PROVIDER AND PHARMACY DIRECTORY

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1 2015 PROVIDER AND PHARMACY DIRECTORY Directorio de farmacias y proveedores Cigna-HealthSpring North and South Carolina Provider and Pharmacy Directory / Directorio de farmacias y proveedores Alexander, Cabarrus, Catawba, Davidson, Davie, Forsyth, Gaston, Iredell, Lincoln, Rowan, Stokes, Union, Yadkin Counties / Condados, NC Cherokee, Chester, Greenville, Lancaster, Spartanburg, Union, York Counties / Condados, SC For more information, please contact Cigna-HealthSpring Customer Service at or, for TTY users, 711, 7 days a week, 8 a.m. - 8 p.m., or visit Para más información, favor de ponerse en contacto con el Departamento de servicio al cliente de Cigna-HealthSpring al o, para usuarios TTY, 711, 7 días de la semana, o bien visite This Provider and Pharmacy Directory was updated on 08/24/2014. Este Directorio de proveedores y farmacias se actualizó el 08/24/ Cigna 15_D_81_TNSC_81 Y0036_15_19958aBL_FINAL_6 Approved

2 Cigna-HealthSpring HMO Plan Provider Directory This directory provides a list of Cigna-HealthSpring s network providers. This directory is for North Carolina: Alexander, Cabarrus, Catawba, Davidson, Davie, Forsyth, Gaston, Iredell, Lincoln, Rowan, Stokes, Union, Yadkin Counties. South Carolina: Cherokee, Chester, Greenville, Lancaster, Spartanburg, Union, York Counties. This directory is current as of August Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Cigna-HealthSpring s network providers in your area, you can visit or call our Customer Service Department at , 7 days a week, 8 a.m. 8 p.m. TTY users should call 711. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. This information is available for free in other languages. Please call our customer services number at (TTY 711), 7 days a week, 8 a.m. 8 p.m. Esta información está disponible de forma gratuita en otros idiomas. Favor de contactar a nuestro Departamento de servicio al cliente al (TTY 711), 7 días de la semana, 8 a.m. 8 p.m. This document may be available in other formats such as Braille, large print or other alternate formats. Contact the plan for more information. Y0036_15_19958aBL_FINAL_6 Approved _D_81_TNSC_81

3 Section 1 Introduction This directory provides a list of Cigna-HealthSpring s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your healthcare coverage from your PCP. Your PCP is a physician who is trained to provide general medical care. Your PCP can also coordinate the rest of the covered services you need. The network providers listed in this directory have agreed to provide you with your healthcare, vision, and dental coverage. 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 going to that same provider. In some cases, you may get covered services from non-network providers. Even though your PCP is trained to handle the majority of common health needs, there may be a time when you need more specialized treatment. In those situations, you may see a plan specialist. Specialists are doctors who are trained to provide health services for a specific disease or part of the body. For some types of specialists, you will need to obtain a referral from your PCP before you can schedule an appointment with the specialist. Below is a list of provider specialty types that require referrals from your PCP before you can schedule an appointment with them. Please note: Some provider types may have been added or removed from the list after this directory was printed. You should check with your PCP or call Customer Service at the phone number on the cover to see if a referral is required to see a specialist or other provider. Note that a referral is different from prior authorization, which is required before certain services procedures can be performed. Allergy & Immunology Anesthesiology Audiology Cardiovascular Disease Cardiovascular Surgery Chiropractor Colon and Rectal Surgery Dermatology Endocrinology Gastroenterology General Surgery Gynecologic Oncology Hand Surgery Hematology Hematology/Oncology Infectious Disease Maxillofacial Surgery Medical Genetics Medical Oncology Nephrology Neurosurgery Neurology Occupational Therapy Ophthalmology Oral Surgery Orthopedic Surgery Otolaryngology Pain Management Pediatric Cardiology Pediatric Endocrinology Pediatric Hematology-Oncology Pediatric Rehabilitation Medicine Pediatric Surgery Physical Medicine/Rehabilitation Physical Therapy Plastic Surgery Podiatry Proctology Prosthodontics Pulmonary Disease Radiology Respiration Therapy Rheumatology Speech Language Pathologist Speech Therapy Sports Medicine Thoracic Surgery Urology Vascular and Interventional Vascular Surgery In addition, each PCP has certain plan specialists and hospitals they use for referrals. This means that the Cigna-HealthSpring specialists or hospitals you can use may depend on which PCP you select. If there are specialists or hospitals that you want to use, it is important to find out if your chosen PCP refers to them. Cigna-HealthSpring has different types of Primary Care Provider relationships. We have contracts with Independent Physicians. The following paragraphs describe the relationship these providers have with Cigna-HealthSpring.

4 Independent Physicians The Independent Physicians consists of Primary Care and Specialist Physicians located in and around North Georgia. If you select an Independent Primary Care Physician you should be aware that your PCP will refer you to specialists and hospitals with whom he/she is affiliated and with whom they work closely to coordinate your care. You will receive all of your care, including gynecological and specialty care from the physicians affiliated with your PCP. Gynecological care can be accessed through any Independent Gynecologist. Independent Physicians are participating providers with Cigna-Healthspring Preferred (HMO), MAPD. For further information, please call Customer Service or speak with your sales representative. You may contact us at the phone number listed at the beginning of this book. There may also be times when you get a bill from a provider for the full cost of medical care you have received. In many cases, you should contact Customer Service or send this bill to us instead of paying it. We will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly. (Please note that we cannot pay a provider who has opted out of the Medicare program. Check with your provider before receiving services to confirm that they have not opted out of Medicare.) If we determine that the services are not covered or were not medically necessary, we may deny coverage and you will be responsible for the entire cost. You may get emergency medical care whenever you need it, anywhere in the United States or its territories. Our plan covers ambulance services in situations where getting to the emergency room in any other way could endanger your health. Please refer to your Evidence of Coverage for details. You may get covered emergency medical care whenever you need it, anywhere in the world. If you have an emergency, we will talk with the doctors who are giving you emergency care to help manage and follow up on your care. The doctors who are giving you emergency care will decide when your condition is stable and the medical emergency is over. After the emergency is over you are entitled to follow-up care to be sure your condition continues to be stable. Your follow-up care will be covered by our plan. If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Cigna-HealthSpring will be responsible for the costs. Behavioral Healthcare Services Behavioral Health services, including mental health and substance abuse services, for beneficiaries covered by Cigna- HealthSpring are provided through Cigna-HealthSpring Behavioral Healthcare Services. Members and providers may access Cigna-HealthSpring Behavioral Healthcare Services by calling (TTY 711) to arrange for a referral or inpatient admission authorization. Cigna-HealthSpring Behavioral Healthcare Services is available 24 hours per day, 7 days a week. What is the service area for Cigna-HealthSpring? The counties in our service area are listed below. North Carolina: Alexander,Cabarrus, Catawba, Davidson, Davie, Forsyth, Gaston, Iredell, Lincoln, Rowan, Stokes, Union, Yadkin Counties. South Carolina: Cherokee, Chester, Greenville, Lancaster, Spartanburg, Union, York Counties. How do you find Cigna-HealthSpring providers in your area? To choose a PCP from the Provider Directory, turn to the Primary Care Provider section for a listing of primary care providers in your area. You can also call Customer Service at the number listed below for assistance. When you select a PCP, you will find a space on your Enrollment Application to enter the PCP s name. If you choose a PCP after your Enrollment Application has been submitted, call Customer Service and inform them of your PCP selection. Please keep in mind that if you do not select a PCP at the time of enrollment, Cigna-HealthSpring will select one for you based on where you live. If you want to change to another PCP, you may do so at any time by calling Customer Service at the number listed below. The name and office telephone number of your PCP are printed on your membership card.

5 To choose a specialist, hospital, pharmacy or other provider, please turn to the applicable section in the Provider Directory for a listing of providers in your area. For example, to find hospitals in your area, turn to the Hospitals section of the directory. If you have questions about Cigna-HealthSpring or require assistance in selecting a PCP, please call our Customer Service Department at , 7 days a week, 8 a.m. - 8 p.m. TTY users should call 711. Or, visit Again, if you want to use a particular Cigna-HealthSpring specialist or hospital, you should check with your PCP to make sure they can make referrals to that specialist or hospital.

6 Section 2 List of Network Providers This directory is organized to help you find the type of provider you need. Providers are listed in the following sections: - Independent Providers o Primary Care Provider (PCP) o Specialists o Hospitals o Psychiatric Hospitals o Skilled Nursing Facilities o Behavioral Health Providers o Ambulatory Surgical Centers/Urgent Care Facilities o Ancillary Providers o Dental Providers o Vision Providers How to use this directory to choose a Primary Care Provider There are two ways to select a primary care provider: - You can choose a particular Primary Care Provider by name; or - You can choose your Primary Care Provider by location. If you are looking for a particular Primary Care Provider by name: 1. Go to the Alphabetical Index, which is the last section of the directory. 2. Find the doctor by last name and the page number(s) on which he or she is listed. 3. Go to that page number for information on the Primary Care Provider. If you are looking for a Primary Care Provider by location: 1. Go to the Primary Care Provider section. 2. Find the City and/or zip code. 3. Select a Provider. How to use this directory to choose a Specialist Specialist physicians and other primary care providers in this directory are listed by specialty of care, followed by geographic location, and name. How to use this directory to choose a Provider that accepts both Medicare and Medicaid Plan providers that accept both Medicare and Medicaid are located throughout this Provider Directory and are marked by an asterisk (*). For example, this provider would be a Medicare and Medicaid provider: Dr. John Doe* However, this provider would not be a Medicare and Medicaid provider: Dr. Jane Doe How to use this directory to choose other Plan Providers Plan providers in this directory, other than primary care providers and specialists, are listed by geographic location then the name of the provider.

7 Provider Directory Symbol Key In this directory, some providers will have a symbol at the end of their name. Below are the symbols and what they mean: Symbol Meaning * Accepts Medicare and Medicaid Ω Accepting Existing Patients Only Not Accepting New Patients Φ Total Number of Providers within this Directory: Primary Care Providers: 2,308 Specialists: 7,948 Hospitals: 24 Skilled Nursing Facilities: 39 Behavioral Health Providers: 624 Ambulatory Surgical Centers / Urgent Care Facilities: 17 Ancillary Providers: 234 Dental Providers: 1 Vision Providers: 1 Pharmacies: 2,560

8 Directorio de proveedores del Plan HMO de Cigna-HealthSpring Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring. Este directorio es para North Carolina: Condados de Alexander, Cabarrus, Catawba, Davidson, Davie, Forsyth, Gaston, Iredell, Lincoln, Rowan, Stokes, Union, Yadkin. South Carolina: Condados de Cherokee, Chester, Greenville, Lancaster, Spartanburg, Union, York. Este directorio está actualizado a partir de agosto de Es posible que se hayan agregado o eliminado de la lista algunos proveedores de la red, después de la impresión de este directorio. No garantizamos que los proveedores estén aceptando miembros nuevos. Para obtener información actualizada sobre los proveedores de la red de Cigna-HealthSpring en su área, visite la página o bien, llame al Departamento de servicio al cliente al , los 7 días de la semana, de 8 a.m. a 8 p.m. Los usuarios de TTY deben llamar al 711. Todos los productos y servicios de Cigna se brindan exclusivamente por o a través de subsidiarias operativas de Cigna Corporation, incluyendo Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., y Bravo Health Pennsylvania, Inc. El nombre de Cigna, los logotipos, y otras marcas de Cigna son propiedad de Cigna Intellectual Property, Inc. Cigna-HealthSpring tiene contrato con Medicare para planes PDP, y planes HMO y PPO en ciertos estados, y con ciertos programas estatales de Medicaid. La inscripción en Cigna-HealthSpring depende de la renovación de contrato. This information is available for free in other languages. Please call our customer services number at (TTY 711), 7 days a week, 8 a.m. 8 p.m. Esta información está disponible de forma gratuita en otros idiomas. Favor de contactar a nuestro Departamento de servicio al cliente llamando al (TTY 711), 7 días de la semana, 8 a.m. 8 p.m. Este documento está disponible en otros formatos como Braille, impresión grande u otros formatos alternativos. Para más información, póngase en contacto con el plan. Y0036_15_19958aBL_ FINAL_6 Approved

9 Sección 1 Introducción Este directorio incluye una lista de los proveedores de la red de Cigna-HealthSpring. Para obtener información detallada acerca de su cobertura de atención médica, por favor consulte su Evidencia de Cobertura. Deberá elegir uno de nuestros proveedores de la red que figuran en este directorio para que sea su Médico de cabecera (PCP, por sus siglas en inglés). El término PCP se usará en todo este directorio. Por lo general, debe recibir su cobertura de atención médica de su PCP. Su PCP es un médico capacitado para brindarle atención médica general. Su PCP también puede coordinar el resto de los servicios en cobertura que usted necesite. Los proveedores de la red que figuran en este directorio han aceptado brindarle su cobertura del cuidado de la vista, cuidado dental y de atención médica. Usted puede acudir a cualquiera de los proveedores de nuestra red que figuran en este directorio; no obstante, es posible que algunos servicios requieran una referencia. Si usted ha estado acudiendo a un proveedor de la red, no es necesario que continúe consultando a dicho proveedor. En algunos casos, puede recibir servicios cubiertos de proveedores que no pertenecen a la red. A pesar de que su PCP está capacitado para manejar la mayoría de las necesidades comunes de salud, es posible que, en ocasiones, usted necesite un tratamiento más especializado. En esas situaciones, puede consultar un especialista del plan. Los especialistas son médicos que están capacitados para proporcionar servicios médicos para una enfermedad o parte del cuerpo específicos. Para algunos tipos de especialistas, deberá obtener una "referencia" de su PCP antes de que pueda programar una cita con el especialista. A continuación está una lista de los tipos de proveedores especialistas que requieren referencias de su PCP antes de que pueda programar una cita con ellos. Recuerde: Es posible que se hayan agregado o eliminado de la lista algunos tipos de proveedores, después de la impresión de este directorio. Usted debe consultar con su PCP o llamar al Departamento de servicio al cliente al teléfono que está en la portada para saber si requiere una referencia para visitar un especialista u otro proveedor. Tenga en cuenta una referencia es diferente a un "autorización previa", misma que se requiere antes de que se puedan realizar ciertos servicios o procedimientos. Alergia e inmunología Anestesiología Audiología Cardiología pediátrica Cirugía cardiovascular Cirugía de la mano Cirugía General Cirugía maxilofacial Cirugía oral Cirugía ortopédica Cirugía pediátrica Cirugía plástica Cirugía rectal y de colon Cirugía torácica Cirugía vascular Dermatología Endocrinología Endocrinología pediátrica Enfermedad infecciosa Enfermedad pulmonar Enfermedades cardiovasculares Fisioterapia Gastroenterología Genética médica Hematología Hematología-Oncología pediátrica Hematología/Oncología Manejo del dolor Medicina de rehabilitación pediátrica Medicina del deporte Medicina física / rehabilitación Nefrología Neurocirugía Neurología Oftalmología Oncología Ginecológica Oncología médica Otorrinolaringología Patólogo del habla y del lenguaje Podología Proctología Prostodoncia Quiropráctico Radiología Radiología vascular e intervencionista Reumatología Terapia del habla Terapia ocupacional Terapia respiratoria Urología

10 Además, cada PCP tiene ciertos especialistas y hospitales del plan que debe usar para las referencias. Esto significa que es posible que los especialistas u hospitales de Cigna-HealthSpring a los que puede acudir dependan de los que su PCP haya seleccionado. En caso de que desee acudir con ciertos especialistas o a ciertos hospitales, es importante que verifique si su PCP lo enviará con los mismos. Cigna-HealthSpring tiene diferentes tipos de relaciones con los médicos de cabecera. Tenemos contrato con Médicos Independientes. Los siguientes párrafos describen la relación que los proveedores tienen con Cigna-HealthSpring. Médicos independientes Los Médicos independientes son Médicos de cabecera y Especialistas que se encuentran en y alrededor del Norte de Georgia. Si selecciona un médico de cabecera independiente, debe considerar que su médico o PCP lo enviará con especialistas y hospitales con los que él/ella esté afiliado y con los que trabajará en conjunto para coordinar su atención médica. Recibirá toda su atención médica, incluyendo atención ginecológica y de especialidad de médicos afiliados con su PCP. Puede tener acceso a la atención médica ginecológica a través de cualquier ginecólogo independiente. Los Médicos independientes son médicos participantes con Cigna-HealthSpring Preferred (HMO), MAPD. Para más información, por favor llame al Departamento de servicio al cliente o hable con su representante de ventas. Puede comunicarse con nosotros al número de teléfono que aparece al principio de este libro. Además, es posible que algunas veces reciba una factura de un proveedor por el costo total de la atención médica que haya recibido. En muchos casos, debe comunicarse con el Departamento de servicio al cliente o enviarnos esta factura en lugar de pagarla. Revisaremos la factura y decidiremos si los servicios deberían cubrirse. Si decidimos que deberían estar cubiertos, le pagaremos directamente al proveedor. (Tenga en cuenta que no podemos pagarle a un proveedor que ha decidido retirarse del programa de Medicare. Consulte a su proveedor antes de recibir los servicios para confirmar que no se retiró del programa de Medicare). Si determinamos que los servicios no son cubiertos o no fueron médicamente necesarios, podemos rechazar la cobertura y usted deberá pagar el costo total. Puede recibir atención médica de emergencia cuando lo necesite, en cualquier lugar de los Estados Unidos o sus territorios. Nuestro plan cubre servicios de ambulancia en situaciones en las que llegar a una sala de urgencias por otro medio podría poner en peligro su salud. Para más detalles, por favor consulte su Evidencia de cobertura. Puede recibir atención médica de emergencia siempre que la necesite, en cualquier parte del mundo. Si tiene una emergencia, nos comunicaremos con los médicos que le proporcionen la atención de emergencia para ayudar a manejar su atención y darle el seguimiento a la misma. Los médicos que le proporcionen la atención médica decidirán cuándo su estado es estable y ya no representa una emergencia médica. Cuando termine la emergencia, usted tendrá derecho a recibir atención de seguimiento para asegurarse de que su estado continúa estable. Su atención de seguimiento estará cubierta por nuestro plan. Si su atención de emergencia es proporcionada por proveedores fuera de la red, intentaremos organizar para que proveedores de la red se hagan cargo de su atención inmediatamente cuando su afección médica y las circunstancias lo permitan. Debe acudir con los proveedores del plan excepto en situaciones de emergencia o atención médica urgente o para diálisis renal fuera del área u otros servicios. Si recibe atención de rutina de proveedores fuera de la red, ni Medicare ni Cigna-HealthSpring serán responsables de los costos. Servicios de atención de salud del comportamiento Los servicios de atención de salud del comportamiento, incluyendo los servicios de salud mental y de abuso de sustancias, para los beneficiarios en cobertura de Cigna-HealthSpring se reciben a través de los Servicios de atención de salud del comportamiento de Cigna-HealthSpring. Los miembros y los proveedores pueden acceder a los Servicios de atención de salud del comportamiento de Cigna-HealthSpring llamando al (TTY 711) para solicitar una referencia o una autorización de internamiento. Los Servicios de atención de salud del comportamiento de Cigna-HealthSpring están disponibles las 24 horas del día, los 7 días de la semana.

11 Cuál es el área de servicio de Cigna-HealthSpring? A continuación encontrará los condados que son parte de nuestra área de servicio. North Carolina: Condados de Alexander, Cabarrus, Catawba, Davidson, Davie, Forsyth, Gaston, Iredell, Lincoln, Rowan, Stokes, Union, Yadkin. South Carolina: Condados de Cherokee, Chester, Greenville, Lancaster, Spartanburg, Union, York. Cómo encontrar proveedores de Cigna-HealthSpring en su área? Para elegir un PCP del Directorio de proveedores, diríjase a la sección Médicos de cabecera para consultar la lista de médicos de cabecera dentro de su área. También puede llamar al Departamento de servicio al cliente al número que aparece más abajo, donde con gusto le ayudarán. Una vez que haya elegido un PCP, deberá ingresar el nombre del PCP en el espacio correspondiente en su Solicitud de inscripción. Si elige un PCP después de haber presentado su Solicitud de inscripción, llame al Departamento de servicio al cliente e infórmeles su elección de PCP. Recuerde que si no elige un PCP al momento de la inscripción, Cigna-HealthSpring elegirá uno por usted según su lugar de residencia. Si desea cambiar por otro PCP, puede hacerlo en cualquier momento llamando al Departamento de servicio al cliente al número que figura aparece más abajo. El nombre y el número de teléfono del consultorio de su PCP están impresos en su tarjeta de membresía. Para elegir un especialista, hospital, farmacia u otro proveedor, diríjase a la sección correspondiente del Directorio de proveedores para ver la lista de proveedores de su área. Por ejemplo, para encontrar hospitales en su área, diríjase a la sección Hospitales del directorio. Si tiene alguna pregunta sobre Cigna-HealthSpring o necesita ayuda para seleccionar un PCP, por favor llame al Departamento de servicio al cliente al , los 7 días de la semana, 8 a.m. - 8 p.m. Los usuarios de TTY deben llamar al 711. O bien, visite Nuevamente, si desea acudir con ciertos especialistas o a ciertos hospitales de Cigna-HealthSpring, es importante que verifique si su PCP lo enviará a ese especialista u hospital.

12 Sección 2 Lista de proveedores de la red Este directorio está organizado para ayudarlo a encontrar el tipo de proveedor que necesita. Los proveedores figuran en las siguientes secciones: - Proveedores independientes o Médico de cabecera (PCP) o Especialistas o Hospitales o Hospitales Psiquiátricos o Centros de enfermería especializada o Proveedores de atención la salud del comportamiento o Centros de cirugía ambulatoria/centros de atención de emergencia o Proveedores auxiliares o Proveedores de atención dental o Proveedores del cuidado de la vista Cómo usar este directorio para elegir un Médico de cabecera? Hay dos maneras de elegir un Médico de cabecera: - Puede elegir un Médico de cabecera particular por nombre; o - Puede elegir un Médico de cabecera por ubicación. Si busca un Médico de cabecera en particular por nombre: 1. Consulte el Índice alfabético, que se encuentra en la última sección del directorio. 2. Encuentre el médico por apellido y el(los) número(s) de página en los que figura. 3. Vaya a ese número de página para obtener información acerca del Médico de cabecera. Si busca un Médico de cabecera por ubicación: 1. Vaya a la sección Médico de cabecera. 2. Busque la ciudad y/o el código postal. 3. Seleccione un proveedor. Cómo usar este directorio para elegir un especialista? Los médicos especialistas y otros médicos de cabecera de este directorio se encuentran por especialidad de atención, seguidos de la ubicación geográfica y el nombre. Cómo usar este directorio para elegir un proveedor que acepte tanto Medicare como Medicaid? Los proveedores del plan que aceptan tanto Medicare como Medicaid se encuentran en todo este Directorio de proveedores y están marcados con un asterisco (*). Por ejemplo, este proveedor sería un proveedor de Medicare y de Medicaid: Dr. John Doe* No obstante, este proveedor no sería un proveedor de Medicare y de Medicaid: Dr. Jane Doe Cómo usar este directorio para elegir otros proveedores del plan? Los proveedores del plan de este directorio, que no sean médicos de cabecera y especialistas, figuran por ubicación geográfica seguida por el nombre del proveedor.

13 Clave del símbolo del Directorio de proveedores En este directorio, algunos proveedores tendrán un símbolo al final de su nombre. A continuación están los símbolos y lo que significan: Símbolo Significado * Acepta Medicare y Medicaid Ω Sólo acepta pacientes existentes Φ No acepta pacientes nuevos Número total de proveedores dentro de este directorio: Médicos de cabecera (PCP): 2,308 Especialistas: 7,948 Hospitales: 24 Centros de enfermería especializada: 39 Proveedores de atención de salud del comportamiento: 624 Centros de cirugía ambulatoria/centros de atención de emergencia: 17 Proveedores auxiliares: 234 Proveedores de atención dental: 1 Proveedores del cuidado de la vista: 1 Farmacias: 2,560

14 Table of Contents / tabla de contenidos Provider Directory / Directorio de proveedores North Carolina Independent North Carolina Independent Primary Care Providers / Médico de cabecera Hospitals / Hospitales Skilled Nursing Facilities / Centros de Enfermeria Especializada Ambulatory Surgical Centers / Urgent Care Facilities / Centros de cirugía ambulatoria/centros de atención de emergencia Behavioral Health Providers / Proveedores de atención de la salud emocional Ancillary Providers / Proveedores Auxiliarios South Carolina Independent South Carolina Independent Primary Care Providers / Médico de cabecera Hospitals / Hospitales Skilled Nursing Facilities / Centros de Enfermeria Especializada Ambulatory Surgical Centers / Urgent Care Facilities / Centros de cirugía ambulatoria/centros de atención de emergencia Behavioral Health Providers / Proveedores de atención de la salud emocional Ancillary Providers / Proveedores Auxiliarios Dental Providers / Proveedores odontológicos Vision Providers / Proveedores del cuidado de la vista Cigna-HealthSpring s Network Pharmacies / Farmacias de la red de Cigna-HealthSpring Retail Pharmacies, including Chain Pharmacies / Farmacias de venta al menudeo, incluyendo Farmacias de cadena Mail Order Pharmacies / Farmacias de orden por correo Home Infusion Pharmacies / Farmacias de infusión en el hogar Long-Term Care Pharmacies / Farmacias de atención a largo plazo Last Name Index / Índice de Apellidos Group Name Index / Grupo Índice de nombres IPA/POD Index / IPA/POD Índice Language Index / Índice de idioma...386

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16 Primary Care Providers / Médico de cabecera North Carolina Independent North Carolina Independent Aiken Primary Care Providers / Médico de cabecera Family Medicine / Medicina familiar Jones, Champ MD* 100 Robinhood Medical Plz Winston-Salem, NC (336) Internal Medicine / Medicina Interna Ganzon, Rodolfo MD* Gilead Rd McManaman, Charlotte MD Gilead Rd Alamance Family Medicine / Medicina familiar Kihneman, Jason B MD 1713 S Church St Burlington, NC (336) Alexander Family Medicine / Medicina familiar Merrill, Steven MD* 50 Macedonia Church Rd Taylorsville, NC (828) Okuboye, Deji Oluremi DO 50 Macedonia Church Rd Taylorsville, NC (828) Ashe Family Medicine / Medicina familiar Hershner, Gregory S MD 151 Medical Park Dr Jefferson, NC (336) Yount, Philip C MD* 151 Medical Park Dr Jefferson, NC (336) Brunswick Family Medicine / Medicina familiar Hamby, Kenneth J DO 584 Hospital Dr Ste C Bolivia, NC (910) Hamby, Kenneth J DO 1456 Howe St Ste 201 Southport, NC (910) Hamby, Kenneth J DO 710 Sunset Blvd N Ste B Sunset Beach, NC (910) Hamby, Kenneth J DO 5145 Sellers St Shallotte, NC (910) Isenhour, Christopher B MD* 584 Hospital Dr Ste C Bolivia, NC (910) Isenhour, Christopher B MD* 240 Hosptial Dr NE Bolivia, NC (910) Isenhour, Christopher B MD* 710 Sunset Blvd N Ste B Sunset Beach, NC (910) Moore, John DO* 584 Hospital Dr Ste C1 Bolivia, NC (910) Moore, John DO* 1456 Howe St Ste 201 Southport, NC (910) Pritts, Clark E DO* 5145 Sellers St Shallotte, NC (910) Thompson, Angela R MD* 5145 Sellers St Shallotte, NC (910) Internal Medicine / Medicina Interna Adams, James B MD* 240 Hospital Dr NE Bolivia, NC (910) Moreci, James A MD* 9970 Beach Dr SW Ste 1 Calabash, NC (910) Price, Kevin D DO* 240 Hospital Dr NE Bolivia, NC (910) Price, Kevin D DO* 5145 Sellers St Shallotte, NC (910) Buncombe Internal Medicine / Medicina Interna Friedman, Heather MD Gilead Rd Burke Family Medicine / Medicina familiar Duncan, Anna Marie DO 505 W Fleming Dr Morganton, NC (828) Cabarrus Family Medicine / Medicina familiar Alexanian, Amy MD Old Jetton Rd (704) Alexanian, Aram MD Oakhill Park Ln B (704) Allison, Trevor MD 115 Brown St Ste 101 Granite Quarry, NC (704) *Accepts *Accepts Medicare Medicare and Medicaid and Medicaid ΩAccepting ΩAccepting Existing Existing Patients Patients Only ΦNot Only Accepting ΦNot Accepting New Patients New Patients ^POS Provider 1

17 Primary Care Providers / Médico de cabecera Cabarrus (cont.) Family Medicine / Medicina familiar (cont.) Allison, Trevor MD Old Jetton Rd (704) Anderson, Keith MD Old Jetton Rd (704) Baker, Brian MD Holly Crest Ln Ste 150 (704) Baker, Brian MD Holly Crest Ln Ste 150 (704) Barkley, Karl MD Mallard Creek Rd Charlotte, NC (704) Barnabei, Robert MD 8310 University Executive Park Dr Ste 550 Charlotte, NC (704) Barrier, Ronnie MD 307 E Thom St China Grove, NC (704) Bartee-Allen, Sylvia MD Mallard Creek Rd Charlotte, NC (704) Berger, Jeffrey MD Holly Crest Ln Ste 150 (704) Billings, Jack S MD 100 East Wall St Rural Hall, NC (336) Blodgett, Andrew MD 8420 University Executive Park Ste 850 Charlotte, NC (704) Brown, Lester MD 1035 Dale Earnhardt Blvd Kannapolis, NC (704) Brown, Lester MD Old Jetton Rd (704) Brown, Malgorzata MD Old Jetton Rd Burns, Marianthe MD 100 Robinhood Medical Plz Winston-Salem, NC (336) Capps, Richard MD Old Jetton Rd (704) Cardwell, Jeffrey MD Blackdog Ln Ste 160 Charlotte, NC (704) Carroll, Brian MD 8420 University Executive Park Ste 850 Charlotte, NC (704) Castillo-Toher, Miriam MD Mallard Creek Rd Charlotte, NC (704) Clements, Thad MD 8310 University Executive Park Dr Ste 550 Charlotte, NC (704) Collins, Jonathan MD Plaza Rd Ext Charlotte, NC (704) Cook, David MD Old Jetton Rd (704) Desena, Curtis MD Mallard Creek Rd Charlotte, NC (704) Devine, Brian MD Prosperity Park Dr Ste 300 Charlotte, NC (704) Devine, Stacey MD Prosperity Park Dr Ste 300 Charlotte, NC (704) Doty, Heather MD Mallard Creek Rd Charlotte, NC Doty, Heather MD Old Jetton Rd Elkins, Anthony MD 8420 University Executive Park Ste 850 Charlotte, NC (704) Garcia, Joseph MD Oakhill Park Ln B (704) Gilchrist, Steven MD Old Jetton Rd (704) Goodman, Sarah MD Prosperity Park Dr Ste 300 Charlotte, NC (704) Gross, Pushpa MD 7110 Lawyers Rd Charlotte, NC (704) *Accepts *Accepts Medicare Medicare and Medicaid and Medicaid ΩAccepting ΩAccepting Existing Existing Patients Patients Only ΦNot Only Accepting ΦNot Accepting New Patients New Patients ^POS Provider

18 Primary Care Providers / Médico de cabecera Cabarrus (cont.) Family Medicine / Medicina familiar (cont.) Harrison, Matthew MD 1035 Dale Earnhardt Blvd Kannapolis, NC (704) Harrison, Matthew MD 1028 LeeAnn Dr Concord, NC Harrison, Matthew MD Old Jetton Rd (704) Holland, Daniel MD* 1028 LeeAnn Dr Concord, NC Holland, Daniel MD* Old Jetton Rd (704) Hughes, Bruce MD* Mallard Creek Rd Charlotte, NC (704) Jamison, Cynthia MD* 7752 Gatway Ln Concord, NC (704) Jamison, Cynthia MD* Plaza Rd Ext Charlotte, NC (704) Jenike, Thomas MD* Holly Crest Ln Ste Karwowski, Charity MD* Mallard Creek Rd Charlotte, NC (704) Kribbs, John MD* 307 E Thom St China Grove, NC (704) Lawson, Mary MD* 7110 Lawyers Rd Charlotte, NC (704) Licause, Gina MD* Oakhill Park Ln B Lindquist, Lee MD* Old Jetton Rd Meyer, Barbara MD* Oakhill Park Ln B Miller, Stuart MD* Mallard Creek Rd Charlotte, NC Odafe, Jacinta Ogechukwuka MD 7752 Gateway Ln Concord, NC (704) Owens-Watterson, Dawn P DO* 1028 LeeAnn Dr Concord, NC (704) Panuski, Rebecca MD* Old Jetton Rd Patel, Hiten MD* 7110 Lawyers Rd Charlotte, NC (704) Phillips, Shari MD* Holly Crest Ln Ste Pressly, Cressent MD* 100 Robinhood Medical Plz Winston-Salem, NC (336) Rupe, Carol MD* 3230 Prosperity Church Rd Ste 201 Charlotte, NC Rupe, Carol MD* 620 Tom Hunter Rd Charlotte, NC Ryan, John MD* Old Jetton Rd Schaeper, Mark MD* Mallard Creek Rd Charlotte, NC Sherrill, Thomas MD* Holly Crest Ln Ste Snyder III, Christopher MD* Mallard Creek Rd Ste 120 Charlotte, NC Snyder III, Christopher MD* Old Jetton Rd Snyder III, Christopher MD* 5325 Vining St NW Ste 101 Concord, NC Snyder III, Christopher MD* 7752 Gateway Ln Concord, NC South, Bethany MD* 307 E Thom St China Grove, NC (704) *Accepts *Accepts Medicare Medicare and Medicaid and Medicaid ΩAccepting ΩAccepting Existing Existing Patients Patients Only ΦNot Only Accepting ΦNot Accepting New Patients New Patients ^POS Provider 3

19 Primary Care Providers / Médico de cabecera Cabarrus (cont.) Family Medicine / Medicina familiar (cont.) Stoffel, Elisabeth MD* Holly Crest Ln Ste Stoffel, Elisabeth MD* Old Jetton Rd Thomas, Michael MD* Old Jetton Rd Trufant, Scott MD* 5325 Vining St NW Ste 101 Concord, NC (704) Trufant, Scott MD* Old Jetton Rd Trufant, Scott MD* 7752 Gateway Ln Concord, NC Vargas, Ricardo MD* 5325 Vining St NW Ste 101 Concord, NC (704) Vargas, Ricardo MD* 7752 Gateway Ln Concord, NC Vincent, Mark MD* Old Jetton Rd Watts, Hope MD* 8401 Medical Plaza Dr Ste 250 Charlotte, NC Watts, Hope MD* 8420 University Executive Park Ste 850 Charlotte, NC Wentz, Julie Marie MD Holly Crest Ln Ste 150 (704) Wolff, Christian MD* Old Jetton Rd Zagar, Christopher MD* Old Jetton Rd Zagar, Christopher MD* 7752 Gateway Ln Concord, NC Internal Medicine / Medicina Interna Archer, Beth MD* Gilead Rd (704) Barrocas, Joseph MD* Northcross Dr Ste 110 (704) Bearss, David MD* 1035 Dale Earnhardt Blvd Kannapolis, NC Bearss, David MD* 115 Brown St Ste 101 Granite Quarry, NC (704) Bearss, David MD* Old Jetton Rd (704) Cain, Brian K MD 7752 Gateway Ln Concord, NC (704) Cain, Brian K MD 5325 Vining St NW Ste 101 Concord, NC (704) Caron, David MD* 1035 Dale Earnhardt Blvd Kannapolis, NC Caron, David MD* 115 Brown St Ste 101 Granite Quarry, NC (704) Evans, Adrienne MD* 8420 University Executive Park Ste 850 Charlotte, NC (704) Fink, Gary MD* 1035 Dale Earnhardt Blvd Kannapolis, NC Fink, Gary MD* 115 Brown St Ste 101 Granite Quarry, NC (704) Flannery, William MD* Northcross Dr Ste 110 (704) Gant, Dean MD* 200 Hawthorne Ln 2515 (704) Griffin, Keith MD* 7752 Gateway Ln Concord, NC (704) Griffin, Keith MD* 5325 Vining St NW Ste 101 Concord, NC (704) *Accepts *Accepts Medicare Medicare and Medicaid and Medicaid ΩAccepting ΩAccepting Existing Existing Patients Patients Only ΦNot Only Accepting ΦNot Accepting New Patients New Patients ^POS Provider

20 Primary Care Providers / Médico de cabecera Cabarrus (cont.) Internal Medicine / Medicina Interna (cont.) Jayne, Beth MD* Northcross Dr Ste 110 (704) Jayne, Beth MD* Old Jetton Rd (704) Kannan, Tamilarasi MD* 8401 Medical Plaza Dr Ste 250 Charlotte, NC (704) Kannan, Tamilarasi MD* 8420 University Executive Park Ste 850 Charlotte, NC (704) Lake, Josephine MD* Northcross Dr Ste 110 (704) Revis, Sheley MD* 8401 Medical Plaza Dr Ste 250 Charlotte, NC Roy, Perry MD* Mallard Creek Rd Ste 120 Charlotte, NC Vuong, Trang MD* Old Jetton Rd Vuong, Trang MD* 5325 Vining St NW Ste 101 Concord, NC Vuong, Trang MD* 7752 Gateway Ln Concord, NC Webb, Thomas MD* Northcross Dr Ste 110 (704) Woolwine, Amy MD* 7752 Gateway Ln Concord, NC (704) Woolwine, Amy MD* 5325 Vining St NW Ste 101 Concord, NC (704) Catawba Family Medicine / Medicina familiar Chesson, Andrew Long MD* 137 Island Ford Rd Maiden, NC (828) Chi, Hong Y MD* 200 Rosenwald School St Catawba, NC (828) Clark, Henry Vondell MD* 810 Fairgrove Church Rd Hickory, NC (828) Earl, John Keith MD 52 12th Ave NE Hickory, NC (828) Gold, Steven Allen MD 3511 Graystone Pl Conover, NC (828) Hamilton-Brandon, Luredean Gale MD* 2890 S Lookout St Claremont, NC (828) Hemby, Katherine Anne MD 52 12th Ave NE Hickory, NC (828) Hodges, James Robinson MD 52 12th Ave NE Hickory, NC (828) Kauth, Brian G MD* 2386 Springs Road NE Hickory, NC (828) Kihneman, Jason B MD th Ave NE Ste 1 Hickory, NC (828) Laney, Thomas Frederick MD 1105 Fairgrove Church Rd SE Conover, NC (828) Larson, Sean Mark MD 2386 Springs Rd NE Hickory, NC (828) Moore, Reginald Graham MD 1105 Fairgrove Church Rd SE Conover, NC (828) Morgante, Patrick John DO 52 12th Ave NE Hickory, NC (828) Moua, Jacques T MD 2386 Springs Rd SE Hickory, NC (828) Restino, Elizabeth D MD* 200 Rosenwald School St Catawba, NC (828) Sanderson, Steven Lee MD* 2712 S NC 127 Hwy Hickory, NC (828) Sanderson, Steven Lee MD* TH Ave Hickory, NC (828) Schultz, Curtis Donald MD* 137 Island Ford Rd Maiden, NC (828) Summers, Shane O MD th Ave Pl NW Ste 202 Hickory, NC (828) *Accepts *Accepts Medicare Medicare and Medicaid and Medicaid ΩAccepting ΩAccepting Existing Existing Patients Patients Only ΦNot Only Accepting ΦNot Accepting New Patients New Patients ^POS Provider 5

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