Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty...

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Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier 1 facility in order for those services to be paid at the Tier 1 benefit level. Office visits provided by a Tier 1 provider are paid at the Tier 1 benefit level, any other covered services, including lab work, diagnostic imaging, allergy injections, or outpatient surgery need to be provided by a Tier 1 facility to be paid at the Tier 1 benefit level. January 3, 2014

Transcript of Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty...

Page 1: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Tier 1 Preferred Provider List - Specialty

Services ordered outside a regular office visit need to be ordered through a Tier 1 facility in order for those services to be paid

at the Tier 1 benefit level. Office visits provided by a Tier 1 provider are paid at the Tier 1 benefit level, any other covered

services, including lab work, diagnostic imaging, allergy injections, or outpatient surgery need to be provided by a Tier 1

facility to be paid at the Tier 1 benefit level.

January 3, 2014

Page 2: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Mangat Ripdeep MD Ripdeep Mangat, MD, PC 2253 NE Doctors Drive Bend 97701 Allergy

Williams Adam MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Allergy

Anderson Charles MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Boe Stephen MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Carney Timothy MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Craveiro Robert MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Flaherty Kevin MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Ford Theodore MD Bend Spine & Pain Specialist, LLC 929 SW Simpson Ave., Suite 250 Bend 97702 Anesthesiology

Freeling Michael MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Graham Holly MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Hanson Richard MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Hopkins Benjamin MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Jones Lucian MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Lansing Raymond MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Letourneau Lawrence MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Miller Patrick MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Muehling Jeffrey MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Nary Jeffrey MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Parton Edward MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Raudy Todd MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Sarmiento David MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Smith Randall MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Smith Todd MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Smith Eric MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

St. Clair Bradley MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Studt Sara MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Trout Alechia DO Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Ullman Albert DO Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Van Meter Blake MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Wilkinson John MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Wimberly Julianne MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Wood Anthony MD Bend Anesthesiology Group, PC PO Box 5517 Bend 97708 Anesthesiology

Anderson Philip Bradley MD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Barrett Joseph MD Bend Psychiatric Associates 1345 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Barrett Joseph MD St. Charles Behavioral Health 1885 NE Purcell Bend 97701 Behavioral Health

Battles Susan LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Beaton Margaret LCSW CorConcepts Counseling Center 344 NE Marshall Bend 97701 Behavioral Health

Beaton Margaret LCSW CorConcepts Counseling Center 916 SW 17th Redmond Bend 97701 Behavioral Health

Bennett Karen NP La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Behavioral Health

Bennett Sammatha LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Biggs Shari LPC Shari L Biggs, LPC 548 SW 13th Street, Suite 101 Bend 97701 Behavioral Health

Boone Judith MSW Positive Potential Inc 336 NE Norton Ave. Bend 97701 Behavioral Health

Bundy Bruce Psy.D Bruce W. Bundy, PsyD, PC 131 NW Hawthorne Ave. Ste. 105 Bend 97701 Behavioral Health

Burke Alan LCSW Alan Burke, LCSW 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Campbell W. Lawrence MD Bend Psychiatric Associates 1346 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Campbell William MD St. Charles Behavioral Health 1885 NE Purcell Bend 97701 Behavioral Health

Campbell Karen PHD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97001 Behavioral Health

Campo Nick PMHNP Life Works of Central Oregon 233 SW Wilson Ave., Suite 201 Bend 97702 Behavioral Health

Chianello Teresa Ph.D, LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Chianello Teresa Ph.D, LCSW Teresa Chianello, Ph.D, LCSW PO Box 8777 Bend 97708 Behavioral Health

Chopra Gurpreet MD Bend Psychiatric Associates 1347 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Chopra Gurpreet MD St. Charles Behavioral Health 1885 NE Purcell Bend 97701 Behavioral Health

Conner Michael PsyD Bend Psychological Services 965 NE Wiest Way, Suite 2 Bend 97701 Behavioral Health

Conway Elizabeth MS, LPC Life Works of Central Oregon 233 SW Wilson Ave., Suite 201 Bend 97702 Behavioral Health

Conway Patrick EdD, QMHP Life Works of Central Oregon 233 SW Wilson Ave., Suite 201 Bend 97702 Behavioral Health

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Last name First name Title Practice Address City Zip Specialty

Costello Stephanie LCSW Stephanie Costello, MSW, LCSW, ACSW, CEAP 390 SW Columbia Street, Suite 210 Bend 97701 Behavioral Health

Crowe Sally LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97001 Behavioral Health

Curfman Nancy LCSW Nancy Curfman, LCSW 548 SW 13th Street Bend 97702 Behavioral Health

Curfman Nancy LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Dimeco Phillip LCSW Phillip L. Dimeco, LCSW 750 NW Charbonneau St., Suite 101 Bend 97701 Behavioral Health

Dix Ryan PsyD St. Charles Behavioral Health 1201 NE Elm St Prineville 97754 Behavioral Health

Dobkin Donna LCSW Donna Dobkin, LCSW 131 NW Hawthorne Suite 205 Bend 97701 Behavioral Health

Doster Nancy LCSW Nancy Doster, LCSW 155 NW Hawthorne Avenue Bend 97701 Behavioral Health

Eliason Benjamin MD Bend Psychiatric Associates 1348 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Eliason Benjamin MD St. Charles Behavioral Health 1885 NE Purcell Bend 97701 Behavioral Health

Elliott Kathleen MA St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Ervin Diane LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Evans Brian PsyD St. Charles Behavioral Health 2500 NE Neff Rd Bend 97001 Behavioral Health

Falco Kristine Psy.D Kristine L Falco, Psy.D 392 East Main Sisters 97759 Behavioral Health

Falco Kristine Psy.D Kristine L Falco, Psy.D 767 NW Canal Boulevard Redmond 97756 Behavioral Health

Flaherty Meghan MSW Sage Counseling 1345 NW Wall Street, Suite 201 Bend 97701 Behavioral Health

Forest Laura LCSW Laura Forest, LCSW 223 SE Davis Avenue Bend 97701 Behavioral Health

Gertler Ray PhD Gertler & Gertler 1012 SW Emkay Drive Bend 97701 Behavioral Health

Giffin Patty Ph.D. Patty A. Giffin, Ph.D. 125 NW Greeley Ave Bend 97701 Behavioral Health

Goodwin Jan LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Greer Cindy LCSW Cindy Greer, LLC 392 E Main Street Sisters 97759 Behavioral Health

Groshong Betty LCSW Betty Groshong, LCSW 754 NW Broadway Ave #203 Bend 97701 Behavioral Health

Halpern-Collins Melinda MS, LPC Melinda Halpern-Collins, MS, LPC, PC 548 SW 13th St., Suite 103 Bend 97701 Behavioral Health

Hansen Randi LCSW Clinic of Randi Hansen, LCSW 336 NE Norton Ave. Bend 97701 Behavioral Health

Hansen Randi LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Hassell Darren LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Hofeldt Timothy MD Bend Psychiatric Associates 1348 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Hoffman Nancy LCSW Nancy Hoffman, LCSW 247 SW 8th Street Redmond 97756 Behavioral Health

Horowitz Robert PhD Robert S. Horowitz, PhD 777 NW Wall Street, Suite 305 Bend 97701 Behavioral Health

Juhasz Josie MA, LPC Josie Juhasz LPC 15 SW Colorado Ave, Suite 130 Bend 97702 Behavioral Health

Juhasz Josie MA, LPC St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Kelley Kim M.ED Kimberly Kelley Enterprises 223 SE Davis Avenue Bend 97701 Behavioral Health

Koski Laurie LCSW, MSW Laurie Koski, LCSW 965 Emkay Drive, Suite 200 Bend 97701 Behavioral Health

Koski Laurie LCSW, MSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Kranz Eugene Ph.D. St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Lakovics Magnus MD Bend Psychiatric Associates 1349 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Lakovics Magnus MD St. Charles Behavioral Health 1885 NE Purcell Bend 97701 Behavioral Health

MacDonald Sandy LCSW Sandy MacDonald, LCSW 754 NW Broadway Ave #201 Bend 97701 Behavioral Health

Marshall Sondra PhD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Martin Ann LCSW Ann Martin Counseling, Inc 203 SW 8th Street Redmond 97756 Behavioral Health

McFarland Eve LCSW Eve McFarland, LCSW 360 NE Kearney Ave Bend 97709 Behavioral Health

McFerran Don PMHNP Don McFerran 125 NW Greeley Ave Bend 97701 Behavioral Health

McKee Janet LPC Quest Counseling 336 NE Norton Ave, Suite 1 Bend 97701 Behavioral Health

Middleton Susan LCSW Susan Middleton, LCSW 15 SW Colorado Avenue, Suite 130 Bend 97702 Behavioral Health

Miller Frances PhD Fran Miller, PhD Northwest Bend Bend 97701 Behavioral Health

Modjeski Lynn LCSW Life Works of Central Oregon 233 SW Wilson Ave., Suite 201 Bend 97702 Behavioral Health

Monteverdi Anthony MD Bend Psychiatric Associates 1350 NW Wall Street, Suite 200 Bend 97701 Behavioral Health

Nebolon Monique DO Monique Nebolon, DO 2755 NW Crossing Drive, Suite 213 Bend 97701 Behavioral Health

Nelson Sarah LCSW Sarah Nelson, LCSW 247 SW 8th Street Redmond 97756 Behavioral Health

Nelson Sarah LCSW Sarah Nelson, LCSW 141 NW Greenwood Ave Bend 97701 Behavioral Health

Nelson Sarah LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Osborn Nathan MD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Painter Israel LCSW Israel Painter, LCSW 336 NE Norton Avenue, Suite 5 Bend 97701 Behavioral Health

Painter Israel LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97001 Behavioral Health

Picard Sharon PhD Sharon L. Picard, PhD, PC 215 SW 7th Street Redmond 97756 Behavioral Health

Page 4: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Porzelius James PhD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Porzelius James PhD St. Charles Medical Center - Bend 2500 NE Neff Rd Bend 97701 Behavioral Health

Price Michael MD BestCare Treatment Services 676 NE Negus Way Redmond 97756 Behavioral Health

Prignano John PhD John V. Prignano, Ph.D. 635 NW Colorado Avenue Bend 97701 Behavioral Health

Richards Sharon LCSW St. Charles Behavioral Health 2500 NE Neff Rd Bend 97001 Behavioral Health

Rotondi Judy LCSW Judy Rotondi, LLC 2052 NE 4th Street Bend 97701 Behavioral Health

Russell Stephanie PsyD Stephanie Russell, Psy.D 25 NW Park Place Bend 97701 Behavioral Health

Saccoman Mikala PhD Mikala L Saccoman, PhD, LLC 975 SW Colorado Ave, Ste. 100 Bend 97701 Behavioral Health

Saxton James LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97001 Behavioral Health

Schock Leah PhD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Schock Leah PhD St. Charles Medical Center - Bend 2500 NE Neff Rd Bend 97701 Behavioral Health

Scrafford Rebecca PsyD St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Shekerdemian Linda LPC Linda M. Shekerdemian 15 NW Park Place #130 Bend 97701 Behavioral Health

Simmons Madeleine PMHNP Madeleine Simmons, PMHNP 1012 Emkay Drive Bend 97702 Behavioral Health

Simmons Madeleine PMHNP Madeleine Simmons, PMHNP 2775 SW 17th Place Redmond 97756 Behavioral Health

Smither Suzanne LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Starr Marie LCSW Marie Starr, LCSW 336 NE Norton Ave. Bend 97701 Behavioral Health

Starr Marie LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Talley Stephen PsyD Stephen S Talley, Psy D 965 SW Emkay Drive Bend 97702 Behavioral Health

Timms Rebecca LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Turner Micki LCSW Center For Wellness 1085 Victoria Falls Drive Redmond 97756 Behavioral Health

Van Dusen Anne MSW Anne Van Dusen, LCSW 15 SW Colorado Ave, Suite 350 Bend 97702 Behavioral Health

Vickery Robin LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Walkenhorst John LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Wayman Nora LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Werkman Alan LCSW Alan Werkman, LCSW 1012 Emkay Drive Bend 97702 Behavioral Health

Werkman Alan LCSW Alan Werkman, LCSW 2775 SW 17th Place Redmond 97756 Behavioral Health

Wilmot Laurie LCSW, CDCIII Sage Counseling 1345 NW Wall Street, Suite 201 Bend 97701 Behavioral Health

Woodland Satu PMHNP Satu Woodland, PMHNP 21105 Merritt Court Bend 97702 Behavioral Health

Zancanella Carol LCSW Carol Zancanella, LCSW 965 SW Emkay Drive Bend 97701 Behavioral Health

Zancanella Carol LCSW St. Charles Behavioral Health 2542 NE Courtney Drive, Suite 101 Bend 97701 Behavioral Health

Ziegler Kristina LCSW Kristina E Ziegler MSW 25 NW Park Place Bend 97701 Behavioral Health

Adair Hugh DO St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

Dixon Cassandra PA-C St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

Hanlon Timothy MD St. Charles Medical Group 2500 NE Neff Rd Bend 97701 Cardiology

Hilles Nancy FNP St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

Koch, III Albert MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Cardiology

Laughlin James MD St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

McLellan Bruce MD St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

Noble Gavin MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Cardiology

Tajchman Urszula MD Pediatric Heart Center of Central Oregon 2500 NE Neff Rd Bend 97701 Cardiology

West John MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Cardiology

Widmer Michael MD St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

Young Eddy MD St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Cardiology

Carter Leslie MD Deschutes Dermatology Center 325 SW Upper Terrace Drive, Suite 100 Bend 97701 Dermatology

Delgado William MD Bend Dermatology Clinic, LLC 2747 NE Conners Ave Bend 97701 Dermatology

Hall Mark MD Central Oregon Dermatology 388 SW Bluff Drive Bend 97702 Dermatology

Hoesly James MD Bend Memorial Clinic, PC 2600 NE Neff Road Bend 97701 Dermatology

May Joshua MD Bend Dermatology Clinic, LLC 2747 NE Conners Ave Bend 97701 Dermatology

Peters, Jr. Gerald MD Bend Memorial Clinic, PC 2600 NE Neff Road Bend 97701 Dermatology

Trautman Stephanie MD Bend Dermatology Clinic, LLC 2747 NE Conners Ave Bend 97701 Dermatology

Zirker Douglas MD Bend Dermatology Clinic, LLC 2747 NE Conners Ave Bend 97701 Dermatology

Adamski Adam MD NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Cook Josh DO NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Crabtree Glynda MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Page 5: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Dixon Les MD NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Eschelbach Matthew DO NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Gonzales Jeffrey FNP NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Gruzd Douglas MD NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Margaret David MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Mawdsley Kerry FNP NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Meske Curtis MD NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Osborn Emily MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Pettit Kelly MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Powell William MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Rucker Casey MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Vraniak Peter MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency

Woodhall Barrett MD NW Emergency Physicians 1201 NE Elm St Prineville 97754 Emergency

Carnes Joyce MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Decker Susan MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Garza Ricardo FNP Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Gianotti Alan MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Graham Christopher MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Marcinek Helenka MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

McCabe Frances MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Moratti-Greene Julieanne RN Central Oregon ER Physicians 2500 NE Neff Rd Bend 97701 Emergency Medicine

Munro James NP Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Osborn Emily MD Central Oregon ER Physicians 2500 NE Neff Rd Bend 97701 Emergency Medicine

Palmer Edward MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Peeples Cornelius MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Rapacz Brian MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Reed William MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Richards Christopher MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Richards Katie MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Richards Chris MD NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Emergency Medicine

Rosenberg David MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Salton Gillian MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Sampson Mark MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Singer Brett MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Tornay Todd MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Tornay Pamela MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Vraniak Peter MD Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Wright Michelle FNP Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Emergency Medicine

Carroll Mary MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Endocrinology

Goldstein Rick MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Endocrinology

McCarthy Patrick MD Endocrinology Services NW 2084 NE Professional Court Bend 97701 Endocrinology

McCarthy Patrick MD Endocrinology Services NW 645 NW 4th St. Redmond 97756 Endocrinology

Monchamp Travis MD Endocrinology Services NW 2084 NE Professional Court Bend 97701 Endocrinology

Monchamp Travis MD Endocrinology Services NW 645 NW 4th St. Redmond 97756 Endocrinology

Allred Raphael MD West Bend Family Medicine 2855 NW Crossing Dr., Suite 102 Bend 97701 Family Practice

Allumbaugh Thomas MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Anderson Karen NP Wall Street Family Medical 726 NW Wall St Bend 97701 Family Practice

Antolak Kathleen MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Arrington Sadie MD Bend Memorial Clinic, PC 865 SW Veterans Way Redmond 97756 Family Practice

Bachtold Joseph DO St. Charles Family Care - Bend 2965 NE Conners Avenue, Suite 127 Bend 97701 Family Practice

Bigler Edward MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Blechman Jennifer MD High Lakes Health Care 1247 NE Medical Center Drive Bend 97701 Family Practice

Boggess Jeffrey MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Family Practice

Brecke Meghan DO St. Charles Family Care - Bend 2965 NE Conners Avenue, Suite 127 Bend 97701 Family Practice

Brennan Nancy DO St. Charles Family Care - Bend 2965 NE Conners Avenue, Suite 127 Bend 97701 Family Practice

Page 6: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Burket Bradley MD Bradley J Burket, MD, DMD 2195 NE Professional Court, Suite 1 Bend 97701 Family Practice

Busby Tina MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

Cade Richard MD Johnson and Cade Family Practice 2088 NE Kim Lane, Suite A Bend 97701 Family Practice

Carroll Linda MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Chesire Laura FNP The Laura Clinic 218 SW 4th Street Redmond 97756 Family Practice

Christensen Jeness MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Claridge William MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Cleveland David MD Mosaic Medical 375 NW Beaver ST STE 101 Prineville 97754 Family Practice

Corso John MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Coulter Mary Ellen MD Mary Ellen Coulter, MD 31 NW Greeley Avenue Bend 97701 Family Practice

Cox Craig MD St. Charles Immediate Care Clinic 2600 NE Neff Rd Bend 97701 Family Practice

Crane Samuel MD Mosaic Medical Clinic 910 SW Highway 97, Suite 101 Madras 97741 Family Practice

Craska Linda MD MMorecare 1103 NE Elm St Prineville 97754 Family Practice

Delamarter Kristine MD Madras Medical Group 76 NE 12th Street Madras 97741 Family Practice

Detwiler James MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Fan Mary MD Bend Memorial Clinic, PC 231 E Cascade Avenue Sisters 97759 Family Practice

Foster Matthew MD Madras Medical Group 76 NE 12th Street Madras 97741 Family Practice

Garrett Stuart MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Gatto Jessica FNP Mosaic Medical Clinic 910 SW Highway 97, Suite 101 Madras 97741 Family Practice

Gladden Lisa FNP Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

Gonsky Mark DO St. Charles Family Care - Bend 2965 NE Conners Avenue, Suite 127 Bend 97701 Family Practice

Gratton Laura DO Mosaic Medical 375 NW Beaver ST STE 101 Prineville 97754 Family Practice

Greer Steven MD St. Charles Family Care - Sisters 615 NW Arrowleaf Trail Sisters 97759 Family Practice

Haase Megan FNP Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

Hatch Linda FNP Mosaic Medical 375 NW Beaver ST STE 101 Prineville 97754 Family Practice

Herbert Ruth FNP Mosaic Medical 409 NW Greenwood Avenue Bend 97701 Family Practice

Herbert Ruth FNP The Marshall Group PO Box 1770 Redmond 97756 Family Practice

Hilles Alan MD Bend Memorial Clinic, PC 865 SW Veterans Way Redmond 97756 Family Practice

Hudson Michael MD St. Charles Immediate Care Clinic 2600 NE Neff Rd Bend 97701 Family Practice

Hughes Mark MD Central Oregon Family Medicine 645 NW 4th St. Redmond 97756 Family Practice

Irby Pamela MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Johnson Paul MD Johnson and Cade Family Practice 2088 NE Kim Lane, Suite A Bend 97701 Family Practice

Kelly David MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Kenny Rose MD Family Care Center 246 W. Antler Ave. Redmond 97756 Family Practice

King Maggie MD Mmorecare 1103 NE Elm St. Prineville 97754 Family Practice

Knapp Stephen MD Wall Street Family Medical 726 NW Wall St Bend 97701 Family Practice

Knower Michael MD High Desert Health Care 1251 NE Elm Street, Suite 1A Prineville 97754 Family Practice

Leavitt Peter MD St. Charles Family Care - Bend 2965 NE Conners Avenue, Suite 127 Bend 97701 Family Practice

Lemee Madeline MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Lieuallen Douglas MD Madras Medical Group 77 NE 12th Street Madras 97741 Family Practice

Lin Charlotte MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Long Keith PA-C Madras Medical Group 78 NE 12th Street Madras 97741 Family Practice

Loverink Kae MD The Women's Center of Central Oregon 1001 NW Canal Blvd Redmond 97756 Family Practice

Lowe Chad DO Mosaic Medical Clinic 1314 SW Kalama Avenue Redmond 97756 Family Practice

Maier Kenneth DO Maurice-Maier Enterprises d/b/a Heart of Health 3200 NW Underhill Place Bend 97701 Family Practice

Manfredi Mary DO High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Mann Stephen DO High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

McAllister M. Jamie DO Adult & Adolescent Family Medicine 711 NE Irving Avenue Bend 97701 Family Practice

McCauley Jim MD The Marshall Group PO Box 1770 Redmond 97756 Family Practice

McCook Joe MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

McElroy Guy MD Central Oregon Family Medicine 645 NW 4th St. Redmond 97756 Family Practice

Meador Mary MD Mary L Meador, M.D. 115 NW Greely Avenue Bend 97701 Family Practice

Miller Kevin DO High Lakes Health Care - Sisters 354 W. Adams Ave Sisters 97759 Family Practice

Miller Eden DO High Lakes Health Care - Sisters 354 W. Adams Ave Sisters 97759 Family Practice

Monroe Janice FNP Mosaic Medical 910 SW Highway 97, Suite 1010 Madras 97741 Family Practice

Page 7: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Morgan Jessica MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Murphy Daniel MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Newman Patricia NP Pine Meadows Family Health, LLC 62968 0B Riley Rd STE E2 Bend 97701 Family Practice

Norris Sheryl MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Omar Garcia Ricardo FNP St. Charles Immediate Care Clinic 2600 NE Neff Rd Bend 97701 Family Practice

Paulson Jennifer MSN, FNP-BC Central Oregon Family Medicine 645 NW 4th St. Redmond 97756 Family Practice

Paulson Jennifer FNP Mosaic Medical 910 SW Highway 97, Suite 1010 Madras 97701 Family Practice

Pennavaria Laura MD Mosaic Medical Clinic 375 NW Beaver Street, Suite 101 Prineville 97754 Family Practice

Perkins Aubrey FNP High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Plant Gary MD Madras Medical Group 79 NE 12th Street Madras 97741 Family Practice

Poindexter Helen W. FNP-C Adult & Adolescent Family Medicine 711 NE Irving Avenue Bend 97701 Family Practice

Potampa Karen MD Madras Medical Group 80 NE 12th Street Madras 97741 Family Practice

Potampa Karen FNP Mountain View Medical & Surgical Associates 1251 NE Elm Street Prineville 97754 Family Practice

Press Mark FNP Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

Purvis Janey MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Rhode Dana DO Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Family Practice

Rode Matthew MD West Bend Family Medicine 2855 NW Crossing Dr., Suite 102 Bend 97701 Family Practice

Rosenfield Michael MD La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Family Practice

Rueter Kevin MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Russell Hans MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Family Practice

Scallon Quinn MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

Schneider Eric MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Smart Martin MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

St. Germain Deanna DO KIDS Center 1375 NW Kingston Ave Bend 97701 Family Practice

Stallcop Shawna FNP La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Family Practice

Steffey Lisa DO La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Family Practice

Surber Jennifer MD High Lakes Health Care 1247 NE Medical Center Dr Bend 97701 Family Practice

Tarbet Edward MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Teller John MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Teng Daniel MD Mosaic Medical 375 NW Beaver ST STE 101 Prineville 97754 Family Practice

Townsend-Fixott Dawna Marie MD The Redmond Family Medicine Center 215 SW 7th Street Redmond 97756 Family Practice

Tyne Kari MD La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Family Practice

Uri Lisa MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Valenti Mark MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Family Practice

Warlick Thomas MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Family Practice

Weeks James MD Weeks Family Medicine, LLC 2564 NE Courtney Drive Bend 97701 Family Practice

Wignall William MD High Lakes Health Care 929 SW Simpson Ave Bend 97702 Family Practice

Williams Bruce MD MMorecare 1103 NE Elm St Prineville 97754 Family Practice

Williams Bruce MD MMorecare 1201 NE Elm St Prineville 97754 Family Practice

Wright Michelle FNP St. Charles Immediate Care Clinic 2600 NE Neff Rd Bend 97701 Family Practice

Wright Michelle FNP The Marshall Group PO Box 1770 Redmond 97756 Family Practice

Zamboni Angelina FNP Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Family Practice

Bochner Richard MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Borland Ellen FNP Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Cantor Arthur MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Hatara Maria MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Henderson, III Sidney MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Holloway Sandra MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Koteen Glenn MD Gastroenterology of Central Oregon 2450 NE Mary Rose Place, Suite 210 Bend 97701 Gastroenterology

Vanderford Gayle ANP Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Gastroenterology

Birschbach Jane MD High Lakes Health Care 929 SW Simpson Ave., Suite 300 Bend 97701 Gynecology

Lynch-Miller Alison MD High Lakes Health Care 929 SW Simpson Ave., Suite 300 Bend 97701 Gynecology

Fawcett Richard MD Columbia Sands Medical Specialties, LLC 1245 NW 4th Street, Suite 201 Redmond 97756 Infectious Disease

Absalon Jeffrey MD Cascade Internal Medicine Specialists 2115 NE Wyatt Ct., Suite 101 Bend 97701 Internal Medicine

Allen John MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Page 8: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Askari Sanaz MD Cascade Internal Medicine Specialists 2115 NE Wyatt Ct., Suite 101 Bend 97701 Internal Medicine

Backus Mark MD Cascade Internal Medicine Specialists 2115 NE Wyatt Ct., Suite 101 Bend 97701 Internal Medicine

Dattilo Ginger MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Fawcett Richard MD Mosaic Medical 375 NW Beaver ST STE 101 Prineville 97754 Internal Medicine

Gangan Celso MD Redmond Internal Medicine 1245 NW 4th Street, Suite 201 Redmond 97756 Internal Medicine

Harrington Keith MD Mountain Medical Immediate Care 1302 NE 3rd Street Bend 97701 Internal Medicine

Harris Michael MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Harvey Emily MD Mosaic Medical Clinic 409 NE Greenwood Ave Bend 97701 Internal Medicine

Hegewald Matthew MD St. Charles Pulmonary Clinic - Bend 2275 NE Doctors Drive, Suite 5 Bend 97701 Internal Medicine

Hethcote Dory WHCNP Redmond Internal Medicine 1245 NW 4th Street, Suite 201 Redmond 97756 Internal Medicine

Johnson Brenda MD Fall Creek Internal Medicine 2160 NE Williamson Court Bend 97701 Internal Medicine

Killingbeck Anne MD Internal Medicine Associates 236 NW Kingwood Ave. Suite B Redmond 97756 Internal Medicine

Kocurek Kathryn MD Fall Creek Internal Medicine 2160 NE Williamson Court Bend 97701 Internal Medicine

Kolisch Anita MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Lasala Matthew MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Laughlin Jennifer DO La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Internal Medicine

Lutz Jonathan MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

MacDonell Richard MD, PC My MD 339 SW Century Drive #103 Bend 97702 Internal Medicine

McMillian Lori FNP Redmond Internal Medicine 1245 NW 4th Street, Suite 201 Redmond 97756 Internal Medicine

Ngo Phong MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Nibler Patricia MD Fall Creek Internal Medicine 2160 NE Williamson Court Bend 97701 Internal Medicine

Oddo Jessica FNP Mountain Medical Immediate Care 1302 NE 3rd Street Bend 97701 Internal Medicine

Oppenheimer Karen MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Internal Medicine

Palmer H. Derek MD Redmond Internal Medicine 1245 NW 4th Street, Suite 201 Redmond 97756 Internal Medicine

Parker Arthur MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Pierson Christine MD Fall Creek Internal Medicine 2160 NE Williamson Court Bend 97701 Internal Medicine

Ritzenthaler James MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Internal Medicine

Rogers Michael MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Sharma Divya MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Internal Medicine

Sternfeld Mark MD, Ph.D. Internal Medicine Associates 236 NW Kingwood Ave. Suite B Redmond 97756 Internal Medicine

Stone James MD Mountain Medical Immediate Care 1302 NE 3rd Street Bend 97701 Internal Medicine

Sullivan Daniel MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Swanson Vicki FNP Mountain Medical Immediate Care 1302 NE 3rd Street Bend 97701 Internal Medicine

Tapelband Gerda MD Fall Creek Internal Medicine 2160 NE Williamson Court Bend 97701 Internal Medicine

Tretheway David MD Internal Medicine Associates 236 NW Kingwood Ave. Suite B Redmond 97756 Internal Medicine

Tretheway David MD Internal Medicine Associates 236 NW Kingwood Ave. Suite B Redmond 97756 Internal Medicine

Visser Randy DO Internal Medicine Associates 236 NW Kingwood Ave. Suite B Redmond 97756 Internal Medicine

Willis Deona FNP Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Internal Medicine

Evered John MD St. Charles Neonatology 2500 NE Neff Rd Bend 97701 Neonatal Medicine

McGuire James MD St. Charles Neonatology 2500 NE Neff Rd Bend 97701 Neonatal Medicine

Rider Evelyn MD St. Charles Neonatology 2500 NE Neff Road Bend 97701 Neonatal Medicine

Rubner Frederick J MD St. Charles Neonatology 2500 NE Neff Road Bend 97701 Neonatal Medicine

Feldman Michael MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Nephrology

Kebler Richard MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Nephrology

Massine Russell MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Nephrology

Pinnick Robert MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Nephrology

Abendroth Francena MD NorthStar Neurology 2275 NE Doctors Drive, Suite 9 Bend 97701 Neurology

Bell Michael MD Bend Neurological Associates, LLC 2200 NE Neff Road, Suite 302 Bend 97701 Neurology

Buchholz Gary MD Neurology of Bend 2421 NE Doctors Dr Bend 97701 Neurology

Griffin Craigan MD NorthStar Neurology 2275 NE Doctors Drive, Suite 9 Bend 97701 Neurology

Ireland Stephen MD Neurology of Bend 2421 NE Doctors Dr Bend 97701 Neurology

Koller Richard MD NorthStar Neurology 2275 NE Doctors Drive, Suite 9 Bend 97701 Neurology

Schaben Laura MD Bend Neurological Associates, LLC 2200 NE Neff Road, Suite 302 Bend 97701 Neurology

Schloesser David MD Bend Neurological Associates, LLC 2200 NE Neff Road, Suite 302 Bend 97701 Neurology

Craven Eris RD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Nutrition

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Last name First name Title Practice Address City Zip Specialty

Williamson Andrea RD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Nutrition

Ackerman Diana MD East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Ahmed Mary Ann MD East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Barstow William MD St. Charles OB/GYN - Redmond 213 NW Larch Avenue, Suite B Redmond 97756 Obstetrics & Gynecology

Bird Ann-Bridget MD St. Charles OB/GYN - Redmond 213 NW Larch Avenue, Suite B Redmond 97756 Obstetrics & Gynecology

Carlson James DO East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Clark Christopher MD East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Davis Mary Jane MD East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Eberle Craig MD St. Charles OB/GYN - Redmond 213 NW Larch Ave., Suite A Redmond 97756 Obstetrics & Gynecology

Gorman Susan MD Women's Center of Central Oregon 1001 NW Canal Blvd Redmond 97756 Obstetrics & Gynecology

Hinman Brenda DO St. Charles OB/GYN - Redmond 213 NW Larch Ave., Suite B Redmond 97756 Obstetrics & Gynecology

Howell Jane MD East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Jett Gail NP Bend Obstetrics and Gynecology, LLC 2450 NE Mary Rose Place, Suite 220 Bend 97701 Obstetrics & Gynecology

Monroe Todd MD St. Charles OB/GYN - Redmond 213 NW Larch Avenue, Suite B Redmond 97756 Obstetrics & Gynecology

Murphy John MD John Murphy, MD 2450 NE Mary Rose Place, Suite 220 Bend 97701 Obstetrics & Gynecology

Nunes John MD St. Charles OB/GYN - Redmond 1253 N Canal Blvd Redmond 97756 Obstetrics & Gynecology

O'Sullivan Lauren DO Lauren O'Sullivan, DO 1102 NE 4th Street Bend 97701 Obstetrics & Gynecology

Palacio Peter MD VIVA! GYN 2450 NE Mary Rose Place, Suite 220 Bend 97701 Obstetrics & Gynecology

Weeks Michael MD East Cascade Women's Group 2400 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Wheir Julie MD East Cascade Women's Group 240 NE Neff Road, Suite A Bend 97701 Obstetrics & Gynecology

Battle John ANP Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Occupational Medicine

Kruse Theodore MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Occupational Medicine

Boone Robert MD St. Charles Cancer Center - Bend 2100 NE Wyatt Court Suite 101 Bend 97701 Oncology

Braich Theodore MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Oncology

Calomeni Coralia MD St. Charles Cancer Center - Bend 2100 NE Wyatt Court Suite 101 Bend 97701 Oncology

Chang Linyee MD Central Oregon Cancer Treatment Center 2500 NE Neff Rd Bend 97701 Oncology

Comerford Thomas MD Central Oregon Cancer Treatment Center 2500 NE Neff Rd Bend 97701 Oncology

Kornfeld Stephen MD St. Charles Cancer Center - Bend 2100 NE Wyatt Court Suite 101 Bend 97701 Oncology

Martin William MD St. Charles Cancer Center - Bend 2100 NE Wyatt Court Suite 101 Bend 97701 Oncology

Omizo Russ MD Central Oregon Cancer Treatment Center 2500 NE Neff Rd Bend 97701 Oncology

Rice Laurie ANP Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Oncology

Schmidt, Jr. William MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Oncology

West Heather MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Oncology

Alul Ida MD InFocus Eye Care Center, LLC 2450 NE Mary Rose Place Ste 110 Bend 97701 Ophthalmology

Balcer Graham OD Bend Ophthalmology 2275 NE Doctors Dr, Suite 6 Bend 97701 Ophthalmology

Berreen John P. MD Bend Ophthalmology 2275 NE Doctors Dr, Suite 6 Bend 97701 Ophthalmology

Buehler Patricia MD InFocus Eye Care Center, LLC 2450 NE Mary Rose Place Ste 110 Bend 97701 Ophthalmology

Desmond Brian MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Ophthalmology

Dimmig Jason MD Bend Ophthalmology 2275 NE Doctors Dr, Suite 6 Bend 97701 Ophthalmology

Fitzsimmons Thomas MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Ophthalmology

Keady Jennifer OD Bend Ophthalmology 2275 NE Doctors Dr, Suite 6 Bend 97701 Ophthalmology

Mathews Robert MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Ophthalmology

O'Conner Scott MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Ophthalmology

Stevens Scott MD Bend Ophthalmology 2275 NE Doctors Dr, Suite 6 Bend 97701 Ophthalmology

Atkinson Kilah OD High Desert Eyecare 404 NW 5th St. Redmond 97756 Optometry

Atkinson Kilah OD Ochoco Vision Source 340 NW Beaver Street Prineville 97754 Optometry

Ayres Patrick OD Riverbend Eyecare 143 SW Shevlin-Hixon Drive, Suite 101 Bend 97702 Optometry

Balcer Darcy OD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Optometry

Balsalobre Amanda OD Coffman Vision Clinic 61535 S HIGHWAY 97 STE 13 Bend 97702 Optometry

Bonetto Nancy OD InFocus Eye Care Center, LLC 2450 NE Mary Rose Place Ste 110 Bend 97701 Optometry

Carmiencke Kit OD Integrated Eyecare 452 NE Greenwood Avenue Bend 97701 Optometry

Chadwick Gretchen OD, FAAO High Desert Eyecare 404 NW 5th St. Redmond 97756 Optometry

Chadwick Gretchen OD, FAAO Ochoco Vision Source 340 NW Beaver Street Prineville 97754 Optometry

Coffman Michael OD Coffman Vision Clinic 61535 S HIGHWAY 97 STE 13 Bend 97702 Optometry

Forte Karen DCSW, LCSW Karen Forte, DCSW, LCSW 360 Kearney Street Bend 97702 Optometry

Page 10: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Hemmer Lorissa OD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Optometry

Hudson Allan OD High Desert Eyecare 404 NW 5th St. Redmond 97756 Optometry

Hudson Allan OD Ochoco Vision Source 340 NW Beaver Street Prineville 97754 Optometry

Lewis E. Winter OD InFocus Eye Care Center, LLC 2450 NE Mary Rose Place Ste 110 Bend 97701 Optometry

Ryan Carl Optometrist Dr Carl Ryan and Associates 901 NW Carlon Ave, Ste 2 Bend 97701 Optometry

Sandberg Derri Optometrist Dr Carl Ryan and Associates 901 NW Carlon Ave, Ste 2 Bend 97701 Optometry

Scott Kirsten OD,MS Integrated Eyecare 452 NE Greenwood Avenue Bend 97701 Optometry

Tegen Jessica OD High Desert Eyecare 404 NW 5th St. Redmond 97756 Optometry

Tegen Jessica OD Ochoco Vision Source 340 NW Beaver Street Prineville 97754 Optometry

Woodman William OD Preferred Optical 1900 NE 3rd Street, Suite 102 Bend 97701 Optometry

Andrews Robert MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Askew Aaron MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Bollom Timothy MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Buehler Knute MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Caravelli Michael MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Coe Michael MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Dennis Mayra FNP Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Finter Erin MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Gingold Brett MD Desert Orthopedics 1315 NW 4th St Redmond 97756 Orthopedics

Ha C. Greg MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Hall James MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Hanington Kenneth MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Hinz Anthony MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Holmboe Jeffrey MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Jacobson Scott MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Lilly Soma MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Mara Michael MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Moore Kathleen MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Moore Joel MD, MPH The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Nonweiler Blake MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Parker-Cullen Marilyn MSN, FNP Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Rogers Deborah ANP The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Ryan Michael MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Shannon Robert MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Stahly Michael FNP Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Verheyden James MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Orthopedics

Walther Cara MD Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Orthopedics

Wigle Rodney MD Rodney Wigle, LLC 1693 SW Chandler Ave., Ste 250 Bend 97702 Orthopedics

Lawrason-Kobobel Emmy DO Bend Osteopathic Care, PC 147 SW Shevlin Hixon Dr Suite 204 Bend 97702 Osteopathic Manual Medicine

Reichert Susan MD Hands on Healthcare 125 NW Greeley Ave Bend 97701 Osteopathic Manual Medicine

Friess Carter MD Central Oregon ENT, LLC 2450 NE Mary Rose Place, Suite 120 Bend 97701 Otolaryngology

Gallivan Ryan MD Central Oregon ENT, LLC 2450 NE Mary Rose Place, Suite 120 Bend 97701 Otolaryngology

Hill Justin MD Central Oregon ENT, LLC 2450 NE Mary Rose Place, Suite 120 Bend 97701 Otolaryngology

Renton John MD Central Oregon ENT, LLC 2450 NE Mary Rose Place, Suite 120 Bend 97701 Otolaryngology

Verheyden Jean MD Central Oregon ENT, LLC 2450 NE Mary Rose Place, Suite 120 Bend 97701 Otolaryngology

Villano Michael MD Michael E. Villano, MD 431 NE Revere Bend 97701 Otolaryngology

Wood J. David MD Central Oregon ENT, LLC 2450 NE Mary Rose Place, Suite 120 Bend 97701 Otolaryngology

Mavity Laura MD St. Charles Palliative Care 2500 NE Neff Rd Bend 97701 Palliative Care

Bryan Brad MD Central Oregon Pathology Consultants, PC 1348 NE Cushing Dr., Suite 200 Bend 97701 Pathology

Judd James MD Central Oregon Pathology Consultants, PC 1348 NE Cushing Dr., Suite 200 Bend 97701 Pathology

Pool Stephen MD Cascadia Histopathology 2705 NE Conners Avenue Bend 97701 Pathology

Stewart Brian MD Central Oregon Pathology Consultants, PC 1348 NE Cushing Dr., Suite 200 Bend 97701 Pathology

Vader Virginia MD Central Oregon Pathology Consultants, PC 1348 NE Cushing Dr., Suite 200 Bend 97701 Pathology

Yocom Laurel MD Central Oregon Pathology Consultants, PC 1348 NE Cushing Dr., Suite 200 Bend 97701 Pathology

Younger Cheryl MD Central Oregon Pathology Consultants, PC 1348 NE Cushing Dr., Suite 200 Bend 97701 Pathology

Page 11: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Bailie Valerie MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Baumann Kathering MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Pediatrics

Boehm Peter F. MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Pediatrics

Broadman Kathleen MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Pediatrics

Brown Mary MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Chunn C. John MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Clausen Logan MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Cuddihy Richard MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Pediatrics

Ernst Thomas MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Pediatrics

Garza Erin MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Gutmann Caroline MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Hedges Brenda MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Karnopp Megan MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Lachman Jennifer MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Lein Kathryn PNP Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Pediatrics

Mills Michelle MD Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Pediatrics

Nix Kristi MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Pediatrics

Paluch Natalie MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Peoples John MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Perryman Dana MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Philp Margaret MD St. Charles Family Care - Redmond 211 NW Larch Avenue Redmond 97756 Pediatrics

Rogers Mary MD Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Pediatrics

Semich Nancy PNP Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Steiner Linda MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Svendsen Dale MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Vaughan Darin MD La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Pediatrics

Warton Jennifer DO Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Pediatrics

Wollmuth Kimberly MD Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Pediatrics

Maloney Nancy MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physical Medicine

Hill Timothy MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physical Medicine and Rehabilitation

Nelson James MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physical Medicine and Rehabilitation

Paulson Larry MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physical Medicine and Rehabilitation

Stewart David MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physical Medicine and Rehabilitation

Swift Jon DO Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Physical Medicine and Rehabilitation

Ugalde Vivian MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physical Medicine and Rehabilitation

Wagner Marc MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physical Medicine and Rehabilitation

Abbey Alyssa PA-C Bend Memorial Clinic, PC 2600 NE Neff Road Bend 97701 Physician Assistant

Ast Aaron PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Baxter Carrie PA-C Deschutes Dermatology Center 325 SW Upper Terrace Drive, Suite 100 Bend 97701 Physician Assistant

Bell Peter PA-C Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Physician Assistant

Brasher Brandon PA-C NW Emergency Physicians 1201 NE Elm St Prineville 97754 Physician Assistant

Brennan Scott PA-C Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Physician Assistant

Brown Jean PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Byrnes Cody PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Caba Jeffrey PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Carter-Powell Garnie Jo PA-C NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Physician Assistant

Carter-Powell Garnie Jo PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Cartwright Billie PA-C Mosaic Medical 409 NE Greenwood Ste 101 Bend 97701 Physician Assistant

Clement Darin PA-C St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Physician Assistant

Cook Matthew PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Corrigan William PA-C Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Physician Assistant

Cosgro Daniel PA-C Advanced Specialty Care, LLC 2084 NE Professional Court, Suite 1 Bend 97701 Physician Assistant

Cousineau Teresa PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Cruise Heidi PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Daly Brian PA Mountain Medical Immediate Care 1302 NE 3rd Street Bend 97701 Physician Assistant

Page 12: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

DeLoughrey Amy PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Dennis Michael PA-C Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Physician Assistant

Dildine Eric PA St. Charles Pulmonary Clinic - Bend 2275 NE Doctors Drive, Suite 5 Bend 97701 Physician Assistant

Emge Darcie PA-C Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Physician Assistant

Enos Angie PA-C La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Physician Assistant

Farris Korena PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Fifer Katherine PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Fitts Michelle PA-C Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Physician Assistant

Freeman Jamie PA-C High Lakes Health Care 929 SW Simpson Ave Bend 97702 Physician Assistant

Gage, Jr. Arden PA-C La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Physician Assistant

Gaskin Dara PA-C Central Oregon ER Physicians 2500 NE Neff Rd Bend 97701 Physician Assistant

Godell Johanna PA-C Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Physician Assistant

Golub Michael PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Heron Kirsten PA-C Weeks Family Medicine, LLC 2564 NE Courtney Drive Bend 97701 Physician Assistant

Hill Bruce PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Holmberg Andreanna PA-C Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Physician Assistant

Honeycutt Carissa PA-C Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Physician Assistant

Kelley Jonathan PA-C Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Physician Assistant

Koch Amee PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Kolcun Kevin PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Koopman Tonya PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Krueger Adrian PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Kruse Suzann PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Lachenmyer Gary PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Luckel Ericka PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Marcato Suzanne PA Ronald W. Sproat, MD 1251 N Elm St Prineville 97754 Physician Assistant

Markovich Cuyla PA-C High Desert Health Care 1251 NE Elm Street, Suite 1A Prineville 97754 Physician Assistant

McKay Lindsey PA-C High Desert Health Care 1251 NE Elm Street, Suite 1A Prineville 97754 Physician Assistant

McKie Valerie PA-C Central Oregon ER Physicians 2500 NE Neff Road Bend 97701 Physician Assistant

Miller Bo PA-C St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Physician Assistant

Myers Joel PA-C NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Physician Assistant

Njenga John PA-C La Pine Community Health Center, LLC PO Box 3300 LaPine 97739 Physician Assistant

O'Brien Jay PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

O'Neill Nicole PA-C Advanced Specialty Care, LLC 2084 NE Professional Court, Suite 1 Bend 97701 Physician Assistant

Osborne LeeAnn PA-C High Desert Health Care 1252 NE Elm Street Prineville 97754 Physician Assistant

Osborne LeeAnn PA-C Mosaic Medical 375 NW Beaver ST STE 101 Prineville 97754 Physician Assistant

Osborne-Rodhouse Casey PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Reed Matthew PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Reitan Ann PA-C Bend Memorial Clinic, PC 2600 NE Neff Road Bend 97701 Physician Assistant

Renna Jeffrey PA-C Central Oregon Dermatology 388 SW Bluff Drive Bend 97702 Physician Assistant

Ricker Cris PA-C Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Physician Assistant

Roberts Allison PA-C Bend Dermatology Clinic, LLC 2747 NE Conners Ave Bend 97701 Physician Assistant

Rogers Rainie PA-C Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Physician Assistant

Rojo Catherine PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Ryan Joeth PA-C Central Oregon Pediatric Associates 2200 NE Professional Ct Bend 97701 Physician Assistant

Sargent Andrew PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Scott Stephanie PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Short Adam PA-C Desert Orthopedics 1303 NE Cushing Drive, Suite 100 Bend 97701 Physician Assistant

Shuman Cindy PA-C Bend Memorial Clinic, PC 1080 SW Mt. Bachelor Drive Bend 97701 Physician Assistant

Spencer Mark PA-C The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Spjut Lynette PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Stafford Sara PA-C Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Physician Assistant

Struble Trebor PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Suttle Sean PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Taylor John PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

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Last name First name Title Practice Address City Zip Specialty

Turk Jennifer PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Turner Lisa PA-C Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Physician Assistant

Turner Lisa PA-C NW Emergency Physicians 1253 NW Canal Boulevard Redmond 97756 Physician Assistant

Tyler Scott PA The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Wadsworth Jeanne PA-C Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Physician Assistant

Weber Larry PA-C Bend Dermatology Clinic, LLC 2747 NE Conners Ave Bend 97701 Physician Assistant

Welch Tianna PA Deschutes Rheumatology 2200 NE Neff Road, Suite 302 Bend 97701 Physician Assistant

Wulf Glen PA-C The Center 2200 NE Neff Road, Suite 200 Bend 97701 Physician Assistant

Zerger Timothy PA-C St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Physician Assistant

Angeles Adam MD Bend Plastic and Reconstructive Surgery 2400 NE Neff Road, Suite B Bend 97701 Plastic Surgery

Gallagher Gary MD Northwest Cosmetic Surgery 2041 NE Williamson Ct, Suite C Bend 97701 Plastic Surgery

Leffel Linda MD Three Sisters Cosmetic Surgery, LLC 1715 SW Chandler Ave, Suite 100 Bend 97701 Plastic Surgery

Quinn Robert MD Mt. View Cosmetic Surgery 2450 NE Mary Rose Place Suite 200 Bend 97701 Plastic Surgery

Chotechuang Tajyant DPM Northwest Foot Care 1510 SW Nancy Way, Suite 2 Bend 97702 Podiatry

Cobarrubia Frank DPM Northwest Foot Care 1510 SW Nancy Way, Suite 2 Bend 97702 Podiatry

Dahlenburg Jeremy DPM Cascade Foot Clinic 2408 NE Division, Suite 100 Bend 97701 Podiatry

Evoy Patrick DPM Cascade Foot Clinic 2408 NE Division, Suite 100 Bend 97701 Podiatry

Nakadate Dean DPM Endocrinology Services NW 2084 NE Professional Court Bend 97701 Podiatry

Schweger Laura DPM Optima Foot and Ankle 1506 NE Williamson Blvd Bend 97701 Podiatry

Six Kristy RS DPM Cascade Foot Clinic 2408 NE Division, Suite 100 Bend 97701 Podiatry

Su Ambrose DPM Cascade Foot Clinic 2408 NE Division, Suite 100 Bend 97701 Podiatry

Westfall Amanda DPM Optima Foot and Ankle 1506 NE Williamson Blvd Bend 97701 Podiatry

Wilhelm Bryan DPM Northwest Foot Care 1510 SW Nancy Way, Suite 2 Bend 97702 Podiatry

Leeberg Elizabeth Ph.D Elizabeth A Leeberg PC 223 SE Davis Avenue Bend 97702 Psychology

Brewer Jonathan DO Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Pulmonary Disease

Conklin Jamie MD St. Charles Pulmonary Clinic - Bend 2275 NE Doctors Drive, Suite 5 Bend 97701 Pulmonary Disease

Harless Keith MD St. Charles Pulmonary Clinic - Bend 2275 NE Doctors Drive, Suite 5 Bend 97701 Pulmonary Disease

Kelley Thomas DO Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Pulmonary Disease

Maunder Richard MD St. Charles Palliative Care 555 NW Jackpine Avenue Redmond 97756 Pulmonary Disease

McFadyen Jonathan NP Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Pulmonary Disease

Brown Patrick MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Clautice-Engle Traci MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Drutman Jeffrey MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Hanson Ronald MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Hogan Robert MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Jett Thomas MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Johnson James MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Kjobech Steven MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Koehler Thomas MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Martin Laurie MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Michel Steven MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Shultz Paula MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Shultz Stephen MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Stassen John MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Wheir, III William MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Zulauf David MD Central Oregon Radiology Associates, PC 1460 NE Medical Center Dr Bend 97701 Radiology

Borstad Gregory MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Rheumatology

Fohrman Daniel MD Deschutes Rheumatology 2200 NE Neff Road, Suite 302 Bend 97701 Rheumatology

Omizo Molly MD Deschutes Rheumatology 2200 NE Neff Road, Suite 302 Bend 97701 Rheumatology

Conrad Arthur MD St. Charles Sleep Center - Bend 2042 NE Williamson Court Bend 97701 Sleep Disorder Medicine

Dedrick David MD St. Charles Sleep Center - Bend 2042 NE Williamson Court Bend 97701 Sleep Disorder Medicine

Shergill Ravinder MD St. Charles Medical Center - Bend 2500 NE Neff Rd Bend 97701 Sleep Disorder Medicine

Blizzard John MD St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Surgeon - Thoracic

Vlessis Angelo MD St. Charles Heart and Lung Specialists 2500 NE Neff Road Bend 97701 Surgeon - Thoracic

Archer Stephen MD Advanced Specialty Care, LLC 2084 NE Professional Court, Suite 1 Bend 97701 Surgery - General

Page 14: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Beard Timothy MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Surgery - General

Buzzas Rod MD Advanced Specialty Care, LLC 2084 NE Professional Court, Suite 1 Bend 97701 Surgery - General

Carne David MD St. Charles General Surgery - Prineville 1103 NE Elm Street Prineville 97754 Surgery - General

Christante Dara MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Surgery - General

Diamond Daniel Scott MD Advanced Specialty Care, LLC 2084 NE Professional Court, Suite 1 Bend 97701 Surgery - General

Frei Gary MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Surgery - General

Hartley Jack MD Surgical Associates of The Cascades 1245 NW 4th, Suite 101 Redmond 97756 Surgery - General

Higgins Andrew MD Andrew P Higgins, MD-Surgeon, LLC 2450 NE Mary Rose Place, Suite 205 Bend 97701 Surgery - General

Hughes Ngocthuy DO Cascade Obesity and General Surgery 1245 NW 4th Street, Suite 101 Redmond 97756 Surgery - General

Jones Andrew MD Inovia 2200 NE Neff Road, Suite 204 Bend 97701 Surgery - General

Kowalski Darren MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Surgery - General

Land John MD Surgical Associates of The Cascades 1245 NW 4th, Suite 101 Redmond 97756 Surgery - General

Mastrangelo Michael MD Bend Surgical Associates, LLC 2450 NE Mary Rose Place Bend 97701 Surgery - General

Sproat Ronald MD Ronald W. Sproat, MD 1251 N Elm St Prineville 97754 Surgery - General

Tsai George MD Surgical Associates of the Cascades 1245 NW 4th, Suite 101 Redmond 97756 Surgery - General

VanAmburg Jana MD Jana Van Amburg, MD 1001 NW Canal Redmond 97756 Surgery - General

VanAmburg Jana MD Jana Van Amburg, MD 2400 NE Neff Rd, Suite B Bend 97701 Surgery - General

Walling Erin MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Surgery - General

Belza Mark MD Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Surgery - Neurological

Hadden Anthony MD Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Surgery - Neurological

Kane David MD Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Surgery - Neurological

Wallace Philip MD Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Surgery - Neurological

Tien Raymond MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Surgery - Neurological

Ward Brad MD The Center 2200 NE Neff Road, Suite 200 Bend 97701 Surgery - Neurological

Yundt Kent MD Northwest Brain and Spine 2275 NE Doctors Dr, Suite 2 Bend 97701 Surgery - Neurological

Boyle Edward MD Inovia 2200 NE Neff Road, Suite 204 Bend 97701 Surgery - Thoracic

Colella Joseph MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Surgery - Vascular

Clemens Ann MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Urgent Care

Jacobs Joseph MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Urgent Care

McCauley Jimmy MD Bend Memorial Clinic, PC 865 SW Veterans Way Redmond 97756 Urgent Care

Ponte Laurie MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Urgent Care

Simning Patrick MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Urgent Care

Wendel Thomas MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Urgent Care

Wesenberg Brent MD Bend Memorial Clinic, PC 1501 NE Medical Center Drive Bend 97701 Urgent Care

Baker Meredith MD Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Urology

Boileau Michel MD Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Urology

Brewer Jack MD Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Urology

Neeb Andrew MD Urology Specialists of Oregon 2084 NE Professional Court Bend 97701 Urology

O'Hollaren Brian MD Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Urology

Shreve Eric MD Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Urology

Simmons Matthew MD, PhD Advanced Specialty Care and Urology Specialists 236 NW Kingwood Ave., Suite B Redmond 97756 Urology

Takla Nora MD Bend Urology Associates, LLC 2090 NW Wyatt Court, Suite 101 Bend 97701 Urology

St. Charles Hospital Medicine - Bend 2500 NE Neff Road Bend 97701

St. Charles Hospital Medicine - Prineville 1201 Elm Street Prineville 97754

St. Charles Hospital Medicine - Redmond 211 NW Larch Avenue Redmond 97756

St. Charles Medical Group - EKG 2500 NE Neff Road Bend 97701

Active Care Physical Therapy 1431 NW Ithaca Avenue Bend 97701

Alpine Physical Therapy & Spine Care 336 SW Cyber Drive, Suite 107, Bldg D Bend 97701

The following Physical and Occupational Therapy providers are preferred under the St. Charles Employee Benefit Plan and

will have claims processed with the best available benefit.

The following physician groups are covered under Tier 1.

Page 15: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Alpine Physical Therapy & Spine Care 2275 NE Doctors Drive, Suite 3 Bend 97701

Apex Physical Therapy PO Box 2439 Redmond 97756

Cascade Rehabilitation Associates - Madras 230 SW 5th Street Redmond 97756

Falling Waters, LLC 55 NW Wall Street, Suite 100 Bend 97701

Focus Physical Therapy, Inc 901 NW Carlon Avenue, Suite 3 Bend 97701

Focus Physical Therapy, Inc 1239 NE Medical Center Drive, Suite 200 Bend 97701

Green Ridge Physical Therapy PO Box 1911 Sisters 97759

Hand and Arm Therapy of Central Oregon, Inc 2275 NE Doctors Drive, Suite 4 Bend 97701

Hands on Physical Therapy, PC 147 SW Shevlin Hixon Drive, Suite 104 Bend 97702

Healing Bridge Physical Therapy 404 NE Penn Avenue Bend 97701

Joint Efforts Physical Therapy 2565 NE Butler Market Road, Suite 2 Bend 97701

La Pine Physical Therapy 51681 Huntington Road, PO Box 1888 LaPine 97739

Living Well Therapy 1558 SW Nancy Way, Suite 104 Bend 97702

Madras Physical Therapy Group, Inc 910 S Hwy 97, Suite 200 Madras 97741

Mobile Physical Therapy PO Box 2190 Bend 97709

Peak Performance Physical Therapy 450 NW Greenwood Avenue Redmond 97756

Peak Performance Physical Therapy 1441 SW Chandler Avenue, Suite 103 Bend 97702

Prineville Physical Therapy 1251 NE Elm Street, Suite 2-A Prineville 97754

Rebound Physical Therapy LLC-East Bend Clinic 1303 NE Cushing Drive, Suite 150 Bend 97701

Rebound Physical Therapy LLC-LaPine Clinic 51600 Huntington Road, Suite B Lapine 97739

Rebound Physical Therapy LLC-Prineville Clinic 425 N Main Street Prineville 97754

Rebound Physical Therapy LLC-Redmond Athletic Club 1717 NE 2nd Street Redmond 97756

Rebound Physical Therapy LLC-Redmond Clinic 1315 NW 4th Street, Suite B Redmond 97756

Rebound Physical Therapy LLC-South Bend Clinic 61480 S Highway 97, Suite 4 Bend 97702

Rebound Physical Therapy LLC-West Bend Clinic 1160 SW Simpson Avenue, Suite 200 Bend 97701

Redmond Center for Integrated Medicine 916 SW 17th Street, Suite 202 Redmond 97756

Shoshana Foxwell, MPT 1345 NW Federal Street Bend 97701

Southside Physical Therapy, Inc 364 SE Wilson Avenue Bend 97702

St. Charles Outpatient Rehabilitation 2500 NE Neff Road Bend 97701

Step & Spine Physical Therapy, LLC 172 E Main Street Sisters 97759

Sunriver Physical Therapy 56881 Enterprise Drive Sunriver 97707

Susan D Jones RPT LLC 595 SW Bluff Drive, Suite A Bend 97702

Therapeutic Associates - Redmond Physical Therapy 413 NW Larch Avenue, Suite 102 Redmond 97756

Therapeutic Associates - Sisters Athletic Club 1011 Desperado Trail, Suite 201 Sisters 97759

Therapeutic Associates - The Athletic Club of Bend 61615 Athletic Club Drive Bend 97702

Therapeutic Associates - The Center 2200 NE Neff Road, Suite 202 Bend 97701

Therapy Works Physical Therapy 330 NE Marshall Avenue Bend 97701

Wellspring Structural Integration, PC 131 NW Hawthorne Avenue, Suite 209 Bend 97701

Awakening Vibrance Healing Therapies LLC 598 NW Hill Street, Suite B Bend 97701

Bemis Chiropractic Clinic 124 NW 2nd Street Prineville 97754

Bemis Chiropractic Clinic 904 NW Greenbriar Place Bend 97701

Bend Westside Chiropractic 1345 NW Wall, Suite 202 Bend 97701

Bend Westside Chiropractic 1000 SW Indian Avenue Redmond 97756

Bend Whole Health, PC 354 NE Norton Avenue, Suite 100 Bend 97701

Bradley Pfeiffer, DC 347 NE Kearney Ave Bend 97701

Center for Chiropractic & Natural Healing 1900 NW Division, Suite 106 Bend 97701

Center for Life Chiropractic 1004 NW Milwaukee Avenue, Suite 200 Bend 97701

Adventure Chiropractic 1288 SW Simpson Avenue, Suite K Bend 97702

Falling Waters, LLC 55 NW Wall Street, Suite 100 Bend 97701

1113 NE 7th Street Bend 97701

51439 Evans Way LaPine 97739

Goulart Family Chiropractic 424 NE Franklin Avenue Bend 97701

Gary Smith, DC

Gary Smith, DC

The following Chiropractic providers are preferred under the St. Charles Employee Benefit Plan and will have claims

processed with the best available benefit.

Page 16: Tier 1 Preferred Provider List - Specialty Services …...Tier 1 Preferred Provider List - Specialty Services ordered outside a regular office visit need to be ordered through a Tier

Last name First name Title Practice Address City Zip Specialty

Hanes Chiropractic Clinic 446 NW 3rd Street Prineville 97754

Heartstone Family Chiropractic 112 NW Greeley Ave Bend 97701

High Desert Chiropractic 1151 NE 4th Street Bend 97701

Jeanne Young, DC, PC 131 NW Hawthorne Avenue, Suite 101 Bend 97701

1551 NE 4th Street Bend 97701

Lifestyle Chiropractic, LLC 243 SW Scalehouse Loop, Suite 5A Bend 97702

Linda Nordhus, DC PO Box 892 Bend 97709

Natural Approach Chiropractic 1230 NE 3rd Street, Suite A-165 Bend 97701

Olson Chiropractic Wellness Center 1693 SW Chandler Avenue, Suite 130 Bend 97702

Redmond Center for Integrated Medicine 916 SW 17th Street, Suite 202 Redmond 97756

Scott Feldenheimer, DC 1354 NW Galveston Ave Bend 97701

Shelby Chiropractic 561 NE Bellevue Drive, Suite 102 Bend 97701

Slater Chiropractic 240 NW Clay Pool Prineville 97754

1569 SW Nancy Way, Suite 1 Bend 97702

Theresa M Rubadue-Doi, DC 628 NW York Drive, Suite 104 Bend 97701

Three Sisters Chirporactic Clinic PO Box 2178 Sisters 97759

Westside Chiropractic Clinic 1558 SW Nancy Way, Suite 106 Bend 97702

Stacy Sharlet, DC

Kuhn & Kuhn, PC