Healthplex Dental Network for Independent Health s 2016 Medicare Advantage Plans * ADMINISTERED BY: 333 Earle Ovington Boulevard Suite 300 Uniondale, NY 11553-3608 800-468-9868 TTY/TDD 800-662-1220 Website: www.healthplex.com Email: info@healthplex.com This directory provides a list of Healthplex s network providers. This directory is for Erie, Niagara, Allegany, Cattaraugus, Chautauqua, Genesee, Orleans and Wyoming counties in New York state. This directory is current as of October 30, 2015. 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 Healthplex s network providers in your area, you can visit independenthealth.com/medicare or call Healthplex at 1-800-468-9868, October 1 February 14: Monday Sunday, 8 a.m. 6 p.m.; February 15 September 30: Monday Friday, 8 a.m. 6 p.m. TTY users should call 1-800-662-1220. Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Enrollment in Independent Health depends on contract renewal. Verbal translation of written materials is available via free interpreter services. For those with special needs, accessibility to benefit information or alternate formats of written materials are available upon request. The dental network may change at any time. You will receive notice when necessary. *Benefits vary by plan. Not all plans include preventive dental services. Effective 1/1/2016. Y0042_C5507 Accepted 09302015 2015 Independent Health Association, Inc. IH21900 1
Section 1 Introduction This directory provides a list of Healthplex s network providers for Independent Health s Medicare Advantage plans. To get detailed information about your dental coverage, please see your Evidence of Coverage. The network providers listed in this directory have agreed to provide you with your dental services. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers. Some plans have an out-of-network or point-of-service benefit. Please see your Evidence of Coverage. If a non-contracting provider submits a bill directly to you, you should not pay the bill, but should submit a provider signed claim form to Healthplex for processing and determination of your liability, if any. Send the claim to: Healthplex, Inc. Attention: CLAIMS DEPT. P.O. Box 9255 Uniondale, NY 11553-9255 What is the service area for Independent Health s Medicare Advantage plans? The counties in our service area are Erie, Niagara, Allegany, Cattaraugus, Chautauqua, Genesee, Orleans and Wyoming in New York state. How do you find Healthplex dental providers in your area? To find a network provider nearest your home, the directory is arranged alphabetically by county. If you have questions about Healthplex s Dental Network or require assistance in selecting a Healthplex dental provider, please call Healthplex at 1-800-468-9868, October 1 February 14: Monday Sunday, 8 a.m. 8 p.m.; February 15 September 30: Monday Friday, 8 a.m. 8 p.m. TTY users should call 1-800-662-1220. Or, visit independenthealth.com/medicare. 2
Section 2 List of Network Providers GENERAL DENTISTRY SITES CATTARAUGUS A2597 Olean General Hospital Gundlah Dental Center 623 Main Street Olean, NY 14760 (716) 375-7300 A9799 Donald Proto, DDS Proto & Proto, DDS 418 West State Street Olean, NY 14760 (716) 373-2626 A1872 Lionel R. John Health Center 987 R.C. Hoag Drive Salamanca, NY 14779 (716) 945-5894 (Treating Native Americans only) CHAUTAUQUA A9801 Jennifer Foley 437 Eagle Street PO Box 144 Dunkirk, NY 14048 (716) 366-2466 AA751 NYSARC, Inc. Chautauqua County Chapter Resource Center Dental Office 186 Lake Shore Drive West Dunkirk, NY 14048 (716) 366-1661 A1869 Cattaraugus Indian Reservation H.C. 36 Thomas Indian School Drive Irving, NY 14081 (716) 532-5582 (Treating Native Americans only) A2591 Dr. Jeffrey D. Menoff 785 Fairmount Avenue W.E. Jamestown, NY 14701 (716) 665-1468 AA750 NYSARC, Inc. Chautauqua County Chapter Resource Center Dental Office 896 East Second Street Jamestown, NY 14701 (716) 661-1431 A3220 Dr. David M Wright, DDS 195 Central Avenue Silver Creek, NY 14136 (716) 934-0600 ERIE A1810 Choice 1 Dental Dr. Vasuki Thevanayagam 2878 Niagara Falls Boulevard Amherst, NY 14228 (716) 693-2861 AA706 Joseph Hayek, DDS 626 North French Road Suite 4 Amherst, NY 14228 (716) 832-1541 A1941 Robert J. LaCarrubba, DDS 4927 Main Street Amherst, NY 14226 (716) 631-2728 A9198 Roustum Dental 646 North French Road Suite 5 Amherst, NY 14228 (716) 695-2588 A1715 Dr. Joseph Mecca 8724 North Main Street PO Box 353 Angola, NY 14006 (716) 549-2060 AA081 Stellar Dental Care 4154 McKinley Parkway Blasdell, NY 14219 (716) 649-2288 AA380 Alltown Dental 1410 Millersport Highway Buffalo, NY 14221 (716) 688-5046 A3918 484 Ontario Street Buffalo, NY 14207 (716) 873-0681 A1440 Community Health Center of Buffalo 34 Benwood Avenue (716) 986-9199 A9824 Dr. Robert Crabtree III 1152 Main Street Buffalo, NY 14209 (716) 886-1000 A1238 ECMC Dental Services 462 Grider Street Buffalo, NY 14215 (716) 898-3189 A2527 Family Dental Associates Family Dental Center 2121 Main Street Suite 202 (716) 835-1933 A3088 Dr. Michael S. Feuerstein 33 Gates Circle Buffalo, NY 14209 (716) 886-7992 A2300 Dr. Vincent Fiorella 393 Porter Avenue Buffalo, NY 14201 (716) 882-4137 A2225 Genesee Valley Group Health Assn. William H. Mosher Health Center 899 Main Street Buffalo, NY 14203 (716) 656-4270 Closed To New Patients Wheelchair Accessible 3
A2599 Kenmore Quality Care Dentistry 956 Kenmore Avenue Buffalo, NY 14216 (716) 874-7112 A3935 Thomas J Keohane, DDS 487 Niagara Street Buffalo, NY 14201 (716) 853-6601 A3973 Robert LaCarrubba, DDS Elmwood Village Dental Care 892 Elmwood Avenue Buffalo, NY 14222 (716) 332-0460 AA445 Metropolitan Dental 403 Main Street Suite 416 Buffalo, NY 14203 (716) 854-7811 A9838 Parmalier Murphy, DDS 2559 Main Street (716) 833-3355 A9516 Neighborhood Health Center 300 Niagara Street Buffalo, NY 14201 (716) 242-8600 A9514 North Buffalo Dental 1600 Hertel Avenue Buffalo, NY 14216 (716) 803-1600 A1421 Northwest Buffalo Community Health 155 Lawn Avenue Buffalo, NY 14207 (716) 875-2904 A3045 Dr. Joseph Pagliacci 2514 Delaware Avenue Buffalo, NY 14216 (716) 874-0150 GENERAL DENTISTRY SITES A9744 Dr. Frank Rizzo 806 Abbott Road Buffalo, NY 14220 (716) 823-1314 A2202 Dr. Ira Robbins 2084 Sheridan Drive Buffalo, NY 14223 (716) 873-7679 A9464 Gary R. Schoene, DDS 1925 Seneca Street Buffalo, NY 14210 (716) 824-3100 A2162 Dr. Michael L. Schwartz 422 Niagara Falls Boulevard Buffalo, NY 14223 (716) 835-3906 A2421 Dr. Jack Su 1950 Sheridan Drive Suite 5E Buffalo, NY 14223 (716) 875-3660 A9765 SUNY Buffalo School of Dental Medicine 3435 Main Street Squire Hall Room 103 (716) 829-2732 AA799 Syedloc Dentistry Dr. Bob s Dental of N. Buffalo 2727 Main Street (716) 833-2727 A9886 Dr. Edmund A. Thomas 2866 Bailey Avenue Buffalo, NY 14215 (716) 838-6633 A9069 Total Care Family Dental 476 Hertel Avenue Buffalo, NY 14207 (716) 877-3510 A9898 Philip Williams, DDS 2866 Bailey Avenue Buffalo, NY 14215 (716) 838-6633 A9010 Women and Children s Hospital 219 Bryant Street Buffalo, NY 14222 (716) 878-7758 A2182 Dr. Thomas A. Casey 2934 Genesee Street (716) 892-2318 AA062 Charlap Dental Services 3099 William Street Cheektowaga, NY 14227 (716) 668-2998 A9862 Dr. David M. Goldstein 1259 Cleveland Drive (716) 635-4720 AA688 Eugene F. Lesinski, DDS 2768 Harlem Road (716) 893-2211 A2464 Dr. Alan Shapiro 2475 Harlem Road (716) 895-8500 AA025 Robert Schaus, DDS 9180 Greiner Road Clarence, NY 14031 (716) 741-3875 A9835 Ann E. Schwab-Davis, DDS 5945 Goodrich Road Clarence Center, NY 14032 (716) 741-2835 A1719 Dr. David Schwegmann 4880 Broadway Depew, NY 14043 (716) 683-5840 Closed To New Patients Wheelchair Accessible 4
GENERAL DENTISTRY SITES A3972 Better Smile of WNY 6161 Transit Road East Amherst, NY 14051 (716) 688-3000 AA656 Lola J. John-Roberts, DMD Amherst Dentistry 8588 Transit Road East Amherst, NY 14051 (716) 636-1399 AA569 Affordable General Dentistry 198 Main Street Hamburg, NY 14075 (716) 649-5280 AA279 Advantage Dentistry 2887 Elmwood Avenue Kenmore, NY 14217 (716) 877-2275 A9659 Mark A. Danziger 2982 Delaware Avenue Kenmore, NY 14217 (716) 875-4243 A1272 Baker Victory Services Healthcare Dental Clinic 790 Ridge Road (716) 828-9334 A3944 Charlap Dental Services 3004 South Park Avenue (716) 828-0770 A9484 Dr. Stephen Pericak, DDS 2158 Abbott Road (716) 823-2600 A2583 Dr. Vincent G. Sabia Ridge Dental Arts 1188 Ridge Road (716) 826-4050 A9103 Dr. David S. Zambron 1243 Ridge Road (716) 826-4117 A9548 Dr. Donna Orlando-Martin 27 Central Avenue Lancaster, NY 14086 (716) 683-2956 AA386 Stephen Pericak, DDS 10744 Main Street North Collins, NY 14111 (716) 337-3383 AA576 Catherine M. Goodwyn, DDS 4949 Ellicott Road Orchard Park, NY 14127 (716) 662-4715 A9802 The Dental Group 3176 Abbott Road Suite 600 Orchard Park, NY 14127 (716) 827-1200 AA023 Better Smile of WNY 4007 Harlem Road Snyder, NY 14226 (716) 768-2110 A9832 Robert Bork, DDS 4510 Main Street Snyder, NY 14226 (716) 839-4222 AA792 Snyder Dental Group 4575 Main Street Snyder, NY 14226 (716) 839-1470 A9893 Dr. J. Michael Collard 2690 Sheridan Drive (716) 876-8136 A9039 Jack H. Feuerstein, DDS 2566 Sheridan Drive (716) 871-9511 A9883 Dr. John S. Rhoads 157 Main Street (716) 693-0232 AA080 Stellar Dental Care 2929 Sheridan Drive (716) 831-8844 A9202 Healthy Smiles Family Dental 3811 Seneca Street West Seneca, NY 14224 (716) 674-3737 A9463 Gary R. Schoene, DDS 1265 Center Road West Seneca, NY 14224 (716) 674-7044 A9868 Dr. Gerald T. Carlo 33 Maple Road (716) 634-3055 A9958 Dr. Mary Candace Collard 6490 Main Street Suite 5 (716) 633-6131 A9190 Dr. Maria E. Giglia-Pieri 6797 Main Street (716) 689-1600 A2448 Dr. James Glennon 5132 Sheridan Drive (716) 634-8886 Closed To New Patients Wheelchair Accessible 5
A3063 Huron O. Hill II, DDS 1331 North Forest Road Ste 350 (716) 689-1111 AA525 Dr. Robert T. McLanahan 867 Hopkins Road (716) 688-1221 A3946 Dr. Kenneth W. Novak 1325 North Forest Road Suite 250 (716) 689-5882 A3989 Stellar Dental Dr. Dianna Melman 7500 Transit Road (716) 632-5555 A3960 Williamsville Family Dentistry 1630 Maple Road (716) 568-2273 GENESEE AA302 Thomas C. Farrugia, DDS 219 Washington Avenue Batavia, NY 14020 (585) 343-7028 A9959 Genesee Dental 37 Batavia City Centre Batavia, NY 14020 (585) 343-1113 MONROE A2995 Eastman Dental Center 625 Elmwood Avenue Rochester, NY 14620 (585) 275-5051 GENERAL DENTISTRY SITES A9398 Eastman Dental Community Dentistry 158 Orchard Street Rochester, NY 14611 (585) 436-8123 A9397 Eastman Dental Community Dentistry 228 East Main Street Rochester, NY 14604 (585) 263-6599 A2873 University Dental Faculty Group 2400 South Clinton Avenue Building H #220 Rochester, NY 14618 (585) 341-7177 A-831 University Dental Faculty Group 1 Eastman Dental Center 625 Elmwood Avenue PO Box 683 Rochester, NY 14620 (585) 273-1913 AA493 University of Rochester Eastman Dental of Highland 990 South Avenue POB Suite 020 Rochester, NY 14620 (585) 341-6888 NIAGARA A3376 Gasport Community Dental Care William Martell, DDS 8403 Rochester Road Gasport, NY 14067 (716) 772-5590 A2302 All Care Family Dental 57 Davison Court Suite D Lockport, NY 14094 (716) 433-6111 A2509 Abcare Family Dental 1705 Pine Avenue (716) 284-0110 A9431 Alliance Family Dental 1909 Pine Avenue (716) 282-4641 AA779 Community Health Center of Buffalo 2715 Highland Avenue Niagara Falls, NY 14305 (716) 278-4418 A9834 Main Street Dental 723 Main Street (716) 285-0245 A2556 Niagara Quality Care 8875 Porter Road Niagara Falls, NY 14304 (716) 297-5500 A2370 Dr. Guy Raimondi 552 Third Street (716) 284-8148 A9800 Schwartz and Gedeon, DDS 604 4th Street (716) 282-1402 A9731 North Tonawanda Family Dentistry 301 Meadow Drive North Tonawanda, NY 14120 (716) 692-2273 A9490 North Tonawanda Family Dental 554 East Robinson Street North Tonawanda, NY 14120 (716) 695-1137 Closed To New Patients Wheelchair Accessible 6
A9606 Dale E. Voelker, DDS 1050 Oliver Street North Tonawanda, NY 14120 (716) 693-0600 ORLEANS A9323 Albion Dental 362 South Main Street Albion, NY 14411 (585) 589-0000 WYOMING AA490 Oak Orchard Community Health Center Oak Orchard Health Warsaw 81 South Main Street Warsaw, NY 14569 (585) 228-1195 Closed To New Patients Wheelchair Accessible 7