Post on 22-Mar-2018
April 2018 1
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Start by clicking on your county:
Blues provider consultants are
here to help you! Wayne
Lenawee
Monroe
St. Clair
Washtenaw
Oakland
Macomb
Southeast Michigan region professional provider consultant
contact list
April 2018 2
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Lenawee County
Category Consultant Phone Fax
Professionals M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers
Kelly Hayes 517-896-4350 1-866-511-5022
Behavioral health Julie Steinacker 517-325-4433 1-877-484-2969
If you do not receive a response from your assigned consultant within two business days, please contact Kathryn Simon at 517-325-4590.
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 3
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Macomb County
Not sure which category you belong in? Click the category name for details.
Category Consultant Phone Fax
Primary care physicians and OB/GYNs Chenell Brown 248-508-5981 1-866-621-5004
Ancillary Candice McCoy 248-302-6713 1-866-754-4282
Specialists In the following cities:
Kelly Sims 313-348-0798 1-866-435-5599
• Armada
• Armada Township
• Bruce
• Bruce Township
• Centerline
• Chesterfield
• Clinton Township
• Eastpointe
• East Detroit
• Fraser
• Harrison Township
• Lenox
• Macomb
• Macomb Township
• Mount Clemens
• New Baltimore
• New Haven
• Richmond
• Richmond Township
• Romeo
Specialists In the following cities:
Candice McCoy 248-302-6713 1-866-754-4282
• Ray
• Ray Township
• Roseville
• St. Clair Shores
• Shelby Township
• Sterling Heights
• Utica
• Warren
• Washington
• Washington Township
If you do not receive a response from your assigned consultant within two business days, please contact Linda Lukasiewicz at 248-350-7496.
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 4
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Monroe County
Category Consultant Phone Fax
Professionals M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers
Dawn Stoner 313-549-9864 1-866-435-5608
Behavioral health Julie Steinacker 517-325-4433 1-877-484-2969
If you do not receive a response from your assigned consultant within two business days, please contact Kathryn Simon at 517-325-4590.
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 5
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Oakland County
Not sure which category you belong in? Click the category name for details.
Category Consultant Phone Fax
Primary care physicians and OB/GYNs Chenell Brown 248-508-5981 1-866-621-5004
Ancillary Geonisha Washington
313-530-4487 1-866-807-7376
Specialists In the following cities: Geonisha
Washington 313-530-4487 1-866-807-7376
• Auburn Hills
• Berkley
• Birmingham
• Bloomfield
• Bloomfield Hills
• Bloomfield Township
• Bloomfield Village
• Ferndale
• Goodison
• Hazel Park
• Highland
• Highland Township
• Huntington Woods
• Lake Angelus
• Lake Orion
• Madison Heights
• Oak Park
• Oakland
• Oakland Township
• Orion
• Orion Township
• Oxford
• Pleasant Ridge
• Pontiac
• Rochester
• Rochester Hills
• Royal Oak
• Royal Oak Township
• Troy
(Continued on next page.)
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 6
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Category Consultant Phone Fax
Specialists In the following cities:
Kelly Sims 313-348-0798 1-866-435-5599
• Beverly Hills
• Bingham Farms
• Brandon
• Clarkston
• Clawson
• Clintonville
• Commerce
• Commerce Township
• Davisburg
• East White Lake
• Elizabeth Lake
• Farmington
• Farmington Hills
• Four Towns
• Franklin
• Holly
• Holly Township
• Huron Heights
• Independence Township
• Keego Harbor
• Lathrup Village
• Milford
• Milford Township
• New Hudson
• Novi
• Novi Township
• Orchard Lake
• Ortonville
• South Lyon
• Southfield
• Southfield Township
• Springfield Township
• Sylvan Lake
• Walled Lake
• Waterford
• Waterford Township
• West Bloomfield
• White Lake
• Wixom
• Wolverine Lake
If you do not receive a response from your assigned consultant within two business days, please contact Linda Lukasiewicz at 248-350-7496.
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Southeast Michigan region professional provider consultant
contact list
April 2018 7
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
St. Clair County
Category Consultant Phone Fax
Professionals M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers
Tina Gach 810-720-6718 1-866-513-6449
Behavioral health Penny Yost 810-720-6713 1-866-410-7643
If you do not receive a response from your assigned consultant within two business days, please contact B.J. Byers at 810-720-8575.
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 8
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Washtenaw County
Category Consultant Phone and Fax Manager
ALL University of Michigan-affiliated professional and behavioral health providers
Dawn Stoner 313-549-9864 1-866-435-5608
Kathryn Simon
Non-University of Michigan-affiliated professional providers
M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers
Cindy Rayburn 517-896-6478 1-866-513-6448
Kathryn Simon
Non-University of Michigan-affiliated behavioral health providers
Penny Yost 810-720-6713 1-866-410-7643
B.J. Byers
If you do not receive a response from your assigned consultant within two business days, please contact the corresponding manager at the number below:
B.J. Byers – 810-720-8575 Kathryn Simon – 517-325-4590
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 9
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Wayne County
Not sure which category you belong in? Click the category name for details.
Category Consultant Phone Fax
Primary care physicians and OB/GYNs Sonya Lewis 248-350-6272 1-866-538-5002
Ancillary Sonya Lewis 248-350-6272 1-866-538-5002
Specialists In the following cities: Pat Graziani 248-914-5037 1-866-611-3021
• Dearborn
• Dearborn Heights
• Detroit
• Ecorse
• Grosse Ile
• Grosse Ile Township
• Hickory Isle
• Highland Park
• Northville
• Northville Township
• River Rouge
• Riverview
• Southgate
• Taylor
• Trenton
• Woodhaven
• Wyandotte
•
Specialists In the following cities: Pat Graziani 248-914-5037 1-866-611-3021
• Allen Park
• Belleville
• Brownstown
• Brownstown Township
• Canton
• Canton Township
• Flat Rock
• Garden City
• Gibraltar
• Grosse Pointe
• Grosse Pointe Farms
• Grosse Pointe Park
• Grosse Park Shores
• Grosse Park Woods Hamtramck
• Harper Woods
• Huron Township
• Inkster
• Lincoln Park
• Livonia
• New Boston
• Plymouth
• Redford
• Redford Township
• Rockwood
• Romulus
• Sumpter Township
• Van Buren
• Wayne
• Westland
If you do not receive a response from your assigned consultant within two business days, please contact Linda Lukasiewicz at 248-350-7496.
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 10
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Primary care physicians include:
Primary care physicians Family practice General practice Geriatric medicine Gynecology Internal medicine Nephrologists acting as PCPs Nurse practitioners acting as PCPs Nurse practitioners in a PCPs office Obstetrics Pediatrics Physician assistants in a PCPs office Preventive medicine
Return to:
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Macomb County
Oakland County
Wayne County
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 11
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Specialist include:
Behavioral health specialists Allergy & immunology Cariology Dermatology Dietary management Endocrinology Gastroenterology Hematology Infectious diseases Neurology Nephrology Nurse practitioner in an office Oncology Otolaryngology Physician assistant in an office Plastic Surgery Pulmonology Psychiatry Rheumatology Sleep medicine Surgeons Transplant hepatology Undersea/hyperbaric medicine Urology
Return to:
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Macomb County
Oakland County
Wayne County
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.
April 2018 12
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Ancillary providers include:
Ambulance Anesthesiology Audiology Certified registered nurse anesthetist Chiropractic medicine Dentist Durable medical equipment Emergency Medicine Hearing aid dealer Home infusion therapy Independent physical therapy Occupational therapy Ophthalmology Optometry Orthodontist Orthopedics Pain management Pathology Prosthetist/orthotist Physical medicine and rehabilitation Radiology Speech therapy Sports medicine Podiatry Urgent care
Return to:
Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)
Macomb County
Oakland County
Wayne County
Southeast Michigan region professional provider consultant
contact list
Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.