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Queens County MetroPlus Provider Directory Table of Contents Introduction ..........................................................................................................................5 Hospitals.............................................................................................................................11 Retail Health Clinics .........................................................................................................13 Urgent Care Centers ........................................................................................................15 FQHCs (Federally Qualified Health Centers) ...............................................................19 Maternal/Pediatric HIV Specialized Care Centers .......................................................25 HIV Primary Care Medicaid Programs (Article 28 Facilities) ......................................27 Co-located Substance Abuse/HIV Primary Care Providers ........................................31 Health Home / Psychosocial Support Services ............................................................33 Primary Care Providers ....................................................................................................35 HIV Primary Care Providers ............................................................................................79 Participating Specialists ...................................................................................................81 Family Planning ...............................................................................................................168 Behavioral Health Providers ..........................................................................................169 Behavioral Health Organizations ..................................................................................223 Audiology/Hearing ..........................................................................................................258 Dialysis Centers ..............................................................................................................259 Durable Medical Equipment (DME) ..............................................................................263 Hospice Care ...................................................................................................................275 Laboratory ........................................................................................................................276 Facility Based Occupational Therapy ..........................................................................281 Facility Based Physical Therapy ...................................................................................282 Facility Based Speech Therapy ....................................................................................283 Orthotics and Prosthetics...............................................................................................284 Radiology Services .........................................................................................................288 Skilled Nursing Facility ...................................................................................................293 Chain Pharmacies ..........................................................................................................297 Retail Pharmacies ...........................................................................................................299 Mail Order Pharmacies ..................................................................................................319 Long Term Care Pharmacies ........................................................................................321 Home Infusion Pharmacies ...........................................................................................323 Provider Index .................................................................................................................325 September 2019 160 Water Street, New York, NY 10038 1-877-475-3795 Important Information Welcome to MetroPlus Health Plan. We are pleased that you chose MetroPlus GoldCare I for your health plan. Please read the information below. It will help you choose a Primary Care Provider for you and your family if you have not done so already. It will also give you other important information. Your Primary Care Provider When you join MetroPlus, you choose a MetroPlus participating physician or nurse practitioner to be your Primary Care Provider (PCP). Your PCP will take care of your health care needs and refer you to other health care providers if you need them. We have many PCPs in our network. Your PCP can be a MetroPlus Medical Doctor (MD), a Doctor of Osteopathic Medicine (DO) or a Nurse Practitioner (NP). Female members can choose a MetroPlus Obstetrician/Gynecologist (OB/GYN) as their PCP. Pregnant women can choose a MetroPlus Certified Nurse Midwife (CNM) or Licensed Midwife (LM) as their PCP. Members who are 65 or older can choose a MetroPlus Geriatric Provider as their PCP. How to Choose Your Primary Care Provider If you have a PCP that is a MetroPlus provider, you can continue to see that provider. If you don’t have a PCP, you can select one in this Provider Directory. If your children have MetroPlus, you can choose a PCP for each child. You can find a PCP who speaks your language, is associated with a particular hospital or facility, has an office in or near a particular zip code that is convenient to you and that is wheelchair accessible. The Provider Directory also indicates PCPs that are not accepting new patients. You can also use the MetroPlus web site, www.metroplus.org, to find a PCP. On the website, go to the “Find a Doctor/Provider” tab and then select “Find a Primary Care Provider.” You can search for a PCP who meets your needs, speaks your language, is associated with a particular hospital/facility, has an office in or near a particular zip code that is convenient to you and that is wheelchair accessible. If you choose a new PCP, call and make sure the provider is taking new patients. This will ensure that you can have the PCP you want. If your PCP is not listed in this Directory or you would like help in selecting a PCP, call MetroPlus Member Services at 1-877-475-3795 (TTY: 711), Monday – Saturday, 8 am – 8 pm. After hours, please call 1-800-442-2560. 5 How to Use This Directory This directory only includes providers in Queens County. If you would like a provider/pharmacy directory from another participating county, please visit our website at www.metroplus.org or call 1-800-303-9626 (TTY 1-800-881-2812). PCPs are listed in alphabetical order by borough, by specialty (Adolescent Medicine, Adult Health Care, Family Practice, Geriatric Medicine, Internal Medicine, Pediatrics), by zip code. To help you choose a PCP, each provider listing offers the following information: Sample Listing: Explanation: INTERNAL MEDICINE Specialty Smith, John Provider Name 123456-AB12 Provider ID Number ^ Indicates the Provider is Board Certified Male provider/Female provider / Accepting current patients only Evening hours available Languages other than English spoken by Spanish/French the Provider and Clinical Staff Geriatrics Practice Limitations or Additions Family Health Center Clinic Name (If Any) 82-64 164th St Provider Address Jamaica, NY 11432 (718)123-4567 Office Phone Number Office is wheelchair accessible Hospital where Provider is affiliated and NYC Health + Hospitals / Queens admits patients HIV Primary Care Providers are listed in alphabetical order, by borough, by zip code. HIV Specialized Care Centers, HIV Primary Care Medicaid Programs and Psychosocial Support Services are listed in the front of the Directory. Specialists, including Obstetricians (OB) and Gynecologists (GYN), are listed in alphabetical order by borough, by specialty, by zip code. If a Provider practices more than one specialty (for example, Internal Medicine and Dermatology) they will be listed under each specialty. Behavioral Health providers, including Alcohol and Substance Abuse Counseling, are listed by borough, by specialty, by zip code. Behavioral Health Organizations are listed by zip code within each borough. 6 Rev.9/13/17 Following Behavioral Health, other providers, such as Laboratory and Vision Care Services, are listed alphabetically by provider type. Each section is organized by borough. Hospitals and Federally Qualified Health Centers are listed by borough in the front of the Directory. An alphabetical listing of all MetroPlus Participating Providers is included at the back of the Directory. If you cannot find your provider in this Directory, please call Member Services to see if we have recently added him/her in our network. Getting Your Prescriptions MetroPlus GoldCare members can fill their prescriptions and get certain medical supplies from any pharmacy in the MetroPlus network. To find a convenient MetroPlus participating pharmacy, go to www.metroplus.org (select “Find a Doctor/Provider” tab and then “Find a Pharmacy”) or call MetroPlus Member Services at 1- 877-475-3795 (TTY: 711), Monday – Saturday, 8 am – 8 pm. Important Telephone Numbers & Web Site MetroPlus Member Services: Call 1-877-475-3795 (TTY: 711) if you need help making an appointment or if you have a question or complaint, Monday through Saturday, 8 am – 8 pm. MetroPlus After Hours Service Line: 1-800-442-2560, if you need help during the night or on weekends. MetroPlus Utilization Review: For review of a MetroPlus decision that treatment is not medically necessary, call our
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