PARTICIPATING PROVIDER DIRECTORY Current as of - 04/01/2018 COMMERCIAL
Table of Contents Affinity Health Network 1 NCQA PCMH Providers w/level 3 Recognition 11 Tier 1 Network: 16 Hospitals 17 Region 1 19 (Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, West Carroll, Winn) Primary Care Physicians 19 Specialty Care Physicians 29 Ancillary Services 36 Region 2 49 (Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Webster) Primary Care Physicians 49 Specialty Care Physicians 55 Ancillary Services 62 Region 3 71 (Avoyelles, Catahoula, Concordia, Grant, LaSalle, Natchitoches, Rapides, Sabine, Vernon) Primary Care Physicians 71 Specialty Care Physicians 77 Ancillary Services 82 Region 4 90 (Allen, Beauregard, Calcasieu, Cameron, Jefferson Davis) Primary Care Physicians 90 Specialty Care Physicians 92 Ancillary Services 96 Region 5 102 (Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary, Terrebonne, Vermilion) Primary Care Physicians 102 Specialty Care Physicians 109 Ancillary Services 120 Region 6 130 (Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupee, St. Helena, St. James, West Baton Rouge, West Feliciana) Primary Care Physicians 130 Specialty Care Physicians 143 Ancillary Services 160 Region 7 174 (Jefferson, LaFourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist, St. Tammany, Tangipahoa, Washington) Primary Care Physicians 174 Specialty Care Physicians 190 Ancillary Services 224
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 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) 435-4571 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 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 CARLISLE, KEVIN M, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 COLEMAN, EDWARD O, DO 109 REGENCY PLACE (318) 812-9999 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) 435-4571 COTTER, MARK M, 2104C LOOP RD WINNSBORO, LA 71295 (318) 435-4571 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 LOOD RD WINNSBORO, LA 71295 (318) 722-3333 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 ENRIQUEZ, JOSE R, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 GHANTA, SUMATHA, 920 OLIVER RD (318) 807-3700 GREEN, GREGORY R, 920 OLIVER RD WAITING AREA M (318) 329-9202 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) 387-4855 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 MCMAHAN, STEVEN H, 1117 CHENIERE DREW RD (318) 329-4370 1900 N 7TH ST (318) 651-7000 MELTON, STUART L, 920 OLIVER RD WAITING AREA J (318) 807-3700 MEYERS, OWEN M, 920 OLIVER RD WAITING AREA M (318) 329-9202 PATHAK, RISHI R, 706 ROSS STREET OAK GROVE, LA 71263 (318) 428-2358 PRINE, MATTHEW D, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 RAULERSON, ROBERT M, 112 SAINT JOHN ST (318) 387-5681 RICHARD, RINATA K, 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 (Hospitalist/Intensivist) ROSS, THERESA J, 112 SAINT JOHN ST (318) 387-5681 SANSON, MARSHALL V, 2309 ARKANSAS RD (318) 397-7000 STOCKSTILL, JAMES DEAN, 3510 MAGNOLIA AVE STE 190 MONROE, LA 71203 (318) 323-7576 THOMPSON, WILLIAM DAVID, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 WILLIAMS SR, THOMAS ST CLAIR, 516 LINCOLN RD MONROE, LA 71203 (318) 343-6487 YARBROUGH, DAVID A, 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 2
INTERNAL MEDICINE ALBRITTON, COREY G, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 109 ELM ST DELHI, LA 71232 (318) 878-6650 BRUYNINCKX, KYLE B, 261 HWY 132 MANGHAM, LA 71259 (318) 248-2807 FAKHRE, FAKHRE, 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 MASON, CHARLES WEBSTER, 920 OLIVER RD WAITING AREA L (318) 807-4730 MORGAN JR, CHARLES G, 920 OLIVER RD WAITING AREA L (318) 807-4730 RODGERS, JULIA S, 920 OLIVER RD WAITING AREA L (318) 807-4730 SAMPOGNARO, MICHAEL J, 1 BANCROFT CIR (318) 361-0995 SMITH JR, WILLIAM D, 2516 BROADMOOR BLVD (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 DYESS, BONITA H, 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 EASON, MARGOT B, 920 OLIVER RD WAITING AREA K (318) 807-6263 FRANGIEH, AYFARAH M, 708 E MAIN ST OAK GROVE, LA 71263 (318) 428-3200 PALKAMSETTI, SIREESHA, 708 E MAIN ST OAK GROVE, LA 71263 (318) 428-3206 ZUKOWSKI, NANCY L, 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE BAILEY, JESSICA W, NP 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-4571 2106 A LOOP RD WINNSBORO, LA 71295 (318) 435-8020 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 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 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 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-6363 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 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 COLEMAN, EULA F, NP 2104 LOOP RD STE C WINNSBORO, LA 71295 (318) 435-4571 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 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 COPELAND, ELIZABETH H, NP 112 SAINT JOHN ST (318) 387-5681 920 OLIVER ROAD (318) 812-9999 DEAR, SHARON T, NP 2309 ARKANSAS RD (318) 966-8800 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 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 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 GRIMMETT, RYAN P, NP 112 SAINT JOHN ST (318) 387-5681 HALE, ASHLEY N, NP 261 HWY 132 MANGHAM, LA 71259 (318) 248-2807 HARRIS, RECEL, NP 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 HAUGHT, HALEY A, NP 109 ELM ST DELHI, LA 71232 (318) 878-6650 HAYDEN, BENJAMIN W, NP 518 DURHAM ST BASTROP, LA 71220 (318) 283-8887 108 N 16TH ST MER ROUGE, LA 71261 (318) 239-8010 508 BROADWAY ST DELHI, LA 71232 (318) 878-6650 261 HIGHWAY 132 MANGHAM, LA 71259 (318) 248-2807 3150 TAYLOR ST MARION, LA 71260 (318) 292-2795 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 3
HAYDEN, ERIN E, NP 112 SAINT JOHN ST (318) 387-5681 920 OLIVER RD (318) 807-6267 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 HOWARD, SUSAN A, NP 126 WATSON ST WISNER, LA 71378 (318) 724-7008 HUGGINS, JOY R, NP 2516 BROADMOOR BLVD STE 2A (318) 998-0353 LOCKARD, JOYCE P, NP 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 2106A LOOP RD 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 LONSBERRY, KATHRYN A, PA 2106 A LOOP RD WINNSBORO, LA 71295 (318) 435-6363 LOWDER, RAYNE W, NP 109 REGENCY PLACE (318) 812-9999 MCCRORY, JULIE, NP 2309 ARKANSAS RD (318) 397-7000 MCVAY, ALISHA N, NP 106 TOOMB 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 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 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 OLDHAM, AIMEE D, NP 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 PARKER, KAREN B, NP 920 OLIVER RD WAITING AREA L (318) 807-4730 PEARSON, NATHAN E, NP 2309 ARKANSAS RD (318) 397-7000 PRUDEN, AMY L, NP 920 OLIVER RD WAITING AREA J (318) 807-3700 ROSS, CHRISTINA D, NP 920 OLIVER RD WAITING AREA M (318) 329-9202 SCHOOLEY, JARROD L, PA 2309 ARKANSAS RD (318) 397-7000 SPENCER, ERIKA, NP 109 REGENCY PLACE (318) 812-9999 STEPHENS, MATILDA E, NP 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 SULLIVAN, SHARLENE C, NP 2408 BROADMOOR BLVD STE B (318) 807-0525 920 OLIVER RD WAITING AREA A (318) 807-6250 THOMASON, DEANNA W, NP 106 TOOMB 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 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 6940 HWY 17 DELHI, LA 71232 (318) 878-5717 WEGNER, MATTHEW, NP 706 ROSS ST OAK GROVE, LA 71263 (318) 428-3237 WILLSHER, LAURA B, NP 112 ST JOHN ST (318) 387-5681 YELVERTON, EMILIANA M, NP 2408 BROADMOOR BLVD STE B (318) 807-0525 INTERNAL MEDICINE CAIN, PENNY P, NP 112 SAINT JOHN ST (318) 387-5681 920 OLIVER RD WAITING AREA L (318) 807-4730 PEDIATRICS BAILEY, PAMELA J, NP 2106A LOOP RD 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 CARR, VIVIAN S, NP 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 DAVIS, MARYANNE S, NP 920 OLIVER RD WAITING AREA K MONROE, LA 71203 (318) 807-6263 DUCKWORTH-HOWARD, APRIL, NP 920 OLIVER RD WAITING AREA K (318) 807-6263 GRIFFING, PAULA, NP 2104 C LOOP RD WINNSBORO, LA 71295 (318) 435-4571 WEBB, STACY D, NP 3401 MAGNOLIA COVE MONROE, LA 71203 (318) 325-6311 3421 MEDICAL PARK DR MONROE, LA 71203 (318) 966-6191 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 4
SPECIALISTS CARDIOVASCULAR DISEASE BARROW, EMILE A, 1100 NORTH 18TH ST (318) 361-9900 FULLER, NICOLE L, NP 2516 BROADMOOR BLVD STE 2C (318) 322-1161 HILBUN, JEFFREY M, 2516 BROADMOOR BLVD STE 2C (318) 322-1161 KOEPKE, RONALD P, 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 AVE STE 2B (318) 322-7726 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 WALTON, AUDREY A, NP 102 THOMAS RD STE 117 (318) 322-9882 OBSTETRICIAN AND GYNECOLOGIST ARMSTRONG, RAFAEL B, 3408 MEDICAL PARK DR MONROE, LA 71203 (318) 323-2244 BRYAN, DAVID G, 931 NORTH TRENTON ST (318) 232-0043 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 CLARK, DELLIE H, 931 NORTH TRENTON ST (318) 232-0043 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 (GYN Only) 417 MCMILLAN RD (318) 322-7119 HALL, PEYTON R, 931 NORTH TRENTON ST (318) 232-0043 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 (GYN Only) 417 MCMILLAN RD (318) 322-7119 JACKSON, PHYLLIS G, 931 NORTH TRENTON ST (318) 232-0043 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 KLUG, SARA J, DO 312 GRAMMONT ST STE 300 (318) 388-4030 LEBLEU VASZILY, LAURIE R, 931 NORTH TRENTON ST (318) 232-0043 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 417 MCMILLAN RD (318) 322-7119 LEE, WON S, 931 NORTH TRENTON ST (318) 232-0043 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 PENNEBAKER, DAWN W, 931 NORTH TRENTON ST (318) 232-0043 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) 232-0043 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 SHEMWELL, AMBER L, 931 NORTH TRENTON ST (318) 232-0043 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 5
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) 232-0043 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 WILLIAMS, ADRIENNE M, 312 GRAMMONT ST STE 300 (318) 388-4030 711 ST JOHN ST STE 2 (318) 807-7780 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) 232-0043 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 APT, RICHARD K, 1310 N 19TH ST (318) 388-2020 BARRON, JOSEPH B, 3101 MERCEDES DR (318) 325-2020 COOKSEY, JOHN C, 1310 N 19TH ST (318) 388-2020 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 101 PROFESSIONAL DR (318) 323-6603 161 CHRISTIAN DR RAYVILLE, LA 71269 (318) 323-6603 HOUSEWORTH, STEPHEN W, 2516 BROADMOOR BLVD STE 1D (318) 998-4460 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, 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 2104 LOOP RD STE E WINNSBORO, LA 71295 (318) 435-4084 LILES, WILLIAM BART, 2516 BROADMOOR BLVD STE 3C (318) 398-2984 MARX, DARYL S, 2301 JUSTICE ST (318) 398-9709 SARTOR, WALTER M, 2516 BROADMOOR BLVD STE 3C (318) 398-2984 SMITH JR, JAMES P, 2516 BROADMOOR BLVD STE 3C (318) 398-2984 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 JOHNSON, J BRADLEY, 2516 BROADMOOR BLVD (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 WINNSBORO, LA 71295 (318) 435-9411 Ancillary Services AFTER HOURS CLINIC AFFINITY CHILDREN & FAMILY WALK IN CLINIC 920 OLIVER RD WAITING AREA A (318) 807-6250 COMMUNITY/RURAL HEALTH CENTER 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 DIAGNOSTIC TESTING FACILITY DELTA DIAGNOSTICS 2408 BROADMOOR BLVD (318) 388-8866 HEARING CENTER/AUDIOLOGIST PETTIT, LORRA M, AUD 2516 BROADMOOR BLVD (318) 812-1125 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 6
2802 KILPATRICK BLVD (318) 855-6282 NUTRITIONAL COUNSELING BRANTLY, CYNTHIA A, RD 1325 LOUISVILLE AVE (318) 807-1500 DEAN, SARA (KATIE) W, RD 1325 LOUISVILLE AVE (318) 807-1500 WEST, CYNTHIA FISHER, RD 1325 LOUISVILLE AVE (318) 807-1500 WOOD, AMANDA L, RD 1325 LOUISVILLE AVE (318) 807-1500 SUBSTANCE ABUSE/PSYCH CRAYTON, SUZETTE M, LCSW 920 OLIVER RD (318) 807-6258 WILSON, KATHERINE M, LMFT 2600 TOWER DR STE 406 (318) 361-9299 THERAPY CENTER BORDELON, TAMARA L, PT 1325 LOUISVILLE AVE (318) 807-1500 BROWN, APRIL J, PT 1325 LOUISVILLE AVE (318) 807-1500 CAMPBELL, CHRISTOPHER RYAN, PT 1325 LOUISVILLE AVE (318) 807-3700 LEGGITT, SARA K, SLP 1325 LOUISVILLE AVE (318) 807-1500 1605 STUBBS AVE (318) 388-8414 MAJURE, STACEY G, PT 1325 LOUISVILLE AVE (318) 807-1500 3408 MEDICAL PARK DR MONROE, LA 71203 (318) 331-6911 MARTIN, EMILY A, SLP 1325 LOUISVILLE AVE (318) 807-1500 MCDONALD, LAURA L, OT 1325 LOUISVILLE AVE (318) 807-1500 SANFORD, ALISON L, PT 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 SAWYER, DOUGLAS C, 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-5810 (Hospitalist/Intensivist) INTERNAL MEDICINE NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE 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 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 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 Includes Sabine, Natchitoches, Vernon, Rapides, Concordia, Avoyelles, Catahoula, LaSalle, and Grant Parishes. MEDICAL HOME - PCP's FAMILY PRACTICE SAWYER, DOUGLAS C, 2026 OBRIE ST ZWOLLE, LA 71486 (318) 645-6013 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE FRYAR KELONE, SUSAN T, NP 302A BUSHLEY STREET HARRISONBURG, LA 71340 (318) 744-5504 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 GRAY, CYNTHIA M, NP 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 HOWARD, SUSAN A, NP 302A BUSHLEY ST HARRISONBURG, LA 71340 (318) 744-5504 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 WEBBER JR, JOSEPH K, NP 307 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-5727 100 SERIO BLVD FERRIDAY, LA 71334 (318) 757-6969 Ancillary Services DENTIST POWERS, TNONEALYER G, D 710 CHISUM ST SICILY ISLAND, LA 71368 (318) 389-9941 CASTEEL, EMILY E, SLP 1325 LOUISVILLE AVE (318) 807-1500 LAMB, BRIAN K, OT 1325 LOUISVILLE AVE (318) 807-1500 KAMBEROV, DENIS F, 808 MAIN ST LOGANSPORT, LA 71049 (318) 697-2273 130 JEFFERSON ST MANSFIELD, LA 71052 (318) 872-2700 INTERNAL MEDICINE SMITH, ROGER A, 302A BUSHLEY ST HARRISONBURG, LA 71340 (318) 744-5504 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 7
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 FAMILY PRACTICE 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, BALART, JAMES C, BARBIN, ALLISON B, BORDELON, ASHLEY D, 230 ROBERTS DR STE I NEW ROADS, LA 70760 (225) 638-4585 BRANDT, HAROLD D, BRUCE, ZACKARY, (225) 371-0110 CARLISLE, CASEY B, COOLEY, RICHARD TODD, CROCKETT, JEWEL W, DOUCET, DONALD W, 230 ROBERTS DR STE 1 NEW ROADS, LA 70760 (225) 638-4585 FALCON, LARA M, FONTENOT, CODEY L, FONTENOT, DAVID W, GRAVES, KURT W, GREESON, JENNIFER C, GRUNER, RACHEL M, HINES, WILLIAM H, JONES, MAUREEN E, KADAIR, ROY G, KAHN, JEFFREY M, LANDRY, ADRIAN P, LARRIVIERE, JOSEPH A, LIEUX, THEODORE RICHARD, PENN, WESLEY J, ROLFSEN, MICHAEL L, SAY, GEORGE D, TALBOT, KRISTEN D, TREUIL, REBECCA S, TUMMINELLO JR, VINCENT V, VINCI, EDMUND B, WAGUESPACK, ERIC M, WEST, J DAVID, (225) 796-4044 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 BRUMUND, TRACI T, CALANDRO, MINDY L, DRUMM, ROBERT, FRANZ, SANDRA A, GUIDROZ, JENNIFER T, HOLMES, CHRISTINA H, KATZENMEYER, CATHERINE C, MARTIN, SHELLEY, MASON, LYNN S, at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 8
MELTON, JAMAR A, RAMEY, STEWART, SEITER, ELIZABETH D, TRIBOU, ARTHUR G, WAGGENSPACK, MARK J, WHATLEY, PATRICIA D, WOOD, DANNY S, (225) 796-4044 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE BOWDEN, BETHANY B, NP BROUSSARD, KRISTEN F, NP SPECIALISTS ALLERGY & IMMUNOLOGY REDHEAD JR, JOSEPH N, 7373 PERKINS ROAD DERMATOLOGY EARHART, ROBERT N, 3401 NORTH BLVD STE 200 (225) 381-6620 FREDERIC, JEFFREY E, FREDERIC, STEPHANIE R, JACKSON, SCOTT M, 1401 N FOSTER DR (225) 987-9000 MURPHY, COURTNEY M, WAMPOLD, JAN B, 5000 HENNESSY BLVD (225) 765-6565 EAR, NOSE & THROAT/OTOLARYNGOL OGY BRINGAZE, VIRGINIA A, CLEMENTS, KELLY S, HARDY, ELLIOT T, KATZENMEYER, WILLIAM K, KRUPALA, JAMES L, PETIT, BRIAN J, ENDOCRINOLOGY FIELD, GARY H, HINKLE, JEANNEMARIE D, MILLER, GENA T, (225) 246-9790 MORAN, TIMOTHY P, SILVERBERG, JOEL D, WELDEN, JONATHAN G, (225) 796-4044 GASTROENTEROLOGY ARBOUR JR, GERALD T, CAUBLE, STEPHANIE M, GUIDROZ, ANDREW D, (225) 446-9319 HIRSCH, GARY S, NEUROLOGIST - PEDIATRIC SCHEXNAYDER, LALANIA K, 8415 GOODWOOD BLVD STE 202 (225) 765-8013 NEUROLOGY DYNES, GERARD J, GLADNEY JR, WILLIAM W, LEBOURGEOIS, LINDA, MURPHY, BRIAN P, OLIVEIRA, PEDRO S, PULMONARY DISEASES HINKLE, ROBERT C, HODGES, MARK K, MCCARTHY, MICHAEL P, RHEUMATOLOGY BOURG, ANGELE D, 5131 O DONOVAN DR STE 400 (225) 374-0110 CERUTI, RONALD P, (225) 246-9319 5131 ODONOVAN DR STE 500 BATON ROUGE, LA 70810 (225) 374-0120 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 9
CUCURULL, ELENA C, 5131 ODONOVAN DR STE 400 (225) 374-0120 MARSHALL, JOHN E, MENA, HECTOR R, POLLET, STEPHEN M, 5131 ODONOVAN STE 400 BATON ROUGE, LA 70810 (225) 374-0110 SURGERY-GENERAL FROELICH, JAMES A, TAYLOR, JONATHAN P, SURGERY-VASCULAR SCHWARTZBERG, GLEN J, UROLOGY INGERMAN, ALEXANDER, PORTA, WESLEY R, SCHMEECKLE, AYME V, Ancillary Services OPTOMETRIST MARTIN, ADAM C, OD 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 ALLEN, GREGORY J, 105 EAST OAK ST PONCHATOULA, LA 70454 (985) 386-6198 GAUDIN, STEVE L, 105 EAST OAK ST PONCHATOULA, LA 70454 (985) 386-6198 GILBREATH JR, CLAUDE W, 16052 DOCTORS BLVD PONCHATOULA, LA 70454 (985) 345-9606 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 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, 15744 MEDICAL ARTS PLAZA (985) 345-4484 STEVENS, NICHOLAS, 42388 PELICAN PROFESSIONAL PARK (985) 542-6251 WINKLER, MARGARET L, 15744 MEDICAL ARTS PLZ (985) 345-4484 SPECIALISTS OPHTHALMOLOGY APT, RICHARD K, 1101 AUDUBON AVE STE N5 THIBODAUX, LA 70301 (985) 446-0506 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, 920 OLIVER RD (318) 807-3700 GREEN, GREGORY R, 920 OLIVER RD WAITING AREA M (318) 329-9202 GUJJULA, RAJESH, 920 OLIVER RD WAITING AREA J (318) 807-3700 HAYWARD SR, MICHAEL T, 3400 MEDICAL PARK STE B MONROE, LA 71203 (318) 387-4855 MELTON, STUART L, 920 OLIVER RD WAITING AREA J (318) 807-3700 MEYERS, OWEN M, 920 OLIVER RD WAITING AREA M (318) 329-9202 RAULERSON, ROBERT M, 112 SAINT JOHN ST (318) 387-5681 YARBROUGH, DAVID A, 3400 MEDICAL PARK DR STE B MONROE, LA 71203 (318) 387-6803 INTERNAL MEDICINE ALBRITTON, COREY G, 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 109 ELM ST DELHI, LA 71232 (318) 878-6650 BRUYNINCKX, KYLE B, 261 HWY 132 MANGHAM, LA 71259 (318) 248-2807 MORGAN JR, CHARLES G, 920 OLIVER RD WAITING AREA L (318) 807-4730 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 CHISLEY, TYWANNA L, 2913 DESIARD ST (318) 651-9914 2915 BETIN AVE (318) 651-9914 850 S 2ND ST MONROE, LA 71202 (318) 651-0041 DYESS, BONITA H, 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 ZUKOWSKI, NANCY L, 3401 MAGNOLIA CV MONROE, LA 71203 (318) 325-6311 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE BROWN, AMANDA K, NP 309 JACKSON ST (318) 966-4540 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 109 ELM ST DELHI, LA 71232 (318) 878-6650 HAYDEN, BENJAMIN W, NP 518 DURHAM ST BASTROP, LA 71220 (318) 283-8887 108 N 16TH ST MER ROUGE, LA 71261 (318) 239-8010 508 BROADWAY ST DELHI, LA 71232 (318) 878-6650 261 HIGHWAY 132 MANGHAM, LA 71259 (318) 248-2807 3150 TAYLOR ST MARION, LA 71260 (318) 292-2795 LOWDER, RAYNE W, NP 109 REGENCY PLACE (318) 812-9999 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 ROSS, CHRISTINA D, 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 WILLSHER, LAURA B, NP 112 ST JOHN ST (318) 387-5681 INTERNAL MEDICINE CAIN, PENNY P, NP 112 SAINT JOHN ST (318) 387-5681 920 OLIVER RD WAITING AREA L (318) 807-4730 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 2913 DESIARD ST (318) 651-9914 2915 BETIN AVE (318) 651-9945 850 S 2ND ST MONROE, LA 71202 (318) 651-0041 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 12
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 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, 806 JEFFERSON TERRACE BLVD NEW IBERIA, LA 70560 (337) 365-4945 2390 WEST CONGRESS (337) 261-6690 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 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, 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 203 ALLENDALE DR PORT ALLEN, LA 70767 (225) 389-1311 NON-PHYSICIAN PRACTITIONERS FAMILY PRACTICE BLACKMON, BETTIE T, NP 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 CONNELL, KRISTA, NP 3619 HWY 10 JACKSON, LA 70748 (225) 683-1360 DART JR, WILLIAM D, NP 5439 AIRLINE HWY BATON ROUGE, LA 70802 (225) 358-4853 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 5000 ODONOVAN BLVD STE 404 WALKER, LA 70785 (225) 769-5656 DILLARD, JUSTIN J, NP 11055 SHOE CREEK DR BATON ROUGE, LA 70818 (225) 261-4493 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 ESTERS, TANISHA, NP 77695 WAGLEY RD MARINGOUIN, LA 70757 (225) 625-2313 3041 FORDOCHE RD STE A LIVONIA, LA 70755 (225) 637-3535 8387 NEWFIELD DR LIVONIA, LA 70755 (225) 637-2323 230 ROBERTS DR 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 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 27124 HWY 42 SPRINGFIELD, LA 70462 (225) 395-8022 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 HUNT, GINGER A, NP 11990 JACKSON ST CLINTON, LA 70722 (225) 683-5292 JOHNSON, MEREDITH, NP 203 ALLENDALE DR PORT ALLEN, LA 70767 (225) 389-1311 MARTIN DUHE, MONTRELL, NP 230 ROBERTS DR NEW ROADS, LA 70760 (225) 638-5879 230 ROBERTS DR STE H NEW ROADS, LA 70760 (225) 637-3535 ROSCOE, NARKITA W, NP 3140 FLORIDA ST (225) 650-2000 THOMAS, LAKESHA T, NP 1104 W HWY 30 (225) 644-4644 4950 ESSEN LANE STE 300 (225) 467-0343 59340 RIVER WEST DR STE A&B PLAQUEMINE, LA 70764 (225) 385-4742 5050 O'DONOVAN BLVD STE 507 WALKER, LA 70785 4463 LA HWY 1 SOUTH PORT ALLEN, LA 70767 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 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 13
100 WARRINGTON DR STE B NEW ORLEANS, LA 70122 (504) 282-0089 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 IMSAIS, KHALIL Y, 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 LAGARDE MAY, MICHELE T, 100 WARRINGTON DR NEW ORLEANS, LA 70122 (504) 282-0089 WARRIER, JAYA S, 3932 US HWY 90 WESTWEGO, LA 70094 (504) 371-8958 WILLIAMS, DAVE E, 111 N CAUSEWAY BLVD (504) 482-0084 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 STE B (504) 207-3060 DUMAS, JEREMY G, 5140 CHURCH ST LAFITTE, LA 70067 (504) 371-8958 7017 LAPALCO BLVD (504) 371-8958 3932 US HWY 90 AVONDALE, LA 70094 (504) 436-2223 FRANCIONI, SCOTT M, 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 GRANT SPENCER, TELITHA, 2405 JACKSON AVE NEW ORLEANS, LA 70113 (504) 529-5558 3943 ST BERNARD AVE NEW ORLEANS, LA 70122 (504) 529-5558 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 1936 MAGAZINE ST NEW ORLEANS, LA 70130 (504) 529-5558 GREENE, STACY, 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 KAUTZMAN, MICHELE G, 5140 CHURCH ST LAFITTE, LA 70067 (504) 371-8958 7017 LAPALCO BLVD (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 DAL CORSO, MARK, 200 HENRY CLAY AVE (504) 899-9511 3201 S CARROLLTON AVE (504) 207-3060 POREE TURNER, CECILY J, 298 HENRY CLAY AVE (504) 299-9980 3201 S CARROLLTON AVE (504) 207-3060 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) 482-0084 3201 S CARROLLTON AVE (504) 207-3060 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 DUPLANTIER, DIONNE R, NP 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 GEHRING, VANESSA N, NP 13085 CHEF MENTEUR HWY NEW ORLEANS, LA 70129 (504) 225-8665 GRIFFIN, NICOLE C, NP 3943 ST BERNARD AVE NEW ORLEANS, LA 70122 (504) 529-5558 1415 TULANE AVE NEW ORLEANS, LA 70156 (504) 584-1112 HOWARD, KRYSTAL, NP 111 N CAUSEWAY BLVD (504) 482-0084 3201 S CARROLLTON AVE (504) 207-3060 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 JOHNSON, WINIFRED E, NP 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 MORNAY, YOLONDA R, NP 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 THERIAULT, TANYA A, NP 111 N CAUSEWAY BLVD (504) 207-3060 111 N CAUSEWAY BLVD (504) 482-0084 3201 S CARROLLTON AVE (504) 207-3060 5630 READ BLVD NEW ORLEANS, LA 70127 (504) 248-5357 WALLIN, MIA J, NP 2405 JACKSON AVE NEW ORLEANS, LA 70113 (504) 529-5558 3943 ST BERNARD AVE NEW ORLEANS, LA 70122 (504) 529-5558 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 1936 MAGAZINE ST NEW ORLEANS, LA 70130 (504) 529-5558 GENERAL PRACTICE AGE, CHANIEL, NP 1020 ST ANDREW ST NEW ORLEANS, LA 70130 (504) 529-5558 PEARL, NIKITA, NP 721 AVENUE G KENTWOOD, LA 70444 (225) 306-2100 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 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 14
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 MURPHY, MARY J, 2601 TULANE AVE STE 500 NEW ORLEANS, LA 70119 (504) 821-2601 WILCOX, RONALD D, 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 15
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 16
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 BATON ROUGE GENERAL MEDICAL CENTER 3600 FLORIDA BLVD (225) 387-7000 8585 PICARDY AVE (504) 779-5515 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 LLC DBA UNIVERSITY HEALTH CONWAY 4864 JACKSON ST MONROE, LA 71202 (318) 330-7000 BRFHH SHREVEPORT LLC DBA UNIVERSITY 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 W 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 LAKE AREA HOSPITAL 4200 NELSON RD LAKE CHARLES, LA 70605 (337) 474-6370 CHRISTUS SAINT FRANCES CABRINI HOSPITAL 3330 MASONIC DR (318) 487-1122 CHRISTUS SCHUMPERT HIGHLAND 2531 VIKING DR (318) 681-7000 1453 EAST BERT KOUNS (318) 681-4500 CHRISTUS ST PATRICK HOSPITAL 524 DR MICHAEL DEBAKEY DR (337) 436-2511 CITIZENS MEDICAL CENTER 7939 HWY 165 COLUMBIA, LA 71418 (318) 649-6106 CYPRESS POINTE SURGICAL HOSPITAL 42570 SOUTH AIRPORT RD (985) 570-6200 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) 828-0760 FRANKLIN MEDICAL CENTER 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 GARDEN PARK MEDICAL CENTER 15200 COMMUNITY RD GULFPORT, MS 39503 (228) 525-7000 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 HOMER MEMORIAL HOSPITAL DBA CLAIBORNE 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 HOWARD MEMORIAL HOSPITAL 130 MEDICAL CIR NASHVILLE, AR 71852 (870) 845-4400 IASIS GLENWOOD REGIONAL MEDICAL CENTER 1275 GLENWOOD DR (318) 322-1339 503 MCMILLAN RD (318) 329-4200 IBERIA MEDICAL CENTER 2315 E MAIN ST NEW IBERIA, LA 70560 (337) 364-0441 JACKSON PARISH HOSPITAL 165 BEECH SPRINGS RD JONESBORO, LA 71251 (318) 259-4435 JENNINGS AMERICAN LEGION HOSPITAL 1636 ELTON RD JENNINGS, LA 70546 (337) 616-7000 KINGS DAUGHTERS MEDICAL CENTER 427 HWY 51 NORTH BROOKHAVEN, MS 39601 (601) 833-6011 LAFAYETTE SURGICAL SPECIALTY HOSPITAL 1101 KALISTE SALOOM RD (337) 769-4100 1025 KALISTE SALOOM RD (337) 237-3424 LAKE CHARLES MEMORIAL HOSPITAL 1701 OAK PARK BLVD (337) 494-3000 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 17
1900 GAUTHIER RD LAKE CHARLES, LA 70605 (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 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 MERIT HEALTH NATCHEZ 54 SEARGENT S PRENTISS DR NATCHEZ, MS 39120 (601) 443-2100 MINDEN MEDICAL CENTER 1 MEDICAL PLAZA MINDEN, LA 71055 (318) 377-2321 MONROE SURGICAL HOSPITAL 2408 BROADMOOR BLVD (318) 410-0002 MOREHOUSE GENERAL HOSPITAL 323 WEST 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) 375-3235 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) 470-2000 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 P&S SURGICAL HOSPITAL 312 GRAMMONT ST (318) 388-4040 PARK PLACE SURGICAL HOSPITAL 4811 AMBASSADOR CAFF PKWY (337) 237-8119 PHYSICIANS MEDICAL CENTER 218 CORPORATE DR (985) 853-1390 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 REEVES MEMORIAL MEDICAL HOSPITAL 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 SAINT FRANCIS MEDICAL CENTER 309 JACKSON ST (318) 966-4000 SLIDELL MEMORIAL HOSPITAL 1001 GAUSE BLVD (985) 643-2200 1045 FLORIDA AVE (985) 280-2933 1120 ROBERT BLVD (985) 280-2933 1495 GAUSE BLVD (985) 280-2933 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) 647-5000 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 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 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 18
TULANE MEDICAL CENTER 4700 S I-10 SERVICE RD E (504) 780-8282 REFERRAL CENTERS/ PHYSICIANS with Prior Plan Approval ATKINS, LOGAN, 2104 C LOOP RD WINNSBORO, LA 71295 (318) 435-4571 CALHOUN, B KEITH, 4400 OLD STERLINGTON RD MONROE, LA 71203 (318) 324-1414 1415 TULANE AVE (504) 988-5263 95 JUDGE TANNER BLVD (985) 867-3800 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 CAFFREY (337) 521-9200 ARKANSAS CHILDRENS HOSPITAL 1 CHILDRENS WAY LITTLE ROCK, AR 72202 (501) 364-1100 CHILDRENS HOSPITAL 200 HENRY CLAY AVE (504) 899-9511 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 ALEXANDER, WILLIAM C, 503 MCMILLAN RD (Hospitalist/Intensivist) ANDERS, KERRY L, 3400 MEDICAL PARK DR STE A MONROE, LA 71203 (318) 322-7744 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 BAILEY, DON W, 300 SCARBROUGH LAKE PROVIDENCE, LA 71254 (318) 559-2814 BAINES, JOHNATHAN, 1200 SOUTH FARMERVILLE ST (318) 251-3690 1809 NORTHPOINTE LN STE 102 (318) 255-3762 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 BEEBE, WILLIAM E, 503 MCMILLIAN RD (318) 329-4744 BELUE, JAMES MICHAEL, 707 SOUTH VIENNA ST (318) 251-3774 BREARD, ERIN R, 3995 STERLINGTON RD STE A MONROE, LA 71203 (318) 329-9447 1900 NTH 7TH ST (318) 329-9447 CARLISLE, KEVIN M, 256 HWY 3048 RAYVILLE, LA 71269 (318) 728-2046 5975 HWY 80 RAYVILLE, LA 71269 (318) 728-4368 COATS, JOHN M, 327 W HICKORY AVE BASTROP, LA 71220 (318) 556-3071 COLEMAN, EDWARD O, DO 109 REGENCY PLACE (318) 812-9999 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) 435-4571 CONVILLE, STACY D, 103 WATTS ST STE 101 JONESBORO, LA 71251 (318) 259-1569 COTTER, MARK M, 2104C LOOP RD WINNSBORO, LA 71295 (318) 435-4571 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, RUSSELL O, 484 COLLINS RD COLUMBIA, LA 71418 (318) 649-5300 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 19
DANSBY JR, THOMAS, 100 SOUTH SECOND ST (318) 322-7836 GARCIA, ROBERT L, 503 MCMILLAN RD (318) 329-4744 HEARN, PAMELA R, 402 SECOND ST BERNICE, LA 71222 (318) 285-9066 KUTNIKAR, DHAYA N, 1805 LAMY LN (318) 388-5383 DOLLAR, CINDY F, 503 MCMILLAN RD (318) 329-4200 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 GHANTA, SUMATHA, 920 OLIVER RD (318) 807-3700 GIVLER JR, DONALD N, 503 MCMILLAN RD (318) 329-4744 (Hospitalist/Intensivist) GIVLER, AMY M, 2933 CYPRESS ST STE 1 (318) 322-9252 HENRY, JOE BYRON, 3995 STERLINGTON RD STE A MONROE, LA 71203 (318) 329-9447 1900 N 7TH ST (318) 651-7000 HERBERT, ALLEN J, 411 E VAUGHN AVE STE 203 (318) 255-7474 LAMME, ROBERT K, 503 MCMILLAN (936) 652-1058 (Hospitalist/Intensivist) LAPITE, OLADAPO, 306 STONE AVE (318) 323-1040 LE, DUNG N, 508 BROADWAY DELHI, LA 71232 (318) 878-3737 DUPREE, ERIC C, 639 W LAFAYETTE ST WINNFIELD, LA 71483 (318) 648-2220 ELDRIDGE, JOEL G, DO 2104-C LOOD RD WINNSBORO, LA 71295 (318) 722-3333 2106 LOOP RD WINNSBORO, LA 71295 (318) 435-9411 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 DR STE 3 (318) 232-1640 309 JACKSON ST (318) 255-8271 EPPINETTE, JAMES M, 309 JACKSON ST (318) 966-8390 (Hospitalist/Intensivist) 5328 CYPRESS ST (318) 397-3636 FRENGELL, NILGUN CAMILLA, 309 JACKSON ST (318) 966-4540 (Hospitalist/Intensivist) GONZALES, CESAR Z, 407 CINCINNATI ST DELHI, LA 71232 (318) 878-5171 508 BROADWAY ST DELHI, LA 71232 (318) 878-3737 109 ELM ST DELHI, LA 71232 (318) 878-6650 GREEN, GREGORY R, 920 OLIVER RD WAITING AREA M (318) 329-9202 GRIGSBY, BENSON A, 2916 N TRENTON ST (318) 254-2892 765 S BONNER ST RUSTON, LA 71273 (318) 998-7357 GUINIGUNDO, NOLI, 502 ROSS ST OAK GROVE, LA 71263 (318) 428-2358 GUJJULA, RAJESH, 920 OLIVER RD WAITING AREA J (318) 807-3700 HARRIS, R BRIAN, 402 SECOND ST BERNICE, LA 71222 (318) 285-9066 HAYWARD SR, MICHAEL T, 3400 MEDICAL PARK STE B MONROE, LA 71203 (318) 387-4855 HORNE, STEPHEN K, 503 MCMILLAN RD (318) 329-4744 (Hospitalist/Intensivist) IGLESIAS, JULIO E, 301 A WEST BOUNDARY WINNFIELD, LA 71483 (318) 628-2108 ISLAM, NAHID A, 2600 TOWER DR STE 106 (318) 966-2008 IZE IYAMU, MENONI, 407 CINCINNATI ST DELHI, LA 71232 (318) 878-5171 JETHA, TEJAL, 309 JACKSON ST (318) 966-4540 (Hospitalist/Intensivist) JONES, TAMMY V, DO 4864 JACKSON ST MONROE, LA 71202 (318) 675-5000 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 KRIER, BRIAN P, 1201 FAIRVIEW AVE (318) 884-0362 109 ELM ST DELHI, LA 71232 (318) 878-6650 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 1900 N 7TH ST (318) 651-7000 MELTON, STUART L, 920 OLIVER RD WAITING AREA J (318) 807-3700 METOYER JR, KENNETH P, 1200 S FARMERVILLE ST (318) 251-6330 MEYERS, OWEN M, 920 OLIVER RD WAITING AREA M (318) 329-9202 at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. Page 20