2015 Provider and Pharmacy Directory

Transcription

1 2015 Provider and Pharmacy Directory Prominence Plus (HMO) Service Area: Washoe county Prominence Value (HMO) Service Area: Carson City, Douglas, Lyon and Storey counties Prominence Health Plan is an HMO plan with a Medicare contract. Enrollment in Prominence Health Plan depends on contract renewal. Y0109_PEPPD15NV CMS Accepted 10/06/2014

2 Prominence Health Plan s HMO Plan Provider Directory This directory provides a list of Prominence Health Plan s network providers. This directory is for members who reside in the following counties: Carson City, Douglas, Lyon, Storey, and Washoe counties in the state of Nevada. This directory is current as of September 23, 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 Prominence Health Plan s network providers in your area, you can visit or call our Member Service Department at , from October 1, 2014 to February 14, 2015 from 8 a.m. to 8 p.m. 7 days a week. From February 15, 2015 to September 30, 2015 we can be reached between 8 a.m. to 8 p.m. Monday through Friday. TTY users should call 711. Prominence Health Plan is an HMO plan with a Medicare contract. Enrollment in Prominence Health Plan depends on contract renewal. This information is available for free in other languages. Please contact our Member Services number at for additional information. This document may be available in an alternate format such as large print or Spanish. 1

3 Section 1 Introduction This directory provides a list of Prominence Health Plan 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 Physician (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. Physicians who are considered Primary Care Physicians are generally providers that specialize in General Practice, Internal Medicine, Family Practice, Geriatrics, Physician Assistants, and Nurse Practitioners that specialize in primary care. The network providers listed in this directory have agreed to provide you with your health care 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. As a member of Prominence Value (HMO) and Prominence Plus (HMO), you will get your routine or basic care from your PCP. Your PCP is trained to handle the majority of common health needs, however, there may be a time when you need more specialized treatment. In most 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. The PCP you choose will work with our plan to ensure you see the appropriate plan specialist. As a Health Management Organization (HMO), our members are required to obtain a referral or authorization from our plan as a condition for covering certain medically necessary services that are covered by our plan. For most types of specialists, you will need to obtain a referral from your PCP before you can schedule an appointment with the specialist. It is important to communicate with your PCP about any health care services you may receive. An authorization may be required for services received such as inpatient hospitalization. If you have any questions about whether we will pay for any medical service or care that you are considering, you have the right to ask us whether we will cover it before you get the service or care. If you obtain routine care from out-of network providers neither Medicare nor Prominence Health Plan will be responsible for the costs. Prominence Health Plan s provider directory is continually being updated; therefore, please contact Member Services to be sure the provider is accepting new patients. 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 Member Services 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 2

4 covered or were not medically necessary, we may deny coverage and you will be responsible for the entire cost. Please refer to your Evidence of Coverage for details. You may get emergency medical care whenever you need it, anywhere in the United States or worldwide. 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. Please check your Evidence of Coverage for more information. 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. Emergency care can always be obtained in or out of the service area from the nearest available provider. When out of the service area urgent care may be obtained from the first available provider. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider. If you obtain routine care from out-of-network providers outside of the service area neither Medicare nor Prominence Health Plan will be responsible for the costs unless arrangements are made prior to services being rendered. Please refer to your Evidence of Coverage for more information. What is the service area for Prominence Health Plan? The counties in our service area are listed below. Carson City, Douglas, Lyon, Storey, and Washoe counties in the state of Nevada. How do you find Prominence Health Plan 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 Member Services at the number listed on the next page 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 Member Services and inform them of your PCP selection. Please keep in mind that if you do not select a PCP at the time of enrollment, we 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 Member Services at the number listed below. The name and office telephone number of your PCP are printed on your membership card. To choose a specialist, hospital, pharmacy or other provider, please turn to the applicable section in the Provider Directory for a listing of providers in your area. For example, to find hospitals in your area, turn to the Hospitals section of the directory. 3

5 If you have questions about Prominence Health Plan or require assistance in selecting a PCP, please call our Member Services Department at seven days a week, 8 a.m. 8 p.m., from October 1, 2014 to February 14, From February 15, 2015 to September 30, 2015 we can be reached between 8 a.m. to 8 p.m. Monday through Friday. TTY users should call 711. Or visit List of Providers This directory is arranged by state, county, and provider type. Look for the state and county you live in (or one near you) and find a provider close to where you live. Prominence Health Plan may add or remove plan providers from our provider/pharmacy directory. You can also get current information about Prominence Health Plan providers in your area, on our website 4

6 EL DORADO, CA SPECIALISTS NEUROLOGY SULLIVAN, MICHAEL, MD MICHAEL P SULLIVAN, MD 2101 SOUTH AVE SOUTH LAKE TAHOE, CA P: F: ID# P ORTHOPEDICS FRY, MICHAEL, MD 1139 THIRD ST SOUTH LAKE TAHOE, CA P: F: ID# P SULLIVAN, SARA, PAC 1139 THIRD ST SOUTH LAKE TAHOE, CA P: F: ID# P PHYS MEDICINE REHAB TOMITA, ROBIN, MD 1139 THIRD ST SOUTH LAKE TAHOE, CA P: F: ID# P

7 CARSON CITY, NV PRIMARY CARE PHYSICIANS FAMILY PRACTICE GEBHARD, JEAN, APN CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 P: F: ID# P INTERNAL MEDICINE ALDRICH, PHILLIP, MD CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 CARSON CITY, NV P: F: ID# P BASA, JEFFREY, MD CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 CARSON CITY, NV P: F: ID# P FORMAN, CHRISTOPHER, MD CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 CARSON CITY, NV P: F: ID# P OKSENHOLT, LORRIE, DO CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 CARSON CITY, NV P: F: ID# P VAN EPPS, LEE, MD CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 CARSON CITY, NV P: F: ID# P YAMAMOTO, RICHARD, MD CARSON TAHOE PHYSICIAN S 2874 N CARSON ST, STE 200 CARSON CITY, NV P: F: ID# P SPECIALISTS ALLERGY & IMMUNOLOGY LOKSHIN, BORIS, MD ALLERGY AND ASTHMA 1001 N MOUNTAIN ST, STE 2A P: F: ID# P SHAPIRO, LEONARD, MD ALLERGY AND ASTHMA 1001 N MOUNTAIN ST, STE 2A P: F: ID# P CARDIOLOGY BAKER, DAVID, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P CHAVEZ, JOE, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P DIPAOLO, CHRISTOPHER, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P DOWNING, CARMELLA, PA CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P

8 CARSON CITY, NV FIELD, ANTHONY, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P HO, NATHAN, DO CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P HOFFMAN, LISA, APN CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P JUNEAU, CARL, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P MCCORD, JENNIFER, PAC CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P MODOCK, JACQUELINE, APN CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P O'LEARY, SUSAN, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P TANN, STEPHEN, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P CARDIOTHORACIC SURGERY CHAPMAN, TODD, MD CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY, STE 160 P: F: ID# P CHIROPRACTIC BRAY, WILLIAM, DC CARSON CHIROPRACTIC CENTER 201 W ADAMS ST P: F: ID# P DERMATOLOGY ADAMS, JAY, MD CARSON DERMATOLOGY 1100 S CARSON ST CARSON CITY, NV P: F: ID# P ADAMS, RUTH, MD CARSON DERMATOLOGY 1100 S CARSON ST CARSON CITY, NV P: F: ID# P CLEMMENSEN, CHARLES, MD CARSON DERMATOLOGY 1100 S CARSON ST CARSON CITY, NV P: F: ID# P KOLAR, KIMBERLY, MD SKIN CANCER AND DERMATOLOGY 3950 GS RICHARDS BLVD P: F: ID# P ROWE, DAN, MD SKIN CANCER AND DERMATOLOGY 3950 GS RICHARDS BLVD P: F: ID# P SHACKELTON, JEFFREY, MD SKIN CANCER AND DERMATOLOGY 3950 GS RICHARDS BLVD P: F: ID# P

9 CARSON CITY, NV TACK, D, MD CARSON DERMATOLOGY 1100 S CARSON ST CARSON CITY, NV P: F: ID# P GASTROENTEROLOGY GAO, HONG, MD GASTROENTEROLOGY CONSULTANTS 1385 VISTA LN CARSON CITY, NV P: F: ID# P HARPER, PHILLIP, MD GASTROENTEROLOGY CONSULTANTS 1385 VISTA LN CARSON CITY, NV P: F: ID# P MCAFEE, JOHN, MD GASTROENTEROLOGY CONSULTANTS 1385 VISTA LN CARSON CITY, NV P: F: ID# P PENDYALA, SWAROOP, MD GASTROENTEROLOGY CONSULTANTS 1385 VISTA LN CARSON CITY, NV P: F: ID# P SOLINGER, MICHAEL, MD GASTROENTEROLOGY CONSULTANTS 1385 VISTA LN CARSON CITY, NV P: F: ID# P GENERAL SURGERY DEMAR, MARK, MD CARSON SURGICAL GROUP 1375 VISTA LN P: F: ID# P HALOW, KEVIN, MD CARSON SURGICAL GROUP 1375 VISTA LN P: F: ID# P KING, TIMOTHY, MD CARSON SURGICAL GROUP 1375 VISTA LN P: F: ID# P KNOLL, KRAIG, MD CARSON SURGICAL GROUP 1375 VISTA LN P: F: ID# P THOMAS, WILLIAM, MD CARSON SURGICAL GROUP 1375 VISTA LN P: F: ID# P HAND SURGERY GABRIEL, KENT, MD CARSON-TAHOE PLASTIC, HAND & MICROSURGEONS 704 W NYE LN, STE 102 P: F: ID# P NEPHROLOGY CLARK, PETER, MD SIERRA NEVADA NEPHROLOGY CONSULTANTS 410 FLEISCHMANN WAY, STE B P: F: ID# P DHANIREDDY, SONI, MD SIERRA NEVADA NEPHROLOGY CONSULTANTS 410 FLEISCHMANN WAY, STE B P: F: ID# P GUPTA, ARIKA, MD ARIKA GUPTA, MD 415 W SOPHIA ST P: F: ID# P NEUROLOGY 8

10 CARSON CITY, NV LAGIOS, JOHN, MD JOHN LAGIOS, MD 915 MOUNTAIN ST P: F: ID# P NEUROSURGERY DEMERS, CHRISTOPHER, MD SIERRA NEUROSURGERY GROUP 844 W NYE LANE, STE 102 CARSON CITY, NV P: F: ID# P LEPPLA, DAVID, MD SIERRA NEUROSURGERY GROUP 844 W NYE LANE, STE 102 CARSON CITY, NV P: F: ID# P MORGAN, JAY, MD SIERRA NEUROSURGERY GROUP 844 W NYE LANE, STE 102 CARSON CITY, NV P: F: ID# P VACCA, DANTE, MD SIERRA NEUROSURGERY GROUP 844 W NYE LANE, STE 102 CARSON CITY, NV P: F: ID# P ONCOLOGY TACK, DINA, MD CARSON TAHOE PHYSICIAN S 1535 MEDICAL PKWY, STE B CARSON CITY, NV P: F: ID# P OPHTHALMOLOGY VAZEEN, MEHDI, MD CENTER FOR ADVANCED EYECARE 1104 N DIVISION ST P: F: ID# P WU, ZIQIANG, MD CENTER FOR ADVANCED EYECARE 1104 N DIVISION ST P: F: ID# P OPTOMETRY NANNINI, CHRISTOPHER, OD CENTER FOR ADVANCED EYECARE 1104 N DIVISION ST P: F: ID# P ORTHOPEDIC SURGERY DAVIS, JACK, DO 2874 N CARSON ST, STE 105 CARSON CITY, NV P: F: ID# P ROGALSKI, ROGER, MD 2874 N CARSON ST, STE 105 CARSON CITY, NV P: F: ID# P SHUKLA, SANJAI, MD 2874 N CARSON ST, STE 105 CARSON CITY, NV P: F: ID# P WALLS, JOSEPH, MD 2874 N CARSON ST, STE 105 CARSON CITY, NV P: F: ID# P PAIN MANAGEMENT BLAKE, JACOB, MD SIERRA NEUROSURGERY GROUP 844 W NYE LANE, STE 102 CARSON CITY, NV P: F: ID# P PLASTIC SURGERY 9

11 CARSON CITY, NV GABRIEL, KENT, MD CARSON-TAHOE PLASTIC, HAND & MICROSURGEONS 704 W NYE LN, STE 102 P: F: ID# P PODIATRY CARD, KEITH, DPM 2874 N CARSON ST, STE 105 CARSON CITY, NV P: F: ID# P PULMONARY DISEASE AHMAD, SYED, MD MOUNTAIN MEDICAL 200 BATH ST, STE 1 P: F: ID# P FOSTER, GUY, MD MOUNTAIN MEDICAL 200 BATH ST, STE 1 P: F: ID# P MCDONALD, ROBERT, MD MOUNTAIN MEDICAL 200 BATH ST, STE 1 P: F: ID# P RADIATION ONCOLOGY CAMPBELL, GARY, MD CARSON-TAHOE RADIATION ONCOLOGY 1535 MEDICAL PKWY, STE A P: F: ID# P HUMMER, BETH, MD CARSON-TAHOE RADIATION ONCOLOGY 1535 MEDICAL PKWY, STE A P: F: ID# P LEGARZA, KATHLEEN, MD CARSON-TAHOE RADIATION ONCOLOGY 1535 MEDICAL PKWY, STE A P: F: ID# P SUTTON, JENNIFER, MD CARSON-TAHOE RADIATION ONCOLOGY 1535 MEDICAL PKWY, STE A P: F: ID# P TAY, JONATHAN, MD CARSON-TAHOE RADIATION ONCOLOGY 1535 MEDICAL PKWY, STE A P: F: ID# P UROLOGY UPTON, JEFFREY, MD CAPITOL UROLOGY INC 1525 VISTA LN, STE 120 P: F: ID# P OTHER HEALTHCARE PROVIDERS AMBULATORY SURGICAL CENTER SIERRA SURGERY HOSPITAL 1400 MEDICAL PKWY P: F: ID# P CARSON ENDOSCOPY CENTER 1385 VISTA LN CARSON CITY, NV P: F: ID# P CARDIAC CATHETERIZATION SERVICES CARSON TAHOE REGIONAL MEDICAL CENTER 1600 MEDICAL PKWY P: ID# P CARDIAC SURGERY PROGRAM CARSON TAHOE REGIONAL MEDICAL CENTER 1600 MEDICAL PKWY P: ID# P

12 CARSON CITY, NV DIAGNOSTIC RADIOLOGY SIERRA SURGERY HOSPITAL 1400 MEDICAL PKWY P: F: ID# P GREAT BASIN IMAGING 2874 N CARSON ST, STE 300 CARSON CITY, NV P: F: ID# P HOSPICE SAINT MARY'S HOSPICE 990 MINNESOTA ST P: F: ID# P MAMMOGRAPHY GREAT BASIN IMAGING 2874 N CARSON ST, STE 300 CARSON CITY, NV P: F: ID# P SIERRA SURGERY HOSPITAL 1400 MEDICAL PKWY P: F: ID# P OCCUPATIONAL THERAPY CARSON TAHOE THERAPY 1122 S STEWART ST CARSON CITY, NV P: F: ORTHOTICS & PROSTHETICS ORTHOPRO OF CARSON CITY 415 W SOPHIA ST, STE 200 P: F: ID# P PHYSICAL THERAPY CARSON TAHOE THERAPY 1122 S STEWART ST CARSON CITY, NV P: F: RENAL DIALYSIS FACILITY LIBERTY DIALYSIS CARSON CITY 4500 S CARSON ST CARSON CITY, NV P: ID# P CARSON TAHOE AMBULATORY INFUSION CENTER 1535 MEDICAL PKWY P: SPEECH THERAPY CARSON TAHOE THERAPY 1122 S STEWART ST CARSON CITY, NV P: F: URGENT CARE CTRHC URGENT CARE 1201 S CARSON ST CARSON CITY, NV P: F: ID# P WALK IN CTRHC WALMART 3200 MARKET ST CARSON CITY, NV P: F: ID# P HOSPITALS CRITICAL CARE/INTENSIVE CARE UNIT CARSON TAHOE REGIONAL MEDICAL CENTER 1600 MEDICAL PKWY P: ID# P HOSPITAL SIERRA SURGERY HOSPITAL 1400 MEDICAL PKWY P: F: ID# P CARSON TAHOE REGIONAL MEDICAL CENTER 1600 MEDICAL PKWY P: ID# P HOSPITAL LONG TERM ACUTE 11

13 CARSON CITY, NV CARSON TAHOE CONTINUING CARE HOSPTIAL 775 FLEISCHMANN WAY, 2ND FLOOR P: F: ID# P PSYCHIATRIC HOSPITAL BEHAVIORAL HEALTH SERVICES OF CTRMC 1080 N MINNESOTA ST P: ID# P SKILLED NURSING FACILITIES SKILLED NURSING FACILITY CARSON NURSING & REHABILITIATION CENTER 2898 US HIGHWAY 50 CARSON CITY, NV P:

14 CHURCHILL, NV PRIMARY CARE PHYSICIANS FAMILY PRACTICE BURNS, ERIN, PAC BANNER HEALTH 801 E WILLIAMS AVE, STE 2208 FALLON, NV P: ID# P CHUNG, BO, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 2207 FALLON, NV P: F: ID# P PATEL, HERSH, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 2207 FALLON, NV P: F: ID# P REIMER, GALEN, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 2207 FALLON, NV P: F: ID# P SARTAIN, HEATHER, PAC BANNER HEALTH 801 E WILLIAMS AVE, STE 2207 FALLON, NV P: ID# P SPECIALISTS DERMATOLOGY ALBREGTS, ANTHONY, MD SKIN CANCER AND DERMATOLOGY 801 E WILLIAMS AVE, STE 1101 FALLON, NV P: F: ID# P GENERAL SURGERY MCCORMICK, THOMAS, MD ERN NEVADA MEDICAL GROUP 1020 NEW RIVER PKWY, STE 200 FALLON, NV P: F: ID# P MURRAY, MICHAEL, MD ERN NEVADA MEDICAL GROUP 1020 NEW RIVER PKWY, STE 200 FALLON, NV P: F: ID# P NEPHROLOGY GUPTA, ARIKA, MD ARIKA GUPTA, MD 801 E WILLIAMS AVE FALLON, NV P: F: ID# P OBSTETRICS & GYNECOLOGY BECKMAN, WILLIAM, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 3309 FALLON, NV P: F: ID# P MCDONALD, TEDD, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 3309 FALLON, NV P: F: ID# P RICE, LUCY, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 3309 FALLON, NV P: F: ID# P ST PIERRE, CYNTHIA, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 3309 FALLON, NV P: F: ID# P OPHTHALMOLOGY CHANG, STEVE, MD NEVADA EYE CONSULTANTS 65 N TAYLOR ST FALLON, NV P: F: ID# P ORTHOPEDIC SURGERY 13

15 CHURCHILL, NV DAVIS, RICHARD, MD BANNER HEALTH 801 E WILLIAMS AVE, STE 3301 FALLON, NV P: F: ID# P WEBSTER, JEFFREY, MD BANNER HEALTH 801 E WILLIAMS AVE FALLON, NV P: F: ID# P OTHER HEALTHCARE PROVIDERS DIAGNOSTIC RADIOLOGY BANNER CHURCHILL COMMUNITY HOSPITAL 801 E WILLIAMS AVE FALLON, NV P: MAMMOGRAPHY BANNER CHURCHILL COMMUNITY HOSPITAL 801 E WILLIAMS AVE FALLON, NV P: HOSPITALS HOSPITAL BANNER CHURCHILL COMMUNITY HOSPITAL 801 E WILLIAMS AVE FALLON, NV P: ID# P SKILLED NURSING FACILITIES SKILLED NURSING FACILITY HIGHLAND MANOR OF FALLON 550 N SHERMAN ST FALLON, NV P: F: ID# P

16 DOUGLAS, NV PRIMARY CARE PHYSICIANS FAMILY PRACTICE HOLMAN, JOHN, MD CARSON TAHOE PHYSICIAN S 925 IRONWOOD DR, STE 2102 MINDEN, NV P: F: ID# P INTERNAL MEDICINE BRUNE, MARK, MD CARSON TAHOE PHYSICIAN S 925 IRONWOOD DR, STE 2102 MINDEN, NV P: F: ID# P SPECIALISTS CARDIOLOGY BAKER, DAVID, MD CARSON TAHOE CARDIOLOGY 925 IRONWOOD DR, STE 1108 MINDEN, NV P: F: ID# P CHAVEZ, JOE, MD CARSON TAHOE CARDIOLOGY 925 IRONWOOD DR, STE 1108 MINDEN, NV P: F: ID# P JUNEAU, CARL, MD CARSON TAHOE CARDIOLOGY 925 IRONWOOD DR, STE 1108 MINDEN, NV P: F: ID# P O'LEARY, SUSAN, MD CARSON TAHOE CARDIOLOGY 925 IRONWOOD DR, STE 1108 MINDEN, NV P: F: ID# P TANN, STEPHEN, MD CARSON TAHOE CARDIOLOGY 925 IRONWOOD DR, STE 1108 MINDEN, NV P: F: ID# P GASTROENTEROLOGY GAO, HONG, MD GASTROENTEROLOGY CONSULTANTS 1520 VIRGINIA RANCH RD, STE 2B GARDNERVILLE, NV P: F: ID# P HARPER, PHILLIP, MD GASTROENTEROLOGY CONSULTANTS 1520 VIRGINIA RANCH RD, STE 2B GARDNERVILLE, NV P: F: ID# P MCAFEE, JOHN, MD GASTROENTEROLOGY CONSULTANTS 1520 VIRGINIA RANCH RD, STE 2B GARDNERVILLE, NV P: F: ID# P GENERAL SURGERY DEMAR, MARK, MD CARSON SURGICAL GROUP 1702 COUNTY RD MINDEN, NV P: F: ID# P HALOW, KEVIN, MD CARSON SURGICAL GROUP 1702 COUNTY RD MINDEN, NV P: F: ID# P KING, TIMOTHY, MD CARSON SURGICAL GROUP 1702 COUNTY RD MINDEN, NV P: F: ID# P KNOLL, KRAIG, MD CARSON SURGICAL GROUP 1702 COUNTY RD MINDEN, NV P: F: ID# P

17 DOUGLAS, NV THOMAS, WILLIAM, MD CARSON SURGICAL GROUP 1702 COUNTY RD MINDEN, NV P: F: ID# P NEUROSURGERY KHOSLA, DEVEN, MD SIERRA NEUROSURGERY GROUP 1520 VIRGINIA RANCH RD, 2ND FLOOR GARDNERVILLE, NV P: F: ID# P OBSTETRICS & GYNECOLOGY WILLEN, GARY, MD TAHOE WOMEN'S CARE 961 MICA DR P: F: ID# P OCCUPATIONAL THERAPY FLUITT, ANGELA, OT LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P FLUITT, ANGELA, OT LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P OPHTHALMOLOGY VAZEEN, MEHDI, MD CENTER FOR ADVANCED EYECARE 1673 LUCERNE ST, STE B MINDEN, NV P: F: ID# P WU, ZIQIANG, MD CENTER FOR ADVANCED EYECARE 1673 LUCERNE ST, STE B MINDEN, NV P: F: ID# P OPTOMETRY NANNINI, CHRISTOPHER, OD CENTER FOR ADVANCED EYECARE 1673 LUCERNE ST, STE B MINDEN, NV P: F: ID# P ORTHOPEDIC SURGERY ANDERSON, MARTIN, MD 973 MICA DR, STE 201 P: F: ID# P COTTRELL, WILLIAM, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P COTTRELL, WILLIAM, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P CUMMINGS, JEFFERY, MD 1520 VIRGINIA RANCH RD, STE 101B GARDNERVILLE, NV P: F: ID# P CUMMINGS, JEFFERY, MD 973 MICA DR, STE 201 P: F: ID# P

18 DOUGLAS, NV EDMUNDS, MICHAEL, MD 973 MICA DR, STE 201 P: F: ID# P ROGALSKI, ROGER, MD 973 MICA DR, STE 201 P: F: ID# P SWANSON, KEITH, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P FRY III, PAUL, MD 1520 VIRGINIA RANCH RD, STE 101B GARDNERVILLE, NV P: F: ID# P ORR, TERRANCE, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P ORR, TERRANCE, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P RIES, MICHAEL, MD 973 MICA DR, STE 201 P: F: ID# P RUPP, ROBERT, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P RUPP, ROBERT, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P SHUKLA, SANJAI, MD 973 MICA DR, STE 201 P: F: ID# P SWANSON, KEITH, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P ORTHOPEDICS APGAR, AUTUMN, PAC LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P BANNAR, STEPHEN, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P BANNAR, STEPHEN, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P EISENHAUER, DAVID, DO 973 MICA DR, STE 201 P: F: ID# P

19 DOUGLAS, NV ERKKILA, KYLE, PAC LAKE TAHOE ORTHOPAEDIC 935 MICA DR P: F: ID# P ERKKILA, KYLE, PAC LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD ZEPHYR COVE, NV P: F: ID# P FRY, MICHAEL, MD 973 MICA DR, STE 201 P: F: ID# P JONES, DAVID, MD 973 MICA DR, STE 201 P: F: ID# P ROBERTSON, DANIEL, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P ROBERTSON, DANIEL, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P SCHUMANN, CRAIG, PA 973 MICA DR, STE 201 P: F: ID# P SMITH, PAMELA, PA 973 MICA DR, STE 201 P: F: ID# P SULLIVAN, SARA, PAC 973 MICA DR, STE 201 P: F: ID# P SWANSON, KYLE, MD LAKE TAHOE ORTHOPAEDIC 212 ELKS POINT RD, STE 200 ZEPHYR COVE, NV P: F: ID# P SWANSON, KYLE, MD LAKE TAHOE ORTHOPAEDIC 935 MICA DR, STE 13 P: F: ID# P TAPPER, EDWARD, MD 1520 VIRGINIA RANCH RD, STE 101B GARDNERVILLE, NV P: F: ID# P TONN, STEPHANIE, PAC 973 MICA DR, STE 201 P: F: ID# P PAIN MANAGEMENT GOODE, RANDALL, MD CARSON TAHOE PAIN 973 MICA DR, STE 202 P: ID# P SULLIVAN, JAMES, MD CARSON TAHOE PAIN 973 MICA DR, STE 202 P: ID# P PHYS MEDICINE REHAB 18

20 DOUGLAS, NV COSTA, PETER, MD 973 MICA DR, STE 201 P: F: ID# P COSTA, PETER, MD 1520 VIRGINIA RANCH RD, STE 101B GARDNERVILLE, NV P: F: ID# P SHAPIRO, MICHAEL, MD 973 MICA DR, STE 201 P: F: ID# P TOMITA, ROBIN, MD 973 MICA DR, STE 201 P: F: ID# P PODIATRY CARD, KEITH, DPM 973 MICA DR, STE 201 P: F: ID# P UROLOGY UPTON, JEFFREY, MD CAPITOL UROLOGY INC 925 IRONWOOD DR, STE 2103 MINDEN, NV P: F: ID# P OTHER HEALTHCARE PROVIDERS AMBULATORY SURGICAL CENTER CARSON TAHOE SURGERY CENTER 973 MICA DR, STE 102 P: F: ID# P DIAGNOSTIC RADIOLOGY CARSON TAHOE RADIOLOGY 925 IRONWOOD DR MINDEN, NV P: F: ID# P MAMMOGRAPHY CARSON TAHOE RADIOLOGY 925 IRONWOOD DR MINDEN, NV P: F: ID# P OCCUPATIONAL THERAPY CARSON TAHOE THERAPY 973 MICA DR, STE 001 P: ID# P CARSON TAHOE THERAPY 925 IRONWOOD DR, STE 1109 MINDEN, NV P: F: CARSON TAHOE THERAPY 1550 S HIGHWAY 395, STE B GARDNERVILLE, NV P: F: PAIN MANAGEMENT CARSON TAHOE PAIN 973 MICA DR, STE 202 P: ID# P PHYSICAL THERAPY CARSON TAHOE THERAPY 1550 S HWY 395 GARDNERVILLE, NV P: ID# P CARSON TAHOE THERAPY 925 IRONWOOD DR, STE 1109 MINDEN, NV P: F: CARSON TAHOE THERAPY 973 MICA DR, STE 001 P: F: SPEECH THERAPY CARSON TAHOE THERAPY 1550 S HIGHWAY 395, STE B GARDNERVILLE, NV P: F: