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Provider / Pharmacy Directory Directorio de Proveedores y
Farmacias 2018 MIAMI-DADE / BROWARD / PALM BEACH
Member Services Department Departamento de Servicios al Afiliado
1-877-577-0115 / TTY: 711 mysimplymedicare.com
This provider/pharmacy directory was updated on 11/2018. For
more recent information or otherquestions, please contact Simply
Healthcare Plans Member Services, at 1-877-577-0115 or, for TTY
users,711, from October 1 to February 14, we are open 7 days a week
from 8 a.m. - 8 p.m., EST. BeginningFebruary 15 until September 30,
we are open Monday through Friday, 8 a.m. - 8 p.m., EST., or visit
www.mysimplymedicare.com. Changes to our provider/pharmacy network
may occur during the benefit year. An updatedProvider/Pharmacy
Directory is located on our website at www.mysimplymedicare.com.
You may also call Member Services for updated provider information.
Este directorio de proveedores y farmacias fue actualizado en
11/2018. Para obtener informacin msreciente o para otras preguntas,
por favor llame a Simply Healthcare Plans Servicios al Afiliado,
al1-877-577-0115 o, para usuarios de TTY 711, desde el 1 de octubre
al 14 de febrero atendemos los 7 das de la semana de 8 a.m. a 8
p.m., hora del Este. A partir del 15 de febrero hasta el 30 de
septiembreatendemos de lunes a viernes de 8 a.m. a 8 p.m., hora del
Este, o visite www.mysimplymedicare.com. Cambios en nuestra red de
proveedores y farmacias pueden ocurrir durante el ao de beneficios.
UnDirectorio de Proveedores y Farmacias actualizado se encuentra en
nuestra pgina web enwww.mysimplymedicare.com. Tambin puede llamar a
Servicios al Afiliado para un listado deproveedores actualizado.
67783FLSENSHP_001 Y0114_18_31942_X_001_NM
http://www.mysimplymedicare.comhttp://www.mysimplymedicare.comhttp://www.mysimplymedicare.comhttp://www.mysimplymedicare.comhttp://mysimplymedicare.com
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Provider/Pharmacy Directory
This directory is current as of November 2018.
This directory provides a list of Simply Healthcare Plans, Inc.
(Simply Healthcare) current network providers and pharmacies.
This directory is for Miami-Dade/Broward/Palm Beach.
To access Simply Healthcares online provider/pharmacy directory,
you can visit www.mysimplymedicare.com. For any questions about the
information contained in this directory (hardcopy or online),
please call our Member Services Department at 1-877-577-0115. From
October 1 to February 14, we are open 7 days a week from 8 a.m. 8
p.m. EST. From February 15 to September 30, we are open Monday
through Friday, 8 a.m. 8 p.m. EST. TTY users should call 711.
The pharmacy network and/or provider network may change at any
time. You will receive notice when necessary.
We do not discriminate, exclude people, or treat them
differently on the basis of race, color, national origin, sex, age
or disability in our health programs and activities. ATENCIN: Si
habla espaol, tiene a su disposicin servicios gratuitos de
asistencia lingstica. Llame al 1-877-577-0115 / TTY: 711.
ATANSYON: Si w pale Kreyl Ayisyen, gen svis d pou lang ki
disponib gratis pou ou. Rele 1-877-577-0115 / TTY: 711.
http://www.mysimplymedicare.com
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Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
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Table of Contents/Contenido Introduction 6 Introduccin 13
Choosing your Primary Care Provider (PCP) 6 Escogiendo su Mdico
de Cabecera (PCP) 13
Referrals 7 Referidos 14
What if you use an out-of-network provider to get covered
services? 7 Qu sucede si recurro a proveedores fuera de la red para
obtener servicios cubiertos? 14
What should you do if you have bills from an out-of network
provider that you think should be paid by Simply Healthcare? 7 Qu
debe hacer si recibe facturas de un proveedor fuera de la red y
considera que deberan ser pagadas por Simply Healthcare? 15
Getting care if you have a medical emergency or an urgent need
for care 7 Como obtener atencin mdica en caso de emergencia o en
caso que necesite atencin de urgencia 15
What is a medical emergency? 7 Qu es una emergencia mdica?
15
What should you do if you have a medical emergency? 8 Qu debe
hacer si tiene una emergencia mdica? 15
Your PCP and Simply Healthcare will help you manage and
follow-up on your emergency care 8 Su PCP y Simply Healthcare le
ayudarn a coordinar y a dar seguimiento a su atencin mdica de
emergencia 15
What is covered if you have a medical emergency? 8 Qu est
cubierto si tiene una emergencia mdica? 16
What if it wasnt really a medical emergency? 9 Qu sucede si no
se trataba realmente de una emergencia mdica? 16
What is urgently needed care? (this is different from a medical
emergency.) 9 Qu es atencin de urgencia? (Esta situacin es
diferente de la emergencia mdica.) 16
What is the difference between a medical emergency and urgently
needed care? 9 Qu diferencia hay entre emergencia mdica y atencin
de urgencia? 17
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Getting urgently needed care when you are in the plans service
area 9 Como obtener atencin de urgencia cuando usted se encuentra
en el rea de servicio del plan 17
Getting urgently needed care when you are outside the plans
service area 9 Como obtener atencin de urgencia cuando usted se
encuentra fuera del rea de servicio del plan 17
What is the service area for Simply Healthcare? 10 Cul es el rea
de servicio de Simply Healthcare? 17
How do you find Simply Healthcare Plan Providers in your area?
10 Cmo puede encontrar proveedores de Simply Healthcare en su rea?
17
Introduction to Pharmacy Information 10 Introduccin a la
Informacin sobre Farmacias 18
Mail-Order availability in your plan 10 La disponibilidad de
Servicio de Farmacia por Correo en su plan 18
How do I get my prescriptions filled if I am a resident of a
Long Term Facility? 11 Cmo hago para que me surtan un medicamento
recetado siendo residente de un Establecimiento de Atencin Mdica
Prolongada (LTC)? 18
How are Home Infusion drugs covered? 11 Cmo cubrimos los
medicamentos de Terapia de Infusin en el Hogar? 18
Primary Care Physicians/Mdico de Cabecera Miami-Dade 20 Broward
239 Palm Beach 381
Specialists/Especialistas Miami-Dade 87 Broward 266 Palm Beach
392
Ancillary/Ancilarios Miami-Dade 190 Broward 350 Palm Beach
437
Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
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Dentists/Dentistas Miami-Dade 202 Broward 358 Palm Beach 441
Hospitals/Hospitales Miami-Dade 217 Broward 363 Palm Beach
457
Skilled Nursing Facilities (SNF)/Centros de enfermera
especializada (SNF) Miami-Dade 219 Broward 364 Palm Beach 458
Retail Pharmacies/Farmacias Minoristas Miami-Dade 221 Broward
365 Palm Beach 459
Chain Pharmacies/Cadena de Farmacias Miami-Dade 234 Broward 376
Palm Beach 464
Mail Order Pharmacy/Farmacias con Servicio de Pedidos por Correo
Miami-Dade 236 Broward 378 Palm Beach 465
Home Infusion Pharmacies/Farmacias Especializadas en Terapia de
Infusin en el Hogar Miami-Dade 237 Broward 379 Palm Beach 466
Long-Term Care Pharmacies/Farmacias Especializadas en Atencin a
Largo Plazo Miami-Dade 238 Broward 380 Palm Beach 467
Index/Indice 468
Zip Code Index/Indice de Cdigo Postal 510
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Section 1 Introduction This directory provides a list of Simply
Healthcares 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 listed in
this directory to be your Primary Care Provider (PCP). Generally,
you must get your health care services from your PCP.
Choosing your Primary Care Provider (PCP)
What is a PCP?
Your PCP is a physician who meets state requirements and is
trained to give you basic medical care. You will receive routine or
basic medical care from your PCP. Your PCP can also coordinate the
rest of the covered services you need. In most cases, you must see
your PCP to get a referral before you see any other healthcare
provider.
How do you choose a PCP?
You are able to select a PCP at the time of enrollment. Review
the Provider/Pharmacy Directory to select the PCP of your choice
and indicate the selection on your enrollment form. If you need
help selecting a PCP, you may visit www.mysimplymedicare.com or
call Member Services (phone numbers are printed on the back and
front cover of this booklet).
You are able to change your PCP at any time. If there is a
particular Plan specialist or hospital you would like to use,
please check with your PCP first to request a referral to that
specialist or ensure your PCP uses that Hospital. The name and
office telephone number of your PCP is printed on your membership
card.
Your PCP can also help you arrange or coordinate your covered
services. This includes x-rays, laboratory tests, therapies,
specialists, hospital admissions, and follow-up care. Your PCP also
contacts other Plan providers for updates about your care and/or
treatment. If you need certain types of covered services or
supplies, your PCP
Miami-Dade/Broward/Palm Beach
must give approval ahead of time. Your PCP must give you a
referral to see a specialist. In some cases, your PCP will also
need to get prior authorization (prior approval). Since your PCP
will provide and coordinate your health care, you should have all
your past medical records sent to your new PCPs office. The law
requires us to protect your privacy of medical records and personal
health information.
How do you change your PCP?
You may change your PCP for any reason at any time. Please note:
change requests received by the 15th day of the month will be
effective as of the 1st of the following month.
To change your PCP, please call Member Services (phone numbers
are printed on the back and front cover of this booklet). When you
call, be sure to tell the Member Services Representative if you are
seeing specialists or getting other covered services that require
your PCPs approval (such as home health services and durable
medical equipment). Member Services will help make sure you can
continue with the specialty care and other services you have been
getting. They will also check that the PCP you wish to switch to is
accepting new patients.
Member Services will change your membership record to show the
name of your new PCP, and will tell you when the change to your new
PCP will take effect. They will also send you a new membership card
that shows the name and phone number of your new PCP.
The network providers listed in this directory have agreed to
provide you with your health care services. 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.
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Referrals
You will receive most of your routine or basic care from your
PCP. However, when a PCP thinks you need specialized treatment, you
will be given a referral to receive these services.
It is important to get a referral from your PCP before you see a
plan specialist. Should you require repeated follow-up with the
specialist, please ensure the referral specifies the need for
follow-up. If you do not have a referral before you receive
services from a specialist, you may be required to pay for the
services.
There are certain services that do not require a referral (only
if services are obtained from a network provider). If you go to an
out-of-network provider you may be required to pay for the
services.
The following services do not require a referral:
Routine womens health care, which includes breast exams,
screening mammograms (X-rays of the breast), Pap tests and pelvic
exams
Flu shots and pneumonia vaccinations Emergency services from
network providers or
from out-of-network providers. Urgently needed services from
network providers
or from out-of-network providers when network providers are
temporarily unavailable or inaccessible, e.g., when you are
temporarily outside of the plans service area.
Kidney dialysis services that you get at a Medicare-certified
dialysis facility when you are temporarily outside the plans
service area. If possible, please call Member Services before you
leave the service area so we can help arrange for you to have
maintenance dialysis while you are away.
You may self-refer to a network specialist for Medicare covered
chiropractic and podiatry services.
You may self-refer to plan providers for certain screening exams
and mandatory supplemental benefits
Please refer to your Evidence of Coverage for additional
information.
What if you use an out-of-network provider to get covered
services?
Out-of-Network providers are providers not contracted with
Simply Healthcare. If you use out-of-network providers, you may
have to pay more.
You must use plan providers except in emergency or urgent care
situations, (including maintenance and post-stabilization care),
ambulance services, renal dialysis (kidney), and any other services
with approval through an appeals process. This includes, getting
care when traveling or away from the Plans service area
(out-ofnetwork).
If you obtain routine care from out-of-network providers,
neither Medicare nor Simply Healthcare will be responsible for the
costs.
What should you do if you have bills from an out-of network
provider that you think should be paid by Simply Healthcare?
We cover certain health care services that you get from an
out-of-network provider. These include care for a medical
emergency, urgently needed care, renal dialysis (kidney) that you
get when you are outside the plans service area, care that has been
approved in advance by Simply Healthcare and any services approved
through an appeals process. If an out-of-network provider asks you
to pay for covered services you get in these situations, please
call Member Services (phone numbers are printed on the back and
front cover of this booklet).
Simply Healthcare will pay your out-of network provider for the
covered services and will let you know if there is anything you
will need to pay.
Getting care if you have a medical emergency or an urgent need
for care
What is a medical emergency?
A medical emergency is when you, or any other prudent layperson
with an average knowledge of health and medicine, believe that you
have medical symptoms that require immediate medical attention
Simply Healthcare Medicare Provider/Pharmacy Directory
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to prevent loss of life, loss of a limb or loss of function of a
limb. The medical symptoms may be an illness, injury, severe pain
or a medical condition that is quickly getting worse.
What should you do if you have a medical emergency?
If you have a medical emergency:
Get medical help as quickly as possible. Call 911 for help or go
to the nearest emergency room, or hospital. You do not need to get
approval or a referral first from your PCP.
Your PCP should be notified as soon as possible of the emergency
because he/she will need to provide follow-up care. Your PCPs
information is on your member ID card.
Your PCP and Simply Healthcare will help you manage and
follow-up on your emergency care
It is important to know that every medical emergency has two
stages.
The first stage begins when the medical emergency occurs and
ends when the doctor(s) or hospital that provides the emergency
care considers your condition stable. However, after your condition
is stabilized, you are still considered in an emergency situation
and Simply Healthcare must still pay for the post-stabilization
treatment provided by the hospital (whether or not this hospital is
a plan provider).
The second stage of the emergency, after your condition is
stabilized is called post-stabilization. Generally, the hospital or
doctors providing emergency care will consult with your PCP. This
helps the plan to arrange for plan providers to take over your care
as soon as your condition and circumstances get better. Once your
PCP takes over your care or agrees with the attending hospitalist
on an appropriate course of action (or once you are discharged if
you are fully recovered), you are no longer in an emergency or
post-stabilization situation.
Although you are past the emergency and post-stabilization
stage, you may still require follow-up care. Your plan will only
pay for follow-up care after the emergency and post-stabilization
if you follow the plan rules. You will need to use plan providers
to get referrals.
What is covered if you have a medical emergency?
You can receive covered emergency medical care whenever you need
it, anywhere in the United States.
Ambulance services are covered in situations where other means
of transportation would endanger your health.
If a member visits a nonparticipating pharmacy provider, for
example in an emergency situation outside the service area, he or
she may be asked to pay for covered services rendered at the time
or may be billed directly for services received. In these
instances, you can ask us to pay you back for our share of the
costs.
Send us your request for payment, along with your bill and
documentation of any payment you have made. Ensure you include your
medical records of the emergency treatment. Foreign language
records must be translated into English. Its a good idea to make a
copy of your bill and receipts for your records.
Member reimbursement requests for medical services must be
submitted no more than six months from the date of service. If your
reimbursement request is for prescription drugs, you have 36 months
from the date the prescription was filled to file a paper
claim.
Mail your request for payment together with any bills or
receipts to us at the following address:
Simply Healthcare Plans, Inc. Attention: Member Services
Department 9250 W. Flagler Street Suite 600 Miami, FL
33174-3460
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Contact Member Services if you have any questions (phone numbers
are printed on the front and back cover of this booklet).
What if it wasnt really a medical emergency?
To have your plan pay for your emergency care, you do not have
to be certain that it is an emergency. For example, you might go in
for emergency care thinking that your health is in serious danger
but the doctor(s) may disagree and not consider this a medical
emergency. If this happens, you are still covered for the
diagnostic treatment and care you received to determine what was
wrong (provided you thought your health was in serious danger, as
explained in the section What is a medical emergency? above).
However, please note that:
If you get any extra care after the doctor says it was not a
medical emergency, we will pay for the extra care only if you
receive this care from a network provider.
If you get any extra care from an out-of-network provider after
the doctor says it was not a medical emergency, your plan will
still pay for it as urgently needed care even though you got this
care outside the service area. Please read below to know how
urgently needed care is defined.
However, if you get any extra care from an out-of- network
provider that is not an emergency or urgently needed care, then you
must pay for this care yourself, as the plan will not pay for this
type of care.
What is urgently needed care? (this is different from a medical
emergency.)
Urgently needed care is a non-emergency situation where you need
medical attention right away for an unforeseen injury or
illness.
What is the difference between a medical emergency and urgently
needed care?
The main difference between a medical emergency and urgently
needed care is the seriousness of the condition and/or the
perceived endangerment of your health.
A medical emergency is when you believe that your health is in
serious danger. Urgently needed care is care that you get for an
unforeseen injury or illness but your health is not considered to
be in serious danger.
Most urgent care may be handled by your PCP. However, if you are
out of the service area and require urgently needed care, Simply
Healthcare will pay for the services.
Getting urgently needed care when you are in the plans service
area
If you have a sudden illness or injury that is not a medical
emergency and you are in the Plans service area, please contact
your PCP. If your PCPs office is closed, please contact the PCPs
after-hour service. If you require TTY access to your PCP, call the
Florida Relay Service 711. If you feel you need immediate medical
attention, please go to the nearest Urgent Care Center or Emergency
Room. Please keep in mind that if you have an urgent need for care
while you are in the Plans service area, you should get this care
from network providers. In most cases, the Plan will not pay for
urgently needed care that you get from an out-of-network provider
while you are in the plans service area.
Getting urgently needed care when you are outside the plans
service area
Simply Healthcare covers urgently needed care that you get from
out-of-network providers when you are outside the Plans service
area. If you need urgent care while you are outside the plans
service area, you should call your PCP. If you are treated for an
urgent condition while out of the service area, we prefer you
return to the service area to get follow-up care through your PCP.
However, we will cover follow-up care that you get from
out-of-network providers outside the Plans service area as long as
the care you are getting still meets the urgently needed care
definition. We also cover renal dialysis (kidney) services that you
get when you are outside the plans service area.
You must use network 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-
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network providers neither Medicare nor Simply Healthcare will be
responsible for the costs.
What is the service area for Simply Healthcare?
The counties in our service area are listed below:
Miami-Dade/Broward/Palm Beach
How do you find Simply Healthcare Providers in your area?
The Provider Directory lists participating providers in the
service area.
Use the index at the back of the directory to locate by provider
name or zip code. Beginning on page 468.
If you have questions about Simply Healthcare Plans, or require
assistance in selecting a PCP, Please call our Member Services
Department toll free at 1-877-577-0115 From October 1 to February
14, we are open 7 days a week from 8 a.m. 8 p.m. EST. From February
15 to September 30, we are open Monday through Friday, from 8 a.m.
8 p.m. EST. TTY users should call 711. You can also visit
www.mysimplymedicare.com.
Introduction to Pharmacy Information This booklet provides a
list of Simply Healthcare Plans, Inc. (Simply Healthcare) network
pharmacies. To get a complete description of your prescription
coverage, including how to fill your prescriptions, please review
the Evidence of Coverage and Simply Healthcare Plans Formulary.
We call the pharmacies on this list our network pharmacies
because we have made arrangements with them to provide prescription
drugs to Plan members. In most cases, your prescriptions are
covered under Simply Healthcare only if they are filled at a
network pharmacy or through our mail order pharmacy service. Once
you go to one pharmacy, you are not required to continue going to
the same pharmacy to fill your prescription but can switch to any
other of our network pharmacies. We will fill prescriptions at
non-network pharmacies under certain circumstances as described in
your Evidence of Coverage.
All network pharmacies may not be listed in this directory.
Pharmacies may have been added or removed from the list after this
directory was printed. This means the pharmacies listed here may no
longer be in our network, or there may be newer pharmacies in our
network that are not listed.
This list is current as of November 2018. For the most current
list, please contact us. Our contact information appears on the
front and back cover pages.
Changes to our pharmacy network may occur during the benefit
year. An updated Pharmacy Directory is located on our website
www.mysimplymedicare.com. You may also call Member Services for
updated information.
Mail-Order availability in your plan
You can get prescription drugs shipped to your home through our
network mail order delivery program. For more
Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
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information, please contact us or see the mail order section of
this pharmacy directory.
Mail-Order is not available for all plans.
How do I get my prescriptions filled if I am a resident of a
Long Term Facility?
Residents of a long-term care facility may access their
prescription drugs covered under Simply Healthcare through the
facilitys long-term care pharmacy or another network long-term care
pharmacy. To get additional information on long-term care pharmacy
services, please call Member Services toll-free (phone numbers are
printed on the back and front cover of this booklet)
How are Home Infusion drugs covered?
Simply Healthcare will cover home infusion therapy if:
Your prescription drug is on our formulary or you have a
formulary exception;
Simply Healthcare Plans has approved your prescription drug for
home infusion therapy; and
Your prescription is written by an authorized prescriber.
If you have questions about any of the above, including for
instructions on how to submit claims for prescriptions that you had
to fill at a non-network pharmacy, please call Member Services
(phone numbers are printed on the back and front cover of this
booklet).
Section 2 List of Network Providers and Pharmacies The
Provider/Pharmacy Directory is organized in the following order:
Primary Care Physicians, Specialists, Ancillaries, Dentists,
Hospitals, Skilled Nursing Facilities (SNF), and Pharmacies.
Network providers are sorted by county and listed in alphabetical
order under their respective medical specialty. If you have
questions about Simply Healthcare, require assistance in selecting
a PCP or dont have a Provider/Pharmacy Directory, please call
Member Services (phone numbers are printed on the back and front
cover of this booklet).
Type of Provider Total Primary Care Physicians 960
Specialists 2414
Ancillaries 294
Dentists 334
Hospitals 30
Skilled Nursing Facilities (SNF) 88
Pharmacies 365
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Directorio de Proveedores y Farmacias
Este directorio fue actualizado noviembre 2018.
Este directorio ofrece una lista de los proveedores y farmacias
de la red de Simply Healthcare Plans, Inc. (Simply Healthcare).
Este directorio es para el rea de servicio de los Condados
Miami-Dade/Broward/Palm Beach.
Para acceder al directorio de proveedores y farmacias de Simply
Healthcare en lnea puede visitar www.mysimplymedicare.com. Si tiene
preguntas acerca de la informacin que aparece en este directorio
(versin impresa o en lnea) por favor llame a nuestro Departamento
de Servicios al Afiliado al 1-877-577-0115. Desde el 1ro de octubre
al 14 de febrero, atendemos 7 das a la semana de 8 a.m. a 8 p.m. A
partir del 15 de febrero al 30 de septiembre, atendemos de lunes a
viernes de 8 a.m. a 8 p.m. Los usuarios de TTY/TDD deben llamar al
711.
La red de farmacias y/o proveedores puede cambiar en cualquier
momento. Usted recibir una notificacin cuando sea necesario.
No discriminamos, excluimos, ni tratamos a las personas de forma
diferente en base a raza, color, nacionalidad, sexo, edad o
discapacidad para nuestros programas de salud y actividades.
ATTENTION: If you speak English, language assistance services,
free of charge, are available to you. Call 1-877-577-0115 / TTY:
711
ATANSYON: Si w pale Kreyl Ayisyen, gen svis d pou lang ki
disponib gratis pou ou. Rele 1-877-577-0115 / TTY: 711.
Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
http://www.mysimplymedicare.com
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Seccin 1 - Introduccin Este directorio ofrece una lista de los
proveedores de la red de Simply Healthcare. Para obtener informacin
detallada sobre su cobertura de atencin mdica, consulte su
Evidencia de Cobertura.
Deber escoger uno de los proveedores de nuestra red incluido en
este directorio como su Mdico de Cabecera (PCP, Primary Care
Provider). Por lo general, usted debe obtener su cobertura de
atencin mdica de su PCP.
Escogiendo a su Mdico de Cabecera (PCP)
Qu es un Mdico de Cabecera? (PCP)
Su PCP cumple con los requisitos estatales y est capacitado para
proveer atencin mdica bsica. Toda la atencin mdica bsica o de
rutina la obtendr de su PCP. Su PCP tambin puede coordinar el resto
de los servicios cubiertos que necesite. En la mayora de los casos,
deber consultar a su PCP para obtener un referido antes de poder
ver a otro proveedor de atencin mdica.
Cmo se selecciona a un PCP?
Usted puede seleccionar a un PCP al momento de afiliarse.
Consulte el Directorio de Proveedores y Farmacias para seleccionar
a un PCP de su preferencia e indique la seleccin en su solicitud de
afiliacin. Si necesita ayuda para seleccionar a un PCP, puede
visitar www.mysimplymedicare.com o comunicarse con nuestro
Departamento de Servicios al Afiliado (Los nmeros de telfono estn
impresos en la portada y contraportada de este folleto).
Usted puede cambiar a su PCP en cualquier momento. Si hay un
especialista u hospital del Plan que desee ver en especial,
verifique primero con su PCP para solicitar un referido a dicho
especialista o asegrese que su PCP use dicho hospital. El nombre y
el nmero telefnico de su PCP estn impresos en su tarjeta de
afiliacin.
Su PCP tambin puede ayudarle a organizar o coordinar sus
servicios cubiertos. Esto incluye las radiografas, los
anlisis de laboratorio, las terapias, la atencin de mdicos
especialistas, las admisiones hospitalarias y la atencin mdica de
seguimiento. Su PCP tambin est en contacto con otros proveedores
del Plan para mantenerse actualizado sobre su atencin mdica o
tratamiento. Su PCP debe dar aprobacin anticipadamente si usted
necesita ciertos tipos de suministros o servicios cubiertos. Su PCP
debe darle un referido para ver a un especialista. En algunos
casos, su PCP tambin necesitar obtener una autorizacin previa (o
aprobacin por anticipado). Dado que su Mdico de Cabecera proveer y
coordinar su atencin mdica, usted deber enviar su expediente mdico
anterior y dems registros al consultorio de su nuevo PCP. La ley
nos exige proteger la privacidad de su expediente mdico y su
informacin personal de salud.
Cmo cambiar a su PCP?
Usted puede cambiar de PCP por cualquier razn y en cualquier
momento. Por favor tenga en cuenta que las solicitudes de cambio
que lleguen a partir del 15 del mes entrarn en vigor el primer da
del mes siguiente.
Para cambiar su PCP, comunquese con nuestro departamento de
Servicios al Afiliado (Los nmeros de telfono estn impresos en la
portada y contraportada de este folleto).
Cuando llame, asegrese de informar al representante del
Departamento de Servicios para Afiliados si est consultando algn
especialista o si est recibiendo servicios cubiertos que requieran
aprobacin de su PCP, (tales como, servicios de atencin mdica en el
hogar y suministro de equipo mdico duradero). El Departamento de
Servicios para Afiliados le ayudar a garantizar que siga obteniendo
la misma atencin mdica especializada y otros servicios que est
recibiendo en el momento. Tambin verificar si el Mdico de Cabecera
al que desea cambiar est aceptando nuevos pacientes.
El Departamento de Servicios para Afiliados modificar su
registro de afiliacin para que incluya el nombre de su nuevo mdico
y le dir en que momento entrar en vigor el cambio. Tambin le enviar
una nueva tarjeta de
Simply Healthcare Medicare Provider/Pharmacy Directory
Miami-Dade/Broward/Palm Beach
http://www.mysimplymedicare.com
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afiliacin con el nombre y el nmero telefnico de su nuevo
PCP.
Los proveedores del plan en este directorio han acordado
suministrar cobertura de atencin mdica a los afiliados. Usted puede
consultar a cualquiera de nuestros proveedores de la red incluidos
en este directorio. Sin embargo, es posible que algunos servicios
requieran de un referido. Si ha estado recibiendo atencin mdica de
un proveedor de la red, usted no tiene obligacin de seguir
consultando al mismo proveedor. En algunos casos, puede obtener
servicios cubiertos de proveedores fuera de nuestra red.
Referidos
La mayor parte de la atencin mdica bsica o de rutina la obtendr
de su Mdico de Cabecera. Sin embargo, cuando un PCP considera que
un afiliado necesita tratamiento especializado, le dar un referido
para recibir dichos servicios.
Es importante obtener un referido de su PCP antes de consultar a
un especialista del plan. Si requiere seguimiento continuo con el
especialista, asegrese de que el referido especifique la necesidad
de dicho seguimiento. Si no tiene un referido antes de recibir
servicios de un especialista, es posible que usted tenga que pagar
dichos servicios.
Hay algunos servicios que no requieren un referido (solo si los
servicios se obtienen de un proveedor de la red). Si usted va con
un proveedor fuera de la red, es posible que tenga que pagar esos
servicios.
Los siguientes servicios no requieren un referido.
Exmenes de rutina para el bienestar de la mujer que incluye
exmenes de senos, pruebas de mamografa (radiografas de los senos),
pruebas de Papanicolaou y exmenes plvicos.
Vacunas contra el flu y la neumona. Servicios de emergencia que
reciba dentro o
fuera de la red del plan. Atencin de urgencia, que reciba dentro
de la red
de plan o fuera de la red cuando proveedores de
la red no estn disponible, por ejemplo cuando usted se encuentre
fuera del rea de servicio.
Servicios de dilisis renal que recibe de una institucin de
dilisis certificada por Medicare cuando se encuentre temporalmente
fuera del rea de servicio del plan. Si es posible, por favor
comunquese con nuestro departamento de servicio al afiliado antes
de viajar fuera del rea de servicio del plan para ayudarle a
coordinar dilisis de mantenimiento mientras est fuera del rea de
servicio del plan.
Puede auto-referirse a especialistas de la red para servicios de
quiroprctica y podologa cubiertos por Medicare.
Puede auto-referirse a un proveedor del plan para ciertas
pruebas y beneficios suplemntales requeridos.
Por favor vea su Evidencia de Cobertura para ms informacin.
Qu sucede si recurro a proveedores fuera de la red para obtener
servicios cubiertos?
Los proveedores fuera de la red no tienen contrato con Simply
Healthcare. Si usa un proveedor fuera de la red, es posible que
tenga que pagar ms.
Debe usar los proveedores del plan excepto en situaciones de
emergencia o de atencin de urgencia (incluyendo el cuidado de
mantenimiento y la atencin mdica posterior a la estabilizacin),
servicios de ambulancia, dilisis renal y cualquier otro servicio
que haya sido aprobado mediante un proceso de apelacin. Esto
incluye recibir atencin cuando viaje o est fuera del rea de
servicio del Plan (fuera de la red).
Si obtiene atencin de rutina de proveedores fuera de la red, ni
Medicare ni Simply Healthcare se responsabilizarn de los
costos.
Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
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Qu debe hacer si recibe facturas de un proveedor fuera de la red
y considera que deberan ser pagadas por Simply Healthcare?
Nosotros cubrimos algunos servicios de atencin mdica que usted
obtiene de proveedores fuera de la red del plan. Estos servicios
incluyen atencin mdica de emergencia, atencin de urgencia, dilisis
renal que se obtiene al estar fuera del rea de servicio del plan,
la atencin mdica que Simply Healthcare haya aprobado previamente, y
los servicios aprobados mediante un proceso de apelacin. Si un
proveedor fuera de la red del plan le pide pagar los servicios
cubiertos obtenidos en estas situaciones, comunquese con nosotros
llamando al Departamento de Servicios al Afiliado (Los nmeros de
telfono estn impresos en la portada y contraportada de este
folleto).
Simply Healthcare pagar los servicios cubiertos a su proveedor
fuera de la red y le har saber si usted debe pagar algn saldo.
Como obtener atencin mdica en caso de emergencia o en caso que
necesite atencin de urgencia
Qu es una emergencia mdica?
Una "emergencia mdica" es cuando usted, o cualquier otro
prudente con un conocimiento promedio de salud y medicina, cree que
usted tiene sntomas mdicos que requieren atencin mdica inmediata
para evitar la prdida de la vida, la prdida de una extremidad o la
prdida de la funcin de una extremidad. Los sntomas mdicos pueden
ser una enfermedad, una lesin, dolor intenso o una condicin mdica
que empeora rpidamente.
Qu debe hacer si tiene una emergencia mdica?
Si tiene una emergencia mdica:
Busque ayuda mdica tan pronto como le sea posible. Llame al 911
para solicitar asistencia o vaya a una sala de emergencias u
hospital ms cercano. No necesita autorizacin por adelantado ni un
referido de su PCP.
Su PCP debe ser notificado cuanto antes de la emergencia para
que l/ella pueda proporcionar la atencin mdica de seguimiento. La
informacin de su PCP est en su tarjeta de identificacin del
afiliado.
Su PCP y Simply Healthcare le ayudarn a coordinar y a dar
seguimiento a su atencin mdica de emergencia
Es importante saber que cada caso de emergencia mdica tiene dos
etapas.
La primera etapa inicia cuando surge la emergencia mdica y
termina cuando los mdicos u hospitales que proporcionan la atencin
mdica deciden que su estado de salud es estable. No obstante,
despus de estabilizar su estado de salud, an se considera que usted
est en una situacin de emergencia y Simply Healthcare debe seguir
cubriendo el tratamiento posterior a la estabilizacin que
suministre el hospital (sin importar si dicho hospital es proveedor
del plan o no).
La segunda etapa de la emergencia mdica, que corresponde a la
estabilizacin de su estado de salud, recibe el nombre de pos
estabilizacin. Generalmente, los hospitales o mdicos que ofrecen la
atencin mdica de emergencia consultarn con su PCP. Esto ayudar a
que el plan pueda organizar a los proveedores del plan que se
encargarn de su atencin mdica tan pronto como su estado de salud y
las circunstancias mejoren. Una vez que su Mdico de Cabecera se
haga cargo de su atencin mdica o est de acuerdo con el internista
tratante sobre el curso apropiado de tratamiento (o cuando se le d
el alta si se ha recuperado por completo), usted ya no estar en una
situacin de emergencia ni de pos-estabilizacin.
Aunque ya haya superado la emergencia y la etapa de
pos-estabilizacin, es posible que an requiera atencin mdica de
seguimiento. Su plan solo pagar la atencin mdica de seguimiento
despus de una emergencia mdica y la pos-estabilizacin si usted
sigue las reglas del plan. Deber recurrir a los proveedores del
plan para obtener los referidos que sean necesarios.
Simply Healthcare Medicare Provider/Pharmacy Directory
Miami-Dade/Broward/Palm Beach
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Qu est cubierto si tiene una emergencia mdica?
Usted puede recibir atencin mdica de emergencia cubierta en
cualquier momento que lo necesite y en cualquier parte de Estados
Unidos.
Los servicios de ambulancia estn cubiertos en situaciones donde
otros medios de transporte puedan poner en riesgo su salud.
Si un afiliado visita una farmacia no participante, por ejemplo,
en una situacin de emergencia fuera del rea de servicio, l o ella
puede ser que tenga que pagar por los servicios prestados, o puede
ser facturado directamente por los servicios que reciba. En estos
casos puede solicitarnos que le reembolsemos la parte del costo que
nos corresponde.
Envenos su solicitud de pago, junto con su factura y la
documentacin de cualquier pago que haya realizado. Asegrese de
incluir expedientes mdicos del tratamiento de emergencia. Los
documentos deben estar traducidos al ingls. Es recomendable que
saque copias de la factura y los recibos para sus archivos.
Solicitudes de reembolso a los miembros por servicios mdicos
deben presentarse a ms tardar seis meses a partir de la fecha de
servicio. Si su solicitud de reembolso es por medicamentos
recetados, tiene 36 meses a partir de la fecha en que la receta fue
llenada para presentar un reclamo.
Enve su solicitud por correo junto con cualquier factura o
recibo a la siguiente direccin:
Simply Healthcare Plans, Inc. Attention: Member Services
Department 9250 W. Flagler Street Suite 600 Miami, FL
33174-3460
Pngase en contacto con nuestro departamento de Servicios al
Afiliado si tiene alguna pregunta (Los nmeros de telfono estn
impresos en la portada y contraportada de este folleto).
Qu sucede si no se trataba realmente de una emergencia
mdica?
Para que su plan cubra una emergencia mdica, usted no necesita
saber con certeza que se trata realmente de una emergencia. Por
ejemplo, es posible que usted vaya a una sala de emergencias
pensando que su salud est en grave peligro pero los mdicos no estn
de acuerdo y consideran que no se trata de una emergencia mdica. Si
esto llega a suceder, usted seguir teniendo cobertura por el
diagnstico, el tratamiento y la atencin mdica recibida para
determinar cul era el problema (siempre y cuando usted haya
considerado que su salud corra grave peligro como se explica en la
seccin anterior Qu es una emergencia mdica?)
Sin embargo, tenga en cuenta lo siguiente:
Si obtiene atencin mdica adicional despus de que el mdico haya
determinado que no se trataba de una emergencia mdica, nosotros
pagaremos dicha atencin solamente si la recibe de un proveedor de
la red.
Si obtiene atencin mdica adicional de un proveedor fuera de la
red despus de que el mdico haya dicho que no se trataba de una
emergencia mdica, su plan seguir pagando los servicios como atencin
de urgencia aunque usted los haya recibido fuera del rea de
servicio. Lea la seccin que sigue para saber cmo se define la
atencin de urgencia.
No obstante, si obtiene atencin mdica adicional de un proveedor
fuera de la red y no se trata de una emergencia mdica ni de atencin
de urgencia, usted deber pagar los servicios ofrecidos porque el
plan no dar cobertura a este tipo de atencin.
Qu es atencin de urgencia? (Esta situacin es diferente a la
emergencia mdica.)
La atencin de urgencia es una situacin que no es de emergencia
en la que usted necesita pronta atencin mdica por una enfermedad o
lesin imprevista.
Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
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Qu diferencia hay entre emergencia mdica y atencin de
urgencia?
La diferencia principal entre la emergencia mdica y la atencin
de urgencia es la gravedad de la situacin o la percepcin del
peligro que corre su salud.
Una emergencia mdica surge cuando usted considera que su salud
est en grave peligro. La atencin de urgencia es el cuidado que
recibe por una enfermedad o lesin imprevista pero no se considera
que su salud est en grave peligro.
Su PCP puede tratar la mayora de casos de atencin de urgencia.
No obstante, si est fuera del rea de servicio y requiere atencin de
urgencia; Simply Healthcare pagar los servicios.
Como obtener atencin de urgencia cuando usted se encuentra en el
rea de servicio del plan
Si tiene una enfermedad o lesin repentina, que no se trata de
una emergencia mdica y est dentro del rea de servicio del Plan, por
favor comunquese con su PCP. Si el consultorio de su PCP est
cerrado, comunquese con el servicio de atencin fuera del horario de
trabajo de su PCP. Si usted requiere acceso a TTY para comunicarse
con su PCP, marque 711, el servicio de Florida Relay. Si cree que
necesita atencin mdica inmediata, vaya al Centro de Atencin de
Urgencia o Sala de Emergencia ms cercana. Tenga presente que si
necesita atencin mdica con urgencia mientras est en el rea de
servicio del Plan, deber obtener dicha atencin de proveedores del
plan. En la mayora de casos el Plan no pagar la atencin mdica de
urgencia que obtenga de un proveedor fuera de la red si se
encuentra dentro del rea de servicio del plan.
Como obtener atencin de urgencia cuando usted se encuentra fuera
del rea de servicio del plan
Simply Healthcare cubre atencin de urgencia que reciba de
proveedores fuera de la red cuando se encuentre fuera del rea de
servicio del Plan. Si necesita atencin mdica de urgencia cuando est
fuera del rea de servicio del plan, deber comunicarse con su PCP.
Si recibe
tratamiento por una condicin mdica que requiera atencin de
urgencia mientras est fuera del rea de servicio, preferiramos que
regrese al rea de servicio para que reciba la atencin mdica de
seguimiento de su PCP. No obstante, cubriremos la atencin mdica de
seguimiento que reciba de proveedores no participantes mientras est
fuera del rea de servicio del Plan siempre y cuando la atencin que
est recibiendo siga estando acorde con la definicin de atencin de
urgencia. Tambin cubriremos los servicios de dilisis renal (rin)
que reciba cuando se encuentre fuera del rea de servicio del
plan.
Usted debe usar los proveedores de la red del plan, excepto en
el caso de necesitar atencin mdica de emergencia o de urgencia, o
servicios de dilisis renal u otros servicios fuera del rea de
cobertura. Si obtiene atencin de rutina de proveedores fuera de la
red, ni Medicare ni Simply Healthcare se responsabilizarn de los
costos.
Cul es el rea de servicio de Simply Healthcare?
A continuacin se indica(n) el/los condado(s) incluido(s) en
nuestra rea de servicio:
Miami-Dade/Broward/Palm Beach.
Cmo puede encontrar proveedores de Simply Healthcare en su
rea?
El Directorio de Proveedores contiene a los proveedores
participantes en el rea de servicio.
Use el ndice al final del directorio para localizar proveedores
por nombre o cdigo postal. Comienza en la pgina 468.
Si tiene preguntas sobre Simply Healthcare Plans, o necesita
ayuda para seleccionar un PCP, llame a nuestro Departamento de
Servicios al Afiliado sin cargo al 1-877577-0115 (TTY 711). Desde
el 1ro de octubre al 14 de febrero, atendemos 7 das a la semana de
8 a.m. a 8 p.m. A partir del 15 de febrero al 30 de septiembre,
atendemos de lunes a viernes de 8 a.m. a 8 p.m. Los usuarios de
TTY/TDD deben llamar al 711. Tambin puede visitar
www.mysimplymedicare.com.
Simply Healthcare Medicare Provider/Pharmacy Directory
Miami-Dade/Broward/Palm Beach
http://www.mysimplymedicare.com
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Introduccin a la Informacin sobre Farmacias Este directorio
ofrece una lista de las farmacias de la red de Simply Healthcare
Plans, Inc. (Simply Healthcare). Si desea conocer la descripcin
completa sobre su cobertura de medicamentos recetados y qu hacer
para que le surtan sus recetas, consulte la Evidencia de Cobertura
y el Formulario de Simply Healthcare.
Hemos nombrado a las farmacias en esta lista farmacias de la red
por las negociaciones hechas con ellas para que suministren
medicamentos recetados a los afiliados del Plan. En la mayora de
casos, sus medicamentos recetados estn cubiertos por Simply
Healthcare Plans nicamente si han sido surtidos por una farmacia de
la red o a travs de nuestro servicio de farmacia por correo. Una
vez que vaya a una farmacia, usted no est obligado a seguir yendo a
esa misma farmacia para que le surtan sus medicamentos recetados.
Puede ir a cualquiera de las farmacias de nuestra red. Nosotros
surtiremos los medicamentos recetados en farmacias fuera de la red
bajo ciertas circunstancias, como se describe en su Evidencia de
Cobertura.
Es posible que este directorio no incluya todas las farmacias
dentro de la red. Puede que se hayan aadido o eliminado farmacias
de la lista desde la publicacin de este directorio. Esto significa
que es posible que las farmacias aqu listadas ya no estn en nuestra
red o puede que se hayan aadido farmacias que no aparezcan
listadas.
Este listado fue actualizado noviembre 2018. Para obtener un
listado ms actualizado, comunquese con nosotros. Nuestra informacin
de contacto aparece en la portada y contraportada de este
folleto.
Cambios a nuestra red de farmacias puede ocurrir durante el
periodo de beneficio. Puede acceder un directorio actualizado en
nuestro sitio web www.mysimplymedicare.com Tambin puede llamar a
nuestro Departamento de Servicios al Afiliado para informacin
actualizada.
La disponibilidad de Servicio de Farmacia por Correo de su
Plan
Sus recetas pueden ser enviadas a su hogar mediante el programa
de Servicio de Farmacia por Correo. Para ms informacin pngase en
contacto con nosotros o vea la seccin de Servicio de Farmacia por
Correo de este directorio.
El Servicio de Farmacia por Correo no est disponible en todos
los planes.
Cmo hago para que me surtan un medicamentorecetado siendo
residente de un Establecimiento de Atencin Mdica Prolongada
(LTC)?
Los residentes en establecimientos de atencin mdica prolongada
pueden obtener sus medicamentos recetados cubiertos por Simply
Healthcare Plans en la farmacia especializada en atencin a largo
plazo de dicho establecimiento o en otra farmacia especializada en
atencin a largo plazo de la red. Para obtener informacin adicional
sobre las farmacias especializadas en atencin a largo plazo,
comunquese con nuestro Departamento de Servicios al Afiliado sin
cargo (Los nmeros de telfono estn impresos en la portada y
contraportada de este folleto).
Cmo cubrimos los medicamentos de Terapia de Infusin en el
Hogar?
Simply Healthcare cubrir la terapia de infusin en el hogar en
estos casos:
Su medicamento recetado est en nuestro formulario o usted tiene
una excepcin al formulario
Simply Healthcare Plans ha aprobado su medicamento recetado para
la terapia de infusin en el hogar, y
Su medicamento ha sido recetado por un mdico certificado.
Si tiene preguntas acerca de los servicios descritos
anteriormente, incluyendo instrucciones de como someter
Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
http://www.mysimplymedicare.com
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reclamos por recetas que usted tuvo que llenar en una farmacia
fuera de la red, comunquese con nuestro Departamento de Servicios
al Afiliado (Los nmeros de telfono estn impresos en la portada y
contraportada de este folleto).
Seccin 2 Listado de Proveedores y Farmacias de la Red El
Directorio de Proveedores y Farmacias est organizado en el
siguiente orden: Mdicos de Cabecera (PCP), Especialistas,
Ancilarios, Dentistas, Hospitales, Centros de enfermera
especializada (SNF), y farmacias. Los proveedores de la red estn
ordenados por condado y aparecen en orden alfabtico bajo su
especialidad mdica respectiva. Si usted tiene preguntas acerca de
Simply Healthcare, necesita ayuda para seleccionar un PCP o no
tiene un Directorio de Proveedores y Farmacias, por favor llame a
nuestro Departamento de Servicios al Afiliado (Los nmeros de
telfono estn impresos en la portada y contraportada de este
folleto).
Tipo de Proveedor Total Mdico de Cabecera (PCP) 960
Especialistas 2414
Ancilarios 294
Dentistas 334
Hospitales 30 Centros de enfermera especializada(SNF)
88
Farmacias 365
Simply Healthcare Medicare Provider/Pharmacy Directory
Miami-Dade/Broward/Palm Beach
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20 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar
Abreu, Rafael MDRafael Abreu MD PA 700 E 25th St Hialeah, FL
33013Office Phone: (305) 392-0380P01716824 - P01840401 Accepting
New Members: YTermination Date:
Acebo, Waldo MDWaldo Acebo MD PA 9851 NW 58th St Unit 125 Doral,
FL 33178Office Phone: (305) 403-1035P01733518 - P01843935 Accepting
New Members: YTermination Date:
Acosta, Ileana MDCano Health LLC 6801 SW 8th St Miami, FL
33144Office Phone: (786) 871-7171P01795459 - P01829029 Accepting
New Members: YTermination Date:
Albites, Francisco MDPrimenet Medical Management Inc9000 SW
137th Ave Ste 115 Miami, FL 33186Office Phone: (305)
387-1981P01712086 - P01712093 Accepting New Members: YTermination
Date:
Alonso Barrueco, Emma R MDClinical Care Network Inc 3091 Coral
WayCoral Gables, FL 33145Office Phone: (305) 649-6077P01729684 -
P01724523 Accepting New Members: YTermination Date:
4765 W 8th Ave 2nd Fl Hialeah, FL 33012Office Phone: (305)
556-0789P01729684 - P01802944 Accepting New Members: YTermination
Date:
Alvarez-Rohena, Mariali MDMiami Beach Medical Consultants LLC
1200 Alton Rd Miami Beach, FL 33139Office Phone: (305)
534-0076P01787360 - P01787105 Accepting New Members: YTermination
Date:
12550 Biscayne Blvd Ste 100North Miami, FL 33181Office Phone:
(305) 899-7090P01787360 - P01844999 Accepting New Members:
YTermination Date:
151 NW 11th St Ste E102 Homestead, FL 33030Office Phone: (305)
248-4877P01787360 - P01787347 Accepting New Members: YTermination
Date:
551 E 49th St Ste 1-8 Hialeah, FL 33013Office Phone: (305)
534-0076P01787360 - P01787348 Accepting New Members: YTermination
Date:
7500 SW 8th St Ste 101-104 Miami, FL 33144Office Phone: (305)
534-0076P01787360 - P01787349 Accepting New Members: YTermination
Date:
Anderson-Worts, Paula DONova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P0000551 - P01762318 Accepting New Members: YTermination
Date:
Arce-Nunez, Esperanza MDGlez and Glez Medical Center 3804 NW
167th St Miami Gardens, FL 33054Office Phone: (305)
624-2700P0000226 - P01712987 Accepting New Members: YTermination
Date: Kendall South Medical Center Inc 14740 SW 26th St Miami, FL
33185Office Phone: (305) 388-1118P0000226 - P01822214 Accepting New
Members: YTermination Date: Universal Medical Group of North Miami
Beach Inc 17064 W Dixie HwyNorth Miami Beach, FL 33160Office Phone:
(305) 650-1942P0000226 - P01789005 Accepting New Members:
NTermination Date:
Arteaga, Juan F MDMedical Consultants of Florida LLC 21110
Biscayne Blvd Ste 203Miami, FL 33180Office Phone: (305)
948-9595P0001365 - P01842394 Accepting New Members: YTermination
Date:
Also accepts Medicaid/Tambin acepta Medicaid Specializes in
Simply Care/ComfortSe especializa en Simply Care/Comfort
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
-
21 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Augustin, Jean M MDDixie Medical Center Inc 12429 W Dixie
HwyNorth Miami, FL 33161Office Phone: (305) 981-7657P01702869 -
P01758049 Accepting New Members: YTermination Date:
Baker, Jeffrey T DOSPP Rehabilitation Inc 1408 NE 1st Ave
Homestead, FL 33030Office Phone: (305) 242-1399P01790228 -
P01822735 Accepting New Members: YTermination Date:
Baksh-Deen, Fareeda S MDNova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01829606 - P01762318 Accepting New Members: YTermination
Date:
Barber, Tye DONova Southeastern University Inc1750 NE 167th St
North Miami Beach, FL 33162Office Phone: (954) 262-4100P0000806 -
P0002237 Accepting New Members: YTermination Date:
Bardinas, Rogelio O MDCano Health LLC 311 NE 8th St Ste 101
Homestead, FL 33030Office Phone: (305) 441-9700P01714272 -
P01843986 Accepting New Members: YTermination Date:
6801 SW 8th St Miami, FL 33144Office Phone: (786)
871-7171P01714272 - P01829029 Accepting New Members: YTermination
Date:
Bardisa, Roselind DOPrimehealth Physicians LLC7374 SW 93rd Ave
Miami, FL 33173Office Phone: (305) 661-2002P01723596 - P01801391
Accepting New Members: YTermination Date:
Barrocas, Ana M MDNew Life Medical Institute 861 SW 8th St
Miami, FL 33130Office Phone: (305) 857-9800P01718193 - P01821484
Accepting New Members: YTermination Date:
Bencomo, Rosabel M MDRosabel M Bencomo MD PA 6020 Bird Rd Miami,
FL 33155Office Phone: (786) 222-8807P01764621 - P01791740 Accepting
New Members: YTermination Date:
Benitez, Wilfrido MDFlorida Physicians Group Inc686 E 49th St
Hialeah, FL 33013Office Phone: (305) 824-8582P01705155 - P01705152
Accepting New Members: YTermination Date:
Benoit, Joachim J MDSunrise Medical Center PA 5211 NE 2nd Ave
Miami, FL 33137Office Phone: (305) 751-1293P01712790 - P01850220
Accepting New Members: YTermination Date:
Berio, Angel F MDAngel F Berio MD PA782 NW 42nd Ave Ste 340
Doral, FL 33126Office Phone: (305) 461-4559P0001337 - P01720552
Accepting New Members: YTermination Date:
Bermudez, Lidia R MDBermudez Medical Center Corp7376 NW 35th Ter
Miami, FL 33122Office Phone: (305) 805-6903P01776333 - P01810406
Accepting New Members: YTermination Date:
Bermudez, Roberto MDRoberto Bermudez MD PA 27104 S Dixie
HwyNaranja, FL 33032Office Phone: (305) 247-0018P01704867 -
P01830108 Accepting New Members: YTermination Date:
Bien-Aime, Tony MDAcadia Medical Center PA 19503 NW 57th Ave
Miami Gardens, FL 33055Office Phone: (305) 621-8080P01825264 -
P01837598 Accepting New Members: YTermination Date:
Also accepts Medicaid/Tambin acepta Medicaid
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
-
Also accepts Medicaid/Tambin acepta Medicaid
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
22 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Bosa Osorio, Edwin MDCommunity Health of South FloridaInc 10300
SW 216th St Miami, FL 33190Office Phone: (305) 252-4880P01722005 -
P0002260 Accepting New Members: NTermination Date:
13540 SW 135th Ave Miami, FL 33186Office Phone: (305)
253-5100P01722005 - P01784568 Accepting New Members: NTermination
Date:
13600 SW 312th St Homestead, FL 33090Office Phone: (305)
242-6069P01722005 - P01718104 Accepting New Members: NTermination
Date:
13805 SW 264th St Naranja, FL 33030Office Phone: (305)
253-5100P01722005 - P01718100 Accepting New Members: NTermination
Date:
18255 Homestead Ave Miami, FL 33157Office Phone: (305)
234-7676P01722005 - P0002472 Accepting New Members: NTermination
Date:
19300 SW 376th St Florida City, FL 33030Office Phone: (305)
246-4607P01722005 - P01718101 Accepting New Members: NTermination
Date:
3831 Grand Ave Coconut Grove, FL 33133Office Phone: (786)
245-2700P01722005 - P01734251 Accepting New Members: YTermination
Date:
6350 Sunset Dr Coral Gables, FL 33143Office Phone: (786)
293-5500P01722005 - P01759354 Accepting New Members: NTermination
Date:
810 W Mowry DrHomestead, FL 33030Office Phone: (305)
248-4334P01722005 - P0002208 Accepting New Members: NTermination
Date:
Braceras, Ines M MDInteramerican Medical Center Group LLC 4155
SW 130th Ave Miami, FL 33175Office Phone: (305) 455-3500P01711976 -
P01711328 Accepting New Members: YTermination Date:
Brito, Hilda M MDHilda M Brito MD PA 14285 SW 42nd St Ste 209
Miami, FL 33175Office Phone: (305) 220-6917P01741771 - P01847797
Accepting New Members: YTermination Date:
Brito, Juan L MDCano Health LLC 311 NE 8th St Ste 101 Homestead,
FL 33030Office Phone: (305) 441-9700P01849640 - P01843986 Accepting
New Members: YTermination Date:
Brown, Thomas P DONova Southeastern University Inc1750 NE 167th
St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01790656
- P01762318 Accepting New Members: YTermination Date:
Bryan, Anique MDMiami International Cardiology Consultants Inc
3801 Biscayne Blvd Ste 300Miami, FL 33137Office Phone: (305)
571-0620P01729117 - P01813074 Accepting New Members: YTermination
Date:
Cantave, Hubert MDF & N Provider Services Inc 843 NW 119th
St Miami, FL 33168Office Phone: (305) 846-9789P01717307 - P01758679
Accepting New Members: YTermination Date:
Cardenas, Jose J MDUniversity Health Care Flagler Inc8420 W
Flagler St Ste 120Miami, FL 33144Office Phone: (305)
207-4443P01778475 - P01711265 Accepting New Members: YTermination
Date: University Health Care Hialeah Inc1700 W 68th St Hialeah, FL
33014Office Phone: (305) 556-6459P01778475 - P01810278 Accepting
New Members: YTermination Date: University Health Care North Shore
Inc 1210 NW 95th St Miami, FL 33147Office Phone: (305)
691-1820P01778475 - P01841402 Accepting New Members: YTermination
Date:
-
Specializes in Simply Care/Comfort Also accepts Medicaid/Tambin
acepta Medicaid Se especializa en Simply Care/Comfort
Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
23 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Cardenas, Jose J MD (continued) University Health Care
WestchesterInc 1695 SW 107th Ave Miami, FL 33165Office Phone: (305)
207-4443P01778475 - P01713435 Accepting New Members: YTermination
Date:
Carpio, Maria E MDInteramerican Medical Center Group LLC 4155 SW
130th Ave Miami, FL 33175Office Phone: (305) 455-3500P01846672 -
P01711328 Accepting New Members: YTermination Date:
Carrasquilla, Ivan G MDPrimehealth Physicians LLC370 Minorca Ave
2nd Fl Coral Gables, FL 33134Office Phone: (305) 443-3001P01737926
- P01772767 Accepting New Members: YTermination Date:
Carrodeguas, Lester MDFlorida International University800 SW
108th Ave Ste 100 Miami, FL 33174Office Phone: (305)
348-3627P01733045 - P01797379 Accepting New Members: YTermination
Date:
Castano, Luis MDDoctors Medical Center Inc 1272 NW 119th St
Miami, FL 33167Office Phone: (305) 685-5688P0000593 - P0002239
Accepting New Members: YTermination Date:
20215 NW 2nd Ave Ste 1 Miami, FL 33169Office Phone: (305)
652-4542P0000593 - P0002265 Accepting New Members: YTermination
Date:
7900 NW 27th Ave Ste 150 Miami, FL 33147Office Phone: (305)
685-5688P0000593 - P0002224 Accepting New Members: YTermination
Date:
Cespedes, Juan MDStylet Healthcare PA1380 NE Miami Gardens Dr
Ste 132 Miami, FL 33179Office Phone: (305) 956-7755P01714043 -
P01842858 Accepting New Members: YTermination Date:
Cherner, Rebeca M DONova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P0000965 - P0002237 Accepting New Members: YTermination
Date:
Clarke, Dayna MDDonovan D Taylor MD LLC250 NW 183rd St Miami
Gardens, FL 33169Office Phone: (305) 655-0702P01727968 - P01827987
Accepting New Members: YTermination Date:
Cohen, Darren J DONova Southeastern University Inc1750 NE 167th
St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01713605
- P0002237 Accepting New Members: YTermination Date:
Coke, Timothy J MDUnited Medcare LLC 1651 W 37th St Hialeah, FL
33012Office Phone: (786) 615-6778P01762250 - P01823231 Accepting
New Members: YTermination Date:
Cosby, John L DOGeneral Care Center Inc 7805 Coral Way Ste
101Miami, FL 33155Office Phone: (305) 229-0736P01795043 - P01769596
Accepting New Members: YTermination Date:
Dally, Alfredo MDD & D Medical Group LLC7650 W Flagler
StMiami, FL 33144Office Phone: (305) 269-8099P0001321 - P01727223
Accepting New Members: YTermination Date:
De Armas Palomera, Ricardo MDDoctors Medical Center Inc 4580 SW
8th St Coral Gables, FL 33134Office Phone: (305) 441-8191P0001345 -
P01796402 Accepting New Members: YTermination Date:
777 E 25th St Ste 118 Hialeah, FL 33013Office Phone: (305)
819-6666P0001345 - P01772659 Accepting New Members: YTermination
Date:
-
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
24 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
De La Cruz, Fernando MDFernando De La Cruz MD 1435 W 49th Pl Ste
406 Hialeah, FL 33012Office Phone: (305) 557-7366P01763468 -
P01808462 Accepting New Members: YTermination Date:
De Leon, Lester M MDLester De Leon MD PA 10260 SW 56th St Ste
103 Miami, FL 33165Office Phone: (786) 360-4425P01787409 -
P01840311 Accepting New Members: YTermination Date:
Del Pino, Virgilio MDVirgilio Del Pino MD PA351 NW 42nd Ave Ste
105 Miami, FL 33126Office Phone: (786) 235-1031P01714533 -
P01714531 Accepting New Members: YTermination Date:
Derenoncourt, Vladimir DOMiami Beach Community HealthCenter Inc
710 Alton Rd Miami Beach, FL 33139Office Phone: (305)
538-8835P0001465 - P01727953 Accepting New Members: YTermination
Date:
Diaz Nunez, Lazaro R MDSan Lazaro Medical Group Inc1800 SW 1st
St Ste 102 Miami, FL 33135Office Phone: (786) 294-0442P01802742 -
P01810589 Accepting New Members: YTermination Date:
Diaz Salazar, Martha MDAccess Medical Group of Florida CityInc
751 W Palm Dr Florida City, FL 33034Office Phone: (786)
377-0120P01834993 - P01714257 Accepting New Members: YTermination
Date: Access Medical Group of Opa Locka Inc 321 Opa Locka Blvd Ste
100Opa Locka, FL 33054Office Phone: (786) 476-3333P01834993 -
P01726648 Accepting New Members: NTermination Date:
Diaz, Ernesto MDClinical Care Network Inc 3091 Coral WayCoral
Gables, FL 33145Office Phone: (305) 649-6077P01712734 - P01724523
Accepting New Members: YTermination Date:
Diaz, Magdiel MDD & D Medical Group LLC7650 W Flagler
StMiami, FL 33144Office Phone: (305) 269-8099P0001550 - P01727223
Accepting New Members: YTermination Date:
Eisenberg, Traci-Lyn DONova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01792417 - P0002237 Accepting New Members: YTermination
Date:
Elberg, Stella DONova Southeastern University Inc1750 NE 167th
St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01791777
- P01762318 Accepting New Members: YTermination Date:
Elisee, Sabine D DODoctors Health Group of SouthFlorida Inc
18921 NW 2nd Ave Ste C North Miami, FL 33169Office Phone: (305)
652-7824P01817844 - P01741729 Accepting New Members: YTermination
Date:
Elozegui, Wanda MDSan Lazaro Medical Group Inc1800 SW 1st St Ste
102 Miami, FL 33135Office Phone: (786) 294-0442P01713408 -
P01810589 Accepting New Members: YTermination Date:
English, Scott R MDPractical Management Inc16470 NE 10th Ave
North Miami Beach, FL 33162Office Phone: (305) 651-9988P01729104 -
P01799835 Accepting New Members: YTermination Date:
Estrada, Valentin MDValentin Estrada MD PA 12260 SW 8th St Ste
120 Miami, FL 33184Office Phone: (786) 360-6057P01713479 -
P01716352 Accepting New Members: YTermination Date:
Also accepts Medicaid/Tambin acepta Medicaid Specializes in
Simply Care/ComfortSe especializa en Simply Care/Comfort
-
25 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Fajardo, Natasha A MDNatasha Fajardo MD Lld5975 Sunset Dr Ste
804 South Miami, FL 33143Office Phone: (305) 665-6926P01728083 -
P01804228 Accepting New Members: YTermination Date:
Felipe, Luis F MDFelix Varela Medical Clinic Inc 3335 W 4th Ave
Hialeah, FL 33012Office Phone: (786) 899-0092P01734322 - P01781487
Accepting New Members: YTermination Date:
Fernandez, Hugo MDPrimenet Medical Management Inc9000 SW 137th
Ave Ste 115 Miami, FL 33186Office Phone: (305) 387-1981P01712431 -
P01712093 Accepting New Members: YTermination Date:
Ferran, Victor A MDUniversity Health Care North Shore Inc 1210
NW 95th St Miami, FL 33147Office Phone: (305) 691-1820P01725155 -
P01841402 Accepting New Members: YTermination Date: University
Health Care WestchesterInc 1695 SW 107th Ave Miami, FL 33165Office
Phone: (305) 207-4443P01725155 - P01713435 Accepting New Members:
YTermination Date:
Florent-Carre, Marie H DONova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01702978 - P0002237 Accepting New Members: YTermination
Date:
Flores, Lucky MDWellness Therapy & Medical Care Center Inc
8206 NW 103rd St Hialeah, FL 33016Office Phone: (305)
827-0208P0001160 - P01818076 Accepting New Members: YTermination
Date:
Fontaine Figueredo, Fabian MDMiami Beach Medical Consultants LLC
1200 Alton Rd Miami Beach, FL 33139Office Phone: (305)
534-0076P01757305 - P01787105 Accepting New Members: YTermination
Date:
13200 Biscayne BlvdNorth Miami, FL 33181Office Phone: (305)
534-0076P01757305 - P01787346 Accepting New Members: YTermination
Date:
151 NW 11th St Ste E102 Homestead, FL 33030Office Phone: (305)
248-4877P01757305 - P01787347 Accepting New Members: YTermination
Date:
551 E 49th St Ste 1-8 Hialeah, FL 33013Office Phone: (305)
534-0076P01757305 - P01787348 Accepting New Members: YTermination
Date:
7500 SW 8th St Ste 101-104 Miami, FL 33144Office Phone: (305)
534-0076P01757305 - P01787349 Accepting New Members: YTermination
Date:
Foreman, Stewart DOCompass Health Systems PA1065 NE 125th St Ste
206 North Miami, FL 33161Office Phone: (888) 852-6672P01736156 -
P01704497 Accepting New Members: YTermination Date:
Foster-Moumoutjis, Gina M MDNova Southeastern University Inc1750
NE 167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01818460 - P01762318 Accepting New Members: YTermination
Date:
Fox, Gregory DOFox Medical Center - Downtown 606 W Flagler
StMiami, FL 33130Office Phone: (305) 545-9292P01717369 - P01841995
Accepting New Members: YTermination Date: Fox Medical Center -
Westchester 6090 Bird Rd Miami, FL 33155Office Phone: (305)
661-6336P01717369 - P01841996 Accepting New Members: YTermination
Date:
Fox, Jeffrey DOFox Medical Center - Downtown 606 W Flagler
StMiami, FL 33130Office Phone: (305) 545-9292P01708850 - P01841995
Accepting New Members: YTermination Date:
Also accepts Medicaid/Tambin acepta Medicaid
Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
-
Specializes in Simply Care/ComfortSe especializa en Simply
Care/Comfort
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
Also accepts Medicaid/Tambin acepta Medicaid
26 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Fox, Jonathan DOFox Medical Center - Kendall 10860 SW 88th St
Miami, FL 33176Office Phone: (305) 595-1300P01826523 - P01842006
Accepting New Members: YTermination Date:
Fox, Kevin B DOFox Medical Center - Kendall 10860 SW 88th St
Miami, FL 33176Office Phone: (305) 595-1300P01718686 - P01842006
Accepting New Members: YTermination Date:
Franco, Vicente MDVicente Franco MD PA 1884 S Red Rd Miami, FL
33155Office Phone: (305) 262-9333P01718832 - P01718831 Accepting
New Members: YTermination Date:
Friman, Jesus MDClinica Sur Medical Center 18400 NW 75th Pl Ste
106 Hialeah, FL 33015Office Phone: (305) 825-2222P01791405 -
P01792596 Accepting New Members: YTermination Date:
Garcia, Lazaro M MDLazaro M Garcia MD PA 3626 NW 7th St Miami,
FL 33125Office Phone: (305) 643-4343P01715229 - P01715228 Accepting
New Members: YTermination Date:
Garcia, Lilian C MDFox Medical Center - Hialeah 2801 W 12th Ave
Hialeah, FL 33010Office Phone: (305) 805-9500P01765015 - P01842034
Accepting New Members: YTermination Date:
Garcia, Rene J MDRene J Garcia MD PA 10260 SW 56th St Ste 101
Miami, FL 33165Office Phone: (305) 596-1433P01713814 - P01773390
Accepting New Members: YTermination Date:
Garcia-Sellek, Basilio MDBasilio Garcia-Sellek DO PA 13055 SW
42nd St Ste 103 Miami, FL 33175Office Phone: (305)
226-2262P01723591 - P01723589 Accepting New Members: YTermination
Date:
Girala, Ricardo A MDMedicus Medical Group PLLC3661 S Miami Ave
Ste 510 Miami, FL 33133Office Phone: (305) 860-1030P01723580 -
P01836299 Accepting New Members: YTermination Date:
747 Ponce De Leon Blvd Ste 606-607 Coral Gables, FL 33134Office
Phone: (305) 444-7779P01723580 - P01836298 Accepting New Members:
YTermination Date:
Godoy, Gene MDAccess Health Care Physicians LLC790 Ives Dairy
RdNorth Miami Beach, FL 33160Office Phone: (305) 405-0365P01823003
- P01822975 Accepting New Members: YTermination Date:
Gogate, Sangita A DOTenet Florida Physician Services LLC7100 W
20th Ave Ste 504 Hialeah, FL 33016Office Phone: (305)
819-1820P01732829 - P01838997 Accepting New Members: YTermination
Date:
Gomez Rivera, Jose A DOFamily Medicine of Miami PA9485 SW 72nd
St Ste 104 Miami, FL 33173Office Phone: (305) 270-1142P01724606 -
P01724607 Accepting New Members: YTermination Date:
Gonzalez, Emilio L MDRuben J Ayala MD PA14283 SW 42nd St Miami,
FL 33175Office Phone: (305) 226-1001P01782654 - P01709557 Accepting
New Members: YTermination Date:
Gonzalez, Jorge DOJorge A Gonzalez DO PA4302 Alton Rd Ste 1020
Miami Beach, FL 33140Office Phone: (305) 672-9333P01712095 -
P01712094 Accepting New Members: YTermination Date:
Gonzalez, Jose N MDDoctors Medical Center Inc 5521 SW 8th St
Coral Gables, FL 33134Office Phone: (305) 685-5688P0000608 -
P01711487 Accepting New Members: YTermination Date:
-
Specializes in Simply Care/Comfort Also accepts Medicaid/Tambin
acepta Medicaid Se especializa en Simply Care/Comfort
Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
27 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Gonzalez, Julio C MDJulio C Gonzalez MD 4550 NW 7th St Miami, FL
33126Office Phone: (305) 643-9292P01708855 - P01808501 Accepting
New Members: YTermination Date:
Gonzalez, Manuel Jr MDGl Medical Group LLC9049 SW 87th Ct Miami,
FL 33176Office Phone: (305) 662-7234P01723337 - P01730104 Accepting
New Members: YTermination Date:
Gonzalez, Misael MDMisael Gonzalez MD PA 2945 SW 8th St Miami,
FL 33134Office Phone: (786) 577-5470P01717065 - P01717063 Accepting
New Members: YTermination Date:
Gonzalez, Roberto R MDJMG Specialty Physicians971 NW 2nd St
Miami, FL 33128Office Phone: (305) 585-2815P01758842 - P01778300
Accepting New Members: YTermination Date:
Grecy, Yvelt MDDoctors Medical Center Inc 1272 NW 119th St
Miami, FL 33167Office Phone: (305) 685-5688P01737637 - P0002239
Accepting New Members: YTermination Date:
Guaty, Nestor E MDSouth Florida Family PracticeAssociates LC
8840 SW 40th St No 200 Miami, FL 33165Office Phone: (305)
221-3111P01723909 - P01723905 Accepting New Members: YTermination
Date:
Guevara, Aldo MDCare Medical Center Group Inc13926 SW 47th St
Ste F Miami, FL 33175Office Phone: (305) 340-5555P01791349 -
P01814922 Accepting New Members: YTermination Date:
2344 NW 7th St Miami, FL 33125Office Phone: (305)
649-6090P01791349 - P01791350 Accepting New Members: YTermination
Date:
4201 Palm Ave Ste C Hialeah, FL 33012Office Phone: (305)
823-0210P01791349 - P01791351 Accepting New Members: YTermination
Date:
Gurarye, Roza B MDRoza Gurarye MD PA2020 NE 163rd St Ste 105
North Miami Beach, FL 33162Office Phone: (305) 948-3985P01757991 -
P01757995 Accepting New Members: YTermination Date:
Hames, Elizabeth M DONova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01757083 - P0002237 Accepting New Members: YTermination
Date:
Hanabergh, Rodolfo MDLSL Medical Center Inc 4640 W Flagler
StMiami, FL 33134Office Phone: (305) 443-8229P01733062 - P01813680
Accepting New Members: YTermination Date: Riola Medical Center 7221
Coral Way Ste 201Miami, FL 33155Office Phone: (786)
292-4381P01733062 - P01845304 Accepting New Members: YTermination
Date:
Haydar, Victoria E MDVictoria E Haydar MD PA10251 SW 72nd St Ste
102 Miami, FL 33173Office Phone: (305) 279-1975P01760130 -
P01760131 Accepting New Members: YTermination Date:
Hernandez, Josefina MDMartinez-Hernandez MD PA 8480 SW 8th St
Miami, FL 33144Office Phone: (305) 264-1131P0001304 - P01713684
Accepting New Members: YTermination Date:
Herrera, Edwin A MDReferral Medical Services Inc 330 SW 27th Ave
Ste 306 Miami, FL 33125Office Phone: (305) 456-2966P0001215 -
P01833424 Accepting New Members: YTermination Date:
Hoover III, John W MDHealthcare Now LLC 2575 SW 67th Ave Miami,
FL 33155Office Phone: (305) 266-2424P01704820 - P01789002 Accepting
New Members: YTermination Date:
-
Specializes in Simply Care/ComfortSe especializa en Simply
Care/Comfort
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
Also accepts Medicaid/Tambin acepta Medicaid
28 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Humaran, Anselmo H MDAnselmo H Humaran MD PA 11474 Quail Roost
DrCutler Bay, FL 33157Office Phone: (305) 232-2066P01718039 -
P01718038 Accepting New Members: YTermination Date:
Hurst, Maury MDUniversity Health Care Coral GablesInc 4908 SW
8th St Coral Gables, FL 33134Office Phone: (305) 207-5870P01720797
- P01841395 Accepting New Members: YTermination Date:
Jaeger, Robert M DOComplete Medical Care Associates Inc 12955 SW
42nd St Ste 10 Miami, FL 33175Office Phone: (305) 252-9952P01712740
- P01729645 Accepting New Members: YTermination Date: Miami Beach
Medical Consultants LLC 9611 SW 40th St Miami, FL 33165Office
Phone: (305) 534-0076P01712740 - P01793093 Accepting New Members:
YTermination Date:
Jagmohan, Gem H DOFox Medical Center - Westchester 6090 Bird Rd
Miami, FL 33155Office Phone: (305) 661-6336P01842396 - P01841996
Accepting New Members: YTermination Date:
Jarrett, Wentworth MDDr Wentworth Jarrett PA 12955 SW 132nd St
Bldg 3BMiami, FL 33186Office Phone: (305) 520-5750P01727758 -
P01727757 Accepting New Members: YTermination Date:
Johnson, Michelle L DONova Southeastern University Inc1750 NE
167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01805005 - P01762318 Accepting New Members: YTermination
Date:
Koenig, Nathalie A DOElite Health Primary Care PA4302 Alton Rd
Ste 300 Miami Beach, FL 33140Office Phone: (305) 672-9989P0000980 -
P01816876 Accepting New Members: YTermination Date:
Lemaire, Joseph MDManaged Care Providers Inc12595 NE 7th Ave
Miami, FL 33161Office Phone: (305) 981-1015P01713776 - P01716092
Accepting New Members: YTermination Date:
Leon, Ramon MDSouth Dade Primary Care LLC7540 SW 61st Ave South
Miami, FL 33143Office Phone: (305) 666-8691P0001332 - P01823123
Accepting New Members: YTermination Date:
Leroy, Nathalie MDMiami Beach Community HealthCenter Inc 710
Alton Rd Miami Beach, FL 33139Office Phone: (305) 538-8835P01708974
- P0000649 Accepting New Members: YTermination Date:
Lopez Luciano, Luisa MDDavina Medical Care PA 925 NE 30th Ter
Ste 316 Homestead, FL 33033Office Phone: (305) 245-8787P01734193 -
P01734192 Accepting New Members: YTermination Date:
Lopez, Wilson MDFamily & Pediatrics Medical Center4005 NW
114th Ave Unit 2 Doral, FL 33178Office Phone: (305)
591-2988P01708834 - P01714240 Accepting New Members: YTermination
Date:
Lozano, Josefina MDRegenerate Primary Medical LLC6161 Sunset Dr
Ste B South Miami, FL 33143Office Phone: (305) 663-1113P01773247 -
P01777666 Accepting New Members: YTermination Date:
Marill, Carlos M MDNorth Miami Medical Inc 823 NE 125th St North
Miami, FL 33161Office Phone: (305) 895-7840P01726783 - P0001252
Accepting New Members: YTermination Date:
-
Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare
Provider/Pharmacy Directory
29 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Marquez-Valedon, Guillermo A MDMed Plan Clinic LLC 10982 SW
184th St Miami, FL 33157Office Phone: (305) 351-9346P01781153 -
P01784379 Accepting New Members: YTermination Date:
7200 NW 7th St Ste 150 Miami, FL 33126Office Phone: (305)
262-1610P01781153 - P01782629 Accepting New Members: YTermination
Date:
Martinez, Adolfo MDMartinez-Hernandez MD PA 8480 SW 8th St
Miami, FL 33144Office Phone: (305) 264-1131P0001311 - P01713684
Accepting New Members: YTermination Date:
Martinez, Cindy L MDAcevedo Medical Care Group Inc2400 NW 54th
St Miami, FL 33142Office Phone: (305) 633-9090P01800568 - P01798842
Accepting New Members: YTermination Date:
Martinez, Jorge MDSt John Clinic Medical Center Inc 161 NW 29th
St Miami, FL 33127Office Phone: (305) 576-0231P0001470 - P01713757
Accepting New Members: YTermination Date:
Martinez-Noda, Peter A MDPeter Martinez-Noda DO PA 7000 SW 97th
Ave Ste 101 Miami, FL 33173Office Phone: (305) 273-4454P01742066 -
P01742065 Accepting New Members: YTermination Date:
Masri, Hady DONova Southeastern University Inc1750 NE 167th St
North Miami Beach, FL 33162Office Phone: (954) 262-4100P01706909 -
P0002237 Accepting New Members: YTermination Date:
Medina, Yesenia DOJMG Specialty Physicians971 NW 2nd St Miami,
FL 33128Office Phone: (305) 585-2815P0002351 - P01778300 Accepting
New Members: YTermination Date:
Milanes, Hermes L MDCh Medical Group Corp711 NW 23rd Ave Ste 301
Miami, FL 33125Office Phone: (305) 643-4797P01766819 - P01847924
Accepting New Members: YTermination Date:
Montes De Oca Pineda, Jenny C MD
Prime Care at Coral Gables 370 Minorca Ave 2nd Fl Coral Gables,
FL 33134Office Phone: (305) 443-3001P01758307 - P01737925 Accepting
New Members: YTermination Date:
Mora, Francisco MDFrancisco J Mora MD PA 7480 Fairway Dr Ste
218Hialeah, FL 33014Office Phone: (305) 820-6211P01714453 -
P01806341 Accepting New Members: YTermination Date:
Moran-Walcutt, Pamela J DONova Southeastern University Inc1750
NE 167th St North Miami Beach, FL 33162Office Phone: (954)
262-4100P01730041 - P01762318 Accepting New Members: YTermination
Date:
Morelli, Joseph DOCommunity Health of South Florida Inc 10300 SW
216th St Miami, FL 33190Office Phone: (305) 253-5100P01763620 -
P0000257 Accepting New Members: NTermination Date:
13540 SW 135th Ave Miami, FL 33186Office Phone: (305)
253-5100P01763620 - P01784568 Accepting New Members: NTermination
Date:
13600 SW 312th St Homestead, FL 33090Office Phone: (305)
242-6069P01763620 - P01718104 Accepting New Members: NTermination
Date:
13805 SW 264th St Naranja, FL 33030Office Phone: (305)
253-5100P01763620 - P01718100 Accepting New Members: NTermination
Date:
Specializes in Simply Care/ComfortSe especializa en Simply
Care/Comfort
Also accepts Medicaid/Tambin acepta Medicaid
-
Also accepts Medicaid/Tambin acepta Medicaid
Simply Healthcare Medicare Provider/Pharmacy Directory
Broward/Miami-Dade/Palm Beach
30 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Morelli, Joseph DO (continued)
18255 Homestead Ave Miami, FL 33157Office Phone: (305)
234-7676P01763620 - P0002472 Accepting New Members: NTermination
Date:
19300 SW 376th St Florida City, FL 33030Office Phone: (305)
246-4607P01763620 - P01718101 Accepting New Members: NTermination
Date:
3831 Grand Ave Coconut Grove, FL 33133Office Phone: (786)
245-2700P01763620 - P01734251 Accepting New Members: NTermination
Date:
6350 Sunset Dr Coral Gables, FL 33143Office Phone: (786)
293-5500P01763620 - P01759354 Accepting New Members: NTermination
Date:
810 W Mowry DrHomestead, FL 33030Office Phone: (305)
248-4334P01763620 - P0002208 Accepting New Members: NTermination
Date:
Morono, Leydis MDAccess Medical Group of Hialeah Inc3805 W 20th
Ave Ste 105 Hialeah, FL 33012Office Phone: (305) 557-2277P01803613
- P01714263 Accepting New Members: NTermination Date:
Access Medical Group ofWestchester Inc 14223 SW 42nd St Miami,
FL 33175Office Phone: (786) 485-5600P01803613 - P01735383 Accepting
New Members: YTermination Date:
1621 SW 107th Ave Miami, FL 33165Office Phone: (786)
422-6525P01803613 - P01714266 Accepting New Members: YTermination
Date:
Morono-Ponce, Idaylis MDPremier Value Family Medicine LLC8348
Bird Rd Miami, FL 33155Office Phone: (305) 225-0707P01756647 -
P01756649 Accepting New Members: YTermination Date:
Nabut, Jose MDFox Medical Center - Hialeah 2801 W 12th Ave
Hialeah, FL 33010Office Phone: (305) 805-9500P01710431 - P01842034
Accepting New Members: YTermination Date:
Nana, Maher M MDTarek Medical LLC 1400 NE Miami Gardens Dr Ste
105 North Miami Beach, FL 33179Office Phone: (305)
974-5933P01738048 - P01801353 Accepting New Members: YTermination
Date:
Ng, Shukshin DOElite Health Primary Care PA4302 Alton Rd Ste 300
Miami Beach, FL 33140Office Phone: (305) 672-9989P01816883 -
P01816876 Accepting New Members: YTermination Date:
Nieves, Evelyn MDGaleno Medical Group PA351 NW 42nd Ave Ste 204
Miami, FL 33126Office Phone: (305) 644-2212P01814883 - P01800570
Accepting New Members: YTermination Date:
Nunez, Edgar MDCommunity Health of South Florida Inc 10300 SW
216th St Miami, FL 33190Office Phone: (305) 252-4880P0001369 -
P0002260 Accepting New Members: YTermination Date:
13540 SW 135th Ave Miami, FL 33186Office Phone: (305)
253-5100P0001369 - P01784568 Accepting New Members: NTermination
Date:
13600 SW 312th St Homestead, FL 33090Office Phone: (305)
242-6069P0001369 - P01718104 Accepting New Members: NTermination
Date:
13805 SW 264th St Naranja, FL 33030Office Phone: (305)
253-5100P0001369 - P01718100 Accepting New Members: NTermination
Date:
18255 Homestead Ave Miami, FL 33157Office Phone: (305)
234-7676P0001369 - P0002472 Accepting New Members: NTermination
Date:
-
31 Primary Care Physicians/Medicos de Atencin Primaria -
Miami-Dade
Family Practice/Medicina Familiar(continued)
Nunez, Edgar MD (continued)
19300 SW 376th St Florida City, FL 33030Office Phone: (305)
246-4607P0001369 - P01718101 Accepting New Members: YTermination
Date:
3831 Grand Ave Coconut Grove, FL 33133Office Phone: (786)
245-2700P0001369 - P01734251 Accepting New Members: NTermination
Date:
6350 Sunset Dr Coral Gables, FL 33143Office Phone: (786)
293-5500P0001369 - P01759354 Accepting New Members: NTermination
Date:
810 W Mowry DrHomestead, FL 33030Office Phone: (305)
248-4334P0001369 - P0002208 Accepting New Members: NTermination
Date:
Nunez, Hernaldo MDJMG Specialty Physicians16555 NW 25th Ave Opa
Locka, FL 33054Office Phone: (305) 585-6000P01763220 - P01720979
Accepting New Members: YTermination Date:
Nunez, Lydia A MDJMG Specialty Physicians100 NW 170th St Ste 410
Miami, FL 33173Office Phone: (305) 654-6850P01720779 - P01713945
Accepting New Members: NTermination Date:
111 NW 1st St Ste 110 Miami, FL 33128Office Phone: (786)
466-7200P01720779 - P01778295 Accepting New Members: NTermination
Date:
Orcasita-Ng, Jose A MDJose Orcasita-Ng PA7000 W 12th Ave Ste
21-22 Hialeah, FL 33014Office Phone: (305) 362-9560P01722294 -
P01722292 Accepting New Members: YTermination Date:
Otero, Anisia MDCoral Reef Medical Group LLC11440 N Kendall Dr
Ste 308 Miami, FL 33176Office Phone: (305) 271-7660P01786953 -
P01718712 Accepting New Members: YTermination Date:
30334 Old Dixie HwyHomestead, FL 33033Office Phone: (786)
243-0149P01786953 - P01807353 Accepting New Members: YTermination
Date:
Lifeplus Healthcare Group Inc13550 SW 88th St Ste 180 Mi