital, SingaporeTel: (65) 6311-1666

TAIWAN

Taiwan Adventist Hospital 424 Pa Te Road, Section 2 Taipei, TaiwanTel: (86) 2-27718151

THAILAND

Bumrungrad Hospital33 Sukhumvit SOI (Nana Nua) Klongtoey, Nua Sub District, Wattana District Bangkok, ThailandTel: (662) 677-1000

ASIA Network

All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

* Preferrred Provider:A preferred provider is a participating provider that has entered into a written agreement with TakeCare to provide off-island care or treatment at a preferential or greater discounted rate which allows TakeCare to provide greater coverage to you. The participating providers which are identified herein as preferred providers are subject to change from time-to-time depending on the terms and rates for services of the written agreements. Please be sure to check with TakeCare’s Medical Management Department to confirm the identity of preferred providers.

17

Name Specialty Clinic Name

Visiting OFF-ISLAND Providers/Specialists

Internal Medicine Hematology& Medical Oncology

Ho, Jason, M.D.

Ng, Eugene, M.D. Ophthalmology

Ruggio, Joseph, M.D. Cardiologist Pacific CardiovascularAssociates

Dam, Michael C., M.D. Internal Medicine& Cardiovascular Disease

Pacific CardiovascularAssociates

De Luna, Andres L., M.D. Internal Medicine& Cardiovascular Disease

Pacific CardiovascularAssociates

Quiros, Juan Carlos, M.D. Internal Medicine& Cardiovascular Disease

Parks, David, M.D. Retinal Ophthalmologist RetinaVitreousConsultants

Pang, Pierre, M.D. Retinal Ophthalmologist Retina Center of Guam, LLC

Saw, Eng, M.D. General Surgeon

Seneviratne, Lasika, M.D. Hematology/Medical Oncology L.A. Hematology and Oncology Medical Center

Tan, Christopher, M.D. Pediatric Cardiologist Pacific CardiovascularAssociates

Taniguchi, Raymond, M.D. Neurological Surgery FHP Health Center

Tertzakian, Garo, M.D. Urology Associated Urologist ofOrange County

18

FHP Health Center#548 South Marine Corps Drive,Tamuning, Guam 96913(671) 646-5825 Medicare Healthcare Provider*

*List of Providers, in the TakeCare Network, accepting Medicare. A Medicare provider is a participating/contracted provider who accepts Medicare fees/rates as a basis of payment for their services. This provider only bills you for any deductible and copayment/coinsurance amounts under your Medicare coverage. TakeCare Network Providers, identified herein as Providers who accept Medicare, are subject to change depending on whether the provider continues to accept Medicare covered members.

MEDICAL Urgent Care

DENTAL General Dentistry

VISION CENTER

Stanley, W. Ed, PA-CRozycki, Thomas, M.D. Duenas, Helena A., PA-C Kaufman, Karyn, PA-C

Mariano, Maria Chela A., M.D. Stratton, Walter, PA-C

Winter, William J., PA-C

Dulay, Marylou, M.D. Supit, Edwin J., M.D.

Baugh, Dean, D.D.S.Kowal, Robert, D.D.S. Lee, Thomas K., D.D.S. Sullivan, John, D.D.S.

Dizon, Joel, O.D. McDonald, Jay, O.D. San Nicolas, Marlene, O.D.

Family Practice

Family Practice Internal Medicine

Endodontic Dentistry

HEALTH CENTER SERVICES·Health Education·Home Health·Hospice·Laboratory

Chaudhry, Aftab A., M.D.

Oncology

Thebaut, Jr., Ben R., M.D.

Orthopedics

Leon Guerrero, Robert, M.D.

Pediatrics

Sarmiento, Dennis, M.D. Stadler, James, M.D.

RADIOLOGY

Powell, Douglas A., D.O.

·Mammography·OB/GYN·Optical·Oncology

·Pharmacy·Radiology·Surgi-Center

1-800-DOC-CONSULT (1-800-362-2667)www.consultadoctor.com

Consult A Doctor – 24/7Access to Physicians by Phone and OnlineConsult A Doctor provides 24/7 access to licensed on-island physicians via phone or secure email. Our services provide you with peace of mind, save you time and money, and offer you cutting-edge decision making tools to help you take greater controlof your family’s health.

REVOLUTIONARY HEALTHCARE ACCESS.LOWER HEALTH CARE COSTS.

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