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1 Primary Care Providers Open Panel Listings HealthCare Partners Nevada has developed a variety of resources to use when you meet with your clients and help them select a new primary care provider. Enclosed you will find a map of myGeneration Senior Clinics, a listing of myGeneration Senior Clinic providers by clinic with headshots and provider identification codes, plus a listing of our affiliate primary care providers. If you have any questions about providers accepting new patients, please connect with Neil Finn, our Broker Relations Manager, at 702.997.1687. Effective May 1, 2020
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Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

Jul 17, 2020

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Page 1: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

1

Primary Care Providers Open Panel Listings

HealthCare Partners Nevada has developed a variety of resources to use when you meet with your clients and help them select a new primary care provider. Enclosed you will find a map of myGeneration Senior Clinics, a listing of myGeneration Senior Clinic providers by clinic with headshots and provider identification codes, plus a listing of our affiliate primary care providers.

If you have any questions about providers accepting new patients, please connect with Neil Finn, our Broker Relations Manager, at 702.997.1687.

Effective May 1, 2020

Page 2: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

2

Buchanan Blvd

93

Boulder City

E Charleston Park Ave

Pahrump

Higley Rd160

372

15

E 1st

E Old Mill RdE Old Mill Rd

Sandhill Blvd

Mesquite

15

1

2

3|4

11

14

5

10

6

7

8 16

17|18 23

13

9

27

1225

22

21 26

19

15

24

20

W Sunset Rd

Warm Springs Rd Warm Springs RdRobindale Rd

Wigwam Pkwy

St Rose Pkw

y

S Stephanie St

Green Valley Pkw

y

Horizon Ridge Pkwy

S Eastern Ave

N Pecos Rd

Russell RdHacienda Ave

W Tropicana Ave

W Flamingo Rd E Flamingo RdE Harmon Ave

Maryland Pkw

y

E Washington Ave

Desert Inn Rd Desert Inn Rd

Town Center Dr

Rampart Blvd

Fort Apache Rd

S Durango Dr

Sahara AveS Rainbow

Blvd

Arville St

Charleston Blvd

Oakey Blvd

N Durango Dr

N Tenaya W

ayN

Buffalo DrS Buffalo Dr

W Lake Mead BlvdVegas Dr

N Jones Blvd

N Decatur Blvd

Valley Dr

N M

LK Blvd

N N

ellis BlvdS N

ellis Blvd

Boulder Hwy

E Lake Mead Pkwy

W Lone Mountain RdW Craig Rd

W Centennial Pkwy

W Cheyenne AveHills Center Dr

Sun City Blvd

Summerlin Pkwy

93

95

95

95

95

15

11

515

215

215

215

15

215

myGeneration Senior Clinics located near you

Page 3: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

3

myGeneration providers accepting new patients with Medicare Advantage1. Boulder Crossing - HAP

702.940.1560 Emily LaBonte, NP-C Kelly Van Wagner, MD

2. Buffalo 702.233.8855 Benjamin Chan, MD Philippe Lam, MD

3. Burnham Springs 702.369.0088

4. Desert Heights 702.734.6363 Nida Bonuel, MD Todd Dukes, DO Roy Perlot, MD

5. Durango Hills - HAP 702.940.1540 Anna Aguila, MD Kenneth Edmunds, MD Kwok Wong, MD

6. Fort Apache - HAP 702.940.1570 Justin Maxwell, DO Maria Molina, MD

7. Galleria 702.436.5800 Ashlyn Call, PA-C Evangelia Papageorge, MD

8. Green Valley 702.947.1940 Karen Gonzalez, MD Sunita Kalra, MD

9. Henderson Clinic 702.565.1007 Edward Clark, MD Christina Henry, DO Richard King, DO Ahoora Payam, MD Frederick Tanenggee, MD

10. Lone Mountain 702.655.0550 Aysa Chavarria, NP-C Matthew Espinosa, NP-C Robert Vance, DO

11. Maryland Pkwy 702.369.5582 Divina Averilla, MD Mahfoud Beajow, MD Genadi Maltinski, MD Juanita Ramirez, MD

12. Nellis 702.438.4003 Elan Girish Gada, MD

13. Nevada Highway 702.294.1919 Brian Early, DO

14. North Rainbow 702.259.0088 Amit Duggal, MD Dan Hansen, MD Jennifer Quiamzon-Adobo, APRN Margaret Sweeney, DO

15. Pahrump - POD Charleston 775.727.1188 Saira Beg, MD Robert Russ, MD Charles Wilson, DO

POD Shoshone 775.751.0695 Stephen Andracki, MD Thomas Wiggins, MD POD Tecopa 775.751.0695 Irene Barnett, MD Troy Schumacher, MD

16. Parkway 702.938.0088 Lana Dawood, MD Steven Henderson, PA-C

17. Siena 702.616.7049 Jeffrey DeMoss, DO Maira Lao, MD Cheryl Veniegas, MD

18. Siena Rose 702.940.1535 Paul Hamor, MD Donald Wingard, DO

19. South Decatur 702.873.5110 Girish Daulat, DO

20. Spring Valley 702.944.7105 Karyn Harries, DO

21. Summerlin 702.228.7117 Sejal Duggal, MD Hima Illindala, MD Ioana Pahlevan, MD Eun-Mi Park, MD Sana Safaei, MD

22. Sun City - HAP 702.940.1580 Anjali Rege, MD

23. Sunridge Heights - HAP 702.940.1530 Ida Will, APN

24. Tenaya 702.240.0088 Kimball Huang, MD Leslie Keck, MD Bashar Nakhleh, MD

25. Valley 702.382.7760

26. Virgin Valley 702.345.5000 Frank Seck, DO Maile Kane, DO

27. West Craig 702.473.8380 Donna Hufana, MD Chester Whitley, PA-C

Page 4: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

4

myGeneration Providers with Open Panels

myGeneration Senior Clinic Name Provider Name Humana

United (with the exception of Focus Plan)

Additional Languages

Boulder Crossing - HAP Emily LaBonte, NP-C 501003A N/A N/A

Boulder Crossing - HAP Kelly Van Wagner, MD 401233F N/A N/A

Buffalo Benjamin Chan, MD 401226O 254150274 Chinese (Mandarin & Fujian)

Buffalo Philippe Lam, MD 401226P 254150279 Chinese (Mandarin)

Desert Heights Nida Bonuel, MD 401231E 254150365 Tagalog, Filipino

Desert Heights Todd Dukes, DO 401201D 254150157 N/A

Desert Heights Roy Perlot, MD 401233G 254150417 N/A

Durango Hills - HAP Anna Aguila, MD 401229E N/A Tagalog, Filipino

Durango Hills - HAP Kenneth Edmunds, MD 401231Z N/A N/A

Durango Hills - HAP Kwok Wong, MD 401224M N/A Cantonese, Mandarin

Fort Apache - HAP Justin E Maxwell, DO 401220Z N/A N/A

Fort Apache - HAP Maria Molina, MD 401231A N/A Tagalog

Galleria Ashlyn Call, PA-C 501003D 254150411 N/A

Galleria Evangelia Papageorge, MD 401231K 254150374 Greek

Green Valley Karen S Gonzalez, MD 401229D 254150333 Tagalog, Filipino

Green Valley Sunita Kalra, MD 401220C 254150218 Hindi

Henderson Edward Clark, MD 401231H 254150373 N/A

Henderson Christina Henry, DO 401234B 254150442 Tamil

Henderson Richard King, DO 401220D 254150220 Mandarin

Henderson Ahoora Payam, MD 401231J 254150372 Farsi, Spanish

Henderson Frederick Tanenggee, MD 401201N 254150125 Tagalog

Lone Mountain Aysa Chavarria, NP-C 401234C 254150440 Spanish

Page 5: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

5

myGeneration Providers with Open Panels

myGeneration Senior Clinic Name Provider Name Humana

United (with the exception of Focus Plan)

Additional Languages

Lone Mountain Matthew Espinosa, NP-C 501003C 254150387 N/A

Lone Mountain Robert Vance, DO 401224I 254150256 Spanish

Maryland Parkway Divina Averilla, MD 401234A 254150439 Tagalog

Maryland Parkway Mahfoud Beajow, MD 401224R 254150263 N/A

Maryland Parkway Genadi Maltinski, MD 401234 254150430 Russian, Italian

Maryland Parkway Juanita Ramirez, MD 401231N 254150377 Spanish

Nellis Elan Girish Gada, MD 401233C 254150416 Spanish

Nevada Highway Brian V Earley, DO 401216P 254150109 N/A

North Rainbow Amit Duggal, MD 401224N 254150293 Hindi

North Rainbow Dan Hansen, MD 401231I 254150375 N/A

North Rainbow Jennifer Quiamzon-Adobo, APRN 501003E 254150413 Filipino, Tagalog

North Rainbow Margaret Sweeney, DO 401231Q 254150389 N/A

Pahrump POD Charleston Saira Beg, MD 401217X N/A N/A

Pahrump POD Charleston Robert M Russ, MD 401231W N/A N/A

Pahrump POD Charleston Charles A Wilson, DO 401229F N/A N/A

Pahrump POD Shoshone Stephen Andracki, MD 401216B N/A N/A

Pahrump POD Shoshone Thomas Wiggins, MD 401231S N/A N/A

Pahrump POD Tecopa Irene Barnett, MD 401220G N/A N/A

Pahrump MOB POD Tecopa Troy Schumacher, MD 401217Z N/A N/A

Parkway Lana Dawood, MD 401224A 254150322 Arabic

Parkway Steven R Henderson, PA-C 501003I 254150409 Spanish

Page 6: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

6

myGeneration Providers with Open Panels

myGeneration Senior Clinic Name Provider Name Humana

United (with the exception of Focus Plan)

Additional Languages

Siena Jeffrey DeMoss, DO 401233E 254150414 N/A

Siena Maria Lao, MD 401200S 254150142 Tagalog

Siena Cheryl Veniegas, MD 401224D 254150266 Tagalog

Siena Rose Paul Hamor, MD 401233D 254150415 Tagalog

Siena Rose Donald Wingard, DO 401211S N/A N/A

South Decatur Girish Daulat, DO 401226F 254150037 N/A

Spring Valley Karyn Harries, DO 401200Q 254150139 N/A

Summerlin Sejal Duggal, MD 401224X 254150258 Gujarati

Summerlin Hima Illindala, MD 401220A 254150213 Telugu, Hindi

Summerlin Ioana M Pahlevan, MD 401220S 254150249 Romanian

Summerlin Eun-Mi Park, MD 401224T 254150261 N/A

Summerlin Sana Safaei, MD 401221Q 254150040 N/A

Sun City - HAP Anjali A Rege, MD 401224C N/A Spanish

Sunridge Heights - HAP Ida B Will, APN 501001E N/A Tagalog

Tenaya Kimball Huang, MD 401201G 254150203 Cantonese

Tenaya Leslie Keck, MD 401231R 254150385 N/A

Tenaya Bashar Nakhleh, MD 401226W 254150287 Arabic

Virgin Valley Gilbert Blancarte, MD 401233 254150396 Spanish

Virgin Valley Maile Naomi Akiko Kane, DO 401234G 254150443 N/A

Virgin Valley Frank Seck, DO 401234H 254150444 N/A

West Craig Donna Hufana, MD 401233B 254150412 Tagalog

West Craig Chester Whitley, PA-C 501003B 254150388 N/A

Page 7: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

7

Affiliate Providers with Open Panels

Affiliate Clinic Name Provider Name Humana PCP ID United PCP ID

Advanced Family Medicine Sameera Sbaih, MD 403135A 254150393

Anne Kristensen, MD Anne Kristensen, MD 401040B 254150171

Ascent Primary Care Suresh Prabhu, MD 401223A 254150225

Biliana Darzev, MD, LTD Biliana Darzev, MD 401028 254150177

Dr. Betty Yao Betty H Yao, MD, PC 401031 254150175

Caring Health Center Antonio Serru Paez, MD 403156A 254150004

Decatur Family Practice Stephanie Casalman, DO 401010B 254150136

Desert Family Medicine of Green Valley David Gothelf, DO 401047B 254150181

Diagnostic Center of Medicine Thomas Hess, MD 401222C 254150229

Dignity Health Medical Groups

Inna Zdorovyak, MD 401230H 254150376

Patrick Hong, MD 401230G 254150341

Winner Lee, DO 401230L 254150428

Orlando Martinez-Sosa, MD 254150441 FPO ID

Steven Poertner, MD 401230M 254150438

Family Medical ClinicTierney Tiery, MD 401044C 254150156

Zephyrene Villaluz, MD 401044B 254150031

Genesis Medical Group/ Parkway Urgent Care

Lubna Khan, MD 401042G 254150140

M Paul Singh, MD 401042E 254150182

Internal Medicine Specialists of Southern Nevada

Babak Ghadishah, DO 401001C 254150173

David Rosenstein, MD 401001L 254150353

Page 8: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

8

Affiliate Clinic Name Provider Name Humana PCP ID United PCP ID

Internal Medicine Specialists of Southern Nevada

Gary Grossman, MD 401001A 254150194

Pejman Kharazi, MD 401001N 254150390

Maria Adolfo, MD, LTD Maria Aldolfo, MD 403103A 254150141

Maria Pilar Faylona, MD Maria Pilar Faylona, MD 401073B 254150143

Maria C. Regalado, MD Maria C Regalado, MD 402021 254150427

Marianne Hazelitt, DO Professional Association Marianne Hazelitt, DO 405011 N/A

Meadows Medical Group Mehrdad Tafreshi, MD 401221A 254150224

Nevada Health Centers Inc Darren Rahaman, MD 401005I N/A

Nilofar Kuraishi, MD Nilofar Kuraishi, MD 401039 254150149

Osteopathic Medical Associates of Nevada Peter Licata, DO 401065C 254150186

Paseo Medical Center Behzad Kermani, MD 401008A 254150122

Southern Nevada Medical & Pediatrics Associates, LLC

Camilo Tabora, MD 401013C N/A

Sunset ClinicBadi Eghterafi, DO 403601A 254150404

Mehrdad Ferdowsian, DO 403601C 254150403

Sunset Quick and Primary Care Center

Richard Cunningham, MD 402213U 254150425

Thomas Chen, MD Thomas Chen, MD 401029 254150172

UMC Centennial Primary Care & Quick Care

David Wichman, MD 401069H 254150027

Kaye Cunningham, MD 402213W 254150426

Affiliate Providers with Open Panels

Page 9: Primary Care Providers - HealthCare Partners NevadaNanjunda Subramanyam, MD 401069R 254150010 Rene Mauban, MD 401070V 254150371 Ute Geeb, MD 401213Q 254150248 Western Mountain Medical

9

Affiliate Clinic Name Provider Name Humana PCP ID United PCP ID

UMC Nellis Quick & Primary Care Center

Gerardo Lorenzana, MD 401260A 254150383

Ernesto Rubio, MD N/A N/A

Arganoza-Priess, DO 405023 254150437

UMC Peccole Primary Care Center Richard Mon, MD 402213U 254150425

UMC Southern Highlands Primary Care Center Ferdinand Tan, MD 401216R 254150356

UMC Spring Valley Quick & Primary Care Center

Bernard Bertolome, MD 401069N 254150015

Howard Coker, MD 402213A 254150423

Neelam Almeqbeli, DO 401213O 254150254

UMC Summerlin Quick & Primary Care Center

Nanjunda Subramanyam, MD 401069R 254150010

Rene Mauban, MD 401070V 254150371

Ute Geeb, MD 401213Q 254150248

Western Mountain Medical Center PC

Meena Sherpa, MD 401400C 254150276

Nabila Aslam, MD 401400A 254150242

Affiliate Providers with Open Panels