Provider Directory

A guide to help you make the right choice.

TABLE OF CONTENTS

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

PARTICIPATING PROVIDERS

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

I. DOCTORSII. SPECIALISTSIII. MEDICAL SERVICESIV. DENTAL SERVICES

Provider Directory...........................................................................................................................3-11

I. PRIMARY CARE PROVIDERS........................................................................................3

II. PRIMARY CARE BY CLINIC...............................................................................................5

III. SPECIALISTS.......................................................................................................................6

IV. MEDICAL SERVICES............................................................................................................8

V. DENTAL SERVICES..............................................................................................................9

VI. OFF-ISLAND SERVICES...................................................................................................10

VII. OFF-ISLAND ASIA NETWORK.......................................................................................11

VIII. VISITING OFF ISLAND PROVIDERS / SPECIALISTS.............................................11

TIC-PD120409

The true measure of any health careorganization is the quality of the care youreceive. And at the heart of this is yourrelationship with your participatingprovider. Your participating provider isessential in providing your day to dayhealth care needs as well as providing theavenue for health care alternatives such asspecialty care.

That’s why, at TakeCare, you have thefreedom to make the most importanthealth care decision of all - the choice ofyour participating provider. This providerdirectory serves as a helpful tool to select aparticipating provider.

HOW TO SELECT APARTICIPATING 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 a.m. to 5

p.m. at (671) 647-3526 on Guam and

(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 into a written

agreement with TakeCare to provide

medical or dental services to you and your

enrolled dependents.

How are Participating ProvidersCompensated (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 Providerand a Specialty Care Provider andhow many of each do you have inyour 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 aSpecialty Care Provider?

When you or your Primary Care Provider

feel you need more specialized treatment,

you may request for 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 TakeCare Customer Service

Department, Monday - Friday, 8am - 5pm

at: Guam (671) 647-3526, CNMI (670)

235-7687 or Palau (680) 488-4715.

Provider Directory1

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

PARTICIPATING PROVIDERSIntroduction

Provider Directory

2

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

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

MEDICAL

Urgent CareFly, Eric, PA-CFrickel, Wendy, M.D.Stanley, W. Ed, PA-C

Family PracticeArana, Maria Chela, M.D.Kaufman, Karyn, PA-CLombard, Chiyo, F.N.P.Rozycki, Thomas, M.D.Stratton, Walter, PA-C

Internal MedicineDulay, Marylou, M.D.Martineau, Charles, M.D.

Obstetrics/GynecologyCole, Farrell, M.D.Leliukas, Alice, C.N.M.

PediatricsAlano, Maria Andrea, M.D.Leon Guerrero, Robert, M.D.Sarmiento, Dennis, M.D.Stadler, James, M.D.

DENTAL

General DentistryBero, David P., D.D.S.Johnson, Elwood, D.D.S.Kowal, Robert, D.D.S.Sullivan, John, D.D.S.

Endodontic DentistryBaugh, Dean, D.D.S.

HEALTH CENTER SERVICES

· Health Education· Home Health· Hospice· Laboratory· Mammography· Optical· Pharmacy· Radiology· Surgi-Center

FHP VISION CENTER

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

Provider Directory

3

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

PRIMARY CARE Providers

FAMILY PRACTICE

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

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

Arana, Maria Chela, M.D.FHP Health CenterTamuning, 646-5824

Arguelles, Luis, M.D.ITC Medical CenterTamuning, 646-6354

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

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

Flores, Lisa D., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

Frickel, Wendy D., M.D.FHP Health CenterTamuning, 646-5825

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

Gerling, William L., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

Hawkins, Elizabeth, M.D.PMC Isla Health SystemTamuning, 647-6201

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

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

Lombard, Chiyo, F.N.P.FHP Health CenterTamuning, 646-5825

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

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

Meadows, Lee H., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

Nozaki, James K., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

Parker, Erica M., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

Robinson, Michael J., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

Santos, Patrick C., M.D.Tumon Medical OfficeUpper Tumon, 649-5052

Schroeder, Fred, M.D.Pacific Medical GroupTamuning, 649-7232

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

Stratton, Walter, PA-CFHP Health CenterTamuning, 646-5825

Terlaje, Ricardo, M.D.Tumon Medical OfficeUpper Tumon, 649-5052

Tull, Steven, PA-C1406 N. Marine Corps DriveUpper Tumon, 648-5333

Waldman, Michael, M.D.PMC Isla Health SystemTamuning, 647-6201

Woodruff, Walter, PA-CExpress CareHagatna, 477-2873

INTERNAL MEDICINE

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

Carr, Elisabeth, M.D.Hafa Adai Specialist GroupTamuning, 647-4542

Chang, Young, M.D.

Tamuning,Photo Town Plaza

646-2984

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

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

Dulay, Marylou, M.D.FHP Health CenterTamuning, 646-5825

Geslani, Bevan, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

Kallingal, Matilda, M.D.Kallingal’s Medical ClinicBarrigada, 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.American Medical CenterUpper Tumon, 647-8262

Lizama, Florencio T., M.D.PMC Isla Health SystemTamuning, 647-6201

Magcalas, Edgar, M.D.Health Partners, LLCTamuning, 646-5227/8

continued on next page

INTERNAL MEDICINE cont.

Martineau, Charles, M.D.FHP Health CenterTamuning, 646-5824

Nasir, Jeffery, M.D.1406 N. Marine Corp DriveUpper Tumon, 648-5333

Nerves, Robert, M.D.Pacific Medical GroupTamuning 649-7232

Ouhadi, Faraz, M.D.Pacific Medical GroupTamuning 649-7232

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

Safabakhsh, Saied, M.D.Pacific Medical Group

Tamuning, 649-7232

Samonte, Romeo, M.D.Pacific Health CareHarmon, 647-4533

Supit, Edwin J., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

Troxel, Tiffanny, PA-CPacific Medical GroupTamuning, 649-7232

PEDIATRICS

Alano, Maria Andrea R., M.D.FHP Health CenterTamuning, 646-5825

Alvey, Rachel, M.D.PMC Isla Health SystemsTamuning, 647-6201

Blancaflor, Maria, M.D.MPG PediatricsTamuning, 648-5437

Cason, Sheila, M.D.MPG PediatricsTamuning, 648-5437

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

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

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

Garcia, Antonio, M.D.Pediatric & Asthma ClinicTamuning, 647-4121/4102/9893

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

Hidalgo, Edgardo, M.D.Pediatric & Asthma ClinicTamuning, 647-4121/4102/9893

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

Linsangan, Gladys, M.D.Dededo Polymedic ClinicDededo, 637-9661Primary Pediatric CareTamuning, 646-2185

Manaloto, Ma. Cristina, M.D.American Medical CenterUpper Tumon, 647-8262

Santos, Edna, M.D.Tumon Medical OfficeUpper Tumon, 649-7337

Sarmiento, Dennis, M.D.FHP Health CenterTamuning, 646-5825

Schelzig, Colleen, M.D.PMC Isla Health SystemsTamuning, 647-6201

Stadler, James, M.D.FHP Health CenterTamuning, 646-5825

Provider Directory

4

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

PRIMARY CARE Providers, cont.

FHP HEALTH CENTER548 South Marine Corps DriveTamuning, 646-5825

AMERICAN MEDICAL CENTER1244 N. Marine Drive, Suite 101Upper Tumon, 647-8262Family Practice

Adolphson, Arania, M.D.Akimoto, Vincent, M.D.Nguyen, Hoa Van, M.D.

Internal MedicineLim, Johnny Jr., M.D.

PediatricsManaloto, Ma. Cristina, M.D.

CENTRAL MEDICAL CLINIC330 W. Marine DriveDededo, 637-8112Pediatrics

Chen, Wen Yen, M.D.

DEDEDO POLYMEDIC CLINIC172 East Buena Vista AvenueDededo, 637-9661Pediatrics

Linsangan, Gladys, M.D.

THE DOCTORS’ CLINIC851 Carlos Camacho RoadTamuning, 649-5018/23Family Practice

Ericson, Debra G., M.D.Lombard, Gabriel, P.N., M.D.Perez, Walter Chris, M.D., F.A.A.F.P

THE DOCTORS’ CLINIC cont.Internal Medicine

Duenas, Vincent A., M.D.Taitano, John R., M.D.

DR. CHANG’S CLINIC353 Chalan San Antonio #100Photo Town PlazaTamuning, 646-2984Internal Medicine

Chang, Young, M.D.

GUAM ADULT/PEDIATRIC CLINIC612 North Marine DriveDededo, 633-4272Internal Medicine

Chenet, Alix, M.D.Preston, Donald, M.D.

GUAM MEDICAL CARE CLINIC744 North Marine DriveUpper Tumon, 647-4174Family Practice

Galgo,Geoffrey, M.D.

GUAM MEDICAL & FOOT CLINICSONY Bldg., Ste. 104Tamuning, 647-2925

Family PracticeSilan, Rodolfo D., M.D.

HAFA ADAI SPECIALIST GROUPSunflower VillaTamuning, 647-4542

General SurgeryLim, Reynald, M.D.Rahmani, Kia, M.D.

Internal MedicineCarr, Elisabeth, M.D.

DR. CARRERA’S CLINICGuam Business Center, Ste. 109Harmon, 649-1058/9Pediatrics

Carrera, Yolanda, M.D.

HEALTH PARTNERS, LLCSte 226, ITC Bldg, 590 S. MarineCorps Dr.Tamuning, 646-5227/8Internal Medicine

Magcalas, Edgar, M.D.Rubio, Joel M., M.D., FACE.

ISLA PEDIATRICSOka Bldg., Ste. 106Tamuning, 647-4466/8495Pediatrics

Garrido, John, M.D.

ITC MEDICAL CENTERGITC Building, Ste. 126TamuningFamily Practice

Arguelles, Luis, M.D.

Internal MedicineLim, Doris, M.D.

KALLINGAL’S MEDICAL CLINICRoute 16Barrigada, 632-9078/7500Internal Medicine

Kallingal, Matilda, M.D.

MPG PEDIATRICS396 Chalan San Antonio, Ste. 103Tamuning, 648-5437Pediatrics

Blancaflor, Maria B., M.D.Cason, Sheila, M.D.

NASIR, M.D.’S MEDICAL CLINIC1406 N. Marine Corps Drive, Ste. BUpper Tumon, 648-5333

Family PracticeTull, Steven, A. , PA-C

Internal MedicineNasir, Jeffrey, M.D.

PACIFIC HEALTH CAREGuam Business Center, Ste. 108Harmon, 647-4533

Internal MedicineSamonte, Romeo, M.D.

PACIFIC MEDICAL GROUP633 Gov. Carlos Camacho Rd.Ste. 205,Tamuning, 649-7232Family Practice

Schroeder, Fred, M.D.

Internal MedicineNerves, Robert, M.D.Ouhadi, Faraz, M.D.Troxel, Tiffany, PA-CSafabakhsh, Saied, M.D.

PEDIATRIC & ADOLESCENT CLINIC472 Chalan San AntonioTamuning, 647-7337/7336Pediatrics

Domalanta, Dina, M.D.

PEDIATRIC & ASTHMA CLINIC428 Chalan San AntonioTamuning, 647-4121/9893Pediatrics

Garcia, Antonio, M.D.Hidalgo, Edgardo, M.D.

PMC ISLA HEALTH SYSTEM177-A Chalan Pasaheru, Suite FTamuning, 647-6201Family Practice

Dombrowski, Chris, M.D.Hawkins, Elizabeth, M.D.Lujan, Davina, M.D.Waldman, Michael, M.D.

Internal MedicineLizama, Florencio T., M.D.

PediatricsAlvey, Rachel, M.D.Schelzig, Colleen, M.D.

PRIMARY PEDIATRIC CARE816 North Marine Drive, Suite 108Tamuning, 646-2185Pediatrics

Linsangan, Gladys, M.D.

SEVENTH-DAY ADVENTIST CLINIC388 Ypao RoadTamuning, 646-8881

Family PracticeFlores, Lisa D., M.D.Gerling, William L., M.D.Meadows, Lee H., M.D.Nozaki, James K., M.D.Parker, Erika, M., M.D.Robinson, Michael, M.D.

Internal MedicineGeslani, Bevan, M.D.Supit, Edwin J., M.D.

ST. ANTHONY’S CLINICTamuning, 646-5266/9696/5277Internal Medicine

Guzman, Pablo, M.D.

TUMON MEDICAL OFFICEUpper Tumon, 649-5052/649-7337Family Practice

Santos, Patrick C., M.D.Terlaje, Ricardo, M.D.

PediatricsSantos, Edna, M.D.

Primary Care Providers by CLINIC

Provider Directory

5

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

EXPRESS CAREAgana Shopping Center302 S.Rte 4 Ste. 207Hagatna, 477-2873Family Practice

Lom, Jitka, M.D.Woodruff, Walter, PA-C

Obstetrics/GynecologyCole, Farrell, M.D.Leliukas, Alice, C.N.M.

PediatricsAlano, Maria Andrea, M.D.Leon Guerrero, Robert, M.D.Sarmiento, Dennis, M.D.Stadler, James, M.D.

Urgent CareFly, Eric, PA-CFrickel, Wendy D., M.D.Stanley, W. Ed, PA-C

Internal MedicineDulay, Marylou, M.D.Martineau, Charles, M.D.

Family PracticeArana, Maria Chela, M.D.Kaufman, Karyn, PA-CLombard, Chiyo, F.N.P.Rozycki, Thomas, M.D.Stratton, Walter, PA-C

BEHAVIORAL HEALTH

Ashe, Claire, M.D.Marianas Clinic2nd Floor UIU Bldg.2DTamuning, 646-7972

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

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

Camacho, Rosemarie, M.A., IMFT590 S. Marine Corps Dr., Ste. 219 GITCTamuning, 649-2081/2083

Davis-Finch, Kathryn, IMFTSerenity by the Sea414 W. Soledad Ave. Ste 500-GHagatña, 477-2787

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

Ismael, Ariel, M.D.Marianas Clinic2nd Floor UIU Bldg.2DTamuning, 646-7972

Kane, Stephen, Ph.D.PMB 130 1270 N Marine Corps DriveSuite 101, Tamuning, 789-0803

Lizama, Tricia Atoigue, MSW, ACSWGCIC Building, Suite 501BHagatña, 488-5073

Mendiola, Jeffrey C., MA, IMFT590 South Marine Corps DriveSte. 219, GITC BuildingTamuning, 649-2080/2081

Natividad, Lisalinda, Ph.D., L.C.S.W.222 Chalan Sto. Papa Ste. 205Hagatña, 777-7285

Perez, Lilli Ann, Ph.D., LCSW, RPT-SFamily PacificP.O. Box 795Hagatña, 477-5715

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

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

Taimanglo, Patricia, Ph.D.590 S. Marine Dr. Suite 219 GITCTamuning, 649-2080/2081

Tolentino, Doris, MSW, MPH, IMFTGCIC Building, Suite 501BHagatña, 898-1853

Unpingco, Annie, L.C.S.W.-IMFTThera-Health ClinicSinajana, 475-8549

ANESTHESIOLOGY

DeGuzman, Fernan, M.D.Lim, Reynald, M.D.Hafa Adai Specialist GroupTamuning, 647-4542

Lopez, Gilbert, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

Starr, Loren, CRNASeventh-Day Adventist ClinicTamuning, 646-8881

CARDIOLOGY

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

DERMATOLOGY

Richard, Elizabeth, M.D.Hafa Adai Specialist GroupSunflower VillaTamuning, 647-4542

ENDOCRINOLOGY

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

GYNECOLOGY

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

NEPHROLOGY

Philips, Sherif, M.D.American Dialysis CenterUpper Tumon, 646-3773

Nerves, Robert, M.D.Pacific Medical GroupTamuning, 649-7232

Safabakhsh, Saied, M.D.Pacific Medical GroupGuam Medical PlazaTamuning, 649-7232

NEUROLOGY

Barthlen, Gabriele M., M.D.Guam Sleep CenterTamuning, 647-6669

Carlos, Ramel, M.D.Neurology ClinicTamuning, 646-6463

Chen, Kwang-Ming, M.D.Guam Medical PlazaTamuning, 646-4263/6491

Steele, John, M.D.FHP Health CenterTamuning, 646-5825

OB/GYN

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

Cole, Farrell, M.D.FHP Health CenterTamuning, 646-5825

Gabel, Jeffery P., D.O.Seventh-Day Adventist ClinicTamuning, 646-8881

Graybill, Cassandra N.K., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

Hawkins, Elizabeth, M.D.PMC Isla Health SystemsTamuning, 649-7588

Leliukas, Alice, CNMFHP Health CenterTamuning, 646-5824

Nightingale, Janet, CNMSeventh-Day Adventist ClinicTamuning, 646-8881

Saguan, Docile, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

Velsmid, Stephanie, CNMMarianas Physicians GroupPeMar PlaceTamuning, 647-1830

Walker, Diane, CNMMarianas Physicians GroupPeMar PlaceTamuning, 647-1830

Zvonik, Karen, M.D.Marianas Physicians GroupPeMar PlaceTamuning, 647-1830

OPHTHALMOLOGY

Jack, Robert S., M.D.Smith, Anthony J., M.D.Island Eye CenterTamuning, 647-5381-4

Wresch, Robert, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

DeBenedictis, Marjorie, M.D.St. Lucy’sEye ClinicPhotoTown PlazaTamuning, 647-5829

Provider Directory

6

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

SPECIALISTS

ORAL AND MAXILLOFACIAL SURGERY

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

ORTHOPEDIC SURGEON

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

Cunningham, Glenn, M.D.PMC Isla Health System177-A Chalan Pasaheru, Suite FTamuning, 647-6201

OTOLARYNGOLOGY (ENT)

Fell, William, M.D.,Guam SurgicenterTamuning, 646-3855 x.157

PHYSICAL THERAPY

Jayme, Clint Winston, M.P.T., P.T.FHP Home HealthTamuning, 646-5825

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

Kyle, Robert S., P.T.Lossev, Grace, M.P.T.Roa, Jessie P.T.Seventh-Day Adventist ClinicTamuning, 646-8881

PODIATRY

Damian, Teresa A., D.P.M.Sangalang, Maria Melinda , D.P.M.Marianas Footcare Clinic590 S. Marine Dr. Ste. 144Tamuning, 649-3338

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

Silan, Noel, D.P.M.The Guam Foot ClinicSte 126, GITC Bldg.Tamuning, 647-2925

RADIOLOGY

Berg, Nathaniel, M.D.Breiterman, Andrew, M.D.Spak, Eric, M.D.Guam Radiology ConsultantsTamuning, 649-1001

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

SURGERY (General)

Cruz, Michael, M.D., F.A.C.S.Eusebio, Ricardo, M.D., F.A.C.S.Island Surgical CenterGuam Medical PlazaTamuning, 646-0443/4

Bates, Brian E., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881

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

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

SURGERY (Hand)

Landstrom, Jerone T. M.D., F.A.C.S.Pacific Hand Surgery CenterGuam Medical Plaza, Ste., 212Tamuning, 646-4263

SURGERY (Reconstruction and Plastic)

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

UROLOGY

Richter, Jaroslav, M.D.Oka Building, Suite 202Tamuning, 649-9693

Provider Directory

7

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

SPECIALISTS, cont.

SURGERY (Physician Assistant)

Sevilla, Audrey Camille, PA-C214 Condo Lane, Apt. 417Tamuning, 988-7187

ACUPUNCTUREPlease refer to your Schedule of Benefitsbrochure for specific information regard-ing your Acupuncture coverage

Yu, Jong Chin, Lic.Ac.Yu’s China Acupuncture Clinic263 Sanchez St. Harmon, 646-7565

BIRTHING CENTERS

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

CHIROPRACTICPlease refer to your Schedule of Benefitsbrochure for specific information regardingyour Chiropractic coverage

Cogan, William, D.C.Arthur, Steve, D.C.

Active Life Chiropractic306 N. Marine Corps Drive,Tamuning, 477-3472

Dimalanta, Albert J., D.C.Lohas Chiropractic Clinic241 Farenholt Ave.-Oka Bldg.,Tamuning, 649-4871

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

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

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

Martinez, Roger, D.C.A.D.I.O Chiropractic Clinic197 Hernan Cortez Ave. Ste. A-1Hagatna, 475-2346

Miller, Gregory, D.C.Marianas Chiropractic2078 Route 16 Ste. CDededo, 637-7926/6683

White, Roderick, D.C.Advanced Chiropractic Clinic267 S. Marine Corps Dr., Ste. 2GTamuning, 649-0545

HEALTH IMPROVEMENT

FHP Health CenterHealth Education DepartmentTamuning, 646-5824/5By Appointment Only

HOME HEALTH

FHP Health CenterHome HealthTamuning, 646-5825

HOSPICE

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

LABORATORY SERVICESDiagnostic Laboratory Services, Inc. (DLS)Main Location:

G.I.T.C. Building Suite 124590 S. Marine DriveTamuning, 646-5770

Satellite Locations:

Dededo Polymedic Center172 East Buena Vista AvenueDededo, 632-0043

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

PeMar Place472 Chalan San AntonioTamuning, 649-5079

PMC Isla Health System177-C Chalan Pasaheru(Airport Road)Tamuning, 647-6201

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

OPTOMETRISTS

McDonald, Jay, O.D.San Nicolas, Marlene, O.D.FHP Health CenterAnnex II BuildingTamuning, 646-5825

Christian, James G., O.D.Storey,Jeannette, O.D.Seventh Day Adventist ClinicTamuning, 646-8881

Yturralde, Conchita M., O.D.Vision ExpressMicronesia Mall, Suite C-140Dededo, 633-3937

PHARMACIES

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

Community Pharmacy I177-C Chalan PasaheruTamuning, 646-6160

Community Pharmacy IIN. Marine DriveUpper Tumon, 646-6515

DPH Northern Region Com.520 W Santa Monica Dr.Dededo, 635-7418

Guam Medical PharmacyGuam Medical CenterUpper Tumon, 647-5572

Guam Rexall Drugs646 South Marine Dr.Tamuning, 646-4827

Harmon DrugsRoute 16, Harmon637-1473

ITC Pharmacy I1st Floor, GITC Bldg.Tamuning, 646-6395

ITC Pharmacy IIGood Samaritan ClinicTamuning, 649-1977

Kmart Pharmacy404 N. Marine DriveTamuning, 649-7843/44

Mega Drug ISuite 101, Oka Plaza Bldg.Tamuning, 646-5355

Mega Drug IISuite A-6, 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 (direct line)

Polymedic Pharmacy172 Buena Vista Ave.Dededo, 637-9683

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

Seventh Day Adventist388 Ypao RoadTamuning, 649-3856

Southern Region CommunityHealth CenterInarajan, 828-7547

Super Drugs Dededo214 W. Marine DriveDededo, 637-9793

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

Super Drugs Oka291 Farenholt Ave.Tamuning, 646-6183

SURGERY CENTERS

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

Guam Surgi Center, LLCGuam Medical Plaza Bldg., 633 Gov.Carlos Camacho Rd.Tamuning, 646-3855

IN AREA HOSPITAL

Guam Memorial Hospital850 Gov. Carlos G. Camacho RoadOka, Tamuning, 647-2555 thru 9

Provider Directory

8

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

MEDICAL Services

PHARMACIES con’t.

GENERAL DENTISTRY

FHP Health CenterAnnex BuildingTamuning, 646-5825

Bero, David P., D.D.S.Johnson, Elwood, D.D.S.Kowal, Robert, D.D.S.Sullivan, John, D.D.S.

Family Dental CenterGuam PolyclinicTamuning, 646-6510/646-6822

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.

Guam Dental Arts140 Punzalan StreetTamuning, 646-8462/6689

Brady,Timothy P., D.D.S.

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. 300Dededo, 637-9696/9700

Alegria, Conrado V., D.D.S.Alegria, Corazon V., D.D.S.Rapadas, Cristina, D.D.S.Sison,Suzanne, D.D.S.

Hightower Dental ClinicTamuning, 646-7281/84Hightower, William, C., D.D.S.Hightower, William, C.II, D.D.S.

Isa DentalCentam Bldg. 1st FloorTamuning, 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 Smiles226 Chalan San Antonio, Ste. BTamuning, 646-2010

Bourgeois, Kenny, D.D.S.

Reynolds, Bruce, D.D.S.Reflection Center Suite 304222 East Chalan Sto. PapaHagatna, 472-6824/25

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

Matson, Debra, D.D.S.Ordelheide, Chad, D.D.S.Parker, Scott M., D.D.S.Visscher, Jonathan R., D.D.S.Ward, Wayne, D.D.S.

Veloria, Tom S., D.M.D.Baltej Pavilion, Suite 303-304Tamuning, 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

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

ORAL AND MAXILLOFACIALSURGERY

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, 477-6235

Romero, Francisco J, D.D.S., MSDSanNicolas,Francisco,“Koko”,D.D.S.,MSD

Isa DentalTerlaje, Rayner, D.D.SCentam Bldg. 1st FloorTamuning, 646-7982/5437

Harmon Loop Dental OfficeToerge, Sandra, D.M.D.Dededo, 637-9696/9700

PERIODONTICS

Gatewood, Robert R., D.D.S.Reflection Center, Ste. 303Hagåtña, 477-2379/2380

Provider Directory

9

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

DENTAL Services

ENDODONTICS

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

SAIPANSAIPAN PRIMARYCARE PROVIDERS &SUPPORT SERVICES

FAMILY / GENERALPRACTICE

Arafiles, Ruben, M.D.MH-II Bldg, Ste. 101 MarinaHghts, Bus Park,Saipan MP 96950(670)323-9000

FHP Health CenterOleai Business Center, 1st FloorP.O. Box 500118San Jose, Saipan, Mp 96950(670) 235-0994, 235-0996

Lamar, Daniel, M.D.Sablan, Roca Q., CNM-NPStephens, Lone, PA-C

Island Medical CenterSaipan MP (670) 235-8880

Marianas Medical CenterSan Antonio Rd. Saipan(670) 234-3926/3925/3927

Stearns, Anthony, M.D.Weiss, William, PA-CWilgus, Janna, M.D.Willis, Tiffany, M.D.

Medical Associates of thePacific, LLCSuite 101 MH II Bldg. MarinaHeights Business Park,Saipan, MP 96950(670) 323-9000

Camacho, Bertha, NPFergurgur, John, M.D.Hofschneider, James, M.D.Sullivan, Stephen, M.D.

Pacific Medical Center(670) 233-1613/8100/8101

Al-Alou, Ahmad, M.D.Al-Alou, Gabriel, M.D.DeGuzman, Gabriel, M.D.

BEHAVIORAL HEALTH

Brenn, Adrian, Ph.D., M.A.Erhard, Anne, Ph.D.Pacific Clinic & ConsultingSaipan , (670) 322-1925Graf, Linda, N.C.C., LCP-PSaipan, (670) 322-4723

CHIROPRACTIC

Fishman, Susan, D.C.Saipan, (670) 233-2225 or(670) 287-2225

Mariano, Justin, D.C.Mariano Chiropractic ClinicSaipan, (670) 233-6325

NEUROLOGY

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

OPHTHALMOLOGY

Marianas Eye InstituteKhorram, David, M.D.Beach Road, GarapanSaipan, (670) 235-9090

OPTOMETRY

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

Marianas Eye InstituteKhorram, David, M.D.Robertson, Mark, O.D.Beach Road, GarapanAcross 13 Fisherman MonumentSaipan, (670) 235-9090

PHARMACY

FHP PharmacyOleai CenterSan Jose, CNMI, (670) 235-0994

CNMI DENTAL NETWORK

GENERAL DENTISTRY

Dental CareMiddle Road, GarapanSaipan 96950(670) 233-1100

Eckert, Brian, D.D.S.Maxim, Masha, D.D.S.Reedstrom, Dean M., 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.Stafford, Michael, D.D.S.

Toothworks Dental Clinic,Kulot De Rosa St.Chalan Kiya, Saipan 96950(670) 234-3810Markoff, Alan, D.D.S.

PERIODONTICS

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

Gatewood, Robert, D.D.S., M.D.Ko, Hee Soo, D.M.D.

TINIANTINIAN HEALTH CENTER

Medical and Dental Clinic(670) 433-9233/9263/9333Rankin, Ricardo J., D.D.S.

POHNPEIGenesis Island FamilyClinic & Hospital(691) 320-8660

Berysins Community Health Center(691) 320-6115/7740

PALAUPRIMARY CARE ANDGENERAL SURGERY

Belau National HospitalP.O. Box 6027Koror, 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

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

GENERAL DENTISTRY

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

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

OFF-ISLAND

HAWAII*

Kapi‘olani Medical Center at PaliMomi98-1079 Moanalua RoadAiea, Hawaii 96701Tel:(808) 486-6000

Kapi‘olani Medical Centerfor Women and Children1319 Punahou StreetHonolulu, Hawaii 96826Tel:(808) 983-6000

Straub Clinic and Hospital888 South King StreetHonolulu, Hawaii 96813Tel:(808) 522-4000

MAINLAND UNITED STATES*

TakeCare Contracted ProvidersPrior Authorization by MedicalManagement Department is Required

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

Cedars-Sinai Medical Center8700 Beverly Blvd.Los Angeles, CA 90048Tel:(310) 423-3277

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

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

Please contact Medical Management orCustomer Service for other available providers.* Asia Plan members do not have access to Hawaii or Mainland United States Network

** Preferrred Pathway Provider

Provider Directory

10

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

OFF-ISLAND Services

Name Specialty Clinic Name

Ho, Jason, M.D Internal Medicine Hematology& Medical Oncology

Loo, John-Charles, M.D. Pediatric Cardiologist Pacific Cardiovascular Associates

Ruggio, Joseph, M.D. Cardiologist Pacific Cardiovascular Associates

Parks, David, M.D. Retinal Ophthalmologist Retina Vitreous Consultants

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

Quiros, Juan Carlos, M.D. Cardiologist Pacific Cardiovascular Associates

Saw, Eng, M.D. General Surgeon

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

Tan, Christopher, M.D. Pediatric Cardiologist Pacific Cardiovascular Associates

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

Tucker, Steven J.,M.D., FACP Oncology Pacific Cancer Center

Provider Directory

11

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 areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.

TIC-PD120409

OFF-ISLAND Asia Network

Visiting OFF-ISLAND Providers/Specialist

ASIA NETWORKPHILIPPINES

Asian Hospital and MedicalCenter2205 Civic Drive, FilinvestCorporate CityAlabang Muntinlupa City 1780Tel: (632) 771-9000 to 9002

Cebu Doctor’s UniversityHospital, INC.Osmena Blvd., Capitol Cebu CityTel: (632) 253-7511

St. Luke’s Medical Center**279 E. Rodriguez Boulevard Sr.Quezon City, Philippines 1102Tel: (632) 726-5770

(632) 726-6937

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

(632) 631-8626

Please contact the TakeCareMedical Referral Office at:Room 718 North TowerCathedral Heights BuildingTel: (632) 726-5770

(632) 726-6937St.Luke’s Trunkline:(632)723-0101 Local 5718

THAILAND

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

TAIWAN

Taiwan Adventist Hospital424 Pa Te Road, Section 2Taipei, TaiwanTel: (86) 2-27718151

SINGAPORE

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

JAPAN

Kameda Medical Center929 Higashi-choKamogawa City Chiba, JapanTel: 0470-92-2211

KOREA

Samsung Medical Center50 Irwon-don, Kangnam-Ku,Seoul, KoreaTel: 82(2) 3410-0200/022

*Asia Plan members do not have access to Hawaii or Mainland United States Network**Preferred Pathway Provider