Provider and Pharmacy Directory Directorio de Proveedores de Servicios Médicos y Farmacias Effective December 2015 Efectivo Diciembre de 2015 Plan #11-88286 Table of Contents Introduction....................................................................................................................................................................... 1 How to Use this Directory .................................................................................................................................... 1 If You Need Help ..................................................................................................................................................... 1 Primary Care Provider (PCP) Network ..................................................................................................................... 3 Specialist Network .......................................................................................................................................................... 4 Allergy & Immunology .......................................................................................................................................... 4 Cardiology .................................................................................................................................................................. 4 Chiropractor ............................................................................................................................................................... 6 Dermatology .............................................................................................................................................................. 6 Endocrinology ........................................................................................................................................................... 8 Gastroenterology ..................................................................................................................................................... 9 Genetics Medicine ................................................................................................................................................ 11 Geriatric Medicine ................................................................................................................................................ 11 Gynecology ............................................................................................................................................................. 12 Hematology Oncology ....................................................................................................................................... 12 Hepatology ............................................................................................................................................................. 14 Infectious Disease ................................................................................................................................................. 15 Nephrology ............................................................................................................................................................. 15 Neurology ................................................................................................................................................................ 19 Neurosurgery ......................................................................................................................................................... 22 Nuclear Medicine .................................................................................................................................................. 23 Obstetrics & Gynecology ................................................................................................................................... 23 Oncology ................................................................................................................................................................. 28 Ophthalmology ..................................................................................................................................................... 31 Ophthalmology — Retina And Vitereous Diseases ................................................................................. 38 Otolaryngology (ENT) ......................................................................................................................................... 39 Pain Medicine ......................................................................................................................................................... 40 Podiatry .................................................................................................................................................................... 41 Pulmonology .......................................................................................................................................................... 42 Radiation Oncology ............................................................................................................................................. 44 Rheumatology ....................................................................................................................................................... 45 Sports Medicine .................................................................................................................................................... 46 Surgery, Cardiothoracic ...................................................................................................................................... 46 Surgery, Colon & Rectal ..................................................................................................................................... 46 Surgery, General .................................................................................................................................................... 47 Surgery, Oral & Maxillofacial ............................................................................................................................ 53 Surgery, Orthopedic ............................................................................................................................................ 53 Surgery, Plastic....................................................................................................................................................... 55 Surgery, Thoracic .................................................................................................................................................. 55 Surgery, Vascular .................................................................................................................................................. 57 - i - Urology ..................................................................................................................................................................... 58 Vision Care Network (Optometry) ......................................................................................................................... 61 Hospital Network ......................................................................................................................................................... 63 Skilled Nursing Facility Network ............................................................................................................................. 64 Ancillary Services Network ....................................................................................................................................... 65 Audiology ................................................................................................................................................................ 65 Diagnostic Imaging Center ............................................................................................................................... 65 Dialysis Clinic .......................................................................................................................................................... 68 Durable Medical Equipment ............................................................................................................................. 68 Home Health .......................................................................................................................................................... 69 Home Infusion ....................................................................................................................................................... 70 Hospice ..................................................................................................................................................................... 70 Occupational Therapy ......................................................................................................................................... 70 Pain Managment ................................................................................................................................................... 71 Physical Therapy .................................................................................................................................................... 71 Prosthetics & Orthotics ...................................................................................................................................... 71 Sleep Studies .........................................................................................................................................................