Anexo 1 Lista De FAP De Proveedores/Médicos Page 1
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Anexo 1 Lista de FAP de Proveedores/Médicos De manera consecuente con los valores de compasión y administración de AHC, es política de AHC proporcionar asistencia financiera a los pacientes que la necesiten. La Política de asistencia financiera (FAP) aplica a toda atención médica o de emergencia necesaria que brinda el hospital, pero no es vinculante para otros proveedores individuales (por ej. médicos) de servicios médicos fuera del hospital. Tampoco es vinculante para un proveedor, en el caso de pero sin limitarse a, el cambio de su relación de empleo con AHC o un cambio en su ámbito de práctica. Por lo tanto, ya que los médicos y otros proveedores incluidos en esta lista pueden cambiar cada cierto tiempo, AHC actualizará y publicará una nueva versión en este sitio web (www.advocatehealth.com/financialassistance) al menos trimestralmente. Si el Estado de cobertura de la FAP del proveedor se muestra como “CUBIERTO BAJO LA FAP”, entonces el proveedor o la atención de la práctica del proveedor (prestada en las instalaciones del hospital) está cubierta bajo esta Política de asistencia financiera. Si el Estado de cobertura de la FAP del proveedor se muestra como “SIN COBERTURA”, entonces el proveedor o la atención de la práctica del proveedor (prestada en las instalaciones del hospital) no está cubierta bajo la Política de asistencia financiera. Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Abadeer, Peter -DO NOT COVERED Bromenn Medical Center Abrahamsen, Antonia -NP NOT COVERED Bromenn Medical Center Adams, Sarah -NP NOT COVERED Bromenn Medical Center Adeoye, Oriade -MD COVERED UNDER FAP Bromenn Medical Center Advanced Inpatient Consultants, LLC NOT COVERED Bromenn Medical Center Advanced Women's Healthcare, SC NOT COVERED Bromenn Medical Center Advocate Eureka Hospital Family Practice - El Paso COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - 1300 Franklin Ave - Hospitalists COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - 1302 Franklin - Endovascular Neuro COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - College Ave - Family Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - College Ave - Immediate Care COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Franklin - Endocrinology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Pediatric Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Family Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Pediatrics COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group El Paso COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Emergency Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Fairbury COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group General & Colorectal Surgery Central IL COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Pulmonology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Immediate Care/ Occ Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group LeRoy COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Lexington COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Wound Healing & Hyperbaric Medicine COVERED UNDER FAP Bromenn Medical Center Agha, Caroline -MD NOT COVERED Bromenn Medical Center Ahn, Joseph -MD COVERED UNDER FAP Bromenn Medical Center Akhtar, Muhammad -MD COVERED UNDER FAP Bromenn Medical Center Albaro, Cecilia -MD NOT COVERED Bromenn Medical Center Alberts, Lyndi -NP NOT COVERED Bromenn Medical Center Alexander, Carrie -NP COVERED UNDER FAP Bromenn Medical Center Alexander, John -MD NOT COVERED Bromenn Medical Center Allen, Otis -MD NOT COVERED Bromenn Medical Center Alonso, Alexander -MD NOT COVERED Bromenn Medical Center Altenburger, Dana -MD NOT COVERED Bromenn Medical Center Alyea, Daniel -MD NOT COVERED Bromenn Medical Center Ambulatory Anesthesiology, Ltd. NOT COVERED Bromenn Medical Center Anderson, David -MD NOT COVERED Bromenn Medical Center Anesthesiology Consultants NOT COVERED Page 1 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Anwar, Khalida -MD NOT COVERED Bromenn Medical Center Applied Pain Institute, LLC NOT COVERED Bromenn Medical Center Aprahamian, Ara -MD NOT COVERED Bromenn Medical Center Armstrong, Lucas -MD NOT COVERED Bromenn Medical Center Ash, Jennifer -MD NOT COVERED Bromenn Medical Center Associated Anesthesiologists, SC NOT COVERED Bromenn Medical Center Associates In Dermatology, SC NOT COVERED Bromenn Medical Center Atkins, Marsha -NP COVERED UNDER FAP Bromenn Medical Center Austin, Xiaotian -MD NOT COVERED Bromenn Medical Center Bajaj, Madhuri -MD NOT COVERED Bromenn Medical Center Bandy, John -MD NOT COVERED Bromenn Medical Center Banerjee, Sara -MD NOT COVERED Bromenn Medical Center Bankston, Kimberly -NP NOT COVERED Bromenn Medical Center Barba, Kenneth -MD NOT COVERED Bromenn Medical Center Bechir, George -MD COVERED UNDER FAP Bromenn Medical Center Benson, Jonathan -DO COVERED UNDER FAP Bromenn Medical Center Benyamin, Ramsin -MD NOT COVERED Bromenn Medical Center Berck, Lilla -MD NOT COVERED Bromenn Medical Center Bhardwaj, Davender -MD NOT COVERED Bromenn Medical Center Bhaskar, Renuka -MD NOT COVERED Bromenn Medical Center Bhatia, Sumit -MD NOT COVERED Bromenn Medical Center Birge, Kenneth -MD NOT COVERED Bromenn Medical Center Bishof, Christine -MD COVERED UNDER FAP Bromenn Medical Center Blitz, Arie -MD NOT COVERED Bromenn Medical Center Bloomington Pediatrics & Allergy NOT COVERED Bromenn Medical Center Bloomington Primary Care, LTD NOT COVERED Bromenn Medical Center Bloomington Radiology, SC NOT COVERED Bromenn Medical Center Bloomington Rehabilitation Associates, LLC NOT COVERED Bromenn Medical Center Bloomington-Normal Anesthesia NOT COVERED Bromenn Medical Center Bloomington-Normal Birthing Center, LLC NOT COVERED Bromenn Medical Center Bloomington-Normal ENT LTD NOT COVERED Bromenn Medical Center Boe, Erik -MD NOT COVERED Bromenn Medical Center Bohn, Kathryn -MD NOT COVERED Bromenn Medical Center Boholst-Panopio, Phoebe -MD NOT COVERED Bromenn Medical Center Bozman, Raymond -MD NOT COVERED Bromenn Medical Center Braastad, Robert -MD COVERED UNDER FAP Bromenn Medical Center Bradford, Amber -CRNA NOT COVERED Bromenn Medical Center Brander, Thomas -MD NOT COVERED Bromenn Medical Center Brownstone, Daniel -MD NOT COVERED Bromenn Medical Center Bruha, Robert -MD NOT COVERED Bromenn Medical Center Burr, John -MD COVERED UNDER FAP Bromenn Medical Center Butler, Stephanie -NP COVERED UNDER FAP Bromenn Medical Center Button, Andrew -PA COVERED UNDER FAP Bromenn Medical Center Caldemeyer, Karen -MD NOT COVERED Bromenn Medical Center Callaway, Edward -MD NOT COVERED Bromenn Medical Center Cancer Care Associates NOT COVERED Bromenn Medical Center Cardiovascular Health Specialists NOT COVERED Bromenn Medical Center Carle Physician Group NOT COVERED Bromenn Medical Center Carmichael, Craig -MD NOT COVERED Bromenn Medical Center Carrington, Scott -MD COVERED UNDER FAP Bromenn Medical Center Carter, Leslie -NP NOT COVERED Bromenn Medical Center Casey, Kristin -MD NOT COVERED Bromenn Medical Center Cash, Jason -MD NOT COVERED Bromenn Medical Center Castillo, Richard -MD NOT COVERED Bromenn Medical Center Center for Cosmetic and Laser Surgery, LLC NOT COVERED Bromenn Medical Center Central Illinois Center for Wellness LLC NOT COVERED Bromenn Medical Center Central Illinois Neuro Health Sciences, Ltd NOT COVERED Bromenn Medical Center Central Illinois Neuroradiology Ltd-Advanced MRI NOT COVERED Page 2 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Central Illinois Orthopedic Surgery, LLC NOT COVERED Bromenn Medical Center Central Illinois Pediatric Associates, LLC NOT COVERED Bromenn Medical Center Chalian, Vicken -MD NOT COVERED Bromenn Medical Center Chan, David -MD NOT COVERED Bromenn Medical Center Cherukuri, Sudha -MD NOT COVERED Bromenn Medical Center Children's Center for Dentistry NOT COVERED Bromenn Medical Center Children's Hospital of Illinois Medical Group NOT COVERED Bromenn Medical Center Chokshi, Nikhil -MD NOT COVERED Bromenn Medical Center Choudhry, Asifa -MD COVERED UNDER FAP Bromenn Medical Center Christie Clinic, LLC NOT COVERED Bromenn Medical Center Cienfuegos, Anthony -CRNA NOT COVERED Bromenn Medical Center Clark, Robert -MD NOT COVERED Bromenn Medical Center Clemons, Kristin -MD NOT COVERED Bromenn Medical Center Cobb, Michael -MD NOT COVERED Bromenn Medical Center Cochran, Michael -MD NOT COVERED Bromenn Medical Center Cogent Hospitalists NOT COVERED Bromenn Medical Center Cole, Bradley -NP NOT COVERED Bromenn Medical Center Coleman, Benjamin -MD NOT COVERED Bromenn Medical Center Community Cancer Center, LLC NOT COVERED Bromenn Medical Center Conley, Diane -MD NOT COVERED Bromenn Medical Center Cordoba, Adrian -MD NOT COVERED Bromenn Medical Center Cortese Foot & Ankle Clinic, P.C NOT COVERED Bromenn Medical Center Cortese, Carl -DPM NOT COVERED Bromenn Medical