Provider DIRECTORY. January 1, December 31, 2013

Transcription

1 2013 Provider DIRECTORY January 1, December 31, 2013 UniedHealhcare Dual Complee RP (Regional PPO SNP) Florida (Gulfcoas Souh) - Charloe, Collier, DeSoo, Glades, Hardee, Hendry, Lee, Manaee and Sarasoa Counies Y0066_120629_031331_FINAL_35 CMS Acceped

2

3 Your Plan Provider Direcory This direcory provides a lis of your plan s nework providers. This direcory is for he plan and service area lised on he cover. This direcory is curren as of Sepember 1, Some nework providers may have been added or removed from our nework afer his direcory was prined. We do no guaranee ha each provider is sill acceping new members. To ge he mos up-o-dae informaion abou Your Plan s nework providers in your area, you can visi or call our Cusomer Service Deparmen a , 8 a.m. o 8 p.m., local ime, 7 days a week. TTY users should call 711. Plan is insured or covered by UniedHealhcare Insurance Company or one of is affiliaes, a Medicare Advanage organizaion wih a Medicare conrac. This informaion is available for free in oher languages. Please conac our cusomer service number a , TTY 711, 8 a.m. o 8 p.m.local ime, 7 days a week. This documen may be available in an alernae forma such as Braille, larger prin or audio. Please conac our cusomer service number a , TTY: 711, 8 a.m. o 8 p.m. local ime, 7 days a week. Esa información esá disponible sin coso en oros idiomas. Comuníquese con el nuesro Servicio al Cliene de UniedHealhcare al número , TTY: 711, de 8 a.m. a 8 p.m. hora local, los 7 días de la semana. Y0066_120629_031331_FINAL_35 CMS Acceped 1

4 Secion 1 Inroducion This direcory provides a lis of your plan s nework providers. To ge deailed informaion abou your healh care coverage, please see your Evidence of Coverage (EOC). Your plan may cover addiional benefis ha are no covered by Original Medicare. Addiional benefis may include vision, denal or hearing services. Noe: You may have o use a specific provider for some addiional benefis. Choosing a Primary Care Physician (PCP) You will have o choose one of our nework providers who are lised in his direcory o be your Primary Care Physician (PCP). The erm PCP will be used hroughou his direcory. You'll need o call and make sure he provider you choose is acceping new paiens. If you choose a PCP who is no aking new paiens, we may assign you o a PCP who is. You do no have o keep seeing he same PCP. You can choose anoher PCP who is acceping new paiens by calling Cusomer Service a he number lised on he back of his direcory. Your PCP plays an imporan role in your healh care. They can: Help you make smar lifesyle choices o improve and mainain your healh Perform prevenive care and screen for healh condiions Help you beer undersand your medical condiions Coordinae he care you ge from specialiss o help preven duplicae and unnecessary ess Manage your prescripions o avoid possible harmful ineracions Your PCP can handle mos common healh care needs. If you need o see a specialis, your PCP can recommend an appropriae nework specialis and answer quesions abou he specialis s reamen plan. Your PCP will provide follow-up care as needed. The "nework providers" lised in his direcory have agreed o provide healh care services o our members. Check your Evidence of Coverage o make sure your plan includes addiional benefis or ha you've signed up for opional supplemenal benefis before making appoinmens for denal, vision or hearing services. If you have been going o one nework provider, you are no required o coninue going o ha same provider. In some cases, you may ge covered services from non-nework providers. Geing services from ou-of-nework providers Your Evidence of Coverage has informaion abou any ou-of-nework services your plan covers, as well as he rules for using hese services. If you have any quesions abou your plan's benefis or coverage for ou-of-nework services, please call Cusomer Service. If you use an ou-of-nework provider for rouine care, your coss may be higher. You can ask our plan o pay our share of he cos of your covered services There may be imes when you ge a bill from a provider for he full cos of medical care you have received. In mos cases, you should send his bill o us insead of paying i. We will look a he bill and decide wheher he services should be covered. If we decide hey should be covered, we will pay he provider direcly. Please see Chaper 5 of your Evidence of Coverage for more informaion. Imporan informaion for people wih Medicare and Medicaid: If you re a Qualified Medicare Beneficiary (QMB), your docor may no bill you for deducibles, copays or coinsurance for Medicare-covered services, excep for Par D prescripion drug copays. Please show your member ID card and your saeissued Medicaid member ID card when you see he docor or use oher plan services. This will help ensure you re billed for he correc amoun. 2

5 If you have quesions abou your Medicare Advanage plan or need help choosing a PCP, please call our Cusomer Service a , TTY 711, or visi Emergency and urgenly needed care If you have a medical emergency, ge help as quickly as possible. Call 911 or go o he neares emergency room or hospial. You can always ge emergency care from he neares available provider, wheher or no hey are a nework provider. Your plan covers emergency services wheher you are in or ou of he service area. Your plan covers ambulance services for geing o he emergency room when any oher way could harm your healh. You or someone else should call and ell us abou your emergency care, usually wihin 48 hours. How o access your behavioral healh benefi To access your behavioral healh benefis, call he behavioral healh number on he back of your member ID card, 24 hours a day, 7 days a week. When you call, a represenaive will check your eligibiliy and ge basic informaion abou you and your siuaion. Depending on he help you need, a clinician may alk wih you and recommend a provider and reamen plan. If you prefer, your PCP may call and arrange a referral for you. You may also call for informaion abou nework praciioners, subspecialy care and how o ge care afer normal office hours. Your personal informaion will be kep sricly confidenial. If you need organ ransplan services Your plan has a naionwide nework of faciliies ha perform organ ransplans (ransplan procedures involving he Hear, Lung, Liver, Inesine, Kidney, Bone Marrow and/or Pancreas). Solid organ ransplans mus be obained from a faciliy ha is currenly Medicare-approved o perform he ype of ransplan you need. The complee lis of faciliies ha are in-nework for your plan, and ha are approved by Medicare for he ypes of ransplan programs hey may offer, may change hroughou he year. For informaion on nework faciliies for ransplan services, please call Cusomer Service a TTY 711. Choosing a vision provider See Chaper 4 of your EOC o make sure your plan includes addiional vision care coverage. Then check o see if he coverage includes rouine eye exams and/or rouine eyewear. You can find a lis of your plan s vision care providers in he specialis secion of his direcory. Or call Cusomer Service a he number on he back of he direcory. If your plan does no cover vision care services and you visi one of hese providers, your services will no be covered. Choosing a denal provider Denal services See Chaper 4 of your EOC o make sure your plan includes addiional denal services. If i does, choose a nework provider o ge he mos benefis you can. How o change a denal provider Denal services You may change your nework provider a any ime. Simply choose anoher nework provider and make an appoinmen. The plan canno guaranee ha any specific nework provider will be available. Some offices may have been added o or aken from his lis since i was prined. For complee, up-o-dae informaion, conac Cusomer Service a he number on he back of your member ID card. Wha is he service area for your plan? The counies in our service area are lised below. Alachua, Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charloe, Cirus, Clay, Collier, Columbia, DeSoo, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchris, Glades, Gulf, Hamilon, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Indian River, Jackson, Jefferson, Lafayee, Lake, Lee, Leon, Levy, Libery, Madison, Manaee, 3

6 Marion, Marin, Miami-Dade, Monroe, Nassau, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Punam, Sana Rosa, Sarasoa, Seminole, S. Johns, S. Lucie, Sumer, Suwannee, Taylor, Union, Volusia, Wakulla, Walon and Washingon Counies How do you find nework providers in your area? Nework providers in your area are lised in he following secions of his direcory. You can also search online a You may have more providers o choose from if he service area shown above is larger han he service area shown on he fron of his direcory. For more informaion call Cusomer Service a he number on he back of your member ID card. If you have quesions abou your plan or require assisance in selecing a PCP, please call our Cusomer Service Deparmen a , TTY 711. Or visi There are approximaely 6,022 Primary Care Physicians (PCP), 19,049 Specialiss and 170 Hospials in our nework. This direcory of healh care providers is only a parial lis of providers ha you can see. To see if a cerain provider is a par of our nework, please call You can also do an online provider search by visiing our websie a 4

7 Table of Conens Addiional Benefis Conac Lis...7 Naional Conraced Faciliy / Vendors...9 Primary Care Physicians...15 Specialiss...59 Skilled Nursing Faciliies Hospials Urgen Care/Surgiceners Ancillary Providers Denal Denal services Index

8 6

9 Addiional Benefis Conac Lis Vision Care Plan nework providers in your service area , TTY a.m. o 8 p.m. local ime, 7 days a week Rouine Transporaion (Limied o ground ransporaion only) LogisiCare , TTY a.m. o 5 p.m. local ime, Monday Friday Denal Services UniedHealhcare Denal , TTY a.m. o 8 p.m. local ime, 7 days a week Healh Producs Benefi Caalog FirsLine Medical , TTY a.m. o 7 p.m. Cenral Sandard Time, Monday- Friday; 7 a.m. o 4 p.m. Cenral Sandard Time, Saurday Please see Chaper 4 of your Evidence of Coverage for deails abou plan benefis, limiaions and exclusions. If your plan does no include addiional benefis and you visi one of hese providers, your services will NOT be covered. 7

10 8

11 Naional Conraced Faciliy/Vendors Naional Conraced Faciliy/Vendors - e following naional vendors are available o provide services o he UniedHealhcare cusomers hroughou he Unied aes regardless of where you receive he services Specialy Provider(s) Phone Number Websie AED - wearable debrillaor oll ifeves - - wwwollcom Bone Growh Simulaor rhopedics - wwwdorhocom ioe -- wwwebimedicalcom rhofi -- wwworhoficom mih Nephew -- pion wwwsmih-nephewcom Chemoherapy Sensiiviy iaech ncology -- wwwdiaech-oncologycom Convenience Care Clinics inueclinic ee websie wwwminuecliniccom ae Care Healh --- wwwaecarehealhcom arge Clinics ee websie wwwargecom e ile Clinic ee websie wwwhelilecliniccom Dialysis ialysis Clinic nc C ee websie wwwdciincorg DME - Wound Care Suraces Hill om suppor surfaces - - wwwhill-romcom DME - Bone Growh Simulaor iovenus -- wwwsmih-nephewcom DME - commodiy oyen respiraory neaive pressure wound care DME - commodiy oyen respiraory pria Healhcare -- wwwapriacom merican Homepaien -- wwwahomcom oech ee websie wwwroechcom DME - commodiy oyen respiraory ome nusion DME - CMConinuous assive Moion orhoics DME CMConinuous assive Moion Thermocomp ES DME - diabeic insulin pump and pump supplies incare ee websie wwwlincarecom o oc Healhcare ee websie / -- wwwoobocuscom ine -- - wwwinemedicalcom oche nsulin elivery ysems formerly iseronic edical ysems -- wwwdiseronic-usacom nimas iabees Care -- wwwanimascorpcom inied isribuion Corp-edronic -- wwwminimedcom 19

12 Specialy Provider(s) Phone Number Websie DME - mail order disposable medical supplies includin Medicare-covered diabeic supplies blood lucose moniors es srips and lances DME - mobiliy producs cusomcomple manual wheelchairs power wheelchairs seain sysems DME - neaive pressure wound pump and wound care suraces beds yram Healhcare -- wwwbyramhealhcarecom dgepar edical upply -- wwwedgeparcom ibery edical -- wwwliberymedicalcom heelchair rofessionals -- wwwwheelchairprofessionals com enadyne ioechnologies -- wwwgenadynecom C U -- wwwcicom DME - orhoics ynasplin -- wwwdynasplincom DME - orhoics and prosheics DME - respiraory hih reuency ches compression oscillaion sysem ves Hanger rhoics rosheics inia dvanced espiraory Hill-om e Ves / -- lecromed ee websie / - - wwwhangercom wwwhill-romcom / wwwhevescom wwwelecromed-usacom espirech -- wwwrespirechcom DME - ES nis yne - - wwwynemedcom DME - ES nis and MES producs ome ealh -- wwwempicom Hearland Healhcare ervices nnovaive enior Care Home Healh C erapy ervices C -- / -- ee websie ome ealh Care ayada Nurses -- / - - aim Healhcare ervices -- wwwhcr-manorcarecom or wwwhearlandhomehealh com wwwbroodalelivingcom/ nnovaive-senior-careasp wwwbayadacom wwwmaimhomecarecom ome nusion Services Carepoin arners -- wwwcarepoinparnerscom ome nusion-specialy harmacy Criical Care ysems -- wwwcriicalcaresysemscom iocrip -- wwwbioscripcom algreens nfusion ervices -- wwwwalgreenshealhcom ome Sleep esin ccusom/novaom -- wwwnovasomcom Viruo -- wwwviruone aerar edical -- wwwwaermarmedicalcom 10 2

13 Specialy Provider(s) Phone Number Websie ospice seracare Hospice ee websie wwwaseracarecom ospice ome and npaien ome ealh Services- ome and npaien ospice aboraory - anaomic paholoy - includin dermaopaholoy asroeneroloy eniourinary hemaoloy and ynecoloical paholoy aboraory BAC analysis CAS and MEAS esin Geneic esin specically BACAnalysis or herediary breas and ovarian cancer CAS or herediary colon and endomerial cancer and MEAS or herediary melanoma and pancreaic cancer Hearland Healhcare ervices -- / -- vercare Hospice ee websie / -- wwwhcr-manorcarecom or wwwhearlandhomehealh com wwwevercarehospicecom meriah -- wwwameripahcom yriad eneic aboraories nc - - wwwmyriadcom aboraory - dialysis esin Naionwide -- wwwnaionwidelabcom aboraory - dru esin medicaion moniorin aboraory ull scope laboraory esin services includin rouine blood wor esoeric ess paholoy services inecious disease oncoloy allery oicoloy and eneic esin and counselin aboraory - oncoype esin ncoype D or cancer manaemen ominion iagnosics -- / -- aboraory Corporaion of merica -- -C wwwdominiondiagnosics com wwwlabcorpcom enomic Healh -- wwwgenomichealhcom aboraory - prenaal esin N abs -- / -- aboraory - specialiy inecious disease esin molecular bioloy immunoloy and seroloy aboraory - uropaholoy specialiin in prosae cancer bladder cancer and sone disease edical iagnosic aboraories -- wwwndlabscom wwwmdlabcom U ab -- wwwourlabne 11 3

14 Specialy Provider(s) Phone Number Websie Medical supplies or residens o nursin homes ncomeri - hemaopaholoy G paholoy - asroinesinal paholoy D-ah - dermaopaholoy Womens ealh aboraories - ynecoloic paholoy mnicare -- wwwomnicarecom oplar Healhcare - - wwwpoplarhealhcarecom phamaloic main yeel maging -- wwweyeel-imagingcom Specialy harmacy rescripion oluions -- wwwopumrcom Specialy harmacy - Caricel nly Specialy harmacy - Enyme Deciencymmune Globulins G ulmonary yperension Specialy harmacy Maena and oher limied disribuion specialy drus Specialy harmacy - rolasin and Gamune Specialy harmacy - olair nly elephonic Geneic Counselin Services Therapeuic Medicaion Moniorin Dru esin U ioservices -- wwwusbioservicescom ccredo -- wwwaccredocom CV / Caremar -- wwwcaremarcom Cenric -- wwwcenrichealhresources com algreens pecialy harmacy nformed edical ecisions wwwwalgreenshealhcom wwwinformeddnacom illennium aboraories - - wwwmilleniumlaboraories com ren Care Services Concenra Urgen Care ee websie wwwconcenracom accine Services - n uena accines accine Services-n uena vaccines neumococcal vaccines Worsie Clinics accine Services-n uena vaccines neumococcal vaccines Worsie Clinics accine Services-n uena vaccines neumococcal vaccines Worsie Clinics accine Services-n uena vaccines neumococcal vaccines Worsie Clinics arge Vaccine -- wwwargecom CV harmacy Vaccine -- wwwcvscom ollen mmuniaion Clinics -- www ushousacom NuFacor-Vamerica - - wwwvaamericacom ie id -- wwwrieaidcom 12 4

15 Specialy Provider(s) Phone Number Websie accine Services-n uena vaccines neumococcal vaccines Worsie Clinics Womens ealh aboraories - yencoloic paholoy algreens mmuniaion -- wwwwalgreenscom Healh Care - - wwwpsahealhcarecom - U C UN is cerain medical e uipmen ha is ordered by your docor for use a home includes bu is no limied o wheelchairs cruches hospial bed V infusion pump oygen e uipmen nebulier and waler H HH/H NFUN C can eiher be a licensed faciliy or medical personnel ha can provide healh care services in he home ervices include bu are no limied o nursing visis for infusion services or wound care means diagnosic esing including rouine blood and urine analysis anaomic pahology surgical pahology and specialy or esoeric services C HC V provides specific drug producs direcly o cusomers or physicians N HH is limied o home uerine monioring services 13 5

16 14

17 Primary Care Physicians Charloe Charloe Family Pracice Baron, Jack E, MD Provider ID# Placida Rd Se 202 Englewood, FL (941) Polish, Baron, Jack E, MD 2 Provider ID# S McCall Rd Se B Englewood, FL (941) Polish, Berrios, Luis D, MD Provider ID# Cross S Uni Puna Gorda, FL (941) French, Ialian, Bordy, Pascal, MD Provider ID# Tamiami Trl Por Charloe, FL (941) French *Bruah, David R, MD Provider ID# Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Harbor Blvd Por Charloe, FL (941) Bur, Melody H, DO Provider ID# Cochran Blvd Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) *Buler, David, DO Provider ID# Caring Way Se 2 Por Charloe, FL (941) Calvino, Sephane M, MD Provider ID# Tamiami Trl Por Charloe, FL (941) *Cardeney, Luis A, MD Provider ID# Tamiami Trail Uni E Por Charloe, FL (239) Chace, Todd R, DO Provider ID# S McCall Rd Se C Por Charloe, FL (941) S McCall Rd Se C&D Englewood, FL (941) Chace, Todd R, DO Provider ID# S McCall Rd Se C Englewood, FL (941) Chirillo, Joseph S, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Cochran Blvd Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Cislo, David G, DO Provider ID# Tamiami Trl Por Charloe, FL (941) Cohen, Louise A, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Primary Care Physicians 3430 Tamiami Trl Se B Por Charloe, FL (941) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 15

18 Charloe *Cox, Laura M, MD Provider ID# Tamiami Trl Se 1 Por Charloe, FL (941) Criss, Cahy L, DO Provider ID# Cochran Blvd Por Charloe, FL (941) *Diaz, John R, MD Provider ID# Tamiami Trl Por Charloe, FL (941) *Dinolov, Vladimire J, MD Provider ID# Aaron S Por Charloe, FL (941) Bulgarian, *Dinolov, Vladimire J, MD Provider ID# Olean Blvd Por Charloe, FL (941) Bulgarian, *Droffner, Mark C, DO Provider ID# Milus S Puna Gorda, FL (941) Eaon, William J, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) French, 2315 Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Espinoza Avila, Maria Del Carmen, MD Provider ID# Tamiami Trail Suie E Por Charloe, FL (239) *Faremouh, James J, DO Provider ID# Tamiami Trl Se A Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) *Gagliardi, Ida J, MD Provider ID# Tamiami Trl Por Charloe, FL (239) Gershon, Julian R, DO Provider ID# S McCall Rd Se C Englewood, FL (941) Gershon, Julian R, DO Provider ID# S McCall Rd Se C Englewood, FL (941) Primary Care Physicians Gonzalez, Aimee, MD Provider ID# Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se 3 Por Charloe, FL (941) Gooding, David J, DO Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Cochran Blvd Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) Graniero, Paul B, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he 16 Board Cerified.

19 Primary Care Physicians Charloe 315 E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) Hardin, Kimberly J, MD Provider ID# E Marion Ave Se 1211 Puna Gorda, FL (841) Hindi, Harris, Julia K, MD Provider ID# Cochran Blvd Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) *Harris, Rachel M, MD Provider ID# Tamiami Trl Se E Por Charloe, FL (239) Hayes, William A, DO Provider ID# Cochran Blvd Por Charloe, FL (941) *Haywood, Colee S, MD Provider ID# Tamiami Trail Uni E Por Charloe, FL (239) Kalosis, John, DO Provider ID# Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) *Kanacheril, Sheeja, DO Provider ID# Tamiami Trl Por Charloe, FL (239) Kennedy, Donald E, DO Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Cochran Blvd Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) Kobliska, David R, MD Provider ID# Aaron S Por Charloe, FL (941) Llerena, Lynee H, DO Provider ID# Tamiami Trl Por Charloe, FL (941) Llerena, Lynee H, DO Provider ID# Pine S Se 111 Englewood, FL (941) Lombardo-Paz, Gina D, MD Provider ID# Cochran Blvd Por Charloe, FL (941) Miller, Gregory L, DO Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Cochran Blvd Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) Murphy, Jean, MD Provider ID# Cochran Blvd Por Charloe, FL (941) French 2460 Tamiami Trl Por Charloe, FL (941) Nuer, Denver, MD Provider ID# Tamiami Trl Se A Puna Gorda, FL (941) Primary Care Physicians 1 Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 17

20 Charloe Ravid, Joseph, MD Provider ID# E Marion Ave Puna Gorda, FL (941) Reiss, Kenneh S, DO Provider ID# Harbor Blvd Se 104 Por Charloe, FL (941) *Rivera, Juan I, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) *Roberson, Donald W, DO Provider ID# S McCall Rd Se 21 Englewood, FL (941) Rodriguez-Marin, Aruro, MD Provider ID# Harbor Blvd Se 301 Por Charloe, FL (941) Rubin, Keih M, DO Provider ID# E Olympia Ave Se 112 Puna Gorda, FL (941) Tobin, Jane M, MD Provider ID# Harbor Blvd Se 13 Por Charloe, FL (941) Valladares, Navija, MD Provider ID# E Olympia Ave Puna Gorda, FL (941) Villoi, James P, MD Provider ID# Pine S Se 111 Englewood, FL (941) Villoi, James P, MD Provider ID# Pine S Se 111 Englewood, FL (914) *Vollberg, Carlon R, MD Provider ID# Tamiami Trl Se 6 Por Charloe, FL (941) General Pracice Burgess, Raymond R, DO Provider ID# Aaron S Por Charloe, FL (941) Kerbyson, Brian J, DO Provider ID# Tamiami Trl Se A Por Charloe, FL (941) Kreegel, Paige V, MD Provider ID# Tamiami Trl Se A Por Charloe, FL (941) Primary Care Physicians Myers, John, MD Provider ID# Aaron S Por Charloe, FL (941) Myers, John, MD Provider ID# Aaron S Por Charloe, FL (941) *Salopek, Vlako, MD Provider ID# Tamiami Trail Suie E Por Charloe, FL (239) *Triana, Elizabeh A, MD Provider ID# Harbor Blvd Se 100 Por Charloe, FL (941) Inernal Medicine *Abraham, James C, MD Provider ID# Olean Blvd Se C1 Por Charloe, FL (941) Olean Blvd Por Charloe, FL (941) *Ballesas, David S, MD Provider ID# Harbor Blvd Se 102 Por Charloe, FL (941) *Bermudez, Zaida, MD Provider ID# Mary S Se A Puna Gorda, FL (941) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he 18 Board Cerified.

21 Primary Care Physicians Charloe Binoy, Susan A, MD Provider ID# N Access Rd Englewood, FL (941) Hindi Black, Bren D, MD Provider ID# Harbor Blvd Se 104 Por Charloe, FL (941) *Blain, Timohy A, MD Provider ID# Pine S E Se 111 Englewood, FL (941) *Bodine, Birgi U, MD Provider ID# Ocean Blvd Por Charloe, FL (915) German 2500 Harbor Blvd Por Charloe, FL (941) E Marion Ave Puna Gorda, FL (941) *Bodine, Birgi U, MD Provider ID# Harbor Blvd Por Charloe, FL (941) German Callman, Mark L, MD Provider ID# Harbor Blvd Se 104 Por Charloe, FL (941) *Casanova, Luis A, MD Provider ID# Tamiami Trl Se C Por Charloe, FL (941) Casanova, Pedro F, MD Provider ID# S McCall Rd Englewood, FL (941) Chizea, Dora O, MD Provider ID# W Marion Ave Se 116 Puna Gorda, FL (941) Tamiami Trail Se 2101 Puna Gorda, FL (941) *Chrisesen, Seven D, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Tamiami Trl Uni 2 Por Charloe, FL (941) Cohen, Jerome B, MD Provider ID# Harbor Blvd Se 104 Por Charloe, FL (941) *Dakouny, Anoine, MD Provider ID# Tamiami Trail Se #104 Por Charloe, FL (941) Arabic, French *Dameff, Emil A, MD Provider ID# Tamiami Trl Se A Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se 105 Por Charloe, FL (941) Dash, Jeffrey A, DO Provider ID# Aaron S Por Charloe, FL (941) De Lara, Teresia C, MD Provider ID# Harbor Blvd Se 3 Por Charloe, FL (941) Del Rio Giles, Maria J, MD Provider ID# Cochran Blvd Por Charloe, FL (941) German, 2460 Tamiami Trl Por Charloe, FL (941) *Dobson, Donia, DO Provider ID# Tamiami Trail Suie E Por Charloe, FL (239) *Esepa, Samuel V, MD Provider ID# E Marion Ave Se 141 Puna Gorda, FL (941) *Esepa, Samuel V, MD Provider ID# E Marion Ave Se 141 Puna Gorda, FL (941) Primary Care Physicians 1 Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 19

22 Charloe *Ferber, Kae L, MD Provider ID# Tamiami Trl Por Charloe, FL (941) *Fernandez, Luis F, MD Provider ID# Tamiami Trl # 5 Por Charloe, FL (941) Garcia, Gerardo E, MD Provider ID# Tamiami Trl Se 102C Por Charloe, FL (941) *Garcia, Jose M, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se 3 Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Garre, Rober B, MD Provider ID# Tamiami Trl Se 300 Por Charloe, FL (941) Greenberg, Suar N, MD Provider ID# E Marion Ave Puna Gorda, FL (941) *Guerra, Lucy, MD Provider ID# Tamiami Trl Se E Por Charloe, FL (941) *Guierrez, Rober F, DO Provider ID# Cochran Blvd Por Charloe, FL (941) Polish, 2460 Tamiami Trl Por Charloe, FL (941) Halasz, Seven P, MD Provider ID# Tamiami Trl Se A Por Charloe, FL (941) Hungarian *Hassan, Syed K, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Hindi, Urdu *Hull, Rober A, MD Provider ID# Tamiami Trl Se 3 Por Charloe, FL (941) *Hume, Daniel M, MD Provider ID# Aaron S Por Charloe, FL (941) Primary Care Physicians 809 E Marion Ave Puna Gorda, FL (941) Janick, John J, MD Provider ID# Tamiami Trl Se A Por Charloe, FL (941) Janz, Timohy A, MD Provider ID# E Marion Ave Puna Gorda, FL (941) *Kamal, Ahsan, MD Provider ID# Tamiami Trl Por Charloe, FL (941) E Marion Ave Puna Gorda, FL (941) *Kamal, Ahsan, MD Provider ID# Olean Blvd Se C1 Por Charloe, FL (941) *Kamal, Asif F, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Hindi *Kanikireddy, Sankarabharan, MD Provider ID# Tamiami Trl Se E Por Charloe, FL (239) Kilo, Charles J, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he 20 Board Cerified.

23 Primary Care Physicians Charloe Koppuzha, Beena, MD 2 Provider ID# S McCall Rd Englewood, FL (941) Malayan 3937 S Access Rd Se A Englewood, FL (941) Koppuzha, George C, MD Provider ID# Tamiami Trl Uni B Por Charloe, FL (941) Malayan 3937 S Access Rd Englewood, FL (941) *Kumar, Sanjay, MD Provider ID# Tamiami Trl Se 2 Por Charloe, FL (941) *Kumar, Sanjay, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se 105 Por Charloe, FL (941) Marinez, Manuel A, MD Provider ID# Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) *Memon, Tanweer A, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Pakisani *Nackley, George E, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se A Por Charloe, FL (941) Nandigam, Usha K, MD Provider ID# N Tamiami Trl Se 300 Por Charloe, FL (941) Indian 525 E Olympia Ave Se 9 Puna Gorda, FL (941) Nord, Janice G, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Cochran Blvd Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Pamian, Franzuel B, MD Provider ID# Harbor Blvd Se 308 Por Charloe, FL (941) Filipino Papan, Ebrahim, MD Provider ID# Cochran Blvd Por Charloe, FL (941) Farsi 2450 Tamiami Trl Se A Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se B Por Charloe, FL (941) Pael, Vimal, MD Provider ID# Olean Blvd Se C1 Por Charloe, FL (941) E Marion Ave Puna Gorda, FL (941) Perez, Gladys M, MD Provider ID# Aaron S Por Charloe, FL (941) *Perez, Jorge L, MD Provider ID# Olean Blvd Se C1 Por Charloe, FL (941) Primary Care Physicians 1 Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 21

24 Charloe Perez-Trepichio, Alejandro D, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Planer, Dana F, DO Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Porer, William R, MD Provider ID# Olean Blvd Se C1 Por Charloe, FL (941) Pozniak, Luis, MD Provider ID# Tamiami Trl Por Charloe, FL (941) *Rios, F Louis, MD Provider ID# W Marion Ave Se 116 Puna Gorda, FL (941) Tamiami Trail Se 2101 Puna Gorda, FL (941) Rodriguez, Vicor M, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Cochran Blvd Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Tamiami Trl Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Rosenfield, Louis D, MD Provider ID# Tamiami Trl Se 201 Por Charloe, FL (941) Danish, *Ruano, Odel, MD Provider ID# Tamiami Trl Uni 3 Por Charloe, FL (941) *Ruano, Odel, MD Provider ID# Murdock Cir Uni 107 Por Charloe, FL (941) Aaron S Por Charloe, FL (941) Primary Care Physicians 2460 Tamiami Trl Por Charloe, FL (941) Tamiami Trl Se 3 Por Charloe, FL (941) E Olympia Ave Puna Gorda, FL (941) Tamiami Trl Se B Por Charloe, FL (941) *Ruggieri, David E, MD Provider ID# Tamiami Trl Por Charloe, FL (941) E Marion Ave Puna Gorda, FL (941) *Salazar, William R, MD Provider ID# Harbor Blvd Se 1 Por Charloe, FL (941) Seshadri, Kala S, MD Provider ID# Tamiami Trl Por Charloe, FL (941) Sklar, Jeffrey, MD Provider ID# S McCall Rd Englewood, FL (941) *Souhmayd, Julie R, MD Provider ID# Cochran Blvd Por Charloe, FL (941) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he 22 Board Cerified.

25 Primary Care Physicians 2460 Tamiami Trl Por Charloe, FL (941) *Tamayo, Numa J, MD Provider ID# Aaron S Por Charloe, FL (941) *Torres-Urruia, Juan C, MD Provider ID# Olean Blvd Por Charloe, FL (941) Olean Blvd Por Charloe, FL (941) Harbor Blvd Por Charloe, FL (941) E Marion Ave Puna Gorda, FL (941) Valene, Malgorzaa, MD Provider ID# Harbor Blvd Se 104 Por Charloe, FL (941) Polish *Vasile, Tracy, DO Provider ID# Drury Ln Englewood, FL (941) Velamakanni, Krishnamury, MD Provider ID# Bayshore Rd Se 110 Por Charloe, FL (941) Indian, *Waine, Rober S, MD Provider ID# Tamiami Trl Se 102 Por Charloe, FL (941) E Marion Ave Puna Gorda, FL (941) *Zushi, Sanjeev, MD Provider ID# Toledo Blade Blvd Por Charloe, FL (941) Tamiami Trl Se 105 Por Charloe, FL (941) Collier Family Pracice *Aroca, Esuardo E, DO Provider ID# Sw Healh Pkwy Naples, FL (239) Arocho, Pedro, MD Provider ID# Healh Park Blvd Se 2230 Naples, FL (239) *Becker, Michelle A, MD Provider ID# Collier Blvd Naples, FL (239) *Becker, Michelle A, MD Provider ID# Collier Blvd Se 204 Naples, FL (239) *Beighol, Neal L, MD Provider ID# Goodlee Rd N Se 201 (239) German 971 N Collier Blvd Marco Island, FL (239) Bell, Cynhia S, MD Provider ID# Goodlee Rd N Se 310 (239) *Bendeck, Ricardo, MD Provider ID# Sw Healh Pkwy Se 1 Naples, FL (239) Arabic, French, Ialian, Poruguese, *Bernsein, Andrew M, DO Provider ID# Goodlee Rd N Se 310 (239) *Beskow, Chrisian O, MD Provider ID# Goodlee Rd N Se 310 (239) *Boynon, Douglas L, MD Provider ID# h S N (239) *Bozza, Brian W, MD Provider ID# Bryson Dr Se 201 Naples, FL (239) Collier Primary Care Physicians 1 Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 23

26 Collier *Chema, Hope M, MD Provider ID# Pine Ridge Rd Naples, FL (239) *Chema, Hope M, MD Provider ID# Pine Ridge Rd Naples, FL (239) Dean, Edwin James, MD Provider ID# h S N Se 304 (239) Sierra Meadows Blvd Naples, FL (239) Demarino, Ciro K, MD Provider ID# N Collier Blvd Se 308 Marco Island, FL (239) *Diaz, John R, MD Provider ID# Goodlee Rd N Se 200 (239) Dirocco, Jennifer A, DO Provider ID# Veerans Park Dr Se 210 Naples, FL (239) Drew, Daniel J, MD Provider ID# Healh Park Blvd Se 2265 Naples, FL (239) *Faremouh, James J, DO Provider ID# Tamiami Trl E Naples, FL (239) Foley, Mary J, DO Provider ID# Veerans Park Dr Se 103 Naples, FL (239) *Gould, Richard S, MD Provider ID# Sierra Meadows Blvd Naples, FL (239) Guevara Gonzalez, Aldo, MD Provider ID# Execuive Dr Naples, FL (239) *Hanson, Rober E, MD Provider ID# Veerans Park Dr Se 210 Naples, FL (239) Harringon, Jane M, MD Provider ID# s Ave N Se 100 (239) Harris, Julia K, MD Provider ID# Tamiami Trail Se E Naples, FL (239) Haven, Jesse H, MD Provider ID# Veerans Park Dr Se 210 Naples, FL (239) Primary Care Physicians *Herrera, Angel H, MD Provider ID# Goodlee Rd N Se 101 Naples, FL (941) *Hobdari, Lindia R, MD Provider ID# Medical Blvd Se 101 Naples, FL (239) *Jeon, Timohy D, MD Provider ID# Pine Ridge Rd Ex Naples, FL (239) Collier Blvd Naples, FL (239) *Josephson, Mark E, MD Provider ID# Goodlee Rd N Se 310 (239) Kaplan, Daniel B, DO Provider ID# Airpor Pulling Rd N # 2 Naples, FL (239) Kaplan, Rober J, DO Provider ID# Pine Ridge Rd Naples, FL (239) Klokochar, Nicholas P, MD Provider ID# Tamiami Trl N Se 406 Naples, FL (239) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he 24 Board Cerified.

27 Primary Care Physicians Collier *Lenis, Claudia T, MD Provider ID# Heriage Blvd Immokalee, FL (239) W Madison Ave Immokalee, FL (239) N 9h S Immokalee, FL (239) Levens, Gerald, MD Provider ID# Pine Ridge Rd Naples, FL (239) *Linberg, Thomas J, MD Provider ID# Sierra Meadows Blvd Naples, FL (239) *Lucombe, Linda P, MD Provider ID# Pine Ridge Rd Naples, FL (239) *Mahieu, Vladimir J, MD Provider ID# Healh Park Blvd Se 3000 Naples, FL (239) h S N (941) McGann, Rober C, MD Provider ID# Sw Healh Pkwy Se 1 Naples, FL (941) *Mohammadu, Fusaini F, MD Provider ID# Pine Ridge Rd Naples, FL (239) Collier Blvd FL 2 Naples, FL (239) *Mohammadu, Fusaini F, MD Provider ID# Pine Ridge Rd Naples, FL (239) Collier Blvd FL 2 Naples, FL (239) *Newman, Donald D, MD Provider ID# Healh Park Blvd Se 3000 Naples, FL (239) *Nyanudor, Vava Y, MD Provider ID# Golden Gae Pkwy Se 7 Naples, FL (239) Owens, Alexander T, DO Provider ID# Healh Park Blvd Se 3000 Naples, FL (239) *Parish, Samuel K, MD Provider ID# Collier Blvd Se 320 Naples, FL (239) *Perez, Daniel J, MD Provider ID# W Madison Ave Immokalee, FL (239) *Poling, Rober A, MD Provider ID# h S N (239) Bald Eagle Dr Se 302 Marco Island, FL (239) *Polio, Jane, DO Provider ID# Bailey Ln Se 105 Naples, FL (239) *Richichi, Joseph, MD Provider ID# Piper Blvd Se 101 Naples, FL (239) Rizzi, Gabriel T, MD Provider ID# Barcarmil Way Naples, FL (239) *Rober, Vera M, DO Provider ID# Collier Blvd Naples, FL (239) Russian,, Ukrainian *Romero, Jacqueline N, MD Provider ID# Cypress Way E Se 10 Naples, FL (239) Primary Care Physicians 1 Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 25

28 Collier *Roncal, Noel O, MD Provider ID# Madison Ave Immokalee, FL (239) *Ruiz-Novero, Rhena M, MD Provider ID# Pine Ridge Rd Naples, FL (239) Sco, David A, DO Provider ID# Eigh S Norh (239) Seiber, Karla A, DO 2 Provider ID# Cypress Way E Se 10 Naples, FL (239) *Shapiro, Rochelle, MD Provider ID# Madison Ave W Immokalee, FL (239) N 9h S Immokalee, FL (239) Tineo, Yovanni, DO Provider ID# Cypress Way E Se 10 Naples, FL (239) *Trivedi, Kean H, MD Provider ID# Pine Ridge Rd Naples, FL (239) Gujarai, Hindi,, Urdu 8340 Collier Blvd FL 2 Naples, FL (239) *Tunkle, Ashley L, MD Provider ID# Goodlee Rd N Se 310 (239) Underwood, Charles R, MD Provider ID# h S N (239) *Vickaryous, Joseph P, DO Provider ID# N Collier Blvd Se 201 Marco Island, FL (239) *Wang, Michael Y, MD Provider ID# Creekside S Se 107 Naples, FL (239) Weidner, Edmund C, MD Provider ID# nd Ave N Se 205 (239) *Wiener, Vikki A, DO Provider ID# Collier Blvd Naples, FL (239) General Pracice Deleon, Cesar R, DO Provider ID# h S N (239) Goodlee Rd N Se 100A (239) Primary Care Physicians *Puero, Juan R, MD Provider ID# h Ave Uni B Immokalee, FL (239) Inernal Medicine *Alexander, Arnold G, MD Provider ID# Pine Ridge Rd Ex Naples, FL (239) *Anderson, Charles J, MD Provider ID# Pine Ridge Rd Naples, FL (239) *Balle, Manuel A, MD Provider ID# Tamiami Trl N Se 110 (239) *Balle, Manuel A, MD Provider ID# Goodlee Rd N Se 200 (239) Broderick, Kahleen, MD Provider ID# nd Ave N Se 204 (239) Brzezinski, Diane J, DO Provider ID# h S N Se 310 (239) Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he 26 Board Cerified.

29 Primary Care Physicians Collier *Darsek, Tulay, MD Provider ID# Healh Park Blvd Se 2260 Naples, FL (239) Turkish Del Rio Giles, Maria J, MD Provider ID# Creekside S Se 107 Naples, FL (239) German, 1750 Sw Healh Pkwy Se 1 Naples, FL (239) *Elizalde Sciavolino-Day, Crisina, MD Provider ID# Medical Blvd Se 101 Naples, FL (239) *Elizalde Sciavolino-Day, Crisina, MD Provider ID# Collier Blvd Se 320 Naples, FL (239) *Ferber, Kae L, MD Provider ID# Goodlee Rd N Se 200 (239) *Fonana, Kelly A, MD Provider ID# Collier Blvd Se 320 Naples, FL (239) *Francu, Diana A, MD Provider ID# Goodlee Rd N Se 160 (239) French, Romanian Galbu, Alan S, MD Provider ID# h S N (239) Goldsein, Mark R, MD Provider ID# Veerans Park Dr Se 110 Naples, FL (239) *Grossman, Joel S, MD Provider ID# Goodlee Rd N (239) Gudur, Kaviha, MD Provider ID# h S N (239) Harringon, Francis E, MD Provider ID# s Ave N Se 100 (239) Hobaica, Paul J, MD Provider ID# Pine Ridge Rd Naples, FL (239) Hobaica, Paul J, MD Provider ID# Execuive Dr Se 104 Naples, FL (239) *Irani, Farhad S, MD Provider ID# h S N (239) Sana Barbara Blvd Naples, FL (239) *Jonas-Lazin, Sherri A, MD Provider ID# Srada Sell CT Se 106 Naples, FL (239) Kenol, Claude J, MD Provider ID# Davis Blvd Se 205 Naples, FL (239) Creole, French, Kilo, Charles J, MD Provider ID# Tamiami Trl N Naples, FL (239) Kilo, Charles J, MD Provider ID# Pine Ridge Rd Naples, FL (239) Korunda, Nena, MD Provider ID# Execuive Dr Naples, FL (239) Croian *Lemoine, Friz F, MD Provider ID# Goodlee Rd N Se 200 (239) Ligh, Lee Raymond, MD Provider ID# Cenral Ave Se 301 (239) Primary Care Physicians 1 Closed o New Enrollmen 2 Acceping Exising Paiens Only * Acceps Medicaid. Please call provider's office o confirm enrollmen availabiliy and paricipaion in he Board Cerified. 27