2019 OK Ancillary Provider Directory

217 Pages·2017·1.53 MB·English

2019 Provider Directory
for Vision/Dental/Hearing
Blue Cross Medicare Advantage (HMO)SM
January 1, 2019 – December 31, 2019
Y0096_BEN_OK_ANCDIR19_NM_C Last updated 08/18
603177.0818
Blue Cross Medicare AdvantageSM
2019 Provider Directory
This directory is current as of August 10, 2018.
This directory provides a list of Blue Cross Medicare Advantage’s current network providers.
This directory is for the entire Blue Cross Medicare Advantage provider network offered to
people that are Medicare eligibles and residing in Canadian, Cleveland, Grady, Lincoln, Logan,
Oklahoma, and Pottawatomie counties.
To access Blue Cross Medicare Advantage’s online provider directory, you can visit
getblueok.com/mapd/providers. For any questions about the information contained
in this directory, please call our Customer Service Department at 1-877-774-8592,
8:00 a.m. – 8:00 p.m., local time, 7 days a week. TTY users should call: 711.
HMO plan provided by Blue Cross and Blue Shield of Oklahoma, which refers to GHS Health Maintenance
Organization, Inc. d/b/a BlueLincs HMO (BlueLincs). BlueLincs is an Independent Licensee of the Blue Cross
and Blue Shield Association. BlueLincs is a Medicare Advantage organization with a Medicare contract.
Enrollment in BlueLincs’ plan depends on contract renewal.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call
1-877-774-8592 (TTY: 711) We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are
calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on the
weekends and holidays.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al
1-877-774-8592 (TTY: 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si
usted llama del 1 de abril al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías
alternas (por ejemplo, correo de voz).
This document is available in other formats such as Braille and large print. For additional information, call us
at 1-877-774-8592. (TTY users should call 711).
i
Table of Contents
Section 1 – Introduction .......................................................................................................................iii
What is the service area for Blue Cross Medicare Advantage? ...................................................iii
How do you find Blue Cross Medicare Advantage providers in your area? .................................iv
Section 2 – List of Network Providers ..................................................................................................1
Dental ............................................................................................................................................1
Vision .........................................................................................................................................196
Hearing ......................................................................................................................................208
ii
Section 1 – Introduction
This directory provides a list of Blue Cross Medicare Advantage’s network providers. To get detailed information
about your health care coverage, please see your Evidence of Coverage (EOC).
The network providers listed in this directory have agreed to provide you with your dental, vision, and hearing
services. You may go to any of our network providers listed in this directory. 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. If you use providers within the Blue Cross Medicare Advantage
network your co-pays and/or co-insurance will be less than going to non-network providers.
You do not need prior authorization to seek medical help in an urgent or emergency situation.
If an out-of-network provider asks you to pay for covered services you receive, please call Customer Service at
1-877-774-8592 (TTY 711) or send the bill(s) with a note explaining the situation to:
Blue Cross Medicare Advantage
P.O. Box 3283
Tulsa, OK 74102-3283
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 Blue Cross Medicare Advantage will be responsible for the costs.
You should never pay any out-of-network provider more than what the provider is allowed by Medicare. Ask the
out-of-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 for the services, you can send the bill to us for payment. We will pay your
out-of-network provider for our share of the bill and will let you know the amount, if any, you must pay.
What is the service area for Blue Cross Medicare Advantage?
The counties in our service area are listed below.
• Canadian • Lincoln • Pottawatomie
• Cleveland • Logan
• Grady • Oklahoma
How do you find Blue Cross Medicare Advantage providers in your area?
The directory includes Dental, Vision, and Hearing providers participating in the Blue Cross Medicare Advantage
network. Please refer to the provider listings for section names. Each section is organized alphabetically by city.
Within each city, the city and provider names are listed in alphabetical order along with the address and phone
number. For the most updated Blue Cross Medicare Advantage provider information, please visit our Provider
Finder at getblueok.com/mapd/provider. Although Blue Cross Medicare Advantage has identified those providers
who were offering services at the time this directory was created, the services offered may have changed. For
the most current information regarding the services of a provider, please contact the provider you have selected
at the phone number listed in this directory.
If you have questions about Blue Cross Medicare Advantage or require assistance, please call our Customer
Service Department at 1-877-774-8592, 8:00 a.m. – 8:00 p.m., local time, 7 days a week. If you are calling from
April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and
holidays. TTY users should call 711. Or, visit getblueok.com/mapd/providers.
iii
HOW TO READ THE PROVIDER LISTING
Example:
OKLAHOMA CITY (Alphabetical listing of towns and cities)
FAMILY PRACTICE (Specialty)
Smith, John, MD (Physician’s name)
1234 First St., Oklahoma City, OK, 73008 (Physician’s address)
[phone] (Phone number)
This information changes on a frequent basis. Please refer to the online directory or call Customer Service below
for current updates.
Participation by providers in this directory is not guaranteed and may be subject to change. Please ask your
provider whether he/she is still participating in the network. If you have questions about Blue Cross Medicare
Advantage, please call our Customer Service number at 1-877-774-8592 (TTY users should call 711). We are open
8:00 a.m. – 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate
technologies (for example, voicemail) will be used on the weekends and holidays.
iv
Dental Providers
1
Crittenden, Robert Hubler, Parley Riley, Ann
Robert B Crittenden DDS Wilma P Mankiller Health Wilma P Mankiller Health
Oklahoma
PC Cente Cente
704 S 2nd St Rr 6 Box 840 Rr 6 Box 840
Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960

[phone] [phone] [phone]
Adair County
Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y

Downum, Kyle Keenan, Allen Rouse, Brant
Wilma P Mankiller Health Wilma P Mankiller Health Wilma P Mankiller Health
Dentistry - General
Cente Cente Cente
Anderson, Adam Rr 6 Box 840 Rr 6 Box 840 Rr 6 Box 840
Wilma P Mankiller Health Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960
Cente [phone] [phone] [phone]
Rr 6 Box 840 Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y
Stilwell, OK 74960
Firey, Kimberly Likes, Anthony Sims, Lauren
[phone]
Wilma P Mankiller Health Wilma P Mankiller Health Wilma P Mankiller Health
Accepting new patients: Y
Cente Cente Cente
Andrews, Arlan Rr 6 Box 840 Rr 6 Box 840 Rr 6 Box 840
Wilma P Mankiller Health Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960
Cente [phone] [phone] [phone]
Rr 6 Box 840 Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y
Stilwell, OK 74960
Foster, Dj Looney, Joshua Smart, Erin
[phone]
Wilma P Mankiller Health Wilma P Mankiller Health Wilma P Mankiller Health
Accepting new patients: Y
Cente Cente Cente
Beard, Stacey Rr 6 Box 840 Rr 6 Box 840 Rr 6 Box 840
Wilma P Mankiller Health Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960
Cente [phone] [phone] [phone]
Rr 6 Box 840 Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y
Stilwell, OK 74960
Garay, Wilfredo Martin, Kip Summerlin, Allen
[phone]
Wilma P Mankiller Health Wilma P Mankiller Health Wilma P Mankiller Health
Accepting new patients: Y
Cente Cente Cente
Beavers, Charles Rr 6 Box 840 Rr 6 Box 840 Rr 6 Box 840
Wilma P Mankiller Health Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960
Cente [phone] [phone] [phone]
Rr 6 Box 840 Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y
Stilwell, OK 74960
Hacker, Stefan Phillips, Crystal Sweeney, Michael
[phone]
Wilma P Mankiller Health Wilma P Mankiller Health Wilma P Mankiller Health
Accepting new patients: Y
Cente Cente Cente
Catron, Chad Rr 6 Box 840 Rr 6 Box 840 Rr 6 Box 840
Chad A Catron DDS Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960
19 N 2nd St [phone] [phone] [phone]
Stilwell, OK 74960 Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y
[phone]
Holland, Jason Reece, Matthew Tarabetz, Ginger
Accepting new patients: Y
Wilma P Mankiller Health Wilma P Mankiller Health Wilma P Mankiller Health
Cente Cente Cente
Rr 6 Box 840 Rr 6 Box 840 Rr 6 Box 840
Stilwell, OK 74960 Stilwell, OK 74960 Stilwell, OK 74960
[phone] [phone] [phone]
Accepting new patients: Y Accepting new patients: Y Accepting new patients: Y
Walker, John Nguyen, Luke Hieu Stover, Patrick
Wilma P Mankiller Health Great Salt Plains Health Beaver County Premier Dental
Cente Cente 3102 S Highway 6

Rr 6 Box 840 405 S Oklahoma Ave Elk City, OK 73644
Stilwell, OK 74960 Cherokee, OK 73728 Oklahoma - Beaver County - [phone]
Dentistry - General
[phone] [phone] Accepting new patients: Y
Accepting new patients: Y Accepting new patients: Y Becker, Timothy

Timothy J Becker DDS
PediatrOiklachoma - AdaDir Counety - ntistry Peterson, Erwin Blaine County
47 W 2nd St
Great Salt Plains Health
Beaver, OK 73932
Drvostep, Diana Cente
[phone]
Wilma P Mankiller Health 405 S Oklahoma Ave Oklahoma - Blaine County -
Cente Cherokee, OK 73728 Accepting new patients: Y Dentistry - General
Rr 6 Box 840 [phone]
Edsall, Robert
Stilwell, OK 74960 Accepting new patients: Y Beckham County Robert D Edsall DDS Inc
[phone]
205 N Noble Ave
Accepting new patients: Y
Watonga, OK 73772
Atoka County
PeriOoklahomda - Adaoir Counnty - tics DentistOrklahoyma - B eck-ham CouGnty - eneral [phone]

Accepting new patients: Y
LWuilcmea, KP aMraennk iller Health DentistrOklahyoma - Ato-ka Co untGy - eneral GBillal dGdla, dBdi Dll DS Lee, Jean
Orion Dental Watonga
Cente 1011 N Main St
Dial, Michael 321 N Clarence Nash
Rr 6 Box 840 Elk City, OK 73648
Michael L Dial DDS Blvd
Stilwell, OK 74960 [phone]
104 W Ruth Ave Watonga, OK 73772
[phone] Accepting new patients: Y
Atoka, OK 74525 [phone]
Accepting new patients: Y
[phone] Higgins, Darin Accepting new patients: Y
Accepting new patients: Y Darin Higgins Family † Spanish
Alfalfa County Dentistry
Hookom, Mathew Palerino, James
1011 N Main St
Custom Dental Of Atoka Daniel W Brockmeier DMD
Elk City, OK 73644
1828 W Liberty Rd 1305 S Clarence Nash Rd
Oklahoma - Alfalfa County - [phone]
Dentistry - General Atoka, OK 74525 Watonga, OK 73772
Accepting new patients: Y
[phone] [phone]
Miller, Lindsey
Accepting new patients: Y Storm, Bruce Accepting new patients: Y
Great Salt Plains Health
Family Dental Services LTD
Cente
300 N Garrett St
405 S Oklahoma Ave
Elk City, OK 73644
Cherokee, OK 73728
[phone]
[phone]
Accepting new patients: Y
Accepting new patients: Y
Proud, Nathan Clark, Benjamin Hill, Benjamin
Orion Dental Watonga Bryan County Magnolia Smiles Magnolia Smiles
321 N Clarence Nash 1220 N Washington Ave 1220 N Washington Ave

Blvd Durant, OK 74701 Durant, OK 74701
Watonga, OK 73772 Oklahoma - Bryan County - [phone] [phone]
Dentistry - General
[phone] Accepting new patients: Y Accepting new patients: Y
Accepting new patients: Y Bullard, Blake † Spanish † Spanish
† Spanish Blake Bullard DDS
Craige, Danny Lee, David
5008 W University Blvd
Scoville, Andrea Dan D Craige DDS My Dentist Durant
Durant, OK 74701
Andrea M Scoville DDS 203 N 16th Ave 9072 W Hwy 70
[phone]
601 W 2nd St Durant, OK 74701 Durant, OK 74701
Accepting new patients: Y
Watonga, OK 73772 [phone] [phone]
[phone] Carper, Chasity A Accepting new patients: Y Accepting new patients: Y
Accepting new patients: Y All About Smiles Dentistry † Arabic, Spanish
Dhoon, Taher
PC
Turpin, Ashlea My Dentist Durant Morkos, Kerolos
724 N Washington Ave
Orion Dental Watonga 9072 W Hwy 70 My Dentist Durant
Durant, OK 74701
321 N Clarence Nash Durant, OK 74701 9072 W Hwy 70
[phone]
Blvd [phone] Durant, OK 74701
Accepting new patients: Y
Watonga, OK 73772 Accepting new patients: Y [phone]
[phone] Carper, Jason † Arabic, Spanish Accepting new patients: Y
Accepting new patients: Y All About Smiles Dentistry † Arabic, Spanish
Evans, Michael
† Spanish PC
Magnolia Smiles Mueller, Steven
724 N Washington Ave
Winters, Fred 1220 N Washington Ave My Dentist Durant
Durant, OK 74701
Fred G Winters DDS Durant, OK 74701 9072 W Hwy 70
[phone]
207 E F St [phone] Durant, OK 74701
Accepting new patients: Y
Okeene, OK 73763 Accepting new patients: Y [phone]
[phone] Chambers, Cory † Spanish Accepting new patients: Y
Accepting new patients: Y My Dentist Durant † Arabic, Spanish
Fleming, Joseph
9072 W Hwy 70
My Dentist Durant Muszynski, Jeffrey
Durant, OK 74701
9072 W Hwy 70 All About Smiles Dentistry
[phone]
Durant, OK 74701 PC
Accepting new patients: Y
[phone] 724 N Washington Ave
† Arabic, Spanish
Accepting new patients: Y Durant, OK 74701
† Arabic, Spanish [phone]
Accepting new patients: Y
Muszynski, Kayla Torabi, Ali Jan, Mehwish Resasco Pratt, Marilina
All About Smiles Dentistry My Dentist Durant Oklahoma Community Oklahoma Community
PC 9072 W Hwy 70 Health Svcs Health Svcs
724 N Washington Ave Durant, OK 74701 307 W Main St 307 W Main St
Durant, OK 74701 [phone] Fort Cobb, OK 73038 Fort Cobb, OK 73038
[phone] Accepting new patients: Y [phone] [phone]
Accepting new patients: Y † Arabic, Spanish Accepting new patients: Y Accepting new patients: Y
Patrick, Dylan Kotha, Nipun Truong, Lisa
All About Smiles Dentistry Oklahoma Community Oklahoma Community
Caddo County
PC Health Svcs Health Svcs

724 N Washington Ave 307 W Main St 307 W Main St
Durant, OK 74701 Oklahoma - Caddo County - Fort Cobb, OK 73038 Fort Cobb, OK 73038
Dentistry - General
[phone] [phone] [phone]
Accepting new patients: Y Bowers, Dominique Accepting new patients: Y Accepting new patients: Y
Oklahoma Community
Salmon, Aaron Lewis, Tiffany Turner, Robert
Health Svcs
Magnolia Smiles Oklahoma Community Thomas Jonathon V DDS
307 W Main St
1220 N Washington Ave Health Svcs 310 SE 11th St
Fort Cobb, OK 73038
Durant, OK 74701 307 W Main St Anadarko, OK 73005
[phone]
[phone] Fort Cobb, OK 73038 [phone]
Accepting new patients: Y
Accepting new patients: Y [phone] Accepting new patients: Y
† Spanish Cantwell, Susan Accepting new patients: Y
Virtue, Stephen
Cantwell Dental Clinic PC
Seale, Joey Morrison, Julia Oklahoma Community
109 12 E Main St
My Dentist Durant Oklahoma Community Health Svcs
Hinton, OK 73047
9072 W Hwy 70 Health Svcs 307 W Main St
Durant, OK 74701 [phone] 307 W Main St Fort Cobb, OK 73038
[phone] Accepting new patients: Y Fort Cobb, OK 73038 [phone]
Accepting new patients: Y Herwig, Craig [phone] Accepting new patients: Y
† Arabic, Spanish Oklahoma Community Accepting new patients: Y Oklahoma - Caddo County -
Orthodontics
Health Svcs
Stevenson, Sean Rapini, Jennifer
307 W Main St
Magnolia Smiles Oklahoma Community Kierl, James
Fort Cobb, OK 73038
1220 N Washington Ave Health Svcs Oklahoma Community
[phone] 307 W Main St Health Svcs
Durant, OK 74701
Accepting new patients: Y Fort Cobb, OK 73038 307 W Main St
[phone]
[phone] Fort Cobb, OK 73038
Accepting new patients: Y
† Spanish Accepting new patients: Y [phone]
Accepting new patients: Y