Hospital-Based Participating Practitioners

Transcription

1 -Based Participating Practitioners March 2016 This grid indicates whether a hospital has PEARs (Pathology, Emergency, Anesthesia and Radiology) providers in the EmblemHealth provider networks. This information will help you and your patients make informed decisions about hospital admittance. It will also reduce out-of-pocket costs often associated with out-of-network provider use, helping avoid surprise bills for members. Note: If an appears in a cell of the grid, the practitioners are network participants. List ALBANY COUNTY Albany Medical Center (518) OON OON OON OON Albany Medical Center South Campus (518) OON OON OON OON Albany Memorial (518) Non Par Non Par Non Par St. Peters (518) Non Par Non Par Non Par ALLEGANY COUNTY Cuba Memorial (585) N/A N/A N/A N/A OON OON N/A N/A OON OON Jones Memorial (585) OON OON OON OON OON OON OON OON BRONX COUNTY Bronx Lebanon Center (718) OON OON OON OON Jacobi Medical Center (HHC) (718) OON OON OON OON Lincoln Medical and Mental Health Center (HHC) (718) OON OON OON OON Montefiore Medical Center (718) North Central Bronx (HHC) (718) OON OON OON OON Our Lady of Mercy Medical Center (Montefiore) (718) OON OON OON OON St. Barnabas (718) Westchester Square (Montefiore) (718) OON OON OON OON OON OON OON OON BROOME COUNTY Our Lady Of Lourdes (607) Non Par OON OON OON OON United Health Services - Binghamton General (607) United Health Services - Wilson Memorial (607) = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies. EMB_PR_WEB_14388 PEARs_Grid 4/16 Page 1 of 10

2 -Based Participating Practitioners List CATTARAUGUS COUNTY Olean General (716) Non Par OON OON OON OON OON OON OON OON CAYUGA COUNTY Auburn Memorial (315) OON OON OON OON OON OON OON OON CHAUTAUQUA COUNTY Brooks Memorial (716) OON OON OON OON OON OON OON OON Lake Shore Health Care Center (716) OON OON OON OON OON OON OON OON Westfield Memorial (716) Non Par Non Par OON OON OON OON OON OON OON OON Woman s Christian Association (WCA) (716) Non Par OON OON OON OON OON OON OON OON CHEMUNG COUNTY Arnot Ogden Medical Center (607) OON OON OON OON OON OON OON OON St. Joseph s of Elmira (607) OON OON OON OON OON OON OON OON CHENANGO COUNTY Chenango Memorial (UHS) (607) OON OON OON OON OON OON OON OON CLINTON COUNTY Champlain Valley Physicians Medical Center (518) Non Par OON OON OON OON OON OON OON OON COLUMBIA COUNTY Columbia Memorial (518) CORTLAND COUNTY Cortland Regonal Medical Center (607) Non Par Non Par OON OON OON OON OON OON OON OON DELAWARE COUNTY Delaware Valley (UHS) (607) Margaretville Memorial (845) Non Par Non Par Non Par Non Par O Connor (Bassett Healthcare Network) (607) Tri-Town Regional (Bassett Healthcare Network) (607) DUTCHESS COUNTY Northern Dutchess (845) OON OON OON OON MidHudson Regional -Poughkeepsie-part of (845) OON OON OON Westchester Med Center. Vassar Brothers (845) OON OON OON OON ERIE COUNTY Bertrand Chaffee (716) Non Par Non Par Non Par OON OON OON OON OON OON OON OON Erie County Medical Center (716) OON OON OON OON OON OON OON OON Buffalo General (716) OON OON OON OON OON OON OON OON Kenmore Mercy (716) Non Par OON OON OON OON OON OON OON OON Mercy - Buffalo (716) Non Par OON OON OON OON OON OON OON OON = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 2 of 9

3 -Based Participating Practitioners List ERIE COUNTY () Millard Fillmore - Suburban (716) OON OON OON OON OON OON OON OON Roswell Park Cancer Institute (716) OON OON OON OON OON OON OON OON Sheehan Memorial (716) Non Par OON OON OON OON OON OON OON OON Sisters of Charity of Buffalo (716) Non Par OON OON OON OON OON OON OON OON Sisters of Charity - St. Joseph s (f/n/a St. Joseph s (716) Non Par OON OON OON OON OON OON OON OON ) Women s & Children s - Buffalo (716) OON OON OON OON OON OON OON OON ESSEX COUNTY Elizabethtown Community N/A N/A N/A Non Par N/A N/A N/A OON N/A N/A N/A OON Moses Ludington (518) N/A N/A N/A N/A N/A N/A OON N/A N/A N/A OON FRANKLIN COUNTY Adirondack Medical Center (518) Non Par OON OON OON OON OON OON OON OON Alice Hyde Medical Center (518) OON OON OON OON OON OON OON OON FULTON COUNTY Nathan Littauer (518) Non Par Non Par GENESEE COUNTY United Memorial Med Ctr - All Campuses (585) Non Par OON OON OON OON OON OON OON OON HERKIMER COUNTY Little Falls (315) OON OON OON OON JEFFERSON COUNTY Carthage Area (315) OON OON OON OON OON OON OON OON River, Inc. (315) Non Par OON OON OON OON OON OON OON OON Samaritan Medical Center - Watertown (315) OON OON OON OON OON OON OON OON KINGS COUNTY Beth Israel Brooklyn (Continuum) (212) Non Par Non Par Non Par Non Par Brookdale Medical Center (Medysis) (718) Non Par Non Par Brooklyn Center (NY Presby) (718) Coney Island (HHC) (718) OON OON OON OON Kings County Center (HHC) (718) OON OON OON OON Kingsbrook Jewish Medical Center (718) Non Par Non Par OON OON OON OON Long Island College (718) Non Par Non Par OON OON OON OON Lutheran Medical Center (718) Non Par Non Par Maimonides Medical Center (718) OON OON OON OON New York Community - Brooklyn (NY Presby) (718) = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 3 of 9

4 -Based Participating Practitioners List KINGS COUNTY () New York Methodist (NY Presby) (718) SUNY Health Science Center at Brooklyn - Downstate (718) OON OON OON OON Woodhull Medical & Mental Health Center (HHC) (718) OON OON OON OON Wyckoff Heights Medical Center (718) OON OON OON OON LEWIS COUNTY Lewis County General (315) OON OON OON OON OON OON OON OON LIVINGSTON COUNTY Nicholas H. Noyes Memorial (585) OON OON OON OON OON OON OON OON MADISON COUNTY Community Memorial (315) Non Par Non Par OON OON OON OON OON OON OON OON Oneida Healthcare Center (315) Non Par OON OON OON OON OON OON OON OON MONROE COUNTY Highland - University of Rochester Medical Center (585) OON OON OON OON OON OON OON OON Lakeside Memorial (585) OON OON OON OON OON OON OON OON Rochester General (585) Non Par OON OON OON OON OON OON OON OON Strong Memorial - University of Rochester (585) OON OON OON OON OON OON OON OON Medical Center Unity Health System (aka Park Ridge Hosp.) (585) OON OON OON OON OON OON OON OON MONTGOMERY COUNTY St. Mary s - Amsterdam (518) OON OON OON OON NASSAU COUNTY Franklin Medical Center (NSLIJ) (516) Long Beach Medical Center (562) Non Par Non Par Non Par OON OON OON OON Long Island Jewish Medical Center (NSLIJ) (718) Mercy - Rockville Centre (CHS) (516) OON OON OON OON Nassau University Medical Center (516) OON OON OON OON North Shore University at Glen Cove (NSLIJ) (516) North Shore University at Manhasset (NSLIJ) (516) North Shore University at Plainview (NSLIJ) (516) North Shore University at Syosset (NSLIJ) (516) South Nassau Communities (LIHN) (631) OON OON OON St. Francis - Roslyn (CHS) (516) OON OON OON St. Joseph (CHS) (516) Non Par Non Par Non Par Non Par Non Par OON OON OON OON Winthrop University (LIHN) (631) OON OON OON OON Cohen Children s Medical Center of New York (NSLIJ) (718) = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 4 of 9

5 -Based Participating Practitioners List NIAGARA COUNTY DeGraff Memorial (Kaleida Health) (716) OON OON OON OON OON OON OON OON Eastern Niagara - Newfane (ENHS) (716) Non Par OON OON OON OON OON OON OON OON (f/k/a Inter-Community Memorial ) Eastern Niagara - Lockport (ENHS) (716) Non Par OON OON OON OON OON OON OON OON (f/k/a Lockport Memorial ) Mount St. Mary s & Health Ctr of Niagara Falls (716) Non Par Non Par OON OON OON OON OON OON OON OON Niagara Falls Memorial Medical Center (716) Non Par OON OON OON OON OON OON OON OON NEW YORK COUNTY Bellevue Center (HHC) (212) OON OON OON OON Beth Israel Medical Center - Petrie (Continuum) (212) for Special Surgery (212) OON N/A OON OON N/A N/A Non Par Non Par Harlem Center (HHC) (212) OON OON OON OON for Joint Diseases Orthopaedic Institute (212) N/A Non Par N/A Non Par OON N/A OON OON Lenox Hill (NSLIJ) (212) Manhattan Eye, Ear, & Throat (212) N/A Non Par N/A Non Par OON N/A OON OON Memorial Sloan Kettering (212) N/A N/A OON N/A OON OON Metropolitan Center (HHC) (212) OON OON OON OON Mt. Sinai Medical Center (212) NYP/Lower Manhattan (f/k/a NY Downtown (212) ) The New York Eye & Ear Infirmary (Continuum) (212) New York Gracie Square (212) OON N/A OON OON OON N/A OON OON OON N/A OON OON New York - Weill Cornell Medical Center (NY (212) Presby) Columbia Presbyterian Medical Center (212) New York University Medical Center (212) OON OON OON OON St. Lukes - Center (Continuum) (212) St. Roosevelt Center (Continuum) (212) OON OON ONEIDA COUNTY Faxton St. Luke s Healthcare & Children s (315) OON OON OON OON OON OON OON OON Rome Memorial (315) OON OON OON OON OON OON OON St. Elizabeth - Utica (315) OON OON OON OON OON OON OON OON = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 5 of 9

6 -Based Participating Practitioners List ONONDAGA COUNTY Community General of Greater Syracuse (315) OON OON OON OON OON OON OON OON Crouse Irving Memorial (315) OON OON OON OON OON OON OON OON St. Joseph s Health Center - Syracuse (315) Non Par Non Par OON OON OON OON OON OON OON OON SUNY Heatlth Science Ctr - Syracuse (315) OON OON OON OON OON OON OON OON ONTARIO COUNTY Clifton Springs & Clinic (315) Non Par OON OON OON OON OON OON OON OON F.F. Thompson Health System (585) OON OON OON OON OON OON OON OON Geneva General (315) OON OON OON OON OON OON OON OON ORANGE COUNTY Bon Secours Community (845) Non Par Non Par Non Par Non Par Orange Regional Medical Center - Arden Hill Campus (888) OON OON OON OON Orange Regional Medical Center - Horton Campus (888) OON OON OON OON St. Anthony s Community (845) Non Par Non Par Non Par St. Luke s - Cornwall - Newburgh (845) Non Par OON OON OON OON ORLEANS COUNTY Medina Memorial (585) OON OON OON OON OON OON OON OON OSWEGO COUNTY Oswego (315) Non Par OON OON OON OON OON OON OON OON OTSEGO COUNTY Aurelia Osborn Fox Memorial (Bassett) (607) OON OON OON OON Mary Imogene Bassett (607) PUTNAM COUNTY Putnam Center (845) OON OON OON OON QUEENS COUNTY Elmhurst Center (HHC) (718) OON OON OON OON Flushing Medical Center (Medysis) (718) Jamaica Medical Center (Medysis) (718) Mt. Sinai of Queens (212) Non Par New York Queens (NY Presby) (f/k/a Booth (718) Non Par Memorial) North Shore University at Forest Hills (NSLIJ) (718) Queens Center (HHC) (718) OON OON OON OON St. John s Episcopal - South Shore (718) Non Par OON OON OON OON = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 6 of 9

7 -Based Participating Practitioners List RENSSELAER COUNTY Samaritan - Troy (518) Non Par Non Par Non Par Seton Health Systems - St. Mary s (518) Non Par RICHMOND COUNTY Richmond University Medical Center (718) OON OON OON Staten Island University (718) ROCKLAND COUNTY Good Samaritan Regional Medical Center- Suffern (845) Non Par Nyack (845) Non Par Non Par SARATOGA COUNTY Saratoga and Nursing Home (518) SCHENECTADY COUNTY Bellevue - The Woman s (518) Ellis (518) St. Clare s - Schenectady (518) SCHOHARIE COUNTY Cobleskill Regional (aka Bassett of (518) Schoharie) SCHUYLER COUNTY Schuyler (607) OON OON OON OON OON OON OON OON ST. LAWRENCE COUNTY Canton Potsdam (315) OON OON OON OON OON OON OON OON Claxton-Hepburn Medical Center (315) Non Par OON OON OON OON OON OON OON OON Clifton-Fine (315) Non Par Non Par OON OON OON OON OON OON OON OON Edward John Noble Of Gouverneur (315) OON OON OON OON OON OON OON OON Massena Memorial (315) Non Par Non Par Non Par OON OON OON OON OON OON OON OON STEUBEN COUNTY Corning (607) OON OON OON OON OON OON OON OON Ira Davenport Memorial (607) OON OON OON OON OON OON OON OON St. James Mercy - Hornell (607) Non Par OON OON OON OON OON OON OON OON = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 7 of 9

8 -Based Participating Practitioners List SUFFOLK COUNTY Brookhaven Memorial Medical Center (LIHN) (631) Non Par Non Par Non Par OON OON OON OON Eastern Long Island - Peconic (631) Good Samaritan (CHS) (631) Non Par Non Par Non Par OON OON OON OON Huntington (NSLIJ) (631) John T. Mather Memorial (LIHN) (631) Non Par Non Par Non Par OON OON OON OON Peconic Bay Medical Center (631) Southampton - Peconic (631) Non Par Non Par Non Par Southside (NSLIJ) (631) St. Catherine of Siena Medical Center (CHS) (631) Non Par Non Par OON OON OON OON St. Charles & Rehab Center (CHS) (631) Non Par Non Par OON OON OON OON Stony Brook University (631) SULLIVAN COUNTY Catskill Regional Medical Center - Harris (845) Non Par Non Par OON OON OON OON Catskill Regional Medical Center - Callicoon (845) Non Par Non Par OON OON OON OON TOMPKINS COUNTY Cayuga Medical Center at Ithaca (607) OON OON OON OON OON OON OON OON ULSTER COUNTY Benedictine (845) N/A N/A OON N/A OON OON Ellenville Regional (845) OON OON OON Kingston (845) OON OON OON WARREN COUNTY Glens Falls (518) WAYNE COUNTY Newark-Wayne Community (315) Non Par OON OON OON OON OON OON OON OON WESTCHESTER COUNTY Blythedale Children s (914) Non Par N/A Non Par Non Par Non Par N/A Non Par Non Par OON N/A OON OON Hudson Valley Center (914) Non Par OON OON OON Lawrence (NY Presby) (914) Montefiore Mount Vernon (914) N/A N/A N/A OON OON OON Montefiore New Rochelle (914) N/A N/A N/A OON OON Northern Westchester Center (Stellaris) (914) Non Par N/A Phelps Memorial Center (Stellaris) (914) = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 8 of 9

9 -Based Participating Practitioners List WESTCHESTER COUNTY () St. John s Riverside - Andrus Pavilion (914) Non Par Non Par OON OON OON OON St. John s Riverside - Dobbs Ferry Pavilion (914) Non Par Non Par Non Par OON OON OON OON St. John s Riverside - ParkCare Pavilion (914) Non Par Non Par Non Par Non Par OON OON OON OON St. Joseph s Medical Center - Yonkers (914) Non Par Non Par Westchester Medical Center (914) Non Par Non Par OON OON OON White Plains Center (Stellaris) (914) Non Par Non Par WYOMING COUNTY Wyoming County Community (585) OON OON OON OON OON OON OON OON YATES COUNTY Soldiers & Sailors Memorial (570) OON OON OON OON OON OON OON OON = Group Participating Non Par = Specialty Not Participating N/A = Specialty Not Available At OON = Not In Network Page 9 of 9