2020 Provider Directory

FHCP Medicare Rx (HMO) FHCP Medicare Rx Plus (HMO-POS) FHCP Medicare Rx Savings (HMO) FHCP Medicare Premier Plus (HMO) FHCP Medicare Premier Advantage (HMO) FHCP Medicare Flagler Advantage (HMO) 2020 Provider Directory Brevard, Flagler, Seminole, St. Johns and Volusia Counties, FL. Y0011_34275_C 0818R1 C: 09/2019 FHCP Medicare Rx (HMO), FHCP Medicare Rx Plus (HMO–POS), FHCP Medicare Rx Savings (HMO), FHCP Medicare Premier Plus (HMO), FHCP Medicare Premier Advantage (HMO), FHCP Medicare Flagler Advantage (HMO) 2020 Provider Directory This directory is current as of December 1, 2020. This directory provides a list of FHCP Medicare Rx's, FHCP Medicare Rx Plus', FHCP Medicare Rx Savings', FHCP Medicare Premier Plus', FHCP Medicare Premier Advantage’s and FHCP Medicare Flagler Advantage's current network of providers. This directory is for Brevard, Flagler, Seminole, St. Johns and Volusia Counties, FL. To access FHCP Medicare Rx's, FHCP Medicare Rx Plus', FHCP Medicare Rx Savings', FHCP Medicare Premier Plus', FHCP Medicare Premier Advantage’s and FHCP Medicare Flagler Advantage's online provider directory, you can visit www.fhcpmedicare.com. For any questions about the information contained in this directory, please call our Member Service Department at 1-833-866- 6559, 8:00 a.m. - 8:00 p.m. local time, 7 days a week from October 1 – March 31, except for Thanksgiving Day and Christmas Day. However, from April 1 - September 30, our hours are 8:00 a.m. - 8:00 p.m. local time, Monday - Friday. You will have to leave a message on Saturdays, Sundays and Federal holidays. We will return your call within one business day. TTY users should call 1-800-955- 8770. HMO coverage is offered by Florida Blue Medicare, Inc., DBA FHCP Medicare, an Independent Licensee of the Blue Cross and Blue Shield Association. This information is available in an alternate format, including large print, audio tapes, CDs and Braille. Please call Member Services at the number listed above if you need plan information in another format. 1 | Page Table of Contents Section 1 – Introduction.............................................................................................................................3 What is the service area for FHCP Medicare?.................................................................................4 How do you find FHCP Medicare providers in your area?.............................................................4 Section 2 – List of Network Providers......................................................................................................5 Primary Care Physicians..................................................................................................................5 Specialists......................................................................................................................................50 Outpatient Mental Health Providers............................................................................................160 Hospitals......................................................................................................................................195 Skilled Nursing Facilities (SNF).................................................................................................208 2 | Page Section 1 – Introduction This directory provides a list of FHCP Medicare Rx’s, FHCP Medicare Rx Plus’, FHCP Medicare Rx Savings’, FHCP Medicare Premier Plus’, FHCP Medicare Premier Advantage’s and FHCP Medicare Flagler Advantage’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Family Practice, Internal Medicine, General Medicine and Pediatric physicians serve as PCP’s for FHCP Medicare members. You will need a referral from your Primary Care Physician to see most specialty providers listed in this directory. However, there are certain specialists and services listed in the directory under the category of “Direct Access” that do not require a referral from your PCP. There are also certain services that you can access without a referral from your PCP. The providers of these services are also listed in the “Direct Access” section of the directory. The network providers listed in this directory have agreed to provide you with your health care services. 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 to go to that same provider. In some cases, you may get covered services from non-network providers. For example, if you need a specialty service or care that cannot be rendered by a FHCP Medicare network provider, FHCP Medicare will make arrangements for you to be seen by a provider that is not in our network. Also, emergency or urgent care inside or outside of our service area can be provided by providers that are not in our network. 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 are enrolled in FHCP Medicare Rx Plus POS, then you may choose to see any contracted HMO provider OR Medicare participating provider or facility, without a referral. If you receive a bill from a non-plan provider, please do not pay the bill. You should forward the bill to Claims for processing at the address listed below: FHCP Medicare Attn: Claims Department P.O. Box 10348 Daytona Beach, FL 32120-0348 Emergency care and post-stabilization services can always be obtained in or out of the service area from the nearest available provider. You do not have to obtain emergency or post-stabilization care from a FHCP Medicare network provider. When inside the service area you must use plan providers for urgent care. 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. Our emergency and post-stabilization services can be obtained from any hospital, urgent care center, or physician’s office. Our network hospitals that provide emergency services inside our service area are listed in this directory. 3 | Page It is important to understand that unless you are enrolled in FHCP Medicare Rx Plus POS, if you obtain routine care from out-of-network providers neither Medicare nor FHCP Medicare will be responsible for the costs. If you are enrolled in FHCP Medicare Rx Plus POS, with the exception of emergencies or urgent care, it may cost more to get care from out-of-network providers. You must use network 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 FHCP Medicare will be responsible for the costs. What is the service area for FHCP Medicare Rx, FHCP Medicare Rx Plus, FHCP Medicare Rx Savings, FHCP Medicare Premier Plus, FHCP Medicare Premier Advantage and FHCP Medicare Flagler Advantage? The counties in our service area are listed below. Brevard, Flagler, Seminole, St. Johns and Volusia counties, FL How do you find FHCP Medicare Rx, FHCP Medicare Rx Plus, FHCP Medicare Rx Savings, FHCP Medicare Premier Plus, FHCP Medicare Premier Advantage and FHCP Medicare Flagler Advantage providers that serve in your area? Our list of FHCP Medicare participating providers is organized by County, and then alphabetically by type of provider. You can choose your PCP from any listed PCP that is convenient for you. If you have questions about FHCP Medicare Rx, FHCP Medicare Rx Plus, FHCP Medicare Rx Savings, FHCP Medicare Premier Plus, FHCP Medicare Premier Advantage and FHCP Medicare Flagler Advantage or require assistance in selecting a PCP, please call our Member Service Department at 1-833-866-6559, 8:00 a.m. - 8:00 p.m. local time, 7 days a week from October 1 – March 31, except for Thanksgiving Day and Christmas Day. However, from April 1 - September 30, our hours are 8:00 a.m. - 8:00 p.m. local time, Monday - Friday. You will have to leave a message on Saturdays, Sundays and Federal holidays. We will return your call within one business day. TTY users should call 1-800-955-8770. 4 | Page Section 2 - For more information If you want further information about your provider, please visit www.fhcpmedicare.com Online Provider search or contact Member Services SECTION 2 - LIST OF Bacon, Donna, M.D. Omni Healthcare PLAN PROVIDERS Donna Bacon, M.D. 6300 N. Wickham Rd., Ste. 132 A 7227 N. U.S. Hwy. 1 Melbourne, FL 32940 Primary Care Physicians Port St. John, FL 32927 (321) 253-4032 (321) 631-3693 Patients 10 years & older Family Medicine Physicians Patients 13 years & older Limited appointment availability (256) FHCP Prov # 055158 FHCP Prov # 053140 Brevard County Bhalani, Kantilal, M.D. Chan, Edwin, M.D. Anderson, Thomas, D.O. Malabar Walk-in Clinic Suntree Internal Medicine Medical Associates of Brevard, 1633 Georgia St., NE, Ste. 500 6619 N. Wickham Rd. L.L.C. Palm Bay, FL 32907 Melbourne, FL 32940 3040 N. Wickham Rd., Ste. 10 (321) 802-9080 (321) 259-9500 Melbourne, FL 32935 Patients 14 years & older Patients 18 years & older (321) 428-4840 FHCP Prov # 089867 FHCP Prov # 043813 Patients 6 years & older

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