2/19/2019 Table of Contents
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2/19/2019 TABLE OF CONTENTS Instructions Instructions for Directory Use Section One Primary Care Physicians and Practitioners by County Section Two Referral Specialists and Practitioners Listed by County Section Three Languages Spoken by Physicians and Practitioners Section Four Behavioral Health Practitioners Section Five Participating Facilities Section Six Pharmacies PHYSICIANS HEALTH PLAN P.O. Box 30377 Lansing, MI 48909-7877 (517) 364-8400 or (800) 562-6197 INSTRUCTIONS FOR DIRECTORY USE: Members of Physicians Health Plan (PHP) must select a participating Primary Care Physician. Primary Care Physicians include General Practice, Family Practice, Internal Medicine, Pediatrics and some Nurse Practitioners. These physicians/practitioners are listed under the primary care section in this directory. Please select ONE Primary Care Physician for EACH family member. The Primary Care Physician names appear in section one of this directory. Selection of a Primary Care Physician is made by the PHP member. However, if you need assistance in selecting a Primary Care Physician, such as one close to your home or place of employment, the PHP Customer Service Department can suggest several Primary Care Physicians for your consideration. Please call the Customer Service Department located on the back of your member ID card. PHP does not require a referral for PHP members seeking treatment from primary care physicians or specialists within the PHP network. It is important to note that while PHP does not require a referral to physicians/practitioners within our network, there are certain specialists who may require a referral from the member’s Primary Care Physician. PHP will support the specialist in requiring a referral as they deem appropriate. Physicians/practitioners that provide services solely in a hospital-based setting are not listed in this directory. This would include, but is not limited to, specialties such as anesthesiology and emergency medicine. This directory is provided to assist you with your physician/practitioner/provider selection. For a complete description of services and benefits, please refer to your Certificate of Coverage. You are responsible for verifying the participation status of the physician/practitioner, hospital or other provider prior to receiving Health Services. You must show your ID card every time you request Health Coverage. If you fail to verify the participation status, and that failure results in non-compliance with required PHP procedures, services may be denied. In the event that specific Health Services cannot be provided by or through a Network physician/practitioner/provider, health services must be authorized in advance through a referral as designated by PHP. From time to time, the participation status of a physician/practitioner or other provider may change. You can verify the participation status through PHP's website at www.phpmichigan.com or by calling the number on the back of the member ID card. If necessary, Customer Service can provide assistance in referring you to physicians/practitioners or other providers who participate with PHP. You may contact PHP’s Network Services Department at (517) 364-8312 or (800) 562-6197 for additional information regarding physician/practitioner or other provider credentials (including Medical School, Residency, and Board Certification completion). Information may also be found on PHP’s website at http://www.phpmichigan.com. This includes primary hospital privileges, office hours and whether they are accepting new patients. Accreditation information for facilities is also included. This website houses the most current information. A board certified physician (MD or DO) has completed an approved educational training program (residency training) and an evaluation process including an examination designed to assess the knowledge, skills and experience necessary to provide quality patient care in that specialty. There are two certifying umbrella organizations: the American Board of Medical Specialties (http://www.abms.org/)and the Bureau of Osteopathic Specialists and Boards of Certification (http://www.aoa_net.org/Certification/certification.htm). PHP reimburses physicians/practitioners and other providers a fee for each service rendered. If you would like to understand more about the payment methods used for reimbursement, please call the Network Services Department at (517) 364-8312 or (800) 562-6197. You can visit our website at: www.phpmichigan.com SECTION ONE PRIMARY CARE PHYSICIANS AND PRACTITIONERS BY COUNTY PRIMARY CARE PHYSICIANS AND PRACTITIONERS LISTED BY COUNTY Accepting New Name Address Telephone Patients Hospital Allegan Family Medicine Allen, J, Richard J 930 Blue Star Hwy ; South Haven, MI 49090 (269) 637-1115 Yes Heinrich, P, Susan P 930 Blue Star Hwy ; South Haven, MI 49090 (269) 637-1115 Yes Liscow, M, David M 930 Blue Star Hwy ; South Haven, MI 49090 (269) 637-1115 Yes Internal Medicine Nouna, , Nabil 305 Thomas St ; Allegan, MI 49010 (269) 673-2179 Yes Allegan General H Barry Family Medicine Carlson, T, Robert T 1375 W Green St Ste 1; Hastings, MI 49058 (269) 945-7497 Yes Ebaugh, B, Diane B 1005 W Green St Ste 304; Hastings, MI 49058 (269) 948-8057 Yes Spectrum Pennock Hoffman, M, Thomas M 225 S M 37 Hwy #2 ; Hastings, MI 49058 (269) 945-3401 Yes Spectrum Pennock Noah, J, Christopher J 4525 N M 37 Hwy Ste M; Middleville, MI 49333 (269) 205-2900 Yes Spectrum Pennock Pediatrics Rosser, N, Dawn N 1375 W Green St Ste 3; Hastings, MI 49058 (269) 818-0070 Yes Spectrum Pennock Branch Family Medicine Whitaker IV, F, Charles F 436 Marshall St ; Coldwater, MI 49036 (517) 278-6600 Yes ProMedica Coldwa Family Medicine & Omt Govier, M, Jackalyn M 375 N Willowbrook Rd ; Coldwater, MI 49036 (517) 924-1605 Yes Three Rivers Healt Internal Medicine Kallus, A, Mark A 360 E Chicago St Ste 111; Coldwater, MI 49036 (517) 278-8871 Yes ProMedica Coldwa Pediatrics Arivoli, , Mehalai 360 E Chicago St Ste 101 ; Coldwater, MI 49036 (517) 924-1465 Yes ProMedica Coldwa Calhoun Family Medicine Ahmed, , Sami 215 E Mansion St Ste 1E; Marshall, MI 49068 (269) 781-3938 Yes Oaklawn Hospital Boyce, L, Sharon L 300 B Dr N ; Albion, MI 49224 (517) 629-2134 Yes Oaklawn Hospital Farchone, J, Thomas J 14231 Beadle Lake Rd ; Battle Creek, MI 49014 (269) 962-0441 Yes Oaklawn Hospital Hart Gates, K, Melissa K 720 US Highway 27 N ; Marshall, MI 49068 (269) 781-6600 Yes Liston-Crandall, S, Jaclyn S 2218 US Highway 27 N ; Tekonsha, MI 49092 (517) 767-4038 Yes Oaklawn Hospital Liston-Crandall, S, Jaclyn S 215 E Mansion St Ste 2C ; Marshall, MI 49068 (269) 789-8426 Yes Oaklawn Hospital Pence, A, Laura A 2218 US Highway 27 N ; Tekonsha, MI 49092 (517) 767-4038 Yes Oaklawn Hospital Pence, A, Laura A 720 US Highway 27 N ; Marshall, MI 49068 (269) 781-6600 Yes Oaklawn Hospital Phillips, , Teleah 300 B Dr N ; Albion, MI 49224 (517) 629-2134 Yes Oaklawn Hospital Seifert, G, Keith G 2218 US Highway 27 N ; Tekonsha, MI 49092 (517) 767-4038 Yes Oaklawn Hospital Seifert, G, Keith G 720 US Highway 27 N ; Marshall, MI 49068 (269) 781-6600 Yes Oaklawn Hospital This list is subject to change without notice. Please Call 1-800-562-6197 for updated information. Page 2 of 23 PRIMARY CARE PHYSICIANS AND PRACTITIONERS LISTED BY COUNTY Accepting New Name Address Telephone Patients Hospital Seifert, G, Keith G 215 E Mansion St Ste 1E; Marshall, MI 49068 (269) 781-3938 Yes Oaklawn Hospital Family Medicine & Omt Govier, M, Jackalyn M 2218 US Highway 27 N ; Tekonsha, MI 49092 (517) 767-4038 Yes Three Rivers Healt Family Nurse Practitioner Babcock, D, Amy D 14231 Beadle Lake Rd ; Battle Creek, MI 49014 (269) 962-0441 Yes White, S, Melinda S 420 S Hillsdale St ; Homer, MI 49245 (517) 568-4481 Yes Internal Medicine Maher III, C, James C 720 US Highway 27 N ; Marshall, MI 49068 (269) 781-6600 Yes Oaklawn Hospital Valle, M, Jose M 720 US Highway 27 N ; Marshall, MI 49068 (269) 781-6600 Yes Oaklawn Hospital Valle, M, Jose M 2218 US Highway 27 N ; Tekonsha, MI 49092 (517) 767-4038 Yes Oaklawn Hospital Clinton Family Medicine Andersen Jr, P, Lars P 1005 S US Highway 27 Ste 100 ; Saint Johns, MI 48879 (989) 224-3000 Yes Caldwell, , Susan 13191 Schavey Rd Ste 3; Dewitt, MI 48820 (517) 669-9109 No EW Sparrow Hospi Dadivas, C, Cecile C 12805 Escanaba Dr Ste 2; Dewitt, MI 48820 (517) 975-9750 Yes Henry Ford Allegia Freestone, J, David J 11017 W 3rd St ; Fowler, MI 48835 (989) 593-2525 Yes Sparrow Carson H Holowko, J, Anthony J 13191 Schavey Rd Ste 3; Dewitt, MI 48820 (517) 669-9109 Yes EW Sparrow Hospi Holzhei, A, Gregory A 901 S Oakland St ; Saint Johns, MI 48879 (989) 224-2338 Yes Sparrow Clinton H Huff, A, David A 9900 W M 21 Ste 101; Ovid, MI 48866 (989) 862-4224 Yes Memorial Health C Liddell, C, Michael C 13105 Schavey Rd Ste 4; Dewitt, MI 48820 (517) 668-0555 Yes EW Sparrow Hospi Menagi, , Beinaz 13191 Schavey Rd Ste 3; Dewitt, MI 48820 (517) 669-9109 Yes EW Sparrow Hospi Messenger, W, Andrew W 1005 S US Highway 27 Ste 100 ; Saint Johns, MI 48879 (989) 224-3000 Yes Sparrow Clinton H Minnick, D, Paul D 1005 S US Highway 27 Ste 100 ; Saint Johns, MI 48879 (989) 224-3000 Yes Sparrow Clinton H Osborn, , L John 11017 W 3rd St ; Fowler, MI 48835 (989) 593-2525 Yes Sparrow Carson H Poff, W, Douglas W 11017 W 3rd St ; Fowler, MI 48835 (989) 593-2525 Yes Sparrow Carson H Ryan, L, Katie L 901 S Oakland St ; Saint Johns, MI 48879 (989) 224-2338 Yes EW Sparrow Hospi Tegtmeier, L, Aimee L 13191 Schavey Rd Ste 3; Dewitt, MI 48820 (517) 669-9109 Yes EW Sparrow Hospi Thelen, D, Taylor D 1005 S US Highway 27 Ste 100 ; Saint