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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
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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
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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.
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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
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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
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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
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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:
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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
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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
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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.
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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
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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