SHREVEPORT REGION HOSPITAL-BASED PHYSICIANS

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1 SHREVEORT REGION HOSITAL-BASED HYSICIANS Use the chart below to see whether a hospital-based physician or group participates in Blue Cross and Blue Shield of Louisiana O, HMO and/or Community Blue networks. The Shreveport Region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Sabine, Red River and Webster arishes. This chart is for informational purposes only and may have changed since it was last updated on January 30, 2016 Click Here - For instructions on reading this chart or for more information. HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Lab Corp of America Holdings 109 Circle Dr West Monroe, La (800) Bienville Medical Center 1175 ine St Arcadia, La (318) recision Radiology Management of LA, LLC 3501 Hwy 190 East Eunice, LA (337) Virtual Radiology.O. Box 4246 Carol Stream, Illinois (855) EmCare 1175 ine St Arcadia, La (318) Delta athology Group LL Christus Coushatta Health Care Center 1635 Marvel Street Coushatta, La (318) Diagnostic Imaging Associates 1800 Buckner St Ste B100 (318) Coushatta ER hysicians 1635 Marvel Street Coushatta, La (318) ! articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. For more information on reading the chart, please refer back to the Find a Doctor web page at Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 18NW1706 R01/16 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. 1 of 11

2 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Childrens Acute Care Inc One St Mary lace (318) Delta athology Group LL Diagnostic Imaging Associates 1800 Buckner St Ste B 100 (318) Christus Schumpert Health System-Highland 1453 E Bert Kouns Industrial Loop (318) Wayne Homza MD 2880 Covington Circle (318) University Health- Shreveport athology 1501 Kings Hwy (318) !! Medical Center Anesthesiology 401 Market St Ste 980 (800) ! ediatrix Medical Group One St Mary lace (318) !! Texas Trail Emergency hysicians 1453 E Bert Kouns Industrial Loop (318) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 2 of 11

3 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL (318) Desoto Regional Health System 207 Jefferson Street Mansfield, La (318) Diagnostic Imaging Associates 1800 Buckner St Ste B 100 (318) Emergency Staffing Solutions 207 Jefferson Street Mansfield, La (318) Tandem Anesthesia 1455 E Bert Kouns (318) Eye Surgery Center 445 Ashley Ridge Blvd (318) Christus Highland Hospital One St Mary lace (318) Tandem Anesthesia 1455 East Bert Kouns (318) Foot Surgery Center of Shreveport 9308 Mansfield Road, Ste 300 (318) No Data Reported anesthesiology, ER, radiology or pathology services. Highland Clinic Surgery Center 1455 East Bert Kouns, Ste 100 (318) Christus Schumpert Health System One Saint Mary lace Shreveport, La (318) Tandem Anesthesia 1455 East Bert Kouns (318) ! articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 3 of 11

4 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL (318) Homer Memorial Hospital 620 East College Street Homer, La (318) Diagnostic Imaging Associates 1800 Buckner St Ste B 100 (318) Homer Memorial Hospital Emergency Room hysicians 620 East College Homer, LA (318) Webster Anesthesiology Associates 620 E College Homer, La (318) Delta athology Group LL Minden Anesthesiology Assoc LLC 7330 Fern Ave Ste 402 (318) Minden Medical Center 1 Medical laza Minden, La (318) Robert W Stewart MD 1 Medical laza Minden, La (318) ! Virtual Radiologic rofessionals LLC 1 Medical laza Minden, La (952) Webster Emergency Group LLC 1 Medical laza Minden, La (318) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 4 of 11

5 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL North Caddo Medical Center 1000 South Spruce Vivian, La (318) North Caddo Anesthesia 1000 South Spruce St Vivian, La (318) North Caddo Medical Center Emergency Room hysicians 1000 South Spruce Vivian, LA (318) Red River Consultants Inc (877) Outpatient Surgery Center at the Villages of Bert Kouns 385 Bert Kouns Ind Loop, Bldg 300 Shreveport Anesthesia roviders O Box Orlando, FL (318) Delta athology Group LL (888) Red River Surgery Center 708 North Ashley Ridge Loop, Bldg 400 (318) Delta athology Group LL Medical Center Anesthesiologists One St Mary lace (318) Regional Urology ASC LLC 255 Bert Kouns Industrial Loop (318) ER, radiology or pathology services. Regional Urology ASC LLC 255 Bert Kouns Ind Loop (318) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 5 of 11

6 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL Sabine Medical Center 240 Highland Drive Many, La (318) Trent G Friedel, CRNA 240 Highland Dr Many, La (318) GN Many LLC 240 Higland Dr Many, La (318) Medical Imaging Associates of LA 2311 Kaliste Saloom Road Lafayette, LA (337) Shreveport Endoscopy Center 3217 Mabel Street Shreveport, La (318) Carl C Gable III MD 3217 Mabel St (318) Red River Anesthesia Services 3217 Mabel St (318) Shreveport Surgery Center 745 Olive St, Ste 100 Shreveport, La (318) Delta athology Group LL Medical Center Anesthesiogists One St Mary lace (318) Shriners Hospitals for Children 3100 Samford Rd (318) ER services Delta athology Group LL articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 6 of 11

7 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Specialists Hospital Shreveport 1500 Line Ave (318) ER, pathology or radiology services. Anesthesia Services of Shreveport 3440 Calumet Dr Shreveport, La (318) Brown Folse Radiology Group LL Shreveport, LA (318) ! Springhill Medical Center 2001 Doctors Drice Springhill, La (318) Delta athology Group LL (318) Dorcheat Emergency hysicians 2001 Doctors Dr Springhill, LA (318) Springhill Medical Services Inc 2001 Doctors Dr Springhill, La (318) University Health- Shreveport 1501 Kings Hwy Shreveport, LA (318) University Health- Shreveport 1501 Kings Highway Shreveport, LA (318) University Health-Shreveport athology 1501 Kings HWY Shreveport, La (318) University Health-Shreveport Anesthesiology 1501 Kings Hwy Shreveport, La (318) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 7 of 11

8 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL (318) Willis Knighton Bossier Health Center 2400 Hospital Drive Bossier City, La (318) Red River Consultants Inc (877) Regional Anesthesia Consultants 2400 Hospital Dr Shreveport, La (318) Willis Knighton Medical Center Emergency Room hysicians (504) Delta athology Group LL (318) Willis Knighton Medical Center Acute Care 2600 Greenwood Road (318) Red River Consultants Inc (877) Shreveport Anesthesia Services 2600 Greenwood Rd (888) Willis Knighton Medical Center Emergency Room hysicians (504) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 8 of 11

9 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL (318) Willis Knighton ierrmont Health Center (318) ierremont Anesthesia Consultants (318) Red River Consultants Inc (877) Willis Knighton Medical Center Emergency Room hysicians (504) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 9 of 11

10 Shreveport Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine and Webster arishes HOSITAL OR AMBULATORY O OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O (OUT OF ) Delta athology Group LL (318) Bharti Manchandia MD (318) Willis Knighton South (318) Red River Consultants Inc (877) South Shreveport Anesthesia Services (888) Willis Knighton Arklatex Neonatology Willis Knighton Medical Center Emergency Room hysicians (504) articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 10 of 11 End More u

11 Hospital-Based hysician Chart Instructions This is a list of the hospitals and ambulatory surgery centers in this region that participate in the Blue Cross networks. Follow these steps to get the information you need: 1. Find the facility where you will be receiving care. They are in alphabetical order. 2. Next to each facility, you will see a list of the hospital-based physicians/groups who practice at that facility. 3. The next five columns of the table represent the specialties that are considered hospital-based and include: Anesthesiology, emergency medicine, neonatology, pathology and radiology. There will be a checkmark () in the appropriate specialty column for each physician or group who participates in the Blue Cross networks. If there is no, it means that the facility does not have that hospital-based physician specialty or the facility has not reported data to Blue Cross (Data Not Received). 4. The first two columns in blue show whether the physician or group is... articipating in Blue Cross O network; articipating in the HMO network (if applicable) articipating in the Community Blue network (if applicable) 5. The last column will be highligted in red if the physician or group is... Not participating in any Blue Cross network and therefore considered out-of-network. 6.! Some hospital-based physicians participate in the Blue Cross network, but not in the indicated network. These doctors will have a! symbol because they have agreed to not balance bill HMO members for the difference between the Blue Cross allowable charge and the provider s billed charge. 7. U Some hospital-based physicians participate in the Blue Cross network, but not in the indicated network. These doctors will have a U symbol. These providers may balance bill HMO members for the difference between the Blue Cross allowable charge and the provider s billed charge. What you can do with this information: If you are planning to have a medical procedure or service at a network facility that has one or more out-of-network hospital-based physician(s), you may be balanced billed for the difference between the Blue Cross allowable charge and the provider s billed charge. You may consider asking your doctor whether you can have your procedure at another hospital. If that is not possible, you may be balance billed by a out-of-network (non-contracted) provider. In that case, call the out-of-network provider s office and ask whether they will accept Blue Cross allowable charge as full payment for their services. If you have questions, call Customer Service at the number on your member ID card, or use the secure online inquiry form to send us your question. articipates in Blue Cross, HMO and/or Community Blue networks U Does not participate in the indicated network, but may balance bill the member. For more information on reading the chart, please refer back to the Find a Doctor web page at Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 18NW1706 R01/16 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. 11 of 11

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