Vantage Health Plan 2019 OGB Medical Home HMO Plan Nationwide Coverage. Nationwide Care. Nationwide Service. PARTICIPATING PROVIDER DIRECTORY CURRENT AS OF March 1, 2019
Table of Contents Affinity Health Network 1 NCQA PCMH Providers w/level 3 Recognition 11 Tier 1 Network: 15 Hospitals 16 Region 1 18 (Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, West Carroll, Winn) Primary Care Physicians 18 Specialty Care Physicians 26 Ancillary Services 32 Region 2 44 (Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Webster) Primary Care Physicians 44 Specialty Care Physicians 49 Ancillary Services 56 Region 3 65 (Avoyelles, Catahoula, Concordia, Grant, LaSalle, Natchitoches, Rapides, Sabine, Vernon) Primary Care Physicians 65 Specialty Care Physicians 70 Ancillary Services 75 Region 4 83 (Allen, Beauregard, Calcasieu, Cameron, Jefferson Davis) Primary Care Physicians 83 Specialty Care Physicians 87 Ancillary Services 91 Region 5 101 (Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary, Terrebonne, Vermilion) Primary Care Physicians 101 Specialty Care Physicians 104 Ancillary Services 115 Region 6 125 (Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupee, St. Helena, St. James, West Baton Rouge, West Feliciana) Primary Care Physicians 125 Specialty Care Physicians 137 Ancillary Services 152 Region 7 166 (Jefferson, LaFourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist, St. Tammany, Tangipahoa, Washington) Primary Care Physicians 166 Specialty Care Physicians 179 Ancillary Services 211
Affinity Health Network Affinity Health Network (AHN) is a preferred network of providers (physicians and facilities) who have partnered with Vantage Health Plan to offer Vantage members high quality medical services at lower copays. Page 1
HOSPITALS DESOTO REGIONAL HEALTH SYSTEM 207 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-4610 FRANKLIN PARISH HOSPITAL SERVIC DBA FRANKLIN MEDICAL CENTER 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 MONROE SURGICAL HOSPITAL 2408 BROADMOOR BLVD (318) 410-0002 RICHLAND PARISH HOSPITAL 407 CINCINNATI ST DELHI, LA 71232 (318) 878-5171 RICHLAND PARISH HOSPITAL SERVICE DBA RICHARDSON MEDICAL CTR 256 HIGHWAY 3048 RAYVILLE, LA 71269 (318) 728-4181 WEST CARROLL HEALTH SYSTEMS 706 ROSS ST OAK GROVE, LA 71263 (318) 428-3237 REGION 1 Includes Ouachita, Lincoln, Morehouse, Union, Richland, East Carroll, West Carroll, Madison, Jackson, Caldwell, Franklin, Tensas and Winn Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE ANDERS, KERRY L, 3400 MEDICAL PARK DR STE A MONROE, LA 71203 (318) 322-7744 ATKINS, LOGAN, 2104 C LOOP RD WINNSBORO, LA 71295 (318) 435-6363 BARNES, DAVID L, 3400 MEDICAL PARK DR STE C MONROE, LA 71203 (318) 325-6078 CALHOUN, KEITH B, 4400 OLD STERLINGTON RD MONROE, LA 71203 (318) 324-1414 CARLISLE, KEVIN M, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-4181 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 COLVIN, THOMAS L, 2106 LOOP RD STE A WINNSBORO, LA 71295 (318) 435-6363 COMBETTA, JEFFREY J, 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 620-0467 306 BOOTS RD FARMERVILLE, LA 71241 (318) 620-0467 COUGHRAN, JIMMY R, 1010 DAVIS LAKE RD COLUMBIA, LA 71418 (318) 649-6766 101 FAIR AVE WINNSBORO, LA 71295 (318) 435-8020 DOMINGUE, CHRISTOPHER M, 708 EAST MAIN ST OAK GROVE, LA 71263 (318) 428-3200 ELDRIDGE, JOEL G, DO 2104-C LOOP RD WINNSBORO, LA 71295 (318) 722-3333 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 ENRIQUEZ, JOSE R, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 GHANTA, SUMATHA L, 920 OLIVER RD STE J (318) 807-3700 GREEN, GREGORY R, 920 OLIVER RD WAITING AREA L (318) 807-4730 GUINIGUNDO, NOLI, 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 GUJJULA, RAJESH, 920 OLIVER RD WAITING AREA J (318) 807-3700 HAYWARD SR, MICHAEL T, 3400 MEDICAL PARK STE B MONROE, LA 71203 (318) 387-6803 KERR, ALBERT G, 121 CHRISTIAN DR RAYVILLE, LA 71269 (318) 728-0175 LAPITE, OLADAPO, 306 STONE AVE (318) 323-1040 LE, DUNG N, 508 BROADWAY DELHI, LA 71232 (318) 878-3737 109 ELM ST DELHI, LA 71232 (318) 878-6650 MCDONALD III, KENNETH E, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 MELTON, STUART L, 920 OLIVER RD WAITING AREA A (318) 807-4951 MEYERS, OWEN M, 920 OLIVER RD WAITING AREA M (318) 329-9202 PRINE, MATTHEW D, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 (Hospitalist/Intensivist) 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 RAULERSON, ROBERT M, 920 OLIVER RD WAITING AREA A (318) 807-4951 RICHARD, RINATA K, 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 ROSS, THERESA J, 112 SAINT JOHN ST (318) 387-5681 SANSON, MARSHALL V, 2309 ARKANSAS RD (318) 397-7000 SMITH, JAMES MICHAEL, 532 S WASHINGTON BASTROP, LA 71220 (318) 281-5600 STOCKSTILL, JAMES DEAN, 3510 MAGNOLIA AVE STE 190 MONROE, LA 71203 (318) 323-7576 WALTERS JR, JOSEPH A, 425 S VINE ST BASTROP, LA 71220 (318) 261-8705 420 GUNBY AVE BASTROP, LA 71220 (318) 283-3852 WILLIAMS SR, THOMAS ST CLAIR, 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 WILLIAMS, NORMAN B, 2408 BROADMOOR BLVD STE B (318) 807-0525 YARBROUGH, DAVID A, 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 INTERNAL MEDICINE ALBRITTON, COREY G, 109 ELM ST DELHI, LA 71232 (318) 878-6650 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 2
BRUYNINCKX, KYLE B, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 ZUKOWSKI, NANCY L, 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 COBB, TANYA R, NP 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 HALE, ASHLEY N, NP 261 HWY 132 MANGHAM, LA 71259 (318) 248-2807 FAKHRE, FAKHRE, 712 SETTOON ST OAK GROVE, LA 71263 (318) 428-2341 NON-PHYSICIAN PRACTITIONERS COLEMAN, EULA F, NP 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 HARRIS, RECEL, NP 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 712 SETTOON ST OAK GROVE, LA 71263 (318) 428-2341 FAKHRE, GEORGE, 319 NORTH HOOD ST LAKE PROVIDENCE, LA 71254 (318) 559-1221 GRANDON, PAUL W, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 HARTER, HERSCHEL R, 5975 FEDERAL HWY 80 RAYVILLE, LA 71269 (318) 728-4368 SAMPOGNARO, MICHAEL J, 1 BANCROFT CIR (318) 361-0995 SMITH JR, WILLIAM D, 2516 BROADMOOR BLVD STE 2A (318) 998-0353 SMITH, ROGER A, 126 WATSON ST WISNER, LA 71378 (318) 724-7008 WAGNON, CYNTHIA S, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 PEDIATRICS DENNISON, SARAH LEE, 920 OLIVER RD WAITING AREA K (318) 807-6263 EASON, MARGOT B, 920 OLIVER RD WAITING AREA K (318) 807-6263 PALKAMSETTI, SIREESHA, 708 E MAIN ST OAK GROVE, LA 71263 (318) 428-3206 FAMILY PRACTICE ALDERMAN, MYRA B, NP 121 CHRISTIAN DR RAYVILLE, LA 71269 (318) 728-0175 BAILEY, BILLIE JO WILLIAMS, NP 101 FAIR AVE WINNSBORO, LA 71295 (318) 435-8020 BAILEY, JESSICA W, NP 2106 LOOP RD STE A WINNSBORO, LA 71295 (318) 435-6363 BENNETT, CRYSTAL, NP 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-4368 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 BENNETT, JENNIFER G, NP 254 HWY 3048 RAYVILLE, LA 71269 (318) 728-4181 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 BRYANT, RENITA S, NP 420 GUNBY AVE BASTROP, LA 71220 (318) 283-3852 CAMPER, YOLANDA S, NP 1140 UNIVERSITY AVE MONROE, LA 71203 (318) 342-1651 CASIDAY, JULIA M, NP 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-4571 CHAUVIN, JANNA C, NP 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 DEAR, SHARON T, NP 2309 ARKANSAS RD (318) 397-7000 ELEY, EDWINA E, NP 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 ERWIN, LAUREN S, NP 920 OLIVER RD WAITING AREA L (318) 807-4730 FLEMISTER, MELISSA K, NP 920 OLIVER RD WAITING AREA M (318) 329-9202 FLORICE, JOE C, NP 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-4571 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 GAMBILL, MARIBETH W, NP 420 GUNBY AVE BASTROP, LA 71220 (318) 283-3920 GILL, ANGELA C, NP 261 HWY 132 MANGHAM, LA 71259 (318) 728-4368 GRIMMETT, RYAN P, NP 112 SAINT JOHN ST (318) 387-5681 HAUGHT, HALEY A, NP 106 TOOMBS ST DELHI, LA 71232 (318) 878-6748 509 MAIN ST DELHI, LA 71232 (318) 878-8965 109 ELM ST DELHI, LA 71232 (318) 878-6650 6940 HWY 17 DELHI, LA 71232 (318) 878-5717 HAYDEN, ERIN E, NP 510 SOUTH WASHINGTON ST BASTROP, LA 71220 (318) 556-3333 920 OLIVER RD WAITING AREA B (318) 807-6267 112 SAINT JOHN ST (318) 387-5681 HEUDUCK, JULIE, NP 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-3842 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 LOCKARD, JOYCE P, NP 2106 LOOP RD STE A WINNSBORO, LA 71295 (318) 435-6363 LONSBERRY, KATHRYN A, PA 2106 A LOOP RD WINNSBORO, LA 71295 (318) 435-6363 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 3
LOWDER, RAYNE W, NP 920 OLIVER RD WAITING AREA A (318) 807-4951 MCCRORY, JULIE, NP 2309 ARKANSAS RD (318) 397-7000 MCVAY, ALISHA N, NP 106 TOOMBS ST DELHI, LA 71232 (318) 878-6748 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 509 MAIN ST DELHI, LA 71232 (318) 878-8965 109 ELM ST DELHI, LA 71232 (318) 878-6650 6940 HWY 17 DELHI, LA 71232 (318) 878-5717 MILLER, BRENDA R, NP 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-6363 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 PARKER, KAREN B, NP 920 OLIVER RD WAITING AREA M (318) 329-9202 PEARSON, NATHAN E, NP 2309 ARKANSAS RD (318) 397-7000 PRUDEN, AMY L, NP 920 OLIVER RD WAITING AREA J (318) 807-3700 SCHOOLEY, JARROD L, PA 2309 ARKANSAS RD (318) 397-7000 SPENCER, ERIKA, NP 920 OLIVER RD WAITING AREA M (318) 329-9202 STEPHENS, MATILDA E, NP 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 SULLIVAN, SHARLENE C, NP 920 OLIVER ROAD WAITING ROOM A (318) 807-0525 THOMASON, DEANNA W, NP 509 MAIN ST DELHI, LA 71232 (318) 878-8965 106 TOOMBS ST DELHI, LA 71232 (318) 878-6748 109 ELM ST DELHI, LA 71232 (318) 878-6650 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 6940 HWY 17 DELHI, LA 71232 (318) 878-5717 THOMPSON, KASEY B, NP 109 ELM ST DELHI, LA 71232 (318) 878-6748 TOLLIVER BATTLE, TIFFANY L, NP 221 W HICKORY AVE BASTROP, LA 71220 (318) 283-3970 WALDEN, ANNSLEY K, NP 920 OLIVER RD AREA B (318) 807-6267 WALLS, ARIEL D, NP 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 WILLSHER, LAURA B, NP 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 WILSON, TERRY R, PA 920 OLIVER RD STE I (318) 812-7559 INTERNAL MEDICINE PARKS, KALA D, NP 920 OLIVER RD (318) 802-6250 2408 BROADMOOR BLVD STE B (318) 807-0525 PEDIATRICS BAILEY, PAMELA J, NP 2106 LOOP RD STE A WINNSBORO, LA 71295 (318) 435-6363 CARR, VIVIAN S, NP 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 DAVIS, MARYANNE S, NP 920 OLIVER RD WAITING AREA K (318) 807-6263 DUCKWORTH-HOWARD, APRIL, NP 920 OLIVER RD WAITING AREA K (318) 807-6263 GRIFFING, PAULA, NP 2106 A LOOP RD WINNSBORO, LA 71295 (318) 435-6363 WEBB, STACY D, NP 3401 MAGNOLIA COVE MONROE, LA 71203 (318) 325-6311 3421 MEDICAL PARK DR MONROE, LA 71203 (318) 966-6191 SPECIALISTS CARDIOVASCULAR DISEASE BARROW, EMILE A, 1100 NORTH 18TH ST (318) 361-9900 HILBUN, JEFFREY M, 2516 BROADMOOR BLVD STE 2C (318) 322-1161 MANRIQUE GARCIA, ALVARO F, 2516 BROADMOOR BLVD STE 2A (318) 998-0353 NAPOLI, MARK C, 1100 N 18TH ST (318) 361-9900 RITTELMEYER, JAMES T, 1100 N 18TH ST (318) 361-9900 SAMPOGNARO, GREGORY C, 2516 BROADMOOR BLVD STE 2B (318) 322-7726 SMITH, THOMAS ROSS, 2516 BROADMOOR BLVD STE 2C (318) 322-1161 EAR, NOSE & THROAT/OTOLARYNGOL OGY BARHAM, WILSON T, 2802 KILPATRICK BLVD (318) 855-6282 MICKEY, LAUREN J, 102 THOMAS RD STE 117 (318) 322-9882 MILLER, LEE A, 2802 KILPATRICK BLVD (318) 855-6282 NORRIS, JOEL W, 2516 BROADMOOR BLVD STE 1B (318) 812-1125 TALIAFERRO JR, HENRY G, 2516 BROADMOOR BLVD STE 1B (318) 812-1125 OBSTETRICIAN AND GYNECOLOGIST BRYAN, DAVID G, 931 NORTH TRENTON ST (318) 232-0040 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 4
711 ST JOHN ST STE 2 (318) 807-7780 417 MCMILLAN RD (318) 322-7119 312 GRAMMONT ST STE 300 (318) 388-4030 101 PROFESSIONAL DR (318) 323-6603 2600 TOWER DR STE 406 (318) 361-9299 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 GULLATT, ERIN M, 931 NORTH TRENTON ST (318) 232-0040 711 ST JOHN ST STE 2 (318) 807-7780 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 KLUG, SARA J, DO 312 GRAMMONT ST STE 300 (318) 388-4030 LEBLEU VASZILY, LAURIE R, 931 NORTH TRENTON ST (318) 232-0040 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 LEE, WON S, 931 NORTH TRENTON ST (318) 232-0040 2600 TOWER DR STE 406 (318) 361-9299 312 GRAMMONT ST STE 300 (318) 388-4030 711 ST JOHN ST STE 2 (318) 807-7780 PENNEBAKER, DAWN W, 931 NORTH TRENTON ST (318) 232-0040 711 ST JOHN ST STE 2 (318) 807-7780 2600 TOWER DR STE 406 (318) 361-9299 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 PETTY, LAURA R, 931 NORTH TRENTON ST (318) 232-0040 711 ST JOHN ST STE 2 (318) 807-7780 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 SHEMWELL, AMBER L, 931 NORTH TRENTON ST (318) 232-0040 711 ST JOHN ST STE 2 (318) 807-7780 2600 TOWER DR STE 406 (318) 361-9299 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 TUGWELL, TERRY, 931 NORTH TRENTON ST (318) 232-0040 2600 TOWER DR STE 406 (318) 361-9299 417 MCMILLAN RD (318) 322-7119 WILLIAMS, ADRIENNE M, 711 ST JOHN ST STE 2 (318) 807-7780 312 GRAMMONT ST STE 300 (318) 388-4030 3424 MEDICAL PARK DR STE 1 MONROE, LA 71203 (318) 361-9222 417 MCMILLAN RD (318) 322-7119 WILSON, JASON B, 931 NORTH TRENTON ST (318) 232-0040 711 ST JOHN ST STE 2 (318) 807-7780 2600 TOWER DR STE 406 (318) 361-9299 312 GRAMMONT ST STE 300 (318) 388-4030 417 MCMILLAN RD (318) 322-7119 OPHTHALMOLOGY BARRON, JOSEPH B, 3101 MERCEDES DR (318) 325-2020 FERNANDES, JOSHUA K, 3101 MERCEDES DR (318) 325-2020 READ, WILLIAM JASON, 2600 TOWER DR STE 111 (318) 387-3881 ORTHOPEDIC SURGERY BROWN, DOUGLAS C, 312 GRAMMONT ST STE 302 (318) 323-6603 161 CHRISTIAN DR RAYVILLE, LA 71269 (318) 323-6603 EXTINE, JAMES H, DO 2516 BROADMOOR BLVD STE 1A (318) 807-4746 SOELLER SR, CLEMENS E, 2516 BROADMOOR BLVD STE 1A (318) 998-4460 PSYCHIATRY RAGSDILL, ROY R, 920 OLIVER RD WAITING AREA H (318) 807-6258 SURGERY-GENERAL GUTIERREZ, DAVID, 2104 LOOP RD STE E WINNSBORO, LA 71295 (318) 435-4084 MARX, DARYL S, 2301 JUSTICE ST (318) 398-9709 SURGERY-NEUROLOGY CAIN, MARSHALL A, 2485 TOWER DR STE 9 MONROE, LA 71203 (318) 600-4159 SURGERY-PLASTIC MICKEL, TIMOTHY J, 903 NORTH 2ND ST (318) 388-2050 UROLOGY DEAN JR, ODELL J, 2516 BROADMOOR BLVD STE 3B (318) 387-9420 HUMBLE, ROBERT LEE, 2516 BROADMOOR BLVD STE 3B (318) 807-1390 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 5
JOHNSON, BRADLEY J, 2516 BROADMOOR BLVD STE A (318) 387-9420 MARX, ROBERT D, 102 THOMAS RD STE 108 (318) 329-8464 MURPHY, PAUL G, 2516 BROADMOOR BLVD (318) 807-1390 ROBINSON, JED C, DO 2106 LOOP RD STE B WINNSBORO, LA 71295 (318) 435-3771 Ancillary Services 24 HOUR FACILITY AFFINITY WALK IN CLINIC 2408 BROADMOOR BLVD STE B (318) 807-0525 AFTER HOURS CLINIC AFFINITY CHILDREN & FAMILY WALK IN CLINIC 920 OLIVER RD WAITING AREA A (318) 807-6250 RICHLAND PARISH HOS SERVICE DBA START COMMUNITY CLINIC 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 RICHLAND PARISH HSD DBA NORTHEAST LOUISIANA HEALTH C 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 WEST CARROLL HEALTH SYSTEMS DBA COMMUNITY MEDICAL CLINIC 712 SETTOON ST OAK GROVE, LA 71263 (318) 428-2341 WEST CARROLL HEALTH SYSTEMS DBA LAKE PROVIDENCE MEDICAL CL 319 NORTH HOOD ST LAKE PROVIDENCE, LA 71254 (318) 559-1221 WEST CARROLL HEALTH SYSTEMS DBA OAK GROVE MEDICAL CLINIC 708 EAST MAIN ST OAK GROVE, LA 71263 (318) 428-3200 WEST CARROLL HEALTH SYSTEMS DBA WEST CARROLL MEDICAL CLINIC 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 NUTRITIONAL COUNSELING BRANTLY, CYNTHIA A, RD 1325 LOUISVILLE AVE (318) 807-1500 HODGES, AMANDA L, RD 1325 LOUISVILLE AVE (318) 807-1500 PHARMACY AFFINITY PHARMACY AT OLIVER ROAD 920 OLIVER RD (318) 807-6254 SAINT JOHN PHARMACY 110 ST JOHN ST (318) 807-1083 SUBSTANCE ABUSE/PSYCH CRAYTON, SUZETTE M, LCSW 920 OLIVER RD WAITING AREA H (318) 807-6258 MCDONALD, JONI, LCSW 109 ELM ST DELHI, LA 71232 (318) 878-8656 MCDONALD, LAURA L, OT 1325 LOUISVILLE AVE (318) 807-1500 REGION 2 Includes Caddo, Bossier, Red River, Bienville, Claiborne, Webster, and DeSoto Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE EVANS, JEFFREY L, 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 LEGGIO, BENJAMIN L, 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 INTERNAL MEDICINE KAMBEROV, DENIS F, 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE COMMUNITY/RURAL HEALTH CENTER FRANKLIN MEDICAL CENTER CROWVILLE HEALTH CENTER 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 FRANKLIN MEDICAL CENTER DBA WINNSBORO RHC 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-4571 FRANKLIN MEDICAL CENTER RHC NEWELLTON 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 FRANKLIN MEDICAL CENTER RHC ST JOSEPH 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 DENTIST CRUSE STRONG, MARIANNE, DDS 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) HOSP SERV DIST 1A OF RICHLAND PARISH, DELHI COMM HLTH CTR 109 ELM ST DELHI, LA 71232 (318) 878-6650 HEARING CENTER/AUDIOLOGIST DE LA O, MELISSA A, AUD 2516 BROADMOOR BLVD STE 1B (318) 812-1125 WILSON, KATHERINE M, LMFT 2600 TOWER DR STE 406 (318) 361-9299 THERAPY CENTER CASTEEL, EMILY E, SLP 1325 LOUISVILLE AVE (318) 807-1500 LAMB, BRIAN K, OT 1325 LOUISVILLE AVE (318) 807-1500 MAJURE, STACEY G, PT 1325 LOUISVILLE AVE (318) 807-1500 MARTIN, EMILY A, SLP 1325 LOUISVILLE AVE (318) 807-1500 EUBANKS, LORI A, NP 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 RICHARDSON, MELISSA L, NP 808 MAIN ST LOGANSPORT, LA 71049 (318) 697-2273 TAYLOR, ANGELA OWENS, NP 808 MAIN ST LOGANSPORT, LA 71049 (318) 697-2273 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 6
Ancillary Services COMMUNITY/RURAL HEALTH CENTER DESOTO REGIONAL FAMILY MEDICINE - LOGANSPORT 808 MAIN ST LOGANSPORT, LA 71049 (318) 697-2273 DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 REGION 3 WEBBER JR, JOSEPH K, NP 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 Ancillary Services FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) CATAHOULA PARISH HOSPITAL DISTRICT #2 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 REGION 6 BALART, JAMES C, BARBIN, ALLISON B, BENTON, WILLIAM B, BORDELON, ASHLEY D, FONTENOT, DAVID W, GARIKAPATI, KIRAN, 8585 PICARDY AVE (225) 463-4212 GRAVES, KURT W, GREESON, JENNIFER C, Includes Sabine, Natchitoches, Vernon, Rapides, Concordia, Avoyelles, Catahoula, LaSalle, and Grant Parishes. MEDICAL HOME - PCP's INTERNAL MEDICINE SMITH, ROGER A, 302A BUSHLEY ST HARRISONBURG, LA 71340 (318) 744-5504 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE FRYAR KELONE, SUSAN T, NP 302A BUSHLEY STREET HARRISONBURG, LA 71340 (318) 744-5504 HOWARD, SUSAN A, NP 302A BUSHLEY ST HARRISONBURG, LA 71340 (318) 744-5504 900 FOSTER ST JONESVILLE, LA 71343 (318) 339-7265 OLIVIER, ASHLEY B, NP 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 PORTER, MARY E, NP 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 Includes Livingston, Assumption, West Feliciana, East Feliciana, Iberville, St. Helena, St. James, East Baton Rouge, West Baton Rouge, Pointe Coupee and Ascension Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE VARNADO, ANJANETTE L, 6214 HWY 10 GREENSBURG, LA 70441 (225) 222-3206 VARNADO, JIMMIE W, 6214 HWY 10 GREENSBURG, LA 70441 (225) 222-3206 INTERNAL MEDICINE ALBERGAMO, IGNAZIO JOSEPH, ALVAREZ, FRANK J, AUSTIN, CHRISTINA URIEGAS, BABIN, KEVIN J, 230 ROBERTS DR STE I NEW ROADS, LA 70760 BRANDT, HAROLD D, BRUCE, ZACKARY, CARLISLE, CASEY B, COOLEY, RICHARD TODD, CROCKETT, JEWEL W, DEDEAUX JR, CHARLES E, (225) 246-9240 DOUCET, DONALD W, 230 ROBERTS DR STE I NEW ROADS, LA 70760 (225) 638-4585 FALCON, LARA M, FONTENOT, CODEY L, GRUNER, RACHEL M, JONES, MAUREEN E, KADAIR, ROY G, KAHN, JEFFREY M, LANDRY, ADRIAN P, LARRIVIERE, JOSEPH A, LIEUX, THEODORE RICHARD, MAY, KATHERINE E, 3401 NORTH BLVD STE 130 (225) 387-7900 PENN, WESLEY J, ROLFSEN, MICHAEL L, at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 7
SAY, GEORGE D, (225) 246-6000 BRUMUND, TRACI T, WAGGENSPACK, MARK J, (225) 246-9290 WAMPOLD, JAN B, (225) 246-6000 STUMPF, MICHAEL W, CALANDRO, MINDY L, WHATLEY, PATRICIA D, (225) 246-9290 EAR, NOSE & THROAT/OTOLARYNGOL OGY TALBOT, KRISTEN D, DRUMM, ROBERT, (225) 246-9290 WOOD, DANNY S, (225) 246-9290 BRINGAZE, VIRGINIA A, TREUIL, REBECCA S, (225) 246-9240 FRANZ, SANDRA A, NON-PHYSICIAN PRACTITIONERS CLEMENTS, KELLY S, (225) 246-6000 TUMMINELLO JR, VINCENT V, VINCI, EDMUND B, (225) 246-6000 WAGUESPACK, ERIC M, WEST, J DAVID, (225) 246-6000 WHARTON, J SCOTT, (225) 796-4044 WINBURN, RICKY C, PEDIATRICS BANKSTON, SUSAN M, BOMBET, RONALD L, BOUDREAUX, LAURA M, 12315 INDUSTRIPLEX BLVD (225) 926-4400 GUIDROZ, JENNIFER T, HOLMES, CHRISTINA H, (225) 246-9290 KATZENMEYER, CATHERINE C, MARTIN, SHELLEY, MASON, LYNN S, (225) 246-9290 MELTON, JAMAR A, RAMEY, STEWART, SEITER, ELIZABETH D, (225) 246-6000 TRIBOU, ARTHUR G, (225) 246-6000 VICK, DAWN R, 12351 INDUSTRIPLEX BLVD (225) 769-4404 FAMILY PRACTICE BROUSSARD, KRISTEN F, NP GELPI, HILLARY RYLAND, NP SPECIALISTS ALLERGY & IMMUNOLOGY REDHEAD JR, JOSEPH N, 7373 PERKINS ROAD DERMATOLOGY FREDERIC, JEFFREY E, FREDERIC, STEPHANIE R, JACKSON, SCOTT M, 1401 N FOSTER DR (225) 987-9000 MURPHY, COURTNEY M, (225) 246-9240 HARDY, ELLIOT T, (225) 246-9240 KATZENMEYER, WILLIAM K, KRUPALA, JAMES L, PETIT, BRIAN J, (225) 246-9240 ENDOCRINOLOGY FIELD, GARY H, HINKLE, JEANNEMARIE D, MILLER, GENA T, (225) 246-9790 MORAN, TIMOTHY P, (225) 246-6000 MURAD, SHATHA Y, at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 8
SILVERBERG, JOEL D, (225) 246-9240 WELDEN, JONATHAN G, (225) 246-6000 GASTROENTEROLOGY ARBOUR JR, GERALD T, BOUDREAUX, RONALD L, CAUBLE, STEPHANIE M, GUIDROZ, ANDREW D, (225) 246-9240 HIRSCH, GARY S, NEUROLOGIST - PEDIATRIC GAHAGAN, DEBORAH K, NP HOLLMAN, CHARLOTTE A, 8415 GOODWOOD BLVD STE 202 (225) 765-8013 SCHEXNAYDER, LALANIA K, 8415 GOODWOOD BLVD STE 202 (225) 765-8013 (225) 246-6000 NEUROLOGY DYNES, GERARD J, GLADNEY JR, WILLIAM W, LEBOURGEOIS, LINDA, MURPHY, BRIAN P, (225) 246-6000 OLIVEIRA, PEDRO S, PULMONARY DISEASES HINKLE, ROBERT C, HODGES, MARK K, MCCARTHY, MICHAEL P, (225) 246-9240 RHEUMATOLOGY BOURG, ANGELE D, CERUTI, RONALD P, CUCURULL, ELENA C, 5131 ODONOVAN DR STE 400 (225) 374-0110 MARSHALL, JOHN E, MENA, HECTOR R, (225) 246-9240 NESHEIWAT, JOSEPH P, 6110 MAIN ST STE C ZACHARY, LA 70791 (225) 246-9240 (225) 246-9240 POLLET, STEPHEN M, 5131 ODONOVAN STE 400 BATON ROUGE, LA 70810 (225) 374-0110 SURGERY-GENERAL BONNER JR, EVERETT J, COOK, THOMAS W, FROELICH, JAMES A, TAYLOR, JONATHAN P, (225) 246-6000 SURGERY-VASCULAR SCHWARTZBERG, GLEN J, (225) 246-6000 UROLOGY COCKRELL, ROSS T, PORTA, WESLEY R, (225) 246-6000 SCHMEECKLE, AYME V, (225) 246-9240 Ancillary Services HEARING CENTER/AUDIOLOGIST SIMONEAUX, SABRINA T, AUD OPTOMETRIST MARTIN, ADAM C, OD (225) 246-9240 REGION 7 Includes Tangipahoa, LaFourche, St. Charles, St. John the Baptist, St. Tammany, Plaquemines, Jefferson, Orleans, Washington and St. Bernard Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE GAUDIN, STEVE L, 105 EAST OAK ST PONCHATOULA, LA 70454 (985) 386-6198 KOZEL, MICHAEL J, 165 W OAK ST PONCHATOULA, LA 70454 (985) 386-5943 SMITH, SMITTY, 16052 DOCTORS BLVD (985) 345-9606 TREANOR, LEONARD C, 42388 PELICAN PROFESSIONAL PARK (985) 542-6251 WALKER JR, JOHN A, 16052 DOCTORS BLVD (985) 345-9606 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 9
INTERNAL MEDICINE CAULFIELD, KYLE L, 42388 PELICAN PROFESSIONAL PK (985) 542-6251 DRUMMOND, DARREN M, 42388 PELICAN PROFESSIONAL PARK (985) 542-6251 PICOU, SCOTT B, 42388 PELICAN PROFESSIONAL PARK (985) 542-6251 ROBLEDO, RAPHAEL O, 42388 PELICAN PROFESSIONAL PARK (985) 542-6251 STEVENS, NICHOLAS, 42388 PELICAN PROFESSIONAL PARK (985) 542-6251 WINKLER, MARGARET L, 15744 MEDICAL ARTS PLZ (985) 345-4484 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 10
NCQA PCMH Providers w/ Level 3 Recognition The National Committee for Quality Assurance ( NCQA ) is a private, nonprofit organization that accredits and certifies a wide range of health care organizations and physicians. The physicians listed below are recognized by the NCQA for their efforts in the advancement of health care quality. The Patient-Centered Medical Home (PCMH) program emphasizes the use of systematic, patient-centered, coordinated care that supports access, communication and patient involvement. Page 11
REGION 1 Includes Ouachita, Lincoln, Morehouse, Union, Richland, East Carroll, West Carroll, Madison, Jackson, Caldwell, Franklin, Tensas and Winn Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE GHANTA, SUMATHA L, 920 OLIVER RD STE J (318) 807-3700 GREEN, GREGORY R, 920 OLIVER RD WAITING AREA L (318) 807-4730 GUJJULA, RAJESH, 920 OLIVER RD WAITING AREA J (318) 807-3700 HAYWARD SR, MICHAEL T, 3400 MEDICAL PARK STE B MONROE, LA 71203 (318) 387-6803 MELTON, STUART L, 920 OLIVER RD WAITING AREA A (318) 807-4951 MEYERS, OWEN M, 920 OLIVER RD WAITING AREA M (318) 329-9202 RAULERSON, ROBERT M, 920 OLIVER RD WAITING AREA A (318) 807-4951 YARBROUGH, DAVID A, 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 INTERNAL MEDICINE ALBRITTON, COREY G, 109 ELM ST DELHI, LA 71232 (318) 878-6650 SAMPOGNARO, MICHAEL J, 1 BANCROFT CIR (318) 361-0995 SMITH JR, RICHARD D, 3510 MAGNOLIA CV STE 120 MONROE, LA 71203 (318) 966-8700 PEDIATRICS ZUKOWSKI, NANCY L, 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE FLEMISTER, MELISSA K, NP 920 OLIVER RD WAITING AREA M (318) 329-9202 GRIMMETT, RYAN P, NP 112 SAINT JOHN ST (318) 387-5681 HAUGHT, HALEY A, NP 106 TOOMBS ST DELHI, LA 71232 (318) 878-6748 509 MAIN ST DELHI, LA 71232 (318) 878-8965 109 ELM ST DELHI, LA 71232 (318) 878-6650 6940 HWY 17 DELHI, LA 71232 (318) 878-5717 LOWDER, RAYNE W, NP 920 OLIVER RD WAITING AREA A (318) 807-4951 POPE, SHEILA Y, NP 2913 DESIARD ST (318) 651-9914 2915 BETIN AVE (318) 651-9945 850 S 2ND ST MONROE, LA 71202 (318) 651-0041 PRUDEN, AMY L, NP 920 OLIVER RD WAITING AREA J (318) 807-3700 STEPHENS, MATILDA E, NP 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 WILLSHER, LAURA B, NP 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 PEDIATRICS CARR, VIVIAN S, NP 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 DUCKWORTH-HOWARD, APRIL, NP 920 OLIVER RD WAITING AREA K (318) 807-6263 WEBB, STACY D, NP 3401 MAGNOLIA COVE MONROE, LA 71203 (318) 325-6311 3421 MEDICAL PARK DR MONROE, LA 71203 (318) 966-6191 SPECIALISTS OBSTETRICIAN AND GYNECOLOGIST REID, LINDA F, NP 2915 BETIN AVE (318) 651-9945 REGION 4 Includes Beauregard, Allen, Calcasieu, Cameron, and Jefferson Davis Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE BAROOTES, BRYAN G, 1525 OAK PARK BLVD (337) 494-6767 LEBATO, ALAN L, 1525 OAK PARK BLVD (337) 494-6767 NULL, DANETTE B, 1525 OAK PARK BLVD (337) 494-6767 REGION 5 Includes Evangeline, Acadia, Vermilion, Lafayette, St. Mary, Terrebonne, St. Landry, Iberia and St. Martin Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE MARSHALL, MARILYN D, 800 CHARITY ST ABBEVILLE, LA 70510 (337) 893-3443 MENARD, DARRIN, 202 WESTGATE RD (337) 232-1802 MIRE, GEOFFREY A, 202 WESTGATE ST (337) 232-1802 RAMSEY, KEITH G, 806 JEFFERSON TERRACE BLVD NEW IBERIA, LA 70560 (337) 365-4945 800 CHARITY ST ABBEVILLE, LA 70510 (337) 988-9003 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 12
REGION 6 Includes Livingston, Assumption, West Feliciana, East Feliciana, Iberville, St. Helena, St. James, East Baton Rouge, West Baton Rouge, Pointe Coupee and Ascension Parishes. MEDICAL HOME - PCP's INTERNAL MEDICINE MCKNIGHT, GEORGE T, 203 ALLENDALE DR PORT ALLEN, LA 70767 (225) 389-1311 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE BLACKMON, BETTIE T, NP 10410 PLANK RD CLINTON, LA 70722 (225) 683-8877 DART JR, WILLIAM D, NP 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 DILLARD, JUSTIN J, NP 203 ALLENDALE DR PORT ALLEN, LA 70767 (225) 683-5292 ESTERS, TANISHA, NP 77695 WAGLEY RD MARINGOUIN, LA 70757 (225) 625-2313 6450 LA HWY 1 BATCHELOR, LA 70715 (225) 492-3775 8387 NEWFIELD DR LIVONIA, LA 70755 (225) 412-0202 230 ROBERTS DR STE H NEW ROADS, LA 70760 (225) 638-5879 8366 POINTE COUPEE RD NEW ROADS, LA 70760 (225) 638-3767 GILLIAM, DARIE S, NP 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 GUILLOT, MARY L, NP 27124 HWY 42 SPRINGFIELD, LA 70462 (225) 683-5292 HANEY, AHLECIA, NP 6450 LA HWY 1 BATCHELOR, LA 70715 (225) 492-3775 HORNBOSTEL BAKER, JUDY, NP 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 JOHNIGAN, LATASHA L, NP 8366 POINTE COUPEE RD NEW ROADS, LA 70760 (225) 638-3767 MARTIN DUHE, MONTRELL, NP 230 ROBERTS DR STE H NEW ROADS, LA 70760 (225) 638-5879 ROSCOE, NARKITA W, NP 3140 FLORIDA ST (225) 650-2000 THOMAS, LAKESHA T, NP 500 RUE DE LA VIE STE 310 BATON ROUGE, LA 70817 (225) 201-0505 59340 RIVER WEST DR STE A&B PLAQUEMINE, LA 70764 (225) 385-4742 GENERAL PRACTICE SMITH, TAMMY D, NP 490 SITMAN ST GREENSBURG, LA 70441 (225) 306-2070 PEDIATRICS MILES, DARAKA Y, NP 6351 MAIN ST ZACHARY, LA 70791 (888) 414-7247 ST ROMAIN, JENNIFER F, NP 30575 OLD BATON ROUGE HWY ALBANY, LA 70711 (225) 306-2050 SPECIALISTS INFECTIOUS DISEASES CAMPBELL JR, WALTER L, 3140 FLORIDA BLVD (225) 650-2000 REGION 7 Includes Tangipahoa, LaFourche, St. Charles, St. John the Baptist, St. Tammany, Plaquemines, Jefferson, Orleans, Washington and St. Bernard Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE ANDERSON, DANITA C, 3201 S CARROLLTON AVE (504) 207-3060 100 WARRINGTON DR NEW ORLEANS, LA 70122 (504) 282-0089 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 IMSAIS, KHALIL Y, 1936 MAGAZINE ST NEW ORLEANS, LA 70130 (504) 529-5558 LAGARDE MAY, MICHELE T, 100 WARRINGTON DR NEW ORLEANS, LA 70122 (504) 282-0089 GENERAL PRACTICE NANJAPPA, NAGARAJ, 30575 OLD BATON ROUGE HWY (225) 306-2050 INTERNAL MEDICINE ABELL, MARY M, 1936 MAGAZINE STREET NEW ORLEANS, LA 70130 (504) 529-5558 CENTANNI, EVA B, 3201 S CARROLTON AVE (504) 207-3060 DUMAS, JEREMY G, 7017 LAPALCO BLVD (504) 371-8958 3932 US HWY 90 AVONDALE, LA 70094 (504) 436-2223 FRANCIONI, SCOTT M, 1936 MAGAZINE ST NEW ORLEANS, LA 70130 (504) 529-5558 KAUTZMAN, MICHELE G, 5140 CHURCH ST LAFITTE, LA 70067 (504) 371-8958 LEVI, TANIA A, 1980 NORTH HWY 190 (985) 809-6195 URBIZO, CAROLINA, 3201 S CARROLTON AVE STE B (504) 207-3060 WINFREY, KEITH L, 13085 CHEF MENTEUR HWY NEW ORLEANS, LA 70129 (504) 255-8665 PEDIATRICS BEVROTTE, LOUIS H, 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE COLLINS, LYNETTE D, NP 1030 LESSEPS ST NEW ORLEANS, LA 70117 (504) 941-6041 DARENSBOURG, SARA P, NP 111 N CAUSEWAY BLVD (504) 207-3060 GEHRING, VANESSA N, NP 13085 CHEF MENTEUR HWY NEW ORLEANS, LA 70129 (504) 255-8665 GRIFFIN, NICOLE C, NP 3943 ST BERNARD AVE NEW ORLEANS, LA 70122 (504) 529-5558 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 13
HOWARD, KRYSTAL, NP 111 N CAUSEWAY BLVD (504) 482-0084 JOHNSON, WINIFRED E, NP 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 OBSTETRICIAN AND GYNECOLOGIST AGE, CHANIEL F, NP 1936 MAGAZINE ST NEW ORLEANS, LA 70130 (504) 529-5558 MORNAY, YOLONDA R, NP 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 207-3064 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 THERIAULT, TANYA A, NP 111 N CAUSEWAY BLVD (504) 207-3060 3201 S CARROLLTON AVE (504) 207-3060 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 207-3064 INTERNAL MEDICINE MCNEIL, VONDER W, NP 7017 LAPALCO BLVD (504) 371-8958 3932 US 90 AVONDALE, LA 70094 (504) 436-2223 PEDIATRICS SIMONEAUX, KIMBERLY, NP 721 AVENUE G KENTWOOD, LA 70444 (225) 306-2100 ST ROMAIN, JENNIFER F, NP 13318 BERRY BOWL RD. INDEPENDENCE, LA 70443 (888) 414-7247 721 AVE G KENTWOOD, LA 70444 (225) 306-2100 SPECIALISTS INFECTIOUS DISEASES FUGATE, TOBY L, DO 2601 TULANE AVE STE 500 NEW ORLEANS, LA 70119 (504) 821-2601 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 14
Tier 1 Provider Network Members seeing Tier 1 providers pay the Deductible (if applicable), Copayments and Co-insurance as described in the Tier 1 In-Network column in the Certificate of Coverage and/or the Cost Share Schedule. Tier 1 Providers cannot balance bill the Member. Page 15
HOSPITALS ACADIA ST LANDRY PARISH HOSPITAL 810 SOUTH BROADWAY CHURCH POINT, LA 70525 (337) 684-5435 ALLEN PARISH HOSPITAL 108 6TH AVE KINDER, LA 70648 (337) 738-2527 ASHLEY COUNTY MEDICAL CENTER 1015 UNITY RD CROSSETT, AR 71635 (870) 364-4111 ASSUMPTION COMMUNITY HOSPITAL 135 HWY 402 NAPOLEONVILLE, LA 70390 (985) 369-3600 AVOYELLES HOSPITAL 4231 HWY 1192 MARKSVILLE, LA 71351 (318) 253-8611 BEAUREGARD MEMORIAL HOSPITAL 600 S PINE ST DERIDDER, LA 70634 (337) 462-7100 BIENVILLE MEDICAL CENTER LLC 1175 PINE ST STE 200 ARCADIA, LA 71001 (318) 263-4700 BRADLEY COUNTY MEDICAL CENTER 404 S BRADLEY ST WARREN, AR 71671 (870) 226-3731 BRFHH MONROE OCHSNER LSU HEALTH, UNIVERSITY HEALTH CONWAY 4864 JACKSON ST MONROE, LA 71202 (318) 330-7000 BRFHH SHREVEPORT DBA OCHSNER LSU, UNIV HEALTH SHREVEPORT 1541 KINGS HWY SHREVEPORT, LA 71103 (318) 675-5000 BUNKIE GENERAL HOSPITAL 427 EVERGREEN ST BUNKIE, LA 71322 (318) 346-6681 BYRD REGIONAL HOSPITAL 1020 FERTITTA BLVD LEESVILLE, LA 71446 (337) 239-9041 CALDWELL MEMORIAL HOSPITAL 411 MAIN ST COLUMBIA, LA 71418 (318) 649-6111 CENTRAL LA SURGICAL HOSPITAL LLC 651 NORTH BOLTON AVE (318) 443-3511 CHRISTUS COUSHATTA HEALTH CARE CENTER 1635 MARVEL ST COUSHATTA, LA 71019 (318) 932-2000 CHRISTUS OCHSNER LAKE AREA HOSPITAL 4200 NELSON RD (337) 474-6370 CHRISTUS OCHSNER ST PATRICK HOSPITAL 524 DR MICHAEL DEBAKEY DR (337) 436-2511 CHRISTUS SAINT FRANCES CABRINI HOSPITAL 3330 MASONIC DR (318) 487-1122 CHRISTUS SCHUMPERT HIGHLAND 2531 VIKING DR BOSSIER CITY, LA 71111 (318) 681-7000 1453 EAST BERT KOUNS (318) 681-4500 CITIZENS MEDICAL CENTER 7939 HWY 165 COLUMBIA, LA 71418 (318) 649-6106 CLHG VILLE PLATTE LLC DBA MERCY REGIONAL MEDICAL CENTER 800 E MAIN ST VILLE PLATTE, LA 70586 (337) 363-5684 3501 US HWY 190 EUNICE, LA 70535 (337) 580-7500 CYPRESS POINTE SURGICAL HOSPITAL 42570 SOUTH AIRPORT RD (985) 510-6200 DALLAS COUNTY MEDICAL CENTER 201 N CLIFTON FORDYCE, AR 71742 (870) 352-6300 DEQUINCY MEMORIAL HOSPITAL 110 W 4TH ST DEQUINCY, LA 70633 (337) 786-1200 DESOTO REGIONAL HEALTH SYSTEM 207 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-4610 DOCTORS HOSPITAL AT DEER CREEK 815 S TENTH ST LEESVILLE, LA 71446 (337) 392-5088 EAST CARROLL PARISH HOSPITAL 336 N HOOD ST LAKE PROVIDENCE, LA 71254 (318) 559-4023 EAST JEFFERSON GENERAL HOSPITAL 4200 HOUMA BLVD (504) 454-4000 FAIRWAY MEDICAL CENTER 67252 INDUSTRY LN (985) 809-9888 FRANKLIN FOUNDATION HOSPITAL 1097 NORTHWEST BLVD FRANKLIN, LA 70538 (337) 828-5099 FRANKLIN PARISH HOSPITAL SERVIC DBA FRANKLIN MEDICAL CENTER 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 GARDEN PARK MEDICAL CENTER 15200 COMMUNITY RD GULFPORT, MS 39503 (228) 575-7000 HARDTNER MEDICAL CENTER 1102 NORTH PINE RD OLLA, LA 71465 (318) 495-3131 HEART HOSPITAL OF ACADIANA OF LAFAYETTE 1105 KALISTE SALOOM RD (337) 470-1000 HOLMES COUNTY HOSPITAL & CLINIC 239 BOWLING GREEN RD LEXINGTON, MS 39095 (662) 834-1321 HOMER MEMORIAL HOSPITAL DBA CLAIBORNE MEMORIAL MEDICAL CTR 620 EAST COLLEGE DR HOMER, LA 71040 (318) 927-2024 HOOD MEMORIAL HOSPITAL 301 WEST WALNUT ST AMITE, LA 70422 (985) 748-9485 HOSPITAL SERVICE DISTRICT DBA LANE REGIONAL MEDICAL CTR 6300 MAIN ST ZACHARY, LA 70791 (225) 658-4000 HOWARD MEMORIAL HOSPITAL 130 MEDICAL CIR NASHVILLE, AR 71852 (870) 845-4400 IASIS GLENWOOD REGIONAL MEDICAL CENTER 1275 GLENWOOD DR (318) 322-1339 128 RIDGEDALE DR (318) 329-4525 503 MCMILLAN RD (318) 329-4200 JACKSON PARISH HOSPITAL 165 BEECH SPRINGS RD JONESBORO, LA 71251 (318) 259-4435 JENNINGS AMERICAN LEGION HOSPITAL 1634 ELTON RD JENNINGS, LA 70546 (337) 616-7000 KINGS DAUGHTERS MEDICAL CENTER 427 HWY 51 NORTH BROOKHAVEN, MS 39601 (601) 833-6011 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 16
LAFAYETTE SURGICAL SPECIALTY HOSPITAL 1101 KALISTE SALOOM RD (337) 769-4100 MONROE SURGICAL HOSPITAL 2408 BROADMOOR BLVD (318) 410-0002 PHYSICIANS MEDICAL CENTER 218 CORPORATE DR (985) 853-1390 SAINT FRANCIS MEDICAL CENTER 309 JACKSON ST (318) 966-4000 1025 KALISTE SALOOM RD (337) 237-3424 LAKE CHARLES MEMORIAL HOSPITAL 1701 OAK PARK BLVD (337) 494-3000 1900 GAUTHIER RD (337) 480-7000 LAKE SURG HOSP SLIDELL DBA SOUTHERN SURGICAL HOSPITAL 1700 W LINDBERG DR (985) 641-0677 LALLIE KEMP MEDICAL CENTER 52579 HWY 51 SOUTH INDEPENDENCE, LA 70443 (985) 878-9421 LASALLE GENERAL HOSPITAL 187 NINTH ST JENA, LA 71342 (318) 992-9200 MADISON PARISH HOSPITAL 900 JOHNSON ST TALLULAH, LA 71282 (318) 574-2374 MEDICAL CENTER OF SOUTH ARKANSAS 700 W GROVE EL DORADO, AR 71730 (870) 875-6265 MENA REGIONAL HEALTH SYSTEM 311 N MORROW ST MENA, AR 71953 (479) 394-6100 MERIT HEALTH NATCHEZ 54 SEARGENT S PRENTISS DR NATCHEZ, MS 39120 (601) 443-2100 MERIT HEALTH RIVER REGION HEALTH SYSTEM 2100 HWY 61 N VICKSBURG, MS 39183 (601) 883-5000 MINDEN MEDICAL CENTER 1 MEDICAL PLAZA PL MINDEN, LA 71055 (318) 377-2321 MOREHOUSE GENERAL HOSPITAL 323 W WALNUT BASTROP, LA 71220 (318) 283-3600 NATCHITOCHES REGIONAL MEDICAL CENTER 501 KEYSER AVE NATCHITOCHES, LA 71457 (318) 214-4200 NEW ORLEANS EAST HOSPITAL 5620 READ BLVD NEW ORLEANS, LA 70127 (504) 592-6863 NORTH CADDO MEDICAL CENTER 1000 SOUTH SPRUCE ST VIVIAN, LA 71082 (318) 375-3239 NORTHERN LOUISIANA MEDICAL CENTER 1118 S FARMERVILLE ST (318) 232-7700 401 EAST VAUGHN AVE (318) 254-2100 OAKDALE COMMUNITY HOSPITAL 130 N HOSPITAL DR OAKDALE, LA 71463 (318) 335-3700 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER 4801 AMBASSADOR CAFFERY PKWY (337) 470-2739 OUR LADY OF THE ANGELS HOSPITAL INC 433 PLAZA ST BOGALUSA, LA 70427 (985) 730-6700 OUR LADY OF THE LAKE RMC 5000 HENNESSY BLVD (225) 765-6565 PARK PLACE SURGICAL HOSPITAL 4811 AMBASSADOR CAFF PKWY (337) 237-8119 POINTE COUPEE GENERAL HOSPITAL 2202 FALSE RIVER DR NEW ROADS, LA 70760 (225) 638-6331 PREVOST MEMORIAL HOSPITAL 301 MEMORIAL DR DONALDSONVILLE, LA 70346 (225) 473-7931 RAPIDES REGIONAL MEDICAL CENTER 211 4TH ST (318) 769-3000 211 4TH ST (318) 769-3000 REEVES MEMORIAL MEDICAL CENTER 409 FIRST ST BERNICE, LA 71222 (318) 285-9066 RICHLAND PARISH HOSPITAL 407 CINCINNATI ST DELHI, LA 71232 (318) 878-5171 RICHLAND PARISH HOSPITAL SERVICE DBA RICHARDSON MEDICAL CTR 256 HIGHWAY 3048 RAYVILLE, LA 71269 (318) 728-4181 RIVERLAND MEDICAL CENTER 1700 EE WALLACE BLVD FERRIDAY, LA 71334 (318) 757-6551 RIVERSIDE MEDICAL CENTER 1900 SOUTH MAIN ST FRANKLINTON, LA 70438 (985) 839-4431 SABINE MEDICAL CENTER 240 HIGHLAND DR MANY, LA 71449 (318) 256-5691 SAINT CHARLES PARISH HOSPITAL 1057 PAUL MAILLARD RD LULING, LA 70070 (985) 785-6242 312 GRAMMONT ST (318) 388-4040 SLIDELL MEMORIAL HOSPITAL 1001 GAUSE BLVD (985) 643-2200 1045 FLORIDA AVE (985) 280-9355 1120 ROBERT BLVD (985) 280-6600 1495 GAUSE BLVD (985) 280-5200 SOUTH CAMERON MEMORIAL HOSPITAL 5360 WEST CREOLE HWY CAMERON, LA 70631 (337) 542-4111 SPECIALISTS HOSPITAL SHREVEPORT 1500 LINE AVE SHREVEPORT, LA 71101 (318) 213-3800 SPRINGHILL MEDICAL CENTER 2001 DOCTORS DR SPRINGHILL, LA 71075 (318) 539-1000 ST BERNARD PARISH HOSPITAL 8000 W JUDGE PEREZ HWY CHALMETTE, LA 70043 (504) 826-9500 ST ELIZABETH HOSPITAL 1125 W HWY 30 (225) 621-2975 ST HELENA PARISH HOSPITAL 16874 HWY 43 GREENSBURG, LA 70441 (225) 222-6111 ST JAMES PARISH HOSPITAL 1645 LUTCHER AVE LUTCHER, LA 70071 (225) 869-5512 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 17
STATE OF MS UNIVERSITY OF MISSISSIPPI MEDICAL CENTER 2500 NORTH STATE ST JACKSON, MS 39216 (601) 984-1000 SURGICAL SPECIALTY CENTER OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE, LA 70810 (225) 408-8080 TECHE REGIONAL MEDICAL CENTER 1125 MARGUERITE ST MORGAN CITY, LA 70380 (985) 384-2200 TOURO INFIRMARY 1401 FOUCHER ST 1ST FLOOR (504) 897-7011 TULANE MEDICAL CENTER DBA TULANE UNIV HOSPITAL AND CLINIC 4700 S I-10 SERVICE RD E (504) 780-8282 1415 TULANE AVE (504) 988-5263 95 JUDGE TANNER BLVD (985) 867-3800 UMMC GRENADA 960 AVENT DR GRENADA, MS 38901 (662) 222-7000 UNION GENERAL HOSPITAL 901 JAMES AVE FARMERVILLE, LA 71241 (318) 368-9751 UNIVERSITY MEDICAL CTR NEW ORLEANS DBA UNIV MED CTR MGT CORP 2000 CANAL ST (504) 702-3000 WEST CALCASIEU CAMERON HOSPITAL 701 CYPRESS ST SULPHUR, LA 70663 (337) 527-7034 WEST CARROLL HEALTH SYSTEMS 706 ROSS ST OAK GROVE, LA 71263 (318) 428-3237 WEST FELICIANA PARISH HOSPITAL 5266 COMMERCE ST SAINT FRANCISVILLE, LA 70775 (225) 635-3811 WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD (504) 349-1202 WINN PARISH MEDICAL CENTER 301 WEST BOUNDARY WINNFIELD, LA 71483 (318) 648-3000 WOMANS HOSPITAL 100 WOMANS WAY BATON ROUGE, LA 70817 (225) 927-1300 WOMENS & CHILDRENS HOSPITAL 4600 AMBASSADOR CAFFERY (337) 521-9200 REFERRAL CENTERS/ PHYSICIANS with Prior Plan Approval ARKANSAS CHILDRENS HOSPITAL 1 CHILDRENS WAY LITTLE ROCK, AR 72202 (501) 364-1100 CHILDRENS HOSPITAL 200 HENRY CLAY AVE (504) 896-2888 M D ANDERSON CANCER CENTER 1515 HOLCOMB BLVD HOUSTON, TX 77030 (713) 792-2121 SAINT JUDE CHILDRENS RESEARCH HOSPITAL 262 DANNY THOMAS PL MEMPHIS, TN 38105 (866) 278-5833 SHRINERS HOSPITALS FOR CHILDREN 3100 SAMFORD AVE SHREVEPORT, LA 71103 (318) 222-5704 UAB HOSPITAL 1802 6TH AVE SOUTH BIRMINGHAM, AL 35233 (205) 934-4011 REGION 1 Includes Ouachita, Lincoln, Morehouse, Union, Richland, East Carroll, West Carroll, Madison, Jackson, Caldwell, Franklin, Tensas and Winn Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE ABRAHAM, RALPH L, 115 CHRISTIAN DR RAYVILLE, LA 71269 (318) 728-4400 ANDERS, KERRY L, 3400 MEDICAL PARK DR STE A MONROE, LA 71203 (318) 322-7744 ATKINS, LOGAN, 2104 C LOOP RD WINNSBORO, LA 71295 (318) 435-6363 BAILEY, DON W, 300 SCARBROUGH LAKE PROVIDENCE, LA 71254 (318) 559-2814 BAINES, JOHNATHAN, 1200 SOUTH FARMERVILLE ST (318) 255-3690 BALL JR, JAMES E, 1962 JULIA ST RAYVILLE, LA 71269 (318) 728-8833 BANKS III, TOMMY G, 1900 NORTH 7TH ST (318) 651-7000 BARNES, DAVID L, 3400 MEDICAL PARK DR STE C MONROE, LA 71203 (318) 325-6078 BELUE, JAMES MICHAEL, 707 SOUTH VIENNA ST (318) 251-3774 BREARD, ERIN R, 3995 STERLINGTON RD STE A MONROE, LA 71203 (318) 329-4370 CALHOUN, KEITH B, 4400 OLD STERLINGTON RD MONROE, LA 71203 (318) 324-1414 CARLISLE, KEVIN M, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-4181 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 COATS, JOHN M, 2913 DESIARD ST (318) 651-9914 COLVIN, THOMAS L, 2106 LOOP RD STE A WINNSBORO, LA 71295 (318) 435-6363 COMBETTA, JEFFREY J, 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 620-0467 306 BOOTS RD FARMERVILLE, LA 71241 (318) 620-0467 CONVILLE, STACY D, 103 WATTS ST STE 101 JONESBORO, LA 71251 (318) 259-1569 COUGHRAN, JIMMY R, 1010 DAVIS LAKE RD COLUMBIA, LA 71418 (318) 649-6766 101 FAIR AVE WINNSBORO, LA 71295 (318) 435-8020 COX JR, CARTER, 206 S VINE ST BASTROP, LA 71220 (318) 281-3521 CROUCH, REBECCA L, 166 BEECH SPRINGS RD JONESBORO, LA 71251 (318) 259-3668 CUMMINGS JR, RUSSELL O, 484 COLLINS RD COLUMBIA, LA 71418 (318) 649-5300 DANSBY JR, THOMAS, 100 SOUTH SECOND ST (318) 322-7836 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 18
DOCENA, CHRISTIAN P, 109 ELM ST DELHI, LA 71232 (318) 878-6650 DOLLAR, MARK F, 1900 N 7 TH ST (318) 651-7000 DOMINGUE, CHRISTOPHER M, 708 EAST MAIN ST OAK GROVE, LA 71263 (318) 428-3200 DUPREE, ERIC C, 639 WEST LAFAYETTE ST WINNFIELD, LA 71483 (318) 648-2220 ELDRIDGE, JOEL G, DO 2104-C LOOP RD WINNSBORO, LA 71295 (318) 722-3333 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 104 VERONA ST NEWELLTON, LA 71357 (318) 467-9949 448 NEWTON ST SAINT JOSEPH, LA 71366 (318) 766-8506 ELLIOTT, CLYDE E, 200 PROFESSIONAL DR (318) 325-3812 ENRIQUEZ, JOSE R, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 ENSMINGER, BOBBY T, 1200 CELEBRITY ST STE 1 (318) 232-1590 GHANTA, SUMATHA L, 920 OLIVER RD STE J (318) 807-3700 GIVLER JR, DONALD N, 4864 JACKSON ST MONROE, LA 71202 (318) 330-7000 GIVLER, AMY M, 4864 JACKSON ST MONROE, LA 71202 (318) 330-7000 (Hospitalist/Intensivist) GREEN, GREGORY R, 920 OLIVER RD WAITING AREA L (318) 807-4730 GRIGSBY, BENSON A, 2916 N TRENTON ST (318) 254-2892 GUINIGUNDO, NOLI, 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 GUJJULA, RAJESH, 920 OLIVER RD WAITING AREA J (318) 807-3700 HARRIS, ROBERT BRIAN, 402 SECOND ST BERNICE, LA 71222 (318) 285-9066 HAYWARD SR, MICHAEL T, 3400 MEDICAL PARK STE B MONROE, LA 71203 (318) 387-6803 HENRY, JOE BYRON, 3995 STERLINGTON RD STE A MONROE, LA 71203 (318) 329-9447 HERBERT, ALLEN J, 411 E VAUGHN AVE STE 201 (318) 255-7474 IGLESIAS, JULIO E, 301 A WEST BOUNDARY WINNFIELD, LA 71483 (318) 628-2108 JONES, TAMMY V, DO 4864 JACKSON ST MONROE, LA 71202 (318) 675-5000 1801 N 7TH ST STE 1 (318) 325-1092 KERR, ALBERT G, 121 CHRISTIAN DR RAYVILLE, LA 71269 (318) 728-0175 KOVAC, KAY B, 300 SCARBROUGH ST LAKE PROVIDENCE, LA 71254 (318) 559-2814 KUTNIKAR, DHAYA N, 1805 LAMY LN (318) 388-5383 LAPITE, OLADAPO, 306 STONE AVE (318) 323-1040 LE, DUNG N, 508 BROADWAY DELHI, LA 71232 (318) 878-3737 109 ELM ST DELHI, LA 71232 (318) 878-6650 LODGEN, KELLY R, 3326 FRONT ST STE B WINNSBORO, LA 71295 (318) 435-7333 MARQUARDT, AARON L, 1801 N 7TH ST STE A (318) 325-1092 MASSENGALE, GORDON B, 111 CHRISTIAN DR RAYVILLE, LA 71269 (318) 728-3263 MCDONALD III, KENNETH E, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 MCMAHAN, STEVEN H, 1117 CHENIERE DREW RD (318) 329-4370 MELTON, STUART L, 920 OLIVER RD WAITING AREA A (318) 807-4951 METOYER JR, KENNETH P, 1200 S FARMERVILLE ST (318) 251-6108 MEYERS, OWEN M, 920 OLIVER RD WAITING AREA M (318) 329-9202 MICKAIL, MAOUH G, 501 DURHAM STREET BASTROP, LA 71220 (318) 283-8887 518 DURHAM ST BASTROP, LA 71220 (318) 283-8887 108 N 16TH ST MER ROUGE, LA 71261 (318) 239-8010 NETHERLAND, CLINTON, 427 S VINE ST BASTROP, LA 71220 (318) 556-3333 NEUMANN, THOMAS A, 808 JOHNSON ST TALLULAH, LA 71282 (318) 574-3575 (Hospitalist/Intensivist) ONEAL, TERI, 4864 JACKSON ST MONROE, LA 71202 (318) 330-7175 OPERARIO, MARK A, 421 MAIN ST COLUMBIA, LA 71418 (318) 649-6157 PANDEY, SHIVLAL, 4864 JACKSON ST MONROE, LA 71202 (318) 330-7840 PARKERSON, PAULA L, 121 WATTS ST STE B JONESBORO, LA 71251 (318) 259-0006 PATTERSON, JAMES D, 1511 ORANGE ST MONROE, LA 71202 (318) 322-7798 PERRY, DONALD R, 808 JOHNSON ST TALLULAH, LA 71282 (318) 574-5080 PHILLIPS, M SHANE, 1402 CELEBRITY DR (318) 255-1515 PORTACCI, MARK, 103 WATTS ST JONESBORO, LA 71251 (318) 259-1569 PRINE, MATTHEW D, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 (Hospitalist/Intensivist) 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 PROCTOR, MICHAEL D, 4864 JACKSON ST MONROE, LA 71202 (318) 330-7000 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 19
256 HIGHWAY 3048 RAYVILLE, LA 71269 (318) 728-4181 QAYYUM, TAHIR, 540 DURHAM ST BASTROP, LA 71220 (318) 283-2200 3510 MEDICAL PARK DR STE 8 MONROE, LA 71203 (318) 325-3332 RAULERSON, ROBERT M, 920 OLIVER RD WAITING AREA A (318) 807-4951 REED, CHARLES E, 3326 FRONT ST STE B WINNSBORO, LA 71295 (318) 435-7333 RICHARD, RINATA K, 5745 HWY 17 WINNSBORO, LA 71295 (318) 722-3333 ROBERTS, LYNDA R, 804 N BEECH ST TALLULAH, LA 71282 (318) 574-1453 ROSS, THERESA J, 112 SAINT JOHN ST (318) 387-5681 SANDERS, WILLIAM P, 1402 CELEBRITY DR (318) 255-1515 SANSON, MARSHALL V, 2309 ARKANSAS RD (318) 397-7000 SHAFIEI, KHALED, 2503 BROADMOOR BLVD (318) 388-6050 SINGLETON, MARK N, DO 431 W LAFAYETTE ST WINNFIELD, LA 71483 (318) 648-0375 SLUSHER, WILLIAM J, 107 WATTS ST JONESBORO, LA 71251 (318) 395-2121 SMITH, CHERYL A, 712 SETTOON ST OAK GROVE, LA 71263 (318) 428-9000 SMITH, JAMES MICHAEL, 532 S WASHINGTON BASTROP, LA 71220 (318) 281-5600 SMITH, JERRY A, 902 S VIENNA ST RUSTON, LA 71273 (318) 513-1950 SPIRES, ALLEN L, 301 DAVENPORT AVE MER ROUGE, LA 71261 (318) 647-5008 STOCKSTILL, JAMES DEAN, 3510 MAGNOLIA AVE STE 190 MONROE, LA 71203 (318) 323-7576 STRAIN, THOMAS W, 401 E VAUGHN AVE STE 104-105 MONROE, LA 71207 (318) 224-7190 SUMMERS, TERESA D, 1205 HWY 15 BASKIN, LA 71219 (318) 248-2448 THOMPSON, DANIEL P, 402 2ND ST BERNICE, LA 71222 (318) 285-9066 UNKEL, STEVEN P, 811 JAMES AVE STE A FARMERVILLE, LA 71241 (318) 368-2239 WALTERS JR, JOSEPH A, 425 S VINE ST BASTROP, LA 71220 (318) 261-8705 420 GUNBY AVE BASTROP, LA 71220 (318) 283-3852 WATERFALLEN, GEORGE T, 103 WATTS ST JONESBORO, LA 71251 (318) 259-1569 WILLIAMS SR, THOMAS ST CLAIR, 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 WILLIAMS, NORMAN B, 2408 BROADMOOR BLVD STE B (318) 807-0525 WOODS, GEORGE R, 101 PROFESSIONAL DR (318) 387-5244 WORSHAM, CANDACE, DO 200 PROFESSIONAL DR (318) 966-6535 WRIGHT, KENNETH J, 256 HWY 3048 RAYVILLE, LA 71269 (800) 225-0953 YARBROUGH, DAVID A, 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 YEMBE, ENAKA M, 421 MAIN ST COLUMBIA, LA 71418 (318) 649-6157 AFFINITY HEALTH GROUP LLC 130 DESIARD ST STE 355 (318) 329-9202 GENERAL PRACTICE PATEL, DARSHAN J, 2600 TOWER DR STE 309 (318) 966-6575 8950 HWY 165 STE 2 STERLINGTON, LA 71280 (318) 966-8800 WATSON, MICHAEL P, 3510 MEDICAL PARK DR STE 1 MONROE, LA 71203 (318) 388-1662 INTERNAL MEDICINE ADAMS, ALYCE R, 309 JACKSON ST (318) 329-4744 AGARWAL, KUSHAL C, 1401 EZELL ST (318) 232-0019 401 E VAUGHN AVE (318) 254-2100 ALBRITTON, COREY G, 109 ELM ST DELHI, LA 71232 (318) 878-6650 BLACKWELDER, MARK A, 1200 S FARMERVILLE ST (318) 251-6188 BRANCH, BILLY, 9052 US HWY 165 STERLINGTON, LA 71280 (318) 665-0170 BRUYNINCKX, KYLE B, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 DONALD, DONNA A, 309 JACKSON ST (318) 966-4000 (Hospitalist/Intensivist) 309 JACKSON ST (318) 966-4540 (Hospitalist/Intensivist) EL MALAH, AMIN M, 2503 BROADMOOR BLVD (318) 388-6050 FAKHRE, FAKHRE, 712 SETTOON ST OAK GROVE, LA 71263 (318) 428-2341 712 SETTOON ST OAK GROVE, LA 71263 (318) 428-2341 FAKHRE, GEORGE, 319 NORTH HOOD ST LAKE PROVIDENCE, LA 71254 (318) 559-1221 GRANDON, PAUL W, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 HAMMETT, DONALD K, 6198 CYPRESS ST STE 2 (318) 397-6360 HARTER, HERSCHEL R, 5975 FEDERAL HWY 80 RAYVILLE, LA 71269 (318) 728-4368 HUBBARD, RONALD C, 2600 TOWER DR STE 309 (318) 966-6575 KIDD, HOLLY A, DO 1200 S FARMERVILLE ST (318) 251-6188 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 20