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HPP and Behavioral Update Provider Directory Health Partnership Plan And Behavioral Health 2013 Plan Year (Updated June 15, 2013) County of Volusia Group No. 2081 Health Partnership Plan Contact Information County of Volusia (Group 2081) Claims Information & Plan Inquiries MedSave USA, Inc. (formerly FSAI) 3035 Lakeland Hills Boulevard (855) 224-5173 Lakeland, FL 33805 (516) 622-1705 Claims Fax: (863) 291-5010 Insurance-Benefit Offices Personnel Division (386) 736-5951 Website : https://www.medsaveadmin.com Benefits Section (386) 740-5137 Provider Network Website: http://volusia.org/personnel/benefits or For questions regarding physician providers you have http://enn.co.volusia.fl.us/ several networks at your disposal. Please call any of the networks listed below. Medical Pre-certification Requirements • Florida Memorial Health Network 24-HOUR NURSE HELP LINE (386) 231-4398 (877) 582-7061 (888) 839-7430 Website: http://www.fmhn.org KePRO Pre-certification (888) 522-7742 You must pre-certify with KePRO the following • Complete Health Network for Osceola, procedures before services are rendered by your Lake, Seminole or Orange provider in order to avoid a penalty . Counties Only (800) 741-4869 In-patient Hospital Stay – call 7 days prior to admis- (407) 741-4869 sion or the next working day after an emergency admis- sion. Website: http://www.fhhsonline.com - excluding chiropractic Outpatient surgical and medical services which require pre-certification • Volusia Health Network (Refer to your insurance card or call KePRO 7 (386) 425-4VHN (4846) days prior to date of service). Option 3 for Provider Relations Dept. Website: http://www.myvhn.com Employee Assistance Program (EAP) Stratose – Client #3893 Corporate Care Works {CCW} (800) 878-7896 • 24/7 Helpline – (800) 327-9757 • No pre-cert, no co-pay for Short Term Counseling Pharmacy Network • 1-10 visits per issue per year • Catalyst Rx Customer Care Center (800) 207-2568 Online services with videos, articles and online training courses Website--WalgreensHealth.com • Available to employees & family in household • Website: www.corporatecareworks.com Chiropractic Network – DPSC • Use Company Name: Volusia County Inquiry Information (386) 615-0801 Appointments & Referrals Dental Information Maverest Dental Alliance, Inc. MedSave USA, Inc. Customer Service – Call: (855) 224-5173 or (516) 622-1705 Claims Fax: (863) 291-5010 Website: http:--www.maverest.com PLEASE NOTE: The information contained in this Provider Directory is subject to change, and the continuation of services provided by a physician, hospital or other provider of services is not guaranteed. Please contact one of the network providers listed below before engaging services to verify providers are still active in a network, or for any other provider-related questions you may have. Florida Memorial Health Network, Provider Relations, 386-231-4398 888-839-7430 Volusia Health Network 386-425-4846, Option 3 EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES ARE PROVIDED BY CORPORATE CARE WORKS , INC . THEY MAY BE CONTACTED AT 800-327-9757 OR 904-296-9436. Please refer to page i of this Directory for more information. ii HEALTH PARTNERSHIP PLAN DIRECTORY HOSPITALS....................................................................................................................... 1 SPECIALTY HOSPITALS (P RE -CERT REQUIRED )............................................................... 3 REGIONAL REFERRAL HOSPITALS............................................................................... 5 AMBULATORY SURGERY CENTERS ............................................................................. 6 AUDIOLOGY-REHABILITATION (P EDIATRIC ) ................................................................... 7 CARDIAC DIAGNOSTIC TESTING................................................................................... 8 DIABETES EDUCATION................................................................................................... 9 DIALYSIS ........................................................................................................................ 10 DME (D URABLE MEDICAL EQUIPMENT ) (ALSO SEE ORTHO MEDICAL BELOW ) ........................ 11 HOME HEALTH CARE .................................................................................................... 13 HOME HEALTH (PEDIATRIC)......................................................................................... 14 HOME INFUSION-IV MEDICATIONS .............................................................................. 15 HOSPICE......................................................................................................................... 16 LABORATORY................................................................................................................ 17 LABORATORY................................................................................................................ 19 LABORATORY-GENETIC TESTING ONLY.................................................................... 20 MENTAL & BEHAVIORAL.............................................................................................. 21 MENTAL HEALTH (EMPLOYEE ASSISTANCE COUNSELING - CCW)....................... 21 BEHAVIORAL HEALTH.................................................................................................. 21 ONCOLOGY .................................................................................................................... 22 ORTHOPAEDIC MEDICAL EQUIPMENT ....................................................................... 23 ORTHOTICS (PEDORTHIST).......................................................................................... 24 ORTHOTICS AND PROSTHETICS ................................................................................. 25 OUTPATIENT SURGERY................................................................................................ 26 PHYSICAL THERAPY (S EE REHABILITATION )................................................................... 27 PRIMARY CARE OFFICES WITH EXTENDED HOURS.................................................. 28 PROSTHETICS (MASTECTOMY) ................................................................................... 29 RADIOLOGY ................................................................................................................... 30 REHABILITATION (P HYSICAL THERAPY ) .......................................................................... 32 SKILLED NURSING FACILITIES .................................................................................... 35 SLEEP STUDY ................................................................................................................ 36 SPECIALTY PHARMACY ............................................................................................... 37 URGENT CARE CENTER ............................................................................................... 38 VENTILATOR DEPENDENT FACILITY .......................................................................... 40 WALK-IN FACILITIES ..................................................................................................... 41 WOUND CARE ................................................................................................................ 42 GLOSSARY OF PHYSICIANS BY SPECIALTY.............................................................. 43 ALLERGY & IMMUNOLOGY........................................................................................... 44 CARDIOLOGY................................................................................................................. 45 CARDIOVASCULAR-THORACIC SURGERY................................................................. 50 CHIROPRACTIC.............................................................................................................. 51 COLON & RECTAL SURGERY....................................................................................... 54 DERMATOLOGY............................................................................................................. 55 ENDOCRINOLOGY......................................................................................................... 58 FAMILY PRACTICE......................................................................................................... 61 GASTROENTEROLOGY................................................................................................. 77 GENERAL PRACTICE .................................................................................................... 81 GENERAL SURGERY ..................................................................................................... 82 GYNECOLOGY ............................................................................................................... 85 HAND SURGERY ............................................................................................................ 88 iii HEAD AND NECK SURGERY......................................................................................... 89 HEMATOLOGY ............................................................................................................... 90 INFECTIOUS DISEASES ................................................................................................ 93 INTERNAL MEDICINE..................................................................................................... 94 MATERNAL-FETAL MEDICINE.................................................................................... 102 NEONATAL – PERINATAL
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