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(HMO) Plan Provider Directory Signature Advantage (HMO) Plan Provider Directory H2400_2017_posten05a HMO Plan Provider Directory This directory provides a list of Signature Advantage’s network providers. This directory is for Signature Advantage residents in Kentucky. This directory is current as of September 30, 2016. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to- date information about Signature Advantage’s network providers in your area, you can visit www.signatureadvantage.com or call our Member Service Department at 1-844- 214-8633, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30. TTY users should call 711. Signature Advantage HMO SNP is an HMO plan with a Medicare contract. Enrollment in Signature Advantage HMO SNP depends on contract renewal. Statement of Nondiscrimination for Signature Advantage Signature Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Signature Advantage cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Signature Advantage 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年 齡、殘障或性別而歧視任何人。 This information is available for free in other languages. Please call our customer service number at 1-844-214-8633 (TTY: 711). Hours of operations: 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30. Esta informació n está disponible en otros idiomas de manera gratuita. Comuniq́ uese con Servicios al Cliente al 1-844-214-8633 (TTY: 711). Horario de Atenció n al Cliente: Del 1 de Octubre hasta el 14 de Febrero, de 8 a.m. a 8 p.m. los siete diá s de la semana (excepto Diá de Acció n de Gracias y Navidad), y del 15 de Febrero al 30 de Septiembre, de Lunes a Viernes (excepto feriados). 1 Table of Contents Signature Advantage (HMO) Plan ............................................................................. i Provider Directory ..................................................................................................... i Section 1 - Introduction ................................................................................................ 3 What is the service area for Signature Advantage? ................................................. 3 How do you find Signature Advantage providers in your area? ............................... 4 Section 2 – List of Network Providers .......................................................................... 5 Primary Care Physicians (414)................................................................................. 5 Specialists (828) ................................................................................................... 133 Hospitals (20) ....................................................................................................... 654 Skilled Nursing Facilities (SNF) (14) .................................................................... 660 Durable Medical Equipment (15) .......................................................................... 664 Ancillary Services Providers (194) ....................................................................... 669 2 Section 1 - Introduction This directory provides a list of Signature Advantage’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). The term “PCP” will be used throughout this directory. Generally, you must get your health care coverage from your PCP. Your PCP, in collaboration with your Nurse Practitioner (NP), is key to ensuring all your health care needs are met. The “network providers” listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. These include care for a medical emergency, urgently needed care, renal dialysis that you get when you are outside the plan’s service area, care that has been approved in advance by Signature Advantage, and any services which were covered through the appeals process. The provider has a right to get his/her fees, but does not have a right to get them from you. Ask the non-network provider to bill us first. If you have already paid for the covered services, we will reimburse you for our share of the cost. If you get a bill from a non- network provider, you should not pay the bill. You should send the bill to Signature Advantage for payment, and we will let you know what, if anything, you must pay. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor Signature Advantage will be responsible for the costs. What is the service area for Signature Advantage? The counties in our service area are listed below. Please refer to the chart for facilities included in our service area. Clark Jefferson Spencer Feyette Scott 3 How do you find Signature Advantage providers in your area? The pages that follow this introduction contain several listings of providers. There are separate listings of PCPs, specialty physicians, hospitals, and other providers. The lists are organized by county, zip code, and specialty. Within each specialty, the providers are listed alphabetically by zip code. To find a provider, locate the county and zip code you are interested in, and then view the providers in alphabetical order. If you have questions about Signature Advantage, please call our Member Service Department at 1-844-214-8633, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30. TTY users should call 711 or visit www.signatureadvantage.com. 4 Section 2 – List of Network Providers Primary Care Physicians (414) Family Practice - Physician KENNETH M BRODSKY Bourbon County 5 LINVILLE DR PARIS STE 104 ZIP: 40361 PARIS, KY 40361 (859) 987-8432 ALISON L PETRAS 8 LINVILLE DR STE A KENT L DAVIS PARIS, KY 40361 274 EAST MAIN STREET (859) 987-3577 PARIS, KY 40361 (859) 987-6230 C RAY YOUNG 22 CLINIC DR NATHAN MOORE PARIS, KY 40361 22 CLINIC DR (859) 987-0074 PARIS, KY 40361 (859) 987-0074 ERIN COOPER Bracken County 22 CLINIC DR AUGUSTA PARIS, KY 40361 ZIP: 41002 (859) 987-0074 HAROLD V MARKESBERY 5 GEOFFREY COOPER 1551 AUGUSTA CHATHAM RD 22 CLINIC DR AUGUSTA, KY 41002 PARIS, KY 40361 (606) 756-2117 (859) 987-0074 JAMES W MORRIS JEFFREY J GREEN 1551 AUGUSTA CHATHAM RD 8 LINVILLE DR AUGUSTA, KY 41002 STE A (606) 756-2117 PARIS, KY 40361 (859) 987-3577 6 Primary Care Physician (414) MT. WASHINGTON NINA C GRAY 1551 AUGUSTA CHATHAM RD ZIP: 40047 AUGUSTA, KY 41002 TONDA M ANDERSON (606) 756-2117 10536 HWY 44E MT. WASHINGTON, KY 40047 STEVEN NEUS (502) 538-2554 1551 AUGUSTA CHATHAM RD AUGUSTA, KY 41002 SHEPHERDSVILLE (606) 756-2117 ZIP: 40165 Bullitt County CHARLOTTE INGWERSEN LOUISVILLE 187 ADAM SHEPHERD PKWY ZIP: 40047 STE 5 SHEPHERDSVILLE, KY 40165 JAMES BREWER (502) 543-4119 211 HIGH POINT COURT STE 700 CHRISTOPHER M SMALLEY LOUISVILLE, KY 40047 438 ADAM SHEPHERD PARKWAY (502) 957-0468 SUITE 1 MT WASHINGTON SHEPHERDSVILLE, KY 40165 ZIP: 40047 (502) 543-1055 MICHAEL S PAYNE LING L QIU 532 N BARDSTOWN ROAD 438 ADAM SHEPHERD PARKWAY MT WASHINGTON, KY 40047 SUITE 1 7 (502) 955-5800 SHEPHERDSVILLE, KY 40165 (502) 543-1055 THOMAS D JOHNSON 532 N BARDSTOWN ROAD MT WASHINGTON, KY 40047 (502) 538-4800 8 Primary Care Physician (414) MICHELE FASS ADAM A FRENCH 115 HUSTON DRIVE 2300 MARKET STREET SUITE 1 CHARLESTOWN, IN 47111 SHEPHERDSVILLE, KY 40165 (812) 256-1106 (502) 955-7311 GEORGE P MCGHEE STEPHEN C PAYNE 935 WATER STREET 115 HUSTON DRIVE CHARLESTOWN, IN 47111 SUITE 1 (812) 256-3755 SHEPHERDSVILLE, KY 40165 (502) 955-7311 JANNA M SELLMER 11500 STATE RD 62 STEVEN T BROWN CHARLESTOWN, IN 47111 438 ADAM SHEPHERD PARKWAY (812) 256-0700 SUITE 2 SHEPHERDSVILLE, KY 40165 WILLIAM E HOKE (502) 957-6434 2300 MARKET STREET CHARLESTOWN, IN 47111 WAQAR SALEEM (812) 256-1106 1905 W HEBRON LN STE 103 CLARKSVILLE SHEPHERDSVILLE, KY 40165 ZIP: 47129 (502) 957-2084 AGNES C BACALA Clark County 2051 CLEVIDENCE BOULEVARD 9 CHARLESTOWN SUITE 1 ZIP: 47111 CLARKSVILLE, IN 47129 (812) 280-9145 10 Primary Care Physician (414) BENNETT H WILLIAMS THERESA STROOT 2205 GREENTREE NORTH 2205 GREENTREE NORTH CLARKSVILLE, IN 47129 CLARKSVILLE, IN 47129 (812) 218-6560 (812) 218-6560 JEFFERSONVILLE JAMES M HAVENS 2205 GREENTREE NORTH ZIP: 47130 CLARKSVILLE, IN 47129 BHANU A THAKER (812) 218-6560 930 SPRING ST JEFFERSONVILLE, IN 47130 JOSE S BADA (812) 288-6660 140 EAST MAPLE COURT CLARKSVILLE, IN 47129 JEFFREY A CAMPBELL (812) 282-4283 1802 EAST 10TH STREET JEFFERSONVILLE, IN 47130 KATRINA K MCGILLIVRAY 812 2882488 2205 GREENTREE NORTH CLARKSVILLE, IN 47129 JEFFREY A CAMPBELL (812) 218-6560 1804 EAST 10TH ST
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