2016 PROVIDER AND PHARMACY DIRECTORY - … AND PHARMACY DIRECTORY Cigna-HealthSpring Synergy IPA TN...

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2016 Directorio de farmacias y proveedores PROVIDER AND PHARMACY DIRECTORY Cigna-HealthSpring Synergy IPA TN Counties/Condados: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson For more information, please contact Cigna-HealthSpring Customer Service at 1-800-668-3813 or, for TTY users, 711, 7 days a week, 8 a.m. - 8 p.m., or visit www.cignahealthspring.com. Para más información, favor de ponerse en contacto con el Departamento de servicio al cliente de Cigna-HealthSpring al 1-800-668- 3813 o, para usuarios TTY, 711, 7 días de la semana, o bien visite www.cignahealthspring.com. This Provider and Pharmacy Directory was updated on 08/13/15. Este Directorio de proveedores y farmacias se actualizó el 08/13/15. © 2015 Cigna 16_D_14_SYN_14 Y0036_16_31997aBL_FINAL_20 Approved 08142015

Transcript of 2016 PROVIDER AND PHARMACY DIRECTORY - … AND PHARMACY DIRECTORY Cigna-HealthSpring Synergy IPA TN...

  • FINAL_20 Cover_Pharmacy Directory PRINT.indd 1 9/4/15 3:19 PM

    2016

    Directorio de farmacias y proveedores

    PROVIDER AND PHARMACY DIRECTORY

    Cigna-HealthSpring Synergy IPA TN Counties/Condados: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson

    For more information, please contact Cigna-HealthSpring Customer Service at 1-800-668-3813 or, for TTY users, 711, 7 days a week, 8 a.m. - 8 p.m., or visit www.cignahealthspring.com. Para ms informacin, favor de ponerse en contacto con el Departamento de servicio al cliente de Cigna-HealthSpring al 1-800-6683813 o, para usuarios TTY, 711, 7 das de la semana, o bien visite www.cignahealthspring.com. This Provider and Pharmacy Directory was updated on 08/13/15. Este Directorio de proveedores y farmacias se actualiz el 08/13/15. 2015 Cigna 16_D_14_SYN_14 Y0036_16_31997aBL_FINAL_20 Approved 08142015

    http:www.cignahealthspring.comhttp:www.cignahealthspring.com
  • Cigna-HealthSpring HMO Plan Provider Directory

    Provider Directory

    This directory provides a list of Cigna-HealthSprings network providers.

    This directory is for TN Counties: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson. This directory is current as of August 2015. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Cigna-HealthSprings network providers in your area, you can visit www.cignahealthspring.com or call our Customer Service Department at 1-800-668-3813, October 1 February 14, 8:00 a.m. 8:00 p.m. local time, 7 days a week. From February 15 September 30, Monday Friday 8:00 a.m. 8:00 p.m. local time, Saturday 8:00 a.m. 6:00 p.m. local time. Messaging service used weekends, after hours, and on federal holidays. TTY users should call 711. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., Cigna HealthCare of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. The pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. This information is available for free in other languages. Please call our customer services number at 1-800-668-3813 (TTY 711), 7 days a week, 8 a.m. - 8 p.m. Esta informacin est disponible de forma gratuita en otros idiomas. Por favor, llame a nuestro servicio al cliente al 1-800-668-3813 (TTY 711), 7 das de la semana, 8 a.m. - 8 p.m. This document may be available in other formats such as Braille, large print or other alternate formats. Contact the plan for more information. Y0036_16_31997aBL_FINAL_20 Approved 08142015 16_D_14_SYN_14

    http:www.cignahealthspring.com
  • Section 1 Introduction This directory provides a list of Cigna-HealthSprings network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your healthcare services from your PCP. Your PCP is a physician who is trained to provide general medical care. Your PCP can also coordinate the rest of the covered services you need. The network providers listed in this directory have agreed to provide you with your healthcare, vision and dental services. Please note: Not all Cigna-HealthSpring plans have vision and dental benefits. Please check your Evidence of Coverage to see if your plan has a vision and/or dental benefit. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers. Other physicians/providers are available in our network. For POS Plans: While you are a member of our plan, you may use providers outside of the network. Your out-of-pocket costs may be higher if you use out-of-network providers, except for emergency care, out-of-area urgent care, or out-of-area dialysis services. You dont need to get a referral, but you may need prior authorization for some plans* when you get care from out-ofnetwork providers. In non-emergent situations, please tell out-of-network providers that you are a Cigna-HealthSpring member before you see them to ensure that they will see Cigna-HealthSpring members. Our payment for out-of-network services is based on the Medicare Allowable Amount. If the out-of-network provider charges more than the Medicare Allowable Amount, you may be liable for the difference between the Medicare Allowable Amount and the providers total charge. (*Cigna-HealthSpring Premier (HMO-POS) and Cigna-HealthSpring Premier Plus (HMO-POS) do require prior authorization for out-of-network providers.) For POS Plans: Cigna-HealthSpring offers a Point-of-Service (POS) option. The POS option allows you to use out-of-network area providers. You must notify Cigna-HealthSpring prior to using out-of-network area providers. If you use an out-of-network area provider for non-emergent services, your out-of-pocket costs may be higher. If you do not notify the plan prior to using an out-of-network provider, you will be responsible for 100% of the cost(s) billed. Neither Cigna-HealthSpring nor Medicare will pay for these services. Please refer to your Evidence of Coverage for details. Even though your PCP is trained to handle the majority of common health needs, there may be a time when you need more specialized treatment. In those situations, you may see a plan specialist. Specialists are doctors who are trained to provide health services for a specific disease or part of the body. For some types of specialists, you will need to obtain a referral from your PCP before you can schedule an appointment with the specialist. Below is a list of provider specialty types that require referrals from your PCP before you can schedule an appointment with them. Please note: Some provider types may have been added or removed from the list after this directory was printed. You should check with your PCP or call Customer Service at the phone number on the cover to see if a referral is required to see a specialist or other provider. Note that a referral is different from prior authorization, which is required before certain services procedures can be performed.

  • Allergy & Immunology Medical Genetics Physical Therapy Anesthesiology Medical Oncology Plastic Surgery Audiology Nephrology Podiatry Cardiovascular Disease Neurosurgery Proctology Cardiovascular Surgery Neurology Prosthodontics Chiropractor Occupational Therapy Pulmonary Disease Colon and Rectal Surgery Ophthalmology Radiology Dermatology Oral Surgery Respiration Therapy Endocrinology Orthopedic Surgery Rheumatology Gastroenterology Otolaryngology Speech Language Pathologist General Surgery Pain Management Speech Therapy Gynecologic Oncology Pediatric Cardiology Sports Medicine Hand Surgery Pediatric Endocrinology Thoracic Surgery Hematology Pediatric Hematology-Oncology Urology Hematology/Oncology Pediatric Rehabilitation Medicine Vascular and Interventional Infectious Disease Pediatric Surgery Vascular Surgery Maxillofacial Surgery Physical Medicine/Rehabilitation In addition, each PCP has certain plan specialists and hospitals they use for referrals. This means that the Cigna-HealthSpring specialists or hospitals you can use may depend on which PCP you select. If there are specialists or hospitals that you want to use, it is important to find out if your chosen PCP refers to them. Cigna-HealthSpring has different types of Primary Care Provider relationships. We have contracts with Independent Physician Associations and clinic based providers. The following paragraphs describe the relationship these providers have with Cigna-HealthSpring. Independent Physician Associations (IPA)

    Independent Physician Associations (IPAs) consist of Primary Care and Specialist Physicians located in and around your area. If you select a Primary Care Physician who belongs to an IPA, you should be aware that your PCP will refer you to specialists and hospitals affiliated with the same IPA and with whom they work closely to coordinate your care. You will receive all of your care, including gynecological and specialty care from the physicians within the same IPA. Gynecological care can be accessed by any Gynecologist in the network. Your IPA is designed to provide a team of primary care and specialty physicians who can manage your care needs. However, if your medical condition should ever require you to seek care outside the IPA, your primary care physician will continue to assist you in the coordination of any needed services outside the IPA. The following IPAs are network providers with your plan.

    Synergy IPA

    o Clarksville Medical Network o Heritage Medical Network o Midstate Medical Network o Nashville North Network o Quality Care Medical Network o St. Thomas Medical Network

    There may also be times when you get a bill from a provider for the full cost of medical care you have received. In many cases, you should contact Customer Service or send this bill to us instead of paying it. We will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly. (Please note that we cannot pay a provider who has opted out of the Medicare program. Check with your provider before receiving services to confirm that they

  • have not opted out of Medicare.) If we determine that the services are not covered or were not medically necessary, we may deny coverage and you will be responsible for the entire cost. You may get emergency medical care whenever you need it, anywhere in the United States or its territories. Our plan covers ambulance services in situations where getting to the emergency room in any other way could endanger your health. Please refer to your Evidence of Coverage for details. You may get covered emergency medical care whenever you need it, anywhere in the world. If you have an emergency, we will talk with the doctors who are giving you emergency care to help manage and follow up on your care. The doctors who are giving you emergency care will decide when your condition is stable and the medical emergency is over. After the emergency is over you are entitled to follow-up care to be sure your condition continues to be stable. Your follow-up care will be covered by our plan. If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Cigna-HealthSpring will be responsible for the costs. For POS Plans: If you obtain routine care from out-of-network providers you will have to pay the out-of-network cost-sharing, except for emergency care, out-of-area urgent care, or out-of-area dialysis services. Please refer to your Evidence of Coverage for more information. Behavioral Healthcare Services Behavioral Health services, including mental health and substance abuse services, for beneficiaries covered by Cigna-HealthSpring are provided through Cigna-HealthSpring Behavioral Healthcare Services. Members and providers may access Cigna-HealthSpring Behavioral Healthcare Services by calling 1-866-780-8546 (TTY 711) for assistance in finding a behavioral healthcare professional or to arrange for inpatient admission authorization. Cigna-HealthSpring Behavioral Healthcare Services is available 24 hours per day, 7 days a week. What is the service area for Cigna-HealthSpring? The counties in our service area are listed below. TN Counties: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dick son, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson. How do you find Cigna-HealthSpring providers in your area? To choose a PCP from the Provider Directory, turn to the Primary Care Provider section for a listing of primary care providers in your area. You can also call Customer Service at the number listed below for assistance. When you select a PCP, you will find a space on your Enrollment Application to enter the PCPs name. If you choose a PCP after your Enrollment Application has been submitted, call Customer Service and inform them of your PCP selection. Please keep in mind that if you do not select a PCP at the time of enrollment, Cigna-HealthSpring will select one for you based on where you live. If you want to change to another PCP, you may do so at any time by calling Customer Service at the number listed below. The name and office telephone number of your PCP are printed on your membership card. To choose a specialist, hospital, pharmacy or other provider, please turn to the applicable section in the Provider Directory for a listing of providers in your area. For example, to find hospitals in your area, turn to the Hospitals section of the directory. If you have questions about Cigna-HealthSpring or require assistance in selecting a PCP, please call our Customer Service Department at 1-800-668-3813, October 1 February 14, 8:00 a.m. 8:00 p.m. local time, 7 days a week. From February 15 September 30, Monday Friday 8:00 a.m. 8:00 p.m. local time, Saturday 8:00 a.m. 6:00 p.m. local time. Messaging service used weekends, after hours, and on federal holidays. TTY users should call 711. Or, visit www.cignahealthspring.com.

    http:www.cignahealthspring.com
  • Again, if you want to use a particular Cigna-HealthSpring specialist or hospital, you should check with your PCP to make sure they can make referrals to that specialist or hospital. The providers listed in this directory are part of a sub-network of Cigna-HealthSpring providers. You are not limited to the providers in this directory and can get the most-up-to-date list of all available providers in your area by calling Customer Service at 1-800-668-3813 (TTY 711), October 1 February 14, 8:00 a.m. 8:00 p.m. local time, 7 days a week. From February 15 September 30, Monday Friday 8:00 a.m. 8:00 p.m. local time, Saturday 8:00 a.m. 6:00 p.m. local time. Messaging service used weekends, after hours, and on federal holidays or by visiting our website at www.cignahealthspring.com. A hard copy directory is also available by request.

    http:www.cignahealthspring.com
  • Section 2 List of Network Providers This directory is organized to help you find the type of provider you need. Providers are listed in the following sections:

    - Independent Physician Association (IPA) o Primary Care Providers (PCP) o Specialists o Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers

    How to use this directory to choose a Primary Care Provider There are two ways to select a primary care provider:

    - You can choose a particular Primary Care Provider by name; or - You can choose your Primary Care Provider by location.

    If you are looking for a particular Primary Care Provider by name: 1. Go to the Alphabetical Index, which is the last section of the directory. 2. Find the doctor by last name and the page number(s) on which he or she is listed. 3. Go to that page number for information on the Primary Care Provider.

    If you are looking for a Primary Care Provider by location: 1. Go to the Primary Care Provider section. 2. Find the City and/or zip code. 3. Select a Provider.

    How to use this directory to choose a Specialist Specialist physicians and other primary care providers in this directory are listed by specialty of care, followed by geographic location, and name. How to use this directory to choose a Provider that accepts both Medicare and Medicaid Plan providers that accept both Medicare and Medicaid are located throughout this Provider Directory and are marked by an asterisk (*). For example, this provider would be a Medicare and Medicaid provider: Dr. John Doe* However, this provider would not be a Medicare and Medicaid provider: Dr. Jane Doe

    How to use this directory to choose other Plan Providers Plan providers in this directory, other than primary care providers and specialists, are listed by geographic location then the name of the provider. Provider Directory Symbol Key In this directory, some providers will have a symbol at the end of their name. Below are the symbols and what they mean:

  • Symbol Meaning * Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^ POS Provider

    Total Number of Providers within this Directory: PCPs: 169 Specialists: 3481 Hospitals: 44 Skilled Nursing Facilities: 91 Behavioral Health Providers: 468 Ambulatory Surgical Centers/Urgent Care Facilities: 85 Ancillary Providers: 500 Dental Providers: 1 Vision Providers: 65 Pharmacies: 948

  • Directorio de proveedoresdel Plan HMO de Cigna-HealthSpring Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring.

    Directorio de proveedores

    Este directorio es para los Condados en TN de: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson. Este directorio est actualizado a partir de agosto de 2015. Es posible que se hayan agregado o eliminado de la lista algunos proveedores de la red, despus de la impresin de este directorio. No garantizamos que los proveedores estn aceptando miembros nuevos. Para obtener informacin actualizada sobre los proveedores de la red de Cigna-HealthSpring en su rea, visite www.cignahealthspring.com o bien, llame al Departamento de servicio al cliente al 1-800-668-3813, del 1 de octubre al 14 de febrero, 8:00 a.m. 8:00 p.m. hora local, 7 das de la semana. Del 15 de febrero al 30 de septiembre, de lunes a viernes, 8:00 a.m. 8:00 p.m. hora local, sbado 8:00 a.m. 6:00 p.m. hora local. Si llama los fines de semana, fuera del horario de servicio o un da festivo federal, entrar el servicio de contestadora automtica. Los usuarios de TTY deben llamar al 711. Todos los productos y servicios de Cigna se brindan exclusivamente por o a travs de subsidiarias operativas de Cigna Corporation, incluyendo Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring of St. Louis, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., y Bravo Health Pennsylvania, Inc. El nombre de Cigna, los logotipos, y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. Cigna-HealthSpring tiene contrato con Medicare para planes PDP, planes HMO y PPO en ciertos estados, y con ciertos programas estatales de Medicaid. La inscripcin en Cigna-HealthSpring depende de la renovacin de contrato. La red de farmacias, y/o la red de proveedores pueden cambiar en cualquier momento. Recibir un aviso cuando sea necesario. This information is available for free in other languages. Please call our customer services number at 1-800-668-3813 (TTY 711), 7 days a week, 8 a.m. - 8 p.m. Esta informacin est disponible de forma gratuita en otros idiomas. Por favor, llame a nuestro servicio al cliente al 1-800-668-3813 (TTY 711), 7 das de la semana, 8 a.m. - 8 p.m. Este documento est disponible en otros formatos como Braille, impresin grande u otros formatos alternativos. Para ms informacin, pngase en contacto con el plan. Y0036_16_31997aBL_FINAL_20 Approved 08142015 16_D_14_SYN_14

    http:www.cignahealthspring.com
  • Seccin 1 Introduccin Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring. Para obtener informacin detallada acerca de su cobertura de atencin mdica, por favor consulte su Evidencia de Cobertura.

    Deber elegir uno de nuestros proveedores de la red que figuran en este directorio para que sea su Mdico de cabecera (PCP, por sus siglas en ingls). El trmino PCP se usar en todo este directorio. Por lo general, debe recibir sus servicios de atencin mdica de su PCP. Su PCP es un mdico capacitado para brindarle atencin mdica general. Su PCP tambin puede coordinar el resto de los servicios en cobertura que usted necesite.

    Los proveedores de la red que aparecen en este directorio han aceptado brindarle sus servicios de atencin mdica, cuidado de la vista y atencin dental. Por favor tenga en cuenta: No todos los planes de Cigna-HealthSpring tienen beneficios del cuidado de la vista y atencin dental. Por favor lea su Evidencia de cobertura para ver si su plan tiene el beneficio de cuidado de la vista y/o atencin dental. Usted puede acudir a cualquiera de los proveedores de nuestra red que figuran en este directorio; no obstante, es posible que algunos servicios requieran una referencia. Si usted ha estado acudiendo a un proveedor de la red, no es necesario que contine consultando a dicho proveedor. En algunos casos, puede recibir servicios cubiertos de proveedores que no pertenecen a la red. Otros mdicos/proveedores estn disponibles en nuestra red.

    For POS Plans: Mientras sea miembro de nuestro plan, puede acudir a proveedores que no pertenezcan a la red. Es posible que sus costos no reembolsables sean ms altos si acude con proveedores fuera de la red, excepto para atencin de emergencia, atencin urgente fuera del rea, o servicios de dilisis fuera del rea. No necesita una referencia, pero es posible que necesite la autorizacin previa de algunos planes* para recibir atencin de proveedores que no pertenezcan a la red. En situaciones que no son de emergencia, antes de acudir con un proveedor fuera de la red, infrmele que usted es miembro de Cigna-HealthSpring para asegurarse de que dicho proveedor atiende a miembros de Cigna-HealthSpring. Nuestro pago por los servicios fuera de la red se basa en el Monto permitido de Medicare. Si los honorarios del proveedor fuera de la red son superiores al Monto permitido de Medicare, es posible que usted deba pagar la diferencia entre el Monto permitido de Medicare y los honorarios totales del proveedor. (*Cigna-HealthSpring Premier (HMO-POS) y Cigna-HealthSpring Premier Plus (HMO-POS) requieren de autorizacin previa para los proveedores fuera de la red). For POS Plans: Cigna-HealthSpring ofrece la opcin de Punto de servicio (POS). La opcin POS le permite acudir con proveedores fuera del rea de la red. Debe avisarle a Cigna-HealthSpring antes de que acuda con proveedores fuera del rea de la red. Si acude con proveedores fuera del rea de la red, para recibir servicios que no sean de emergencia, es posible que sus costos no reembolsables sean ms altos. Si no le avisa al plan que va a acudir con un proveedor fuera del rea de la red, usted ser responsable de pagar el 100% del(los) costo(s) facturados(s). Ni Cigna-HealthSpring ni Medicare pagarn por dichos servicios. Para ms detalles, por favor consulte su Evidencia de cobertura.

    A pesar de que su PCP est capacitado para manejar la mayora de las necesidades comunes de salud, es posible que, en ocasiones, usted necesite un tratamiento ms especializado. En esas situaciones, puede consultar un especialista del plan. Los especialistas son mdicos que estn capacitados para proporcionar servicios mdicos para una enfermedad o parte del cuerpo especficos. Para algunos tipos de especialistas, deber obtener una "referencia" de su PCP antes de que pueda programar una cita con el especialista. A continuacin est una lista de los tipos de proveedores especialistas que requieren referencias de su PCP antes de que pueda programar una cita con ellos. Recuerde: Es posible que se hayan agregado o eliminado de la lista algunos tipos de proveedores, despus de la impresin de este directorio. Usted debe consultar con su PCP o llamar al Departamento de servicio al cliente al telfono que est en la portada para saber si requiere una referencia para visitar un especialista u otro proveedor. Tenga en cuenta que una referencia es diferente a un "autorizacin previa", misma que se requiere antes de que se puedan realizar ciertos servicios o procedimientos.

  • Alergia e inmunologa Endocrinologa peditrica Oftalmologa Anestesiologa Enfermedad infecciosa Oncologa Ginecolgica Audiologa Enfermedad pulmonar Oncologa mdica Cardiologa peditrica Enfermedades cardiovasculares Otorrinolaringologa Ciruga cardiovascular Fisioterapia Patlogo del habla y del lenguaje Ciruga de la mano Gastroenterologa Podologa Ciruga General Gentica mdica Proctologa Ciruga maxilofacial Hematologa Prostodoncia Ciruga oral Hematologa-Oncologa peditrica Quiroprctico Ciruga ortopdica Hematologa/Oncologa Radiologa Ciruga peditrica Manejo del dolor Radiologa vascular e Ciruga plstica Medicina de rehabilitacin peditrica intervencionista Ciruga rectal y de colon Medicina del deporte Reumatologa Ciruga torcica Medicina fsica / rehabilitacin Terapia del habla Ciruga vascular Nefrologa Terapia ocupacional Dermatologa Neurociruga Terapia respiratoria Endocrinologa Neurologa Urologa Adems, cada PCP tiene ciertos especialistas y hospitales del plan que debe usar para las referencias. Esto significa que es posible que los especialistas u hospitales de Cigna-HealthSpring a los que puede acudir dependan de los que su PCP haya seleccionado. En caso de que desee acudir con ciertos especialistas o a ciertos hospitales, es importante que verifique si su PCP lo enviar con los mismos. Cigna-HealthSpring tiene diferentes tipos de relaciones con los mdicos de cabecera. Tenemos contrato con Asociaciones de mdicos independientes, y proveedores que trabajan en clnicas. Los siguientes prrafos describen la relacin que los proveedores tienen con Cigna-HealthSpring. Asociaciones de mdicos independientes (IPA)

    Las Asociaciones de mdicos independientes (IPA) estn formadas por mdicos generales y especialistas que se encuentran en y alrededor de su rea. Si selecciona a un mdico independiente que sea parte de una IPA, debe saber que su PCP lo enviar nicamente con especialistas y a hospitales que estn afiliados a la misma IPA, y con quienes trabaje de cerca para coordinar su atencin. Recibir toda su atencin mdica, incluyendo la atencin de gineclogos y especialistas, de mdicos que estn afiliados a la misma IPA. Podr recibir la atencin de cualquier gineclogo de la red. Su IPA est diseada para proveer un equipo de mdicos generales y mdicos especialistas que pueden manejar sus necesidades de atencin mdica. Sin embargo, si su condicin mdica alguna vez requiere que usted busque atencin fuera de la IPA, su mdico de cabecera seguir asistindolo en la coordinacin de cualquier servicio necesario fuera de la IPA. Las siguientes IPA son proveedores de la red de su plan. Synergy IPA

    o Clarksville Medical Network o Heritage Medical Network o Midstate Medical Network o Nashville North Network o Quality Care Medical Network o St. Thomas Medical Network

  • Adems, es posible que algunas veces reciba una factura de un proveedor por el costo total de la atencin mdica que haya recibido. En muchos casos, debe comunicarse con el Departamento de servicio al cliente o enviarnos esta factura en lugar de pagarla. Revisaremos la factura y decidiremos si los servicios deberan cubrirse. Si decidimos que deberan estar cubiertos, le pagaremos directamente al proveedor. (Tenga en cuenta que no podemos pagarle a un proveedor que ha decidido retirarse del programa de Medicare. Consulte a su proveedor antes de recibir los servicios para confirmar que no se retir del programa de Medicare). Si determinamos que los servicios no son cubiertos o no fueron mdicamente necesarios, podemos rechazar la cobertura y usted deber pagar el costo total. Puede recibir atencin mdica de emergencia cuando lo necesite, en cualquier lugar de los Estados Unidos o sus territorios. Nuestro plan cubre servicios de ambulancia en situaciones en las que llegar a una sala de urgencias por otro medio podra poner en peligro su salud. Para ms detalles, por favor consulte su Evidencia de cobertura. Puede recibir atencin mdica de emergencia siempre que la necesite, en cualquier parte del mundo. Si tiene una emergencia, nos comunicaremos con los mdicos que le proporcionen la atencin de emergencia para ayudar a manejar su atencin y darle el seguimiento a la misma. Los mdicos que le proporcionen la atencin mdica decidirn cundo su estado es estable y ya no representa una emergencia mdica. Cuando termine la emergencia, usted tendr derecho a recibir atencin de seguimiento para asegurarse de que su estado contina estable. Su atencin de seguimiento estar cubierta por nuestro plan. Si su atencin de emergencia es proporcionada por proveedores fuera de la red, intentaremos organizar para que proveedores de la red se hagan cargo de su atencin inmediatamente cuando su afeccin mdica y las circunstancias lo permitan. Debe acudir con los proveedores del plan excepto en situaciones de emergencia o atencin mdica urgente o para dilisis renal fuera del rea u otros servicios. Si recibe atencin de rutina de proveedores fuera de la red, ni Medicare ni Cigna-HealthSpring sern responsables de los costos. For POS Plans: Si recibe atencin de rutina de proveedores fuera de la red, tendr que pagar el costo compartido fuera de la red, excepto para atencin de emergencia, atencin urgente fuera del rea, o servicios de dilisis fuera del rea. Para ms detalles, por favor consulte su Evidencia de cobertura. Servicios de atencin de la salud emocional Los servicios de atencin de la salud emocional, incluyendo los servicios de salud mental y de abuso de sustancias, para los beneficiarios en cobertura de Cigna-HealthSpring se reciben a travs de los Servicios de atencin de la salud emocional de Cigna-HealthSpring. Los miembros y los proveedores pueden acceder a los Servicios de atencin de la salud emocional de Cigna-HealthSpring llamando al 1-866-780-8546 (TTY 711) para recibir ayuda para encontrar un profesional de atencin de la salud emocional o para solicitar una autorizacin de internamiento. Los Servicios de atencin de la salud emocional de Cigna-HealthSpring estn disponibles las 24 horas del da, los 7 das de la semana. Cul es el rea de servicio de Cigna-HealthSpring? Los condados que son parte de nuestra rea de servicio son: Condados de TN: Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, DeKalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, Wilson. Cmo encontrar proveedores de Cigna-HealthSpring en su rea? Para elegir un PCP del Directorio de proveedores, dirjase a la seccin Mdicos de cabecera para consultar la lista de mdicos de cabecera dentro de su rea. Tambin puede llamar al Departamento de servicio al cliente al nmero que aparece ms abajo, donde con gusto le ayudarn. Una vez que haya elegido un PCP, deber ingresar el nombre del PCP en el espacio correspondiente en su Solicitud de inscripcin. Si elige un PCP despus de haber presentado su Solicitud de inscripcin, llame al Departamento de servicio al cliente e infrmeles su eleccin de PCP. Recuerde que si no elige un PCP al momento de la inscripcin, Cigna-HealthSpring elegir uno por usted segn su lugar de residencia. Si desea cambiar por otro PCP, puede

  • hacerlo en cualquier momento llamando al Departamento de servicio al cliente al nmero que figura aparece ms abajo. El nombre y el nmero de telfono del consultorio de su PCP estn impresos en su tarjeta de membresa. Para elegir un especialista, hospital, farmacia u otro proveedor, dirjase a la seccin correspondiente del Directorio de proveedores para ver la lista de proveedores de su rea. Por ejemplo, para encontrar hospitales en su rea, dirjase a la seccin Hospitales del directorio. Deber tambin elegir un podlogo. Para elegir un podlogo de este directorio, consulte la Seccin de Podlogos para ver la lista de podlogos en su rea. Una vez que elija un podlogo, encontrar un espacio en su Solicitud de inscripcin para ingresar el nombre del podlogo. Si elige un podlogo cuando ya se haya enviado su Solicitud de inscripcin, llame al Departamento de servicio al cliente y dgales cul el podlogo que eligi. Por favor recuerde que si no elige un podlogo en el momento de la inscripcin, Cigna-HealthSpring elegir uno por usted en base al lugar en el que vive. Si desea cambiar a otro podlogo, puede hacerlo en cualquier momento llamando al Departamento de servicio al cliente al nmero siguiente. El nombre y el nmero de telfono del Pdologo van impresos en su tarjeta de membresa. Si tiene alguna pregunta sobre Cigna-HealthSpring o necesita ayuda para seleccionar un PCP, por favor llame al Departamento de servicio al cliente al 1-800-668-3813, del 1 de octubre al 14 de febrero, 8:00 a.m. 8:00 p.m. hora local, 7 das de la semana. Del 15 de febrero al 30 de septiembre, de lunes a viernes, 8:00 a.m. 8:00 p.m. hora local, sbado 8:00 a.m. 6:00 p.m. hora local. Si llama los fines de semana, fuera del horario de servicio o un da festivo federal, entrar el servicio de contestadora automtica. Los usuarios de TTY deben llamar al 711. O, visite www.cignahealthspring.com. Nuevamente, si desea acudir con ciertos especialistas o a ciertos hospitales de Cigna-HealthSpring, es importante que verifique si su PCP lo enviar a ese especialista u hospital. Los proveedores mencionados en este directorio son parte de una sub-red de provedores de Cigna-HealthSpring. Usted no est limitado a los proveedores de este directorio y puede consultar una lista ms actualizada de todos los proveedores disponibles en su area llamando al Departamento de servicio al cliente al 1-800-668-3813 (TTY 711), del 1 de octubre al 14 de febrero, 8:00 a.m. 8:00 p.m. hora local, 7 das de la semana. Del 15 de febrero al 30 de septiembre, de lunes a viernes, 8:00 a.m. 8:00 p.m. hora local, sbado 8:00 a.m. 6:00 p.m. hora local. Si llama los fines de semana, fuera del horario de servicio o un da festivo federal, entrar el servicio de contestadora automtica o vistando nuestra pgina de Internet www.cignahealthspring.com. Puede recibir una copia impresa de este directorio si as lo solicita.

    http:www.cignahealthspring.comhttp:www.cignahealthspring.com
  • Seccin 2 Lista de proveedores de la red Este directorio est organizado para ayudarlo a encontrar el tipo de proveedor que necesita. Los proveedores figuran en las siguientes secciones:

    - Asociacin de mdicos independientes (IPA) o Mdico de cabecera (PCP) o Especialistas o Hospitales o Centros de enfermera especializada o Proveedores de atencin de la salud emocional o Centros de ciruga ambulatoria/Centros de atencin de emergencia o Proveedores auxiliares o Proveedores de atencin dental o Proveedores del cuidado de la vista

    Cmo usar este directorio para elegir un Mdico de cabecera? Hay dos maneras de elegir un Mdico de cabecera:

    - Puede elegir un Mdico de cabecera particular por nombre; o - Puede elegir un Mdico de cabecera por ubicacin.

    Si busca un Mdico de cabecera en particular por nombre: 1. Consulte el ndice alfabtico, que se encuentra en la ltima seccin del directorio. 2. Encuentre el mdico por apellido y el(los) nmero(s) de pgina en los que figura. 3. Vaya a ese nmero de pgina para obtener informacin acerca del Mdico de cabecera.

    Si busca un Mdico de cabecera por ubicacin: 1. Vaya a la seccin Mdico de cabecera. 2. Busque la ciudad y/o el cdigo postal. 3. Seleccione un proveedor.

    Cmo usar este directorio para elegir un especialista? Los mdicos especialistas y otros mdicos de cabecera de este directorio se encuentran por especialidad de atencin, seguidos de la ubicacin geogrfica y el nombre.

  • Cmo usar este directorio para elegir un proveedor que acepte tanto Medicare como Medicaid? Los proveedores del plan que aceptan tanto Medicare como Medicaid se encuentran en todo este Directorio de proveedores y estn marcados con un asterisco (*). Por ejemplo, este proveedor sera un proveedor de Medicare y de Medicaid: Dr. John Doe* No obstante, este proveedor no sera un proveedor de Medicare y de Medicaid: Dr. Jane Doe Cmo usar este directorio para elegir otros proveedores del plan? Los proveedores del plan de este directorio, que no sean mdicos de cabecera y especialistas, figuran por ubicacin geogrfica seguida por el nombre del proveedor. Clave del smbolo del Directorio de proveedores En este directorio, algunos proveedores tendrn un smbolo al final de su nombre. A continuacin estn los smbolos y lo que significan:

    Smbolo Significado * Acepta Medicare y Medicaid Slo acepta pacientes existentes No acepta pacientes nuevos ^ Proveedor POS

    Nmero total de proveedores dentro de este directorio: Mdicos de cabecera (PCP): 169 Especialistas: 3481 Hospitales: 44 Centros de enfermera especializada: 91 Proveedores de atencin de la salud emocional: 468 Centros de ciruga ambulatoria/Centros de atencin de emergencia: 85 Proveedores auxiliares: 500 Proveedores de atencin dental: 1 Proveedores del cuidado de la vista: 65 Farmacias: 948

  • Table of Contents / tabla de contenidos

    Provider Directory / Directorio de proveedores Synergy IPA Clarksville Medical Network Primary Care Providers / Mdico de cabecera ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1Specialists / Especialistas ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................2

    Heritage Medical Network Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................16Specialists / Especialistas .....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................19

    Midstate Medical Network Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................51Specialists / Especialistas .....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................52

    Nashville North Network Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................62Specialists / Especialistas .....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................64

    Quality Care Medical Network Primary Care Providers / Mdico de cabecera ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................83Specialists / Especialistas .....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................84

    St Thomas Medical Network Primary Care Providers / Mdico de cabecera ...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................102Specialists / Especialistas ...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................103

    Independent Provider / Los proveedores independientesHospitals / Hospitales ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................131Skilled Nursing Facilities / Centros de Enfermeria Especializada ..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................133Behavioral Health Providers / Proveedores de atencin de la salud emocional ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................136Ambulatory Surgical Centers / Urgent Care Facilities / Centros de ciruga ambulatoria/Centros de atencin deemergencia ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................149Ancillary Providers / Proveedores Auxiliarios ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................152Dental Providers / Proveedores odontolgicos .................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................168Vision Providers / Proveedores del cuidado de la vista .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................169Cigna-HealthSprings Network Pharmacies / Farmacias de la red de Cigna-HealthSpringRetail Pharmacies, including Chain Pharmacies / Farmacias de venta al menudeo, incluyendo Farmacias de cadena ........................................................................173Mail Order Pharmacies / Farmacias de orden por correo ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................178Home Infusion Pharmacies / Farmacias de infusin en el hogar ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................179Long-Term Care Pharmacies / Farmacias de atencin a largo plazo ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................180

    Last Name Index / ndice de Apellidos ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................182Group Name Index / Grupo ndice de nombres .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................200IPA/POD Index / IPA/POD ndice ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................203Language Index / ndice de idioma ...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................204

  • Clarksville Medical NetworkPrimary Care Providers / Mdico de cabecera

    Synergy IPA Jackson, Gale Evans MD* Sherley, Lance A MD* Hellums, Deborah MD*Clarksville Medical Network Premier Medical Group PC Premier Medical Group PC Premier Medical Group PC2831 Wilma Rudolph Blvd 2147 Wilma Rudolph Blvd 2147 Wilma Rudolph BlvdHouston Clarksville, TN 37040 Clarksville, TN 37040 Clarksville, TN 37040Primary Care Providers / (931) 245-8600 (931) 245-7000 (931) 245-7000Mdico de cabecera 6116392 F90997 6023610

    Family Practice / Medicina Kasper, Robert E MD* Sherley, Lance A MD* Milam, Jacqueline D MD*Familiar Premier Medical Group PC Premier Medical Group PC Premier Medical Group PCBoles, David L MD 2831 Wilma Rudolph Blvd 2831 Wilma Rudolph Blvd 2147 Wilma Rudolph BlvdCovenant Family Practice PC Clarksville, TN 37043 Clarksville, TN 37040 Clarksville, TN 3704021 Roby Dr (931) 245-7000 (931) 245-7000 (931) 245-7000Erin, TN 37061 G47158 F90997 Language(s): Bangladesh,(931) 289-2450 Hindi, Sign LanguageB04908 Korivi, Giriprasadarao MD* Silkowski, Peter A MD* F53796 Premier Medical Group PC Premier Medical Group PC

    Montgomery 2147 Wilma Rudolph Blvd 2831 Wilma Rudolph Blvd Patel, Bharatkumar R MDFamily Practice / Medicina Clarksville, TN 37040 Clarksville, TN 37040 111 Center Pointe Dr

    Familiar (931) 245-8300 (931) 245-7000 Suite 1 Language(s): Telugu F37726 Clarksville, TN 37040Boles, David L MD H89189 (931) 648-7615Covenant Family Practice PC Tittle, Denise MD G17710 1000 Hwy 76 Korivi, Giriprasadarao MD* Best Care Clinic Clarksville, TN 37043 Premier Medical Group PC 1817 Madison St White, Stephen A MD(931) 245-1150 2831 Wilma Rudolph Blvd Suite 3 2289 Rudolphtown RdB04908 Clarksville, TN 37040 Clarksville, TN 37043 Suite B

    (931) 245-8600 (931) 245-1150 Clarksville, TN 37043Boles, David L MD Language(s): Telugu QMP000003477599 (931) 552-3031Covenant Family Practice PC H89189 B58822 2151 Wilma Rudolph Blvd Internal Medicine / MedicinaClarksville, TN 37043 Kosinski, Joseph F MD* Interna(931) 245-0600 Premier Medical Group PC Carman, Tommy L MDB04908 2147 Wilma Rudolph Blvd Premier Medical Group PCClarksville, TN 37040Denison, Abegaile S MD* 2147 Wilma Rudolph Blvd(931) 245-7000Covenant Family Practice PC Clarksville, TN 37040X86584 1011 Hwy 76 (931) 245-7000Suite A Kosinski, Joseph F MD* E03555 Clarksville, TN 37043 Premier Medical Group PC Carrigan, Vernon M MD*(931) 245-1150 2831 Wilma Rudolph Blvd Premier Medical Group PC6065517 Clarksville, TN 37040 2147 Wilma Rudolph Blvd(931) 245-7000Denison, Andrew J MD Clarksville, TN 37040X86584 Covenant Family Practice PC (931) 245-70001000 Hwy 76 Manning, Greta C MD* Language(s): Bangladesh,Clarksville, TN 37043 Premier Medical Group PC Hindi, Spanish(931) 245-1150 2831 Wilma Rudolph Blvd B03464 6057508 Clarksville, TN 37040 Gullett, David L MD*(931) 245-7000Engel, Michael E MD* 434 Franklin St H75824 Premier Medical Group PC Clarksville, TN 370402147 Wilma Rudolph Blvd Miller, Daniel R MD* (931) 647-7875Clarksville, TN 37040 Premier Medical Group PC B01942 (931) 245-7000 2831 Wilma Rudolph Blvd6058834 Clarksville, TN 37040

    (931) 245-7000Language(s): KoreanH56882

    *Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^POS Provider 1 *Acepta Medicare y Medicaid Slo acepta pacientes recurrentes No acepta pacientes nuevos ^Proveedor del POS

  • Clarksville Medical NetworkSpecialists / Especialistas

    Synergy IPA Davidson Lea IV, John W MD* Eastham, Allyson B MDClarksville Medical Network Cardiac Electrophysiology / Cardiovascular Surgery Nashville Skin and Cancer

    Coffee Electrofisiologa Cardaca Associates Center 4230 Harding Pk 397 Wallace Rd Specialists / Especialistas Bartlett, Thomas G MD Suite 202 Suite 402 C Saint Thomas Heart Obstetrics & Gynecology / Nashville, TN 37205 Nashville, TN 372114230 Harding PkObstetricia y ginecologa (615) 385-4781 (615) 679-9374 Suite 330 Good, Michael C MD Nashville, TN 37205 Cardiology / Enfermedades Hardin, John M MD1321 McArthur St (615) 269-4545 cardiovasculares Nashville Skin and Cancer Suite B Center Manchester, TN 37355 Borek, Przemyslaw Peter Morse, Michael A MD 2400 Patterson St (931) 723-8723 MD* Saint Thomas Heart Suite 204 Centennial Heart 4230 Harding Pk Nashville, TN 37203Ophthalmology / 111 Hwy 70 E Suite 330 (615) 988-2071 Oftalmologa Suite G Nashville, TN 37205(615) 269-4545 Everman, Kelly R MD* Dickson, TN 37055 Hardin, John M MDWesley and Klippenstein PC (615) 515-1900 Colon & Rectal Surgery / Nashville Skin and Cancer 1100 N Jackson St Language(s): Polish Ciruga rectal y de colon Center Tullahoma, TN 37388 2525 21st Ave S Borek, Przemyslaw Peter Aston, Jason MD*(615) 329-3624 Nashville, TN 37212MD* Advanced Diagnostic Imaging (615) 327-9797 Orthopedic Surgery / Ciruga Centennial Heart PC

    Ortopdica 2400 Patterson St 345 23rd Ave N Hardin, John M MDSuite 502 Suite 300 Nashville Skin and Cancer Brown, Shervondalonn R MD Nashville, TN 37203 Nashville, TN 37203 Center Tennessee Orthopaedic (615) 515-1900 (615) 342-5740 397 Wallace Rd Alliance PA Language(s): Polish Suite 402 C 1034 McArthur Dr Harb, William J MD* Nashville, TN 37211Manchester, TN 37355 Fahrig, Stephen A MD The Colorectal Center (615) 679-9374 (931) 728-3445 4230 Harding Pk 2011 Church St Suite 330 Suite 703 Kantrow, Sara M MD*Greenberg, Robert C MD* Nashville, TN 37205 Nashville, TN 37203 Nashville Skin and Cancer Tennessee Orthopaedic (615) 269-4545 (615) 329-7933 Center Alliance PA 2525 21st Ave S 1034 McArthur Dr Cardiac Surgery / Ciruga Santi, Michael T MD Nashville, TN 37212Manchester, TN 37355 Cardiaca 345 23rd Ave N (615) 327-9797 (931) 728-3445 Gibson, Jeffrey B MD* Suite 300 Baptist Healthcare Group Nashville, TN 37203 Lehman, Kimberly A MDJoyner, Kyle S MD 2010 Church St (615) 342-5740 Nashville Skin and Cancer Tennessee Orthopaedic

    Alliance PA Suite 700 Center Suryadevara, Sree K MD1034 McArthur Dr Nashville, TN 37203 2400 Patterson St 2011 Church St Suite 204 Manchester, TN 37355 (615) 329-7878 Suite 703 Nashville, TN 37203(931) 728-3445 Lancaster, Lifford Lee MD* Nashville, TN 37203 (615) 988-2071 (615) 329-7933 Steinagle, Timothy J MD Advanced Diagnostic ImagingTennessee Orthopaedic PC Lehman, Kimberly A MDDermatology / Dermatologa Alliance PA 3443 Dickerson Pk Nashville Skin and Cancer Suite 400 Caudill, Leslie J MD Center 1034 McArthur Dr Garza Plastic and Manchester, TN 37355 Nashville, TN 37207 2525 21st Ave S Reconstructive Surgery Nashville, TN 37212(931) 728-3445 (615) 860-1772 4322 Harding Pk (615) 327-9797

    Suite 326 Nashville, TN 37205(615) 620-7800

    2 *Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^POS Provider *Acepta Medicare y Medicaid Slo acepta pacientes recurrentes No acepta pacientes nuevos ^Proveedor del POS

  • Clarksville Medical NetworkSpecialists / Especialistas

    Davidson (cont.) General Surgery / Ciruga Staelin, Stephen T MD* Spigel, David R MD*Dermatology / Dermatologa general 4230 Harding Pk Tennessee Oncology PLLC

    (cont.) Cohen, Jonathan A MD* Suite 1000 250 25th Ave NLehman, Kimberly A MD Advanced Diagnostic Imaging Nashville, TN 37205 Suite 100Nashville Skin and Cancer PC (615) 383-2693 Nashville, TN 37203 4230 Harding Pk (615)Center 320-5090 Hematology / Hematologa 397 Wallace Rd Suite 302 W Tichy, Jill R MDSuite 402 C Nashville, TN 37205 Amin, Chirag J MD(615) 292-7708 Tennessee Oncology PLLC Tennessee Oncology PLLCNashville, TN 37211 5653 Frist Blvd 5653 Frist Blvd(615) 679-9374 Hendrix, Ashley MD Suite 434 Suite 434Pennington, Brent E MD The Surgical Clinic Hermitage, TN 37076 Hermitage, TN 37076

    (615) 871-9996 (615)Nashville Skin and Cancer 356 24th Ave N 871-9996Center Suite 400 Yardley, Denise A MD*2525 21st Ave S Bauer, Todd M MD* Nashville, TN 37203 Tennessee Oncology PLLC Tennessee Oncology PLLCNashville, TN 37212 (615) 329-7887 250 25th Ave N 250 25th Ave N(615) 327-9797 Lea, Clark D MD* Suite 200 Suite 100Robbins, Jason B MD 2010 Church St Nashville, TN 37203 Nashville, TN 37203Nashville Skin and Cancer Suite 526 (615) (615) 320-5090 320-5090Center Nashville, TN 37203 Yardley, Denise A MD*2525 21st Ave S (615) 284-2532 Bi, Jia N MD Tennessee Oncology PLLC Tennessee Oncology PLLCNashville, TN 37212 Whitworth Jr, Pat W MD* 4230 Harding Pk 250 25th Ave N(615) 327-9797 Advanced Diagnostic Imaging Suite 707 E Suite 200

    PC Nashville, TN 37205 Nashville, TN 37203Sites, Lorien MD 300 20th Ave N (615) 385-3751 (615) 320-5090Nashville Skin and CancerCenter Suite 401 Language(s): Chinese Infectious Disease /2525 21st Ave S Nashville, TN 37203Nashville, TN 37212 (615) 284-8229 Cooper, Robert Seth MD

    Enfermedad infecciosa 4230 Harding Pk Allos, Ban Mishu MD(615) 327-9797 Gynecologic Oncology / Suite 707 E Vanderbilt Medical Group

    Smith Jr, Jerry M MD Oncologa Ginecolgica Nashville, TN 37205 3601 Vandy ClinicBelle Meade Dermatology Dudley, B Stephens MD* (615) 385-3751 Nashville, TN 3723224 White Bridge Rd Tennessee Oncology PLLC (615) 322-3000Donnellan, William B MDNashville, TN 37205 4230 Harding Pk Tennessee Oncology PLLC Haas, David W MD*(615) 352-0011 Suite 707 E 250 25th Ave N Vanderbilt Medical GroupNashville, TN 37205Endo/Diabetes/Metabolism / Suite 412 3601 Vandy Clinic(615) 222-5200Endocrinologa Nashville, TN 37203 Nashville, TN 37232(615) 986-7600 (615) 322-3000Fassler, Cheryl A MD Williams, Laura L MDBaptist Healthcare Group TriStar Gynecology Oncology Doss, Habib H MD* Talbot III, Thomas R MD*2010 Church St 356 24th Ave N Tennessee Oncology PLLC Vanderbilt Medical GroupSuite 201 Suite 200 300 20th Ave N 3601 Vandy ClinicNashville, TN 37203 Nashville, TN 37203 Suite 301 Nashville, TN 37232(615) 284-7060 (615) 340-4640 Nashville, TN 37203 (615) 322-3000

    Hand Surgery / Ciruga De Hayes, Andrea L MD* (615) 329-0570Language(s): Arabic, French Wright, Patty W MD*501 28th Ave N La Mano Vanderbilt Medical GroupNashville, TN 37209 Staelin, Stephen T MD* Hamilton, Erika P MD 3601 Vandy Clinic(615) 320-1620 301 21st Ave N Tennessee Oncology PLLC Nashville, TN 37232

    Nashville, TN 37203 250 25th Ave N (615) 322-3000(615) 329-6600 Suite 100

    Nashville, TN 37203(615) 320-5090

    *Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^POS Provider 3 *Acepta Medicare y Medicaid Slo acepta pacientes recurrentes No acepta pacientes nuevos ^Proveedor del POS

  • Clarksville Medical NetworkSpecialists / Especialistas

    Davidson (cont.) Lanford, Gregory Bryan MD Brooks, Sonya F MD* Rubinowicz, Richard MD*Neurological Surgery / Howell Allen Clinic HCA Physician Services 395 Wallace RdCiruga Neurolgica 2011 Murphy Ave 3443 Dickerson Pk Suite 310 BSuite 301 Suite 580 Nashville, TN 37211Abram, Steven R MD Nashville, TN 37203 Nashville, TN 37207 (615) 831-2701Howell Allen Clinic (615) 327-9543 (615) 860-10402011 Murphy Ave Yu, Michael L MD

    Suite 301 McCombs III, Paul R MD Clinton, Mary Ellen MD* HCA Physician ServicesNashville, TN 37203 Howell Allen Clinic HCA Physician Services 3443 Dickerson Pk(615) 327-9543 2011 Murphy Ave 3443 Dickerson Pk Suite 580

    Suite 401 Suite 580 Nashville, TN 37207Allen, Vaughan A MD* Nashville, TN 37203 Nashville, TN 37207 (615) 860-1040Howell Allen Clinic (615) 327-9543 (615) 860-1040 Language(s): Spanish2011 Murphy AveSuite 301 Reig, Adam S MD* Fallis, Robert J MD* Neuropsych Testing /Nashville, TN 37203 Howell Allen Clinic Baptist Healthcare Group Pruebas Neuropsicolgicas(615) 327-9543 2011 Murphy Ave 4230 Harding Pk Corbett, Blythe PhDSuite 301 Suite 501 WBarr, V Ward MD Vanderbilt Medical GroupNashville, TN 37203 Nashville, TN 37205Nashville Neurosurgery Group 3601 Vandy Clinic (615) 327-9543 (615) 383-85752011 Church St Nashville, TN 37232Suite 505 Schoettle, Timothy P MD* Fleming, James K MD (615) 322-3000Nashville, TN 37203 Howell Allen Clinic Baptist Healthcare Group Coulam, Laura Brown MD(615) 320-0007 2011 Murphy Ave 200 Church St Vanderbilt Medical GroupSuite 301 Nashville, TN 37205Dixit, Sanat MD* 3601 Vandy ClinicNashville, TN 37203 (615) 284-4672Pinnacle Surgical Partners Nashville, TN 37232 (615) 327-95435653 Frist Blvd Fleming, James K MD (615) 322-3000Suite 731 Standard, Scott C MD Baptist Healthcare Group Coulam, Laura Brown MDNashville, TN 37076 Howell Allen Clinic 4220 Harding Pk Vanderbilt Medical Group(615) 884-0001 2011 Murphy Ave Suite 500 719 Thompson LnSuite 301 Nashville, TN 37205Hampf, Carl R MD* Nashville, TN 37204Nashville, TN 37203 (615) 222-6977Howell Allen Clinic (615) 322-3000 (615) 327-95432011 Murphy Ave Kamran, Shazia MD De La Torre, Robert PsyDSuite 301 Neurology / Neurologa HCA Physician Services 2021 Church StNashville, TN 37203 Anderson, James P MD* 3443 Dickerson Pk Suite 800(615) 327-9543 314 Bluebird Dr Suite 580 Nashville, TN 37203

    Goodlettsville, TN 37072 Nashville, TN 37207Howell Jr, Everette I MD* (615) 385-4090Howell Allen Clinic (615) 851-5757 (615) 860-1040 Gifford, Katherine Ann MD2011 Murphy Ave Assad, Kristen M MD* Mansoor, Simin MD Vanderbilt Medical GroupSuite 301 Centennial Neuroscience Skyline Neuroscience 3601 Vandy ClinicNashville, TN 37203 330 23rd Ave N Associates Nashville, TN 37232(615) 327-9543 Suite 140 3443 Dickerson Pk (615) 322-3000

    Nashville, TN 37203 Suite 580Hubbard, Jason R MD* (615) 342-6840 Howell Allen Clinic Nashville, TN 37207 Gifford, Katherine Ann MD (615) 860-1040 719 Thompson Ln2011 Murphy Ave Brandes, Jan Lewis MD* Nashville, TN 37204Suite 301 300 20th Ave N Prasad, Subir MD* (615) 322-3000Nashville, TN 37203 Suite 106 Heritage Medical Associates(615) 327-9543 Nashville, TN 37203 PC(615) 284-4680 4230 Harding Pk Suite 805 E

    Nashville, TN 37205(615) 383-8575

    4 *Accepts Medicare and Medicaid Accepting Existing Patients Only Not Accepting New Patients ^POS Provider *Acepta Medicare y Medicaid Slo acepta pacientes recurrentes No acepta pacientes nuevos ^Proveedor del POS

  • Clarksville Medical NetworkSpecialists / Especialistas

    Davidson (cont.) Burris III, Howard A MD* Thompson, Dana S MD* Brantley, Milam A MD*Obstetrics & Gynecology / Tennessee Oncology PLLC Tennessee Oncology PLLC Vanderbilt Medical GroupObstetricia y ginecologa 250 25th Ave N 250 25th Ave N 3601 Vandy ClinicSuite 200 Suite 100 Nashville, TN 37232Dobay, Kristin J MD* Nashville, TN 37203 Nashville, TN 37203 (615) 322-3000Brentwood Obstetrics and (615) 320-5090 (615) 320-5090 Language(s): Hindi, Kanada,Gynecology Kannada2201 Murphy Ave Dickson, Natalie R MD* Thompson, Dana S MD*Suite 103 Tennessee Oncology PLLC Tennessee Oncology PLLC Busbee, Brandon G MD*Nashville, TN 37203 4230 Harding Pk 250 25th Ave N Tennessee Retina(615) 815-7646 Suite 707 E Suite 200 345 23rd Ave N

    Nashville, TN 37205 Nashville, TN 37203 Suite 350Milam, Michael R MD (615) 846-4400 (615) 320-5090 Nashville, TN 37203Baptist Healthcare Group (615) 983-6000300 20th Ave N Greco, Frank A MD* Ophthalmology /Suite 602 Tennessee Oncology PLLC Oftalmologa Cherney, Edward F MD*Nashville, TN 37203 250 25th Ave N Agarwal, Anita MD* Vanderbilt Medical Group(615) 284-4646 Suite 200 Vanderbilt Medical Group 3601 Vandy ClinicNashville, TN 37203 Nashville, TN 37232Nowicki, Bogdan MD* 3601 Vandy Clinic(615) 320-5090 Nashville, TN 37232 (615) 322-3000Meharry Medical College (615) 322-3000 Language(s): Hindi, Kanada,1005 Dr D B Todd Jr Blvd Infante, Jeffrey R MD* Language(s): Hindi, Kanada, KannadaNashville, TN 37208 Tennessee Oncology PLLC(615) 327-6284 250 25th Ave N Kannada Daniels, Anthony B MD*

    Suite 200 Arrindell, Everton L MD* Vanderbilt Medical GroupSherman, Roger P MD* Nashville, TN 37203Brentwood Obstetrics and 345 23rd Ave N 3601 Vandy Clinic (615) 320-5090Gynecology Suite 350 Nashville, TN 372322201 Murphy Ave Johnson, Melissa L MD Nashville, TN 37203 (615) 322-3000Suite 103 Tennessee Oncology PLLC (615) 983-6000 Language(s): Hindi, Kanada,KannadaNashville, TN 37203 250 25th Ave N Awh, Carl C MD*(615) 815-7646 Suite 100 Tennessee Retina Ebrahim, Benyamin YousefNashville, TN 37203Williford, Ann E MD 345 23rd Ave N MD* (615) 320-5090 Antioch Eye Care CenterBaptist Healthcare Group Suite 350 522 Bell Rd2010 Church St Liggett Jr, William H MD* Nashville, TN 37203

    Antioch, TN 37013Suite 201 Tennessee Oncology PLLC (615) 983-6000 (615) 361-7266Nashville, TN 37203 3443 Dickerson Pk Biesman, Brian S MD(615) 284-2988 Suite 760 345 23rd Ave N Everman, Kelly R MD*Nashville, TN 37207Williford, Ann E MD Suite 416 Wesley and Klippenstein PC(615) 860-1556Baptist Healthcare Group Nashville, TN 37203 1800 Church St316 22nd Ave N Meadows, James R MD* (615) 329-1110 Suite 100 Nashville, TN 37203Nashville, TN 37203 Language(s): Spanish Tennessee Oncology PLLC (615) 329-3624(615) 284-5185 250 25th Ave N Bounds, Inez B MD*Suite 200 Everman, Kelly R MD*Oncology / Oncologa Nashville Vision Assoc