Villagecaremax Medicare Total Advantage (D-SNP) PROVIDER and PHARMACY DIRECTORY (New York (Manhattan)) January 1, 2020 - December 31, 2020
Total Page：16
File Type：pdf, Size：1020Kb
H2168_MBR20-19_C VillageCareMAX Medicare Total Advantage (D-SNP) PROVIDER AND PHARMACY DIRECTORY (New York (Manhattan)) January 1, 2020 - December 31, 2020 If you have questions, please call VillageCareMAX Member Services at 1-800-469-6262, TTY 711, 8:00 am to 8:00 pm, 7 days a week. The call is free. For more information, visit ? www.villagecaremax.org. i VillageCareMAX Medicare Total Advantage (HMO D- SNP) 2020 Provider and Pharmacy Directory Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in VillageCareMAX Medicare Total Advantage and listings of all the plan’s providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details, as applicable, such as days and hours of operation, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Evidence of Coverage. Table of Contents A. Disclaimers ...............................................................................................................................iv B. Background Information about VillageCareMAX Medicare Total Advantage’s Network Providers .................................................................................................................................. v B1. Key terms ........................................................................................................................ v B2. How to choose a Primary Care Provider (PCP) ................................................................ v B3. How to identify providers in VillageCareMAX Medicare Total Advantage’s network ......... vi B4. How to find VillageCareMAX Medicare Total Advantage providers in your area .............. vii C. VillageCareMAX Medicare Total Advantage’s List of Network Providers ................................ viii C1. In-Network Providers ......................................................................................................... Primary Care Providers (726 Providers) .......................................................................... 1 Specialist (5301 Providers) ............................................................................................ 65 Outpatient Mental Health (6 Providers) ........................................................................ 341 Ancillary Providers (416 Providers) .............................................................................. 342 Non-Emergent Transportation ..................................................................................... 368 Dental (359 Providers) ................................................................................................. 369 Vision (20 Providers) ................................................................................................... 401 Acupuncture (132 Providers) ....................................................................................... 403 If you have questions, please call VillageCareMAX Member Services at 1-800-469-6262, TTY 711, 8:00 am to 8:00 pm, 7 days a week. The call is free. For more information, visit ? www.villagecaremax.org. ii Audiology (45 Providers) ............................................................................................. 409 C2. In-Network Facilities ................................................................................... Hospitals (9 Providers) ................................................................................................ 412 Skilled Nursing Facilities (SNF) (18 Providers) ............................................................ 413 D. Background Information about VillageCareMAX Medicare Total Advantage’s Network Pharmacies .......................................................................................................... D1. Types of pharmacies in VillageCareMAX’s network................................................... 414 D2. Long-term supplies of prescriptions ............................................................................ 415 E. VillageCareMAX Medicare Total Advantage’s List of Network Pharmacies ..... E1. Retail and chain pharmacies ....................................................................................... 417 E2.: Mail-order pharmacy(ies) ........................................................................................... 451 E3. Home infusion pharmacies.......................................................................................... 453 E4. Long-term care pharmacies ........................................................................................ 454 F. Index of Providers and Pharmacies ....................................................................... F1. Providers ..................................................................................................................... 456 F2. Pharmacies ................................................................................................................. 508 G. Index by Provider and Pharmacy Specialties ........................................................ G1. Provider Specialties ................................................................................................... 514 G2. Pharmacy Specialties ................................................................................................ 517 If you have questions, please call VillageCareMAX Member Services at 1-800-469-6262, TTY 711, 8:00 am to 8:00 pm, 7 days a week. The call is free. For more information, visit ? www.villagecaremax.org. iii A. Disclaimers VillageCareMAX is a HMO plan with Medicare and New York State Medicaid contracts. Enrollment in VillageCareMAX depends on contract renewal. This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), we also list the pharmacies that you may use to get your prescription drugs. We will refer to these groups as “network providers” in this Directory. These providers signed a contract with us to provide you services. This is a list of VillageCareMAX Medicare Total Advantage’s network providers for the following counties in New York State: Bronx, Kings (Brooklyn), New York (Manhattan) and Queens. You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services at the number at the bottom of this page. The list is up-to-date as of 12/12/2019, but you need to know that: • Some VillageCareMAX Medicare Total Advantage network providers may have been added or removed from our network after this Directory was published. • Some VillageCareMAX Medicare Total Advantage providers in our network may no longer be accepting new members. If you are having trouble finding a provider who will accept new members, call Member Services at the number at the bottom of this page and we will help you. • To get the most up-to-date information about VillageCareMAX Medicare Total Advantage’s network providers in your area, visit www.villagecaremax.org or call Member Services at the number at the bottom of this page. You can use the Index in the back of the Directory to find the page where a provider or pharmacy is listed. Upon enrollment, we will request for the language and format that you prefer to get mailings and communications. We will keep your preference in your file. You can make changes at any time by calling Member Services at the number at the bottom of this page. The State of New York has created a participant ombudsman program called the Independent Consumer Advocacy Network (ICAN) to provide members free, confidential assistance on any services offered by VillageCareMAX Medicare Total Advantage Plan. ICAN may be reached toll-free at 1-844-614-8800 or online at icannys.org. (TTY users call 711, then follow the prompts to dial 844-614-8800). If you have questions, please call VillageCareMAX Member Services at 1-800-469-6262, TTY 711, 8:00 am to 8:00 pm, 7 days a week. The call is free. For more information, visit ? www.villagecaremax.org. iv B. Background Information about VillageCareMAX Medicare Total Advantage’s Network Providers B1. Key terms This section explains key terms you’ll see in our Provider and Pharmacy Directory. • Providers are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, long-term services and supports (LTSS), supplies, prescription drugs, equipment and other services. o The term providers also include facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and LTSS. o Providers that are a part of our plan's network are called network providers. • Network providers have contracted with us to deliver services to members of our plan. Network providers participate in our plan. That means they accept members of our plan and provide services our plan covers. • A Primary Care Provider (PCP) is a healthcare professional, either a physician or Nurse Practitioner, who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time. • Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples: o Oncologists care for patients with cancer. o Cardiologists care for patients with heart conditions. o Orthopedists care for patients