2017 Medicare Provider Directory Addendum

134 Pages·2017·1.7 MB·English

2018 Kaiser Permanente
Medicare Plus (Cost)
Provider Directory
Addendum
December 2018
Please review the changes that have occurred to our provider network as of the effective
date above. This document should be included with the complete 2018 Kaiser Permanente
Medicare Plus (Cost) Provider Directory. For the most current provider listings, please visit
kp.org/directory.
If you have questions, please contact Kaiser Permanente Member Services at
1-888-777-5536, TTY 711, seven days a week, 8 a.m. to 8 p.m.
Mid-Atlantic Permanente Medical Group primary care physicians at all 30 of our
medical office buildings earned Level III recognition as Patient Centered Medical
Homes (PCMH), the highest level of recognition possible as recognized by the
National Committee for Quality Assurance®. Additionally, Mid-Atlantic Permanente
Medical Group has more primary care physicians recognized by the National
Committee for Quality Assurance than any other medical group in Maryland, Virginia
or Washington, D.C. for the Diabetes Recognition Program (DRP), which is a clinical
review of evidence-based care provided to patients with diabetes.
61104812
December 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland

Columbia Gateway Medical Center
7070 Samuel Morse Drive, Columbia, MD 21046
1-410-309-4600
Additions Deletions
Internal medicine
Pardeep Paul Dhanoa, DO
Accepting new patients: Yes
Kensington Medical Center
10810 Connecticut Avenue, Kensington, MD 20895
1-301-929-7100
Additions Deletions
Cardiothoracic surgery Sleep medicine
Riny Albair Karras, MD James Woolsey, SAC
Accepting new patients: Yes
Internal medicine
Purwaai Chand Matriya, DO
Accepting new patients: Yes
Largo Medical Center
1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Deletions
Internal medicine Internal medicine
Oluwafunmilayo D. Fatuyi, MD Olumide A. Coker, MD
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
2 ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory
December 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland (continued)

North Arundel Medical Center
7670 Quarterfield Road, Glen Burnie, MD 21061
1-410-508-7650
Additions Deletions
Ophthalmology
Tony T. Choi, MD
Silver Spring Medical Center
12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Deletions
Psychiatry
Jessica H. Morris, MD
South Baltimore County Medical Center
1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Deletions
Family practice Sleep medicine
Patricia Ann Cudjoe, MD Michele N. Thomas, SAC
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory 3
December 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland (continued)

White Marsh Medical Center
4920 Campbell Boulevard, Nottingham, MD 21236
1-410-933-7600
Additions Deletions
Gynecology, Ob/Gyn Psychotherapy (adult)
Shereene Joy Brown, MD Lynn Mahan, LCSW
Accepting new patients: Yes
Woodlawn Medical Center
7141 Security Boulevard, Baltimore, MD 21244
1-443-663-6000
Additions Deletions
Obstetrics & Gynecology
Jennifer T. Paul, MD
Optometry
Tuongvi Pham, OD
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
4 ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory
December 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Virginia

Burke Medical Center
5999 Burke Commons Road, Burke, VA 22015
1-703-249-7700
Additions Deletions
Psychotherapy (adult)
Carol F. Blechl, LCSW
Stephanie A. Prakash, LCSW
Springfield Medical Center
6501 Loisdale Court, Springfield, VA 22150
1-703-922-1000
Additions Deletions
Internal medicine
Jennifer C. Winchester, MD
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory 5
November 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
District of Columbia

Kaiser Permanente Capitol Hill Medical Center
700 2nd Street NE, Washington, DC 20002
1-202-346-3000
Additions Deletions
Internal medicine
Cherie D. Caleb, MD
Accepting new patients: Yes
Northwest DC Medical Office Building
2301 M Street NW, Washington, DC 20037
1-202-419-6200
Additions Deletions
Psychiatry
Sushila Chelliah, MD
Accepting new patients: Yes
Andrew David Peters, DO
Accepting new patients: Yes
Maryland

Abingdon Medical Center
3400 Box Hill Corporate Center Drive
Suites 100 and 200, Abingdon, MD 21009
1-410-515-5440
Additions Deletions
Internal medicine
Jenaro John Hernandez, DO
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
6 ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory
November 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland (continued)

Columbia Gateway Medical Center
7070 Samuel Morse Drive, Columbia, MD 21046
1-410-309-4600
Additions Deletions
Family practice
Kenneth S. Villar, MD
Accepting new patients: Yes
Gaithersburg Medical Center
655 Watkins Mill Road, Gaithersburg, MD 20879
1-240-632-4000
Additions Deletions
Internal medicine
Prathyusha Pagadala, MD
Accepting new patients: Yes
Neurology
Codrin I. Lungu, MD
Accepting new patients: Yes
Urology
Rachel Shoshana Rubin, MD
Accepting new patients: Yes
Greater Baltimore Medical Center
6701 North Charles Street, Towson, MD 21204
1-410-828-2000
Additions Deletions
Infectious diseases
Elie Cheikh, MD
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory 7
November 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland (continued)

Kensington Medical Center
10810 Connecticut Avenue, Kensington, MD 20895
1-301-929-7100
Additions Deletions
General surgery
Lawrence Robert Starin, MD
Accepting new patients: Yes
Internal medicine
Aundrea C. Stevenson, MD
Accepting new patients: Yes
Laban Eric Tsuma, MD
Accepting new patients: Yes
Largo Medical Center
1221 Mercantile Lane, Largo, MD 20774
1-301-618-5500
Additions Deletions
Internal medicine
Idongesit I. Attang, MD
Accepting new patients: Yes
Kolawole S. Oloniyo, MD
Accepting new patients: Yes
Ophthalmology
Benjamin Rubin, MD
Accepting new patients: Yes
Otolaryngology
William C. Gray, MD
Accepting new patients: Yes
Urology
Todd Brian Tescher, MD
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
8 ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory
November 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland (continued)

North Arundel Medical Center
7670 Quarterfield Road, Glen Burnie, MD 21061
1-410-508-7650
Additions Deletions
Ophthalmology
Beth Erin Cunningham, MD
Accepting new patients: Yes
Shady Grove Medical Center
1396 Piccard Drive, Rockville, MD 20850
1-301-548-5700
Additions Deletions
Gastroenterology
Arushi Defonseka, MD
Accepting new patients: Yes
Silver Spring Medical Center
12201 Plum Orchard Drive, Silver Spring, MD 20910
1-301-572-1000
Additions Deletions
Obstetrics & Gynecology
Caitlin Louise McAllister, MD
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory 9
November 2018 Kaiser Permanente providers – ADDITIONS and DELETIONS
Maryland (continued)

South Baltimore County Medical Center
1701 Twin Springs Road, Halethorpe, MD 21227
1-410-737-5000
Additions Deletions
Dermatology
Jun Kang, MD
Accepting new patients: Yes
Orthopedic surgery
Alexander Daekyung Choo, MD
Accepting new patients: Yes
Podiatry
Nicole S. McCormack, DPM
Accepting new patients: Yes
Towson Medical Center
1447 York Road, Suite 100, Lutherville, MD 21093
1-410-339-5500
Additions Deletions
Internal medicine
Ejikeme U. Nwokolo, MD
Accepting new patients: Yes
To get the most up-to-date information about Kaiser Permanente’s network providers in your area,
you can visit kp.org/directory or call Member Services at 1-888-777-5536 (TTY 711), seven days
a week, 8 a.m. to 8 p.m.
Kaiser Permanente is a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente
depends on contract renewal. The provider network may change at any time. You will receive
notice when necessary.
10 ADDENDUM — 2018 Kaiser Permanente Medicare Plus (Cost) Provider Directory