doctors Northern California Blue Shield 65 Plus (HMO) An employer-sponsored Medicare Advantage HMO for retirees Provider Directory 2011 H0504-09.100B 07202009 blueshieldca.com Table of Contents Using This Directory............................................................ p. iii Choosing Your Personal Physician ................................... p. v Changing Your Personal Physician ................................... p. v Important Information ......................................................... p. vi Physician Groups Brown & Toland Medical Group ...................................... p. 1 California Pacific Medical Center/California Campus California Pacific Medical Center/Davies Campus California Pacific Medical Center/Pacific Campus Seton Medical Center St Francis Memorial Hospital St Luke’s Hospital St Mary’s Medical Center UCSF Medical Center UCSF Medical Center at Mount Zion Golden State Physicians Medical Group ......................... p. 35 Mercy General Hospital Mercy Hospital/Folsom Mercy San Juan Hospital Methodist Hospital of Sacramento Hill Physicians Medical Group, Inc - East Bay ................. p. 40 John Muir Medical Center Concord Campus John Muir Medical Center Walnut Creek Campus Hill Physicians Medical Group, Inc - Sacramento ............ p. 68 Mercy General Hospital Mercy Hospital of Folsom Mercy San Juan Hospital Methodist Hospital of Sacramento Hill Physicians Medical Group-San Francisco ................. p. 83 Seton Medical Center Seton Medical Center Coastside St Francis Memorial Hospital St Mary’s Medical Center UCSF Medical Center UCSF Medical Center at Mount Zion Blue Shield 65 Plus (HMO) Directory i Table of Contents, continued Hill Physicians Medical Group, Inc - San Joaquin ............p. 106 Doctors Hospital of Manteca Lodi Memorial Hospital Lodi Memorial Hospital West St Josephs Medical Center of Stockton John Muir Physician Network ...........................................p. 115 John Muir Medical Center Concord Campus John Muir Medical Center Walnut Creek Campus Mercy Medical Group .......................................................p. 133 Mercy General Hospital Mercy Hospital of Folsom Mercy San Juan Hospital Methodist Hospital of Sacramento PMG of Santa Cruz ..........................................................p. 141 Dominican Santa Cruz Hospital Watsonville Community Hospital San Mateo County BSC Administered .............................p. 148 San Mateo Medical Center Sequoia Hospital Seton Medical Center Seton Medical Center Coastside Santa Clara County IPA ...................................................p. 152 O’ Connor Hospital St Louise Regional Hospital Sierra Nevada Medical Associates ..................................p. 172 Sierra Nevada Memorial Hospital Skilled Nursing Facilities .....................................................p. 177 Index ......................................................................................p. 181 Information in this directory is current as of the date on the front cover. Since information changes often, a physician’s listing in this directory does not guarantee that the physician is still in the network or accepting new patients. To verify the accuracy of these listings, please visit Find a Provider on blueshieldca.com or call Blue Shield 65 Plus (HMO) Member Services at: 1-800-776-4466 1-800-794-1099 (TDD/TTY) 7:00 a.m. to 8:00 p.m. seven days a week ii Blue Shield 65 Plus (HMO) Directory Using This Directory The service area for Belmont Gilroy Blue Shield 65 Plus (HMO) is Ben Lomond Grass Valley Los Angeles, Orange, Berkeley Half Moon Bay Sacramento, San Francisco, Bethel Island Herald San Mateo, Santa Clara, Boulder Creek Hercules Santa Cruz, Contra Costa, Brentwood Hollister San Joaquin, San Luis Obispo Brisbane Holt and Ventura counties and Brookdale Holy City parts of Riverside, San Burlingame Hood Bernardino, San Diego, Byron Isleton Fresno, Imperial, Nevada, Campbell Knightsen Kern and Madera counties. Canyon La Habra Capitola La Honda CalPERS members only, Carmichael Lafayette please note the CalPERS Castro Valley Lathrop service area for Blue Shield 65 Cedar Ridge Linden Plus (HMO) is Los Angeles, Chicago Park Livermore Orange, San Luis Obispo and Citrus Heights Lockeford Ventura counties and parts of Clayton Lodi Fresno, Kern, Madera, San Clements Loma Mar Bernardino and Riverside Concord Los Altos counties. Courtland Los Gatos Coyote Manteca This directory lists the Crockett Martinez Blue Shield 65 Plus (HMO) Cupertino Mather provider network in the Daly City Mcclellan Northern California area. The Danville Menlo Park following cities are part of the Diablo Millbrae Northern California area and East Palo Alto Milpitas are included in this directory. El Cerrito Moffett Field El Granada Moffett Field Nas Acampo El Sobrante Montara Alameda Elk Grove Moraga Alamo Elverta Morgan Hill Albany Escalon Moss Beach Alviso Fair Oaks Mount Hamilton Antelope Farmington Mountain View Antioch Felton Nevada City Aptos Folsom New Almaden Atherton Foster City North Highlands Auburn Freedom North San Juan Banta French Camp Oakdale Bay Point Galt Orangevale Blue Shield 65 Plus (HMO) Directory iii Using This Directory, continued Orinda Walnut Grove Personal Physicians are Pacheco Washington listed alphabetically under Pacifica Watsonville one of the following Palo Alto Wilton categories: Family Practice, Penn Valley Woodbridge General Practice, Internal Pescadero Woodside Medicine, and OB/ GYN. Pinole Your Personal Physician will Pittsburg Blue Shield 65 Plus (HMO) provide or coordinate all Pleasant Hill Personal Physicians, your covered medical care Port Costa specialists, hospitals, clinics while you are a member of Portola Valley and urgent care centers are our plan. Rancho Cordova listed by physician group. Redwood City Personal Physicians who Redwood Estates You will have to choose one are not accepting new Represa of our network providers patients are listed under the Richmond that are listed in this category Accepting Current Rio Linda directory to be your Patients Only. You may Ripon Personal Physician. When choose a Personal Rodeo you choose your Personal Physician in this category Rough And Ready Physician, you are also only if you are new to Ryde choosing the hospital(s) and Blue Shield 65 Plus (HMO) Sacramento specialty network affiliated and are currently a patient San Bruno with the physician group. of that physician. San Carlos San Francisco The hospital or hospitals Affiliated specialists are San Gregorio affiliated with the physician listed in alphabetical order San Jose group are listed at the under their specialty. If your San Martin beginning of each physician Personal Physician feels San Mateo group section in this you need more specialized San Pablo directory. treatment, he or she will San Ramon refer you, upon physician If you need to be Santa Clara group approval, to a hospitalized, your Personal Santa Cruz specialist associated with Physician will coordinate Saratoga the network physician your admission to the Scotts Valley group. hospital associated with Sloughhouse your physician group. If If your specialist Smartville more than one hospital is recommends that you Soquel associated with the continue to see him or her South San Francisco physician group, your for more services, those Stanford Personal Physician will services may need to be Stockton determine which hospital is authorized by your network Sunnyvale most appropriate for your physician group. Thornton care. Tracy Vernalis Walnut Creek iv Blue Shield 65 Plus (HMO) Directory Using This Directory, continued For outpatient mental health Note: If you are interested in time. However, if you are and substance abuse a particular specialist, make under inpatient care in the providers, your Personal sure he or she is in the same hospital or you are in the Physician will either refer physician group as the middle of a course of you to a provider who is Personal Physician you treatment with your Personal affiliated with your physician select. Physician or a specialist, we group or to one who is recommend that you do not affiliated with Blue Shield's You will need an authorized change your physician/ Mental Health Service referral from your Personal physician group until you are Administrator (MHSA), Physician's physician group depending on your physician before you can be treated by discharged or complete your group. Call Member a specialist, except for course of treatment. Services at the phone routine women's health care number listed on the back of as described below and in If you decide to change your your Blue Shield 65 Plus your Evidence of Coverage. Personal Physician, simply (HMO) ID Card for call Member Services and we assistance. 2.Call the office of the will check to make sure the Personal Physician you doctor you choose is Urgent Care facilities have selected to make sure accepting new Blue Shield 65 affiliated with your physician that he or she is accepting Plus (HMO) patients. You group are listed under new Blue Shield 65 Plus should ask whether the new Urgent Care Centers. You (HMO) patients and for Personal Physician you are may use these Urgent Care answers to any questions selecting has a referral Facilities or any other Urgent you may have about the relationship with any specialist Care facility in your doctor (e.g. office hours, you are currently seeing. Blue Shield 65 Plus (HMO) availability evenings and/or service area if you need weekends and educational We will make the change for urgent medical care when background).