Participating Providers and Benefit Enhancement

Transcription

1 Post- Tele- medicine Waiver acute Home Visit Waiver ACHIEVEMENT MEDICAL ASSOCIATES PA Sanderlin Damien, MD 8240 Antoine Dr, Suite 107, Houston, TX Y Y Airline Complete Healthcare Of Texas, Ltd,Llp Cuadra Ricardo, MD 7333 North Fwy, Ste 430, Houston, TX Y Y Palacios Carlos, MD 7333 North Fwy, Ste 430, Houston, TX Y Y Rivera- Opio Norma, MD 7333 North Fwy, Suite 430, Houston, TX Y Y ALVARO R GARCIA, MD, PA Garcia Alvaro, MD East Fwy,, Houston, TX Y Y ANA MARIE TORRES M.D. Torres Ana, MD 3527 Ella Blvd,, Houston, TX Y Y Ata T. Salek, MD Salek Ata, MD 1140 Business Center Dr, SUITE 200, Houston, TX Y Y BARLAS ENTERPRISES INC Barlas Zeba, MD 4407 W Fuqua St,, Houston, TX Y Y Barry E. Troyan, MD, PA Troyan Barry, MD 1140 Business Center Dr, Suite 110, Houston, TX Y Y Benjamin Interiano, MD., PA Interiano Benjamin, MD 7737 Southwest Fwy, Ste. 640, Houston, TX Y Y BICH NGUYEN MD PA Cao Khoa, MD Scarsdale Blvd,, Houston, TX Y Y My Le, MD Scarsdale Blvd, Suite B, Houston, TX Y Y Nguyen Bich, MD Scarsdale Blvd., Ste. B, Houston, TX Y Y BISSONNET INTERNAL MEDICINE PA Ezenwabachili Obiajulu, MD 7737 Southwest Fwy, Ste. 620, Houston, TX Y Y C G PATEL MD PA Patel Chandrakant, MD 1411 S Highway 69,, Nederland, TX Y Y Carlos E. Aguilar, MD, PA Aguilar Carlos, MD 3216 Spencer Highway,, Pasadena, TX Y Y Clear Lake Integrated Health Care, PA Reddy Pushpa, MD 7 Professional Park Dr,, Webster, TX Y Y CLINIC OF THE EAST END ASSOCIATION Thota Chandralatha, MD 906 Wayside Dr,, Houston, TX Y Y Darius Wania Wania Darius, MD Bellaire Blvd, #200, Houston, TX Y Y Donald C.Young, MD Young Donald, MD 427 W 20Th St, Ste. 210, Houston, TX Y Y Donald S. Hanser, MD, PA Hanser Donald, MD 427 W 20Th St, Ste. 206, Houston, TX Y Y Gordon Sack, MD Sack Gordon, MD 3339 Fairview St,, Pasadena, TX Y Y Gulf Bank Medical Clinic Mayor Jesus, MD 302 W Gulf Bank Rd,, Houston, TX Y Y Houston Cancer Institute, PA Liu Dongxin, MD 13111East Frwy, Ste 317, Houston, TX Y Y Reddy Shirisha, MD 1220 Blalock Rd,, Houston, TX Y Y Scouros Maria, MD 1220 Blalock Rd,, Houston, TX Y Y Yadav Swetha, MD 7711 Stanwick St,, 7711 Stanwick St, TX Y Y Zhou Yan, MD 1220 Blalock Road, Ste 300, Houston, TX Y Y Page 1

2 Hugo M. Toro, MD., PA Bolanos Nora, NP 607 S Mason Rd,, Katy, TX Y Y Toro Hugo, MD 607 S Mason Rd,, Katy, TX Y Y Internal Medicine Diagnostic Center Dollar Hunaid, MD N 6Th St,, Magnolia, TX Y Y Mcqurter Lindsay, PA N. 6Th St.,, Magnolia, TX Y Y James A. Wilkerson, Jr., MD Wilkerson James, MD 9090 Gaylord, Suite 201, Houston, TX Y Y JAMES TRAN MD PA Tran James, MD 4004 Woodlawn Ave,, Pasadena, TX Y Y Julio C. Arauz, MD, PA Arauz Julio, MD 908 E. Southmore Ave., Ste. 130, Pasadena, TX Y Y LEILA G. VIZIROV, M.D., P.A. Vizirov Leila, MD 427 W 20Th St, Ste. 712, Houston, TX Y Y Liberty Diagnostic Clinic Hamid Bassam, MD 2802 Garth Rd.,, Baytown, TX Y Y Louis Roddy, MD FCCP Roddy Louis, MD 1315 St Joseph Pkwy, Ste. 1005, Houston, TX Y Y MAJD K JWIED, M.D.,PLLC Jwied Majd, MD Richmond Avenue, Suite 216, Houston, TX Y Y Manohar Alloju, MD Alloju Manohar, MD Gulf Fwy,, Houston, TX Y Y Medicorp On Call, PA Aguirre Jose, MD 1315 St Joseph Pkwy, Ste 1309, Houston, TX Y Y Bautista Yanira, NP 1315 St. Joseph Pkwy, Suite 1309, Houston, TX Y Y Guerrero Jorge, MD 6710 Capitol St,, Houston, TX Y Y Martinez Hernan, NP 1315 St. Joseph Pkwy, Suite 1309, Houston, TX Y Y Milena Amado Sandra, MD 720 E Tidwell Rd,, Houston, TX Y Y O'Neal Adrianna, NP 4114 Avenue H,, Rosenberg,, TX Y Y Ramirez F. Elena, MD 1315 St. Joseph Pkwy, Suite 1309, Houston, TX Y Y Sanchez Raul, MD Professional Drive, Suite 1000, Kingwood,, TX Y Y Valenzuela Rafael, MD 720 E Tidwell Rd,, Houston, TX Y Y MEDICORP, P.A. Aguirre Jose, MD 1315 St Joseph Pkwy, Ste 1309, Houston, TX Y Y Bautista Yanira, NP 1315 St. Joseph Pkwy, Suite 1309, Houston, TX Y Y Guerrero Jorge, MD 6710 Capitol St,, Houston, TX Y Y Martinez Hernan, NP 1315 St. Joseph Pkwy, Suite 1309, Houston, TX Y Y Milena Amado Sandra, MD 720 E Tidwell Rd,, Houston, TX Y Y O'Neal Adrianna, NP 4114 Avenue H,, Rosenberg,, TX Y Y Ramirez F. Elena, MD 1315 St. Joseph Pkwy, Suite 1309, Houston, TX Y Y Sanchez Raul, MD Professional Drive, Suite 1000, Kingwood,, TX Y Y Valenzuela Rafael, MD 720 E Tidwell Rd,, Houston, TX Y Y Memorial Clinical Associates, PA Djendou Randa, MD 1201 Dairy Ashford, Suite 200, Houston, TX Y Y Franco Miguel, MD 1201 Dairy Ashford,, Houston, TX Y Y Gidvani Bhakti, MD 1201 Dairy Ashford,, Houston, TX Y Y Hodge Deborah, NP Page S. Dairy Ashford,, Houston, TX Y Y

3 Memorial Clinical Associates, PA Hughart Marsha, MD 1201 Dairy Ashford,, Houston, TX Y Y Levins John, MD 1201 Dairy Ashford,, Houston, TX Y Y Pohil Richard, MD 1201 Dairy Ashford,, Houston, TX Y Y Schultz Roger, MD 1201 Dairy Ashford,, Houston, TX Y Y Shammas Saad, MD 1201 Dairy Ashford, Suite 200, Houston, TX Y Y Smith Kelly, PA 1201 S. Dairy Ashford,, Houston, TX Y Y Tenaro Leslie, MD 1201 Dairy Ashford,, Houston, TX Y Y Tran Bach-Cuc, PA 1201 S. Dairy Ashford,, Houston, TX Y Y Turner Shellee, PA 1201 Dairy Ashford, Suite 200, Houston, TX Y Y MILLENNIUM PHYSICIANS ASSOCIATION, PLLC Berdayes Maria, MD 201 Kingwood Medical Drive, Suite A500, Kingwood, TX 773 Y Y Berniard Ashley, PA 201 Kingwood Medical Drive, Suite A500, Kingwood, TX 773 Y Y Moses Debra, MD 201 Kingwood Medical Drive, Suite A500, Kingwood, TX 773 Y Y Perez-Masuelli Carmen, MD 8845 Six Pines Dr, #2, Shenandoah, TX Y Y Recio Salvador, MD 201 Kingwood Medical Drive,, Suite A500, TX Y Y Richey Jennifer, PA 201 Kingwood Medical Drive, Suite A500, Kingwood, TX 773 Y Y Niraj Choudhary, MD, PA Choudhary Niraj, MD 360 E. Medical Center Blvd., Ste. A, Webster, TX Y Y Choudhary Smriti, MD 360 E. Medical Center Blvd., Ste. A, Webster, TX Y Y Northwest Diagnostic Clinic, PA Agyarko Afua, MD 1140 Cypress Station Dr., Suite 200, Houston, TX Y Y Charron Maria, MD Interstate 45 N,, Spring, TX Y Y Durling Laura, MD 1140 Cypress Station Dr., Ste 200, Houston, TX Y Y Fillman Stephen, MD 1140 Cypress Station Dr Ste 200,, Houston, TX Y Y Fridley William, MD 8845 Six Pines Dr, #2, Shenandoah, TX Y Y Galindo Denis, MD 8845 Six Pines Dr, #2, Shenandoah, TX Y Y Hung Emily, MD 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y Johnson William, MD 8845 Six Pines Dr, #2, Shenandoah, TX Y Y Koster Rachel, PA 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y Krause James, MD 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y Mcneill Dave, MD 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y Nguyen Charles, MD 8845 Six Pines Dr, #2, Shenandoah, TX Y Y Ogidan Patrick, MD 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y Perez-Masuelli Carmen, MD 8845 Six Pines Dr, #2, Shenandoah, TX Y Y Ramineni Naveen, MD 800 Peakwood Dr, Ste 2E, Houston, TX Y Y Sun-Wright Amie, MD Page Cypress Station Dr, Suite 200, Houston, TX Y Y

4 Northwest Diagnostic Clinic, PA Wilson Leslie, MD 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y Youngblood Todd, MD 1140 Cypress Station Dr, Ste 200, Houston, TX Y Y NUSRAT B. SOLEJA, M.D. PA Soleja Nusrat, MD 6417 Memorial Dr., Ste. B, Texas City, TX Y Y ONE MEDIC LANE PHYSICIANS PLLC Dewitt Robert, MD 1100 Smith Dr,, Alvin, TX Y Y Kendrick Nancy, PA 1100 Smith Dr,, Alvin, TX Y Y Marshall Byron, PA 1100 Smith Dr,, Alvin, TX Y Y Mccarroll Kerry, MD 1100 Smith Dr.,, Alvin, TX Y Y Prasco Paul, PA 1100 Smith Dr,, Alvin, TX Y Y Sload-Parker Cynthia, PA 1100 Smith Dr,, Alvin, TX Y Y PARKVIEW MEDICAL ASSOCIATES, P.A. Guerrero Jorge, MD 6710 Capitol St,, Houston, TX Y Y Pineda Ramon, MD 2418 East Southmore,, Pasadena, TX Y Y Peachtree Medical, PA Jimenez Lorena, NP Veterans Memorial Dr., Ste. D, Houston, TX Y Y Le Vinh, DO Veterans Memorial Dr., Ste. D, Houston, TX Y Y Truong Jade, NP Veterans Memorial Dr., Ste. D, Houston, TX Y Y Philomena Ukwade, MD., PA Ukwade Philomena, MD 401 E Parkwood Ave,, Friendswood, TX Y Y PROFESSIONAL MEDICAL AND SURGICAL CLINIC ASSOCIATION Angelo Christopher, MD 1740 W 27Th St Ste 221,, Houston, TX Y Y Ramon A Pineda MD PA Pineda Ramon, MD 2418 East Southmore,, Pasadena, TX Y Y Ramon C. Ty Jr., MD, PA Ty Ramon, MD 7737 Southwest Fwy, Ste. 565, Houston, TX Y Y Raul Rivera & Associates, PA Rivera Raul, MD 3808 Woodlawn,, Pasadena, TX Y Y Robert Louis McClendon, MD Mcclendon Robert, MD Southwest Freeway, Suite 175, Sugarland, TX Y Y ROBERT M CASTILLO MD Castillo Robert, MD 4302 Center Street,, Houston, TX Y Y SIDDHARTH R.DAVE D.O. PA Dave Siddharth, DO 4501 Cartwright Road, Ste. 905, Missouri City, TX Y Y SOUTHEAST TEXAS INTERNAL MEDICINE, PA Gambrah Anthony, MD 7980 Anchor Dr, Bld 400,, Port Arthur, TX Y Y Sria Durayappah, MD Durayappah Amaraseeli, MD 8762 Longpoint Rd,, Houston, TX Y Y SRIDEVI PAVULURI MD PA Pavuluri Sridevi, MD 3828 Hughes Ct. Ste 201,, Dickinson, TX Y Y Stanley J. Pool, MD, PA Pool Stanley, MD 8951 Ruthby, Suite 5, Houston, TX Y Y Texas Health Clinic, PA Mokkala Sandhya-Rani, MD 1322 Space Park Dr., Ste. B-100, Houston, TX Y Y The Dewitt Clinic, P.A. Dewitt Robert, MD 1100 Smith Dr,, Alvin, TX Y Y Herring Katherine, MD 304 Medic Lane, Suite B, Alvin, TX Y Y TOWN & COUNTRY FAMILY PHYSICIANS, PLLP Heflin Stephanie, NP Town And Country Way, Suite 360, Houston, TX 7702 Y Y Hilburn Bailey, PA Town And Country Way, Suite 360, Houston, TX 7702 Y Y Jackson Henry, MD Town & Country Way, Suite 360, Houston, TX Y Y Nguyen Thai, DO Page Town And Country Way, Ste 360, Houston, TX Y Y

5 TOWN & COUNTRY FAMILY PHYSICIANS, PLLP Popek Anthony, MD Town And Country Way, Suite 360, Houston, TX 7702 Y Y Tucker Laurel, MD 427 W 20Th Street, Suite 503, Houston, TX Y Y Victor A. Mendiola, M.D. Mendiola Victor, MD 7333 North Fwy, STE 250, Houston, TX Y Y Victor O. Mendiola, M.D. Mendiola Victor, MD 427 W 20Th Street, Suite 503, Houston, TX Y Y Village Family Practice Abreu Serrano Atilio, MD East Fwy,, Houston, TX Y Y Bernstein Howard, MD 3339 Fairview St,, Pasadena, TX Y Y Broussard Dwane, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Bui Quang, MD 9055 Katy Fwy,, Houston, TX Y Y Burbridge Jennifer, NP 9055 Katy Fwy, Ste 200, Katy, TX Y Y Carter Caroline, MD Katy Frwy, Suite 615, Houston, TX Y Y Cu Jennifer, PA 9055 Katy Fwy, Ste 200, Katy, TX Y Y Dhanani Zulfikarali, MD 9436 N. Houston Rosslyn Rd,, Suite C, Houston, TX Y Y Domask A, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Edwards Lee, DO Katy Frwy, Suite 615, Houston, TX Y Y Erie Susan, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Feldman Marc, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Fields Clive, MD 9055 Katy Fwy,, Houston, TX Y Y Fiesinger Troy, MD Southwest Freeway, Suite 175, Sugarland, TX Y Y Garcia Alvaro, MD East Fwy,, Houston, TX Y Y Groff Geoffrey, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Kim Grace, MD 9055 Katy Frwy, Suite 200, Houston, TX Y Y Lemming Sandra, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Lew Cynthia, MD 3339 Fairview Street,, Pasadena, TX Y Y Mcclendon Robert, MD Southwest Freeway, Suite 175, Sugarland, TX Y Y Mehta Navnitkumar, MD 9436 N. Houston Rosslyn Rd,, Suite C, Houston, TX Y Y Nguyen Steven, MD Southwest Freeway, Suite 175, Sugarland, TX Y Y Noel Michael, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Pollet Kayla, PA 9055 Katy Fwy, STE 200, Houston, TX Y Y Pool Stanley, MD 8951 Ruthby, Suite 5, Houston, TX Y Y Rabie Trevor, MD 9055 Katy Fwy, STE 200, Houston, TX Y Y Ray Ashley, PA East Fwy,, Houston, TX Y Y Reddy Madhavi, MD 9055 Katy Fwy,, Houston, TX Y Y Reed Brent, MD 9055 Katy Fwy, STE 200, Houston, TX Y Y Reichman Alan, MD Page Southwest Freeway, Suite 175, Sugarland, TX Y Y

6 Village Family Practice Roche Laura, PA 9055 Katy Fwy,, Houston, TX Y Y Rohren Christina, MD 9430 Broadway,, Pearland, TX Y Y Romanov Yana, PA 9055 Katy Fwy, STE 200, Houston, TX Y Y Sack Gordon, MD 3339 Fairview St,, Pasadena, TX Y Y Singh Katrina, NP East Fwy,, Houston, TX Y Y Somphet Mai, MD 9055 Katy Fwy, STE 200, Houston, TX Y Y Su Alex, MD 9055 Katy Fwy, Suite 200, Houston, TX Y Y Troyan Barry, MD 1140 Business Center Dr, Suite 110, Houston, TX Y Y Vanzant Robert, MD Katy Frwy, Suite 615, Houston, TX Y Y Wiman Stephanie, MD 9055 Katy Fwy, Ste 200, Katy, TX Y Y VINCENT KAU MD, PA Kau Vincent, MD Richmond Ave, Suite 110, Houston, TX Y Y WILLY PEZZIA, M.D.,P.A. Dodd Renee, NP 714 S Peek Road,, Katy, TX Y Y Olsen Linda, NP 714 S Peek Road,, Katy, TX Y Y Pezzia Willy, MD 714 S Peek Rd,, Katy, TX Y Y Zulfikarali K. Dhanani, MD PA Dhanani Zulfikarali, MD 9436 N. Houston Rosslyn Rd,, Suite C, Houston, TX Y Y Page 6