alabama

225 Pages·2014·0.61 MB·English

ALABAMA
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Blue Cross Blue Shield of Alabama Patrick Ryce, MD 450 Riverchase Parkway East
Sr VP & Med. Dir. Bimingham, AL 35244
[phone] [phone] or [phone]
[email protected] [phone]
Dow Briggs, Medical Director www.bcbsal.com
United Health Group of Alabama, Inc. 33 Inverness Parkway
Birmingham, AL 35242
www.unitedhealthcare.com
[phone]
[phone]
Humana
Aetna 151 Farmington Ave
Hartford, CT 06156
Cigna
ALASKA
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Premera Blue Cross John L. Castiglia, MD CMO 7001 220th Street SW
Mountlake Terrace, WA 98043
[phone]
www.premera.com
Aetna Same as national 15 Farmington Ave.
www.aetna.com Hartford, CT 06152
[phone]
PPO's
Integrated Health Plan
First Choice Health Network
Viant (Beech St.)
ARIZONA
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Blue Cross and Blue Shield of AZ Gary D. Smethers, M.D 2444 W Las Palmaritas Dr.
Senior Vice President, Medical Services Phoenix, AZ 85021
Chief Medical Officer
Laura Dodson, RN, BA
Sr Manager, Medical Policy & Tech Research
[email protected]
Cigna Medical Group Stanley Pearson, MD General Offices Tucson:
CMO and Sr. Med. Dir. CIGNA HealthCare of Arizona
[email protected] 7225 North Mona Lisa Road, Suite 100
Tucson, AZ 85741
Telephone: [phone]
Fax: [phone]
11001 North Black Canyon Highway,
Suite 400
Phoenix, AZ 85029
Telephone: [phone]
800.801-7557, then Dial 0
Fax: [phone]
Aetna Dr. Richard Jones 7720 N. 16th Street
Ste. 400
Phoenix, AZ 85020
[phone]
www.aetna.com
Mercy Health Plan
Pacificare of Arizona, Inc. (UHC) Dr. Samuel W. Ho 410 N. 44th Street
Tenth Floor
P.O. Box 52078
Phoenix, AZ 85072
[phone]
www.heatlhnet.com
Health Net of Arizona, Inc. Richard Jacobs, MD 130 W Washington S. 401
Temple, AZ 85281
[phone]
Humana Health Inc. "same as national"
Health Choice AZ Steve Chakmakian, Medical Director 1600 W. Broadway
Ste. 260
Tempe, AZ 85282
[phone]
www.healthchoiceaz.com
Corvel of AZ Debra Wilkerson, RN BSN CCM 3550 N.Central Avenue
AZ District Manger Suite 915
[email protected] Phoenix, AZ 85012
[phone] ext.203
[phone]
www.corvel.com
LifeWise of AZ (Premera Blue Cross) Thomas Paulson, MD Medical Director 220 th Street SW
Susan Loewus, RN, MHA, CPHQ Mailstop#445
Medical Services Administrator-Med. Policy Mountlake Terrace, WA 98043
Arizona State Fund Donna Davis
[phone]
[email protected]
CMSA
Phoenix Laura Bachrach
[phone]
[email protected]
www.cmsaaz.org
PPO's
Health Mgmt Network 1
Maricopa Foundation For Medical Care
Integrated Health Plan
Viant (Beech St)
ARKANSAS
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Arkansas Blue Cross and Blue James Adamson, MD P.O. Box 1489
Shield Health Advantage, dba Blue Medical Director Little Rock, AR 72203-1489
Advantage Al Thomas, M.D. [phone]
Associate Medical Director [phone] Fax
[email protected]
[email protected]
[phone]
[phone] Fax
HMO Lpartners Clement Fox, MD P.O. Box 8069
Little Rock, AR 72203
[phone]
www.healthadvantagehmo.com
Humana
CALIFORNIA
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Kaiser Foundation Robin Cisneros, Director
Med. Tech.
[email protected]
Francis J. Cronson, MD
Sr. Med. Dir. The Permanente Found.
[email protected]
Louise L. Liang
SVP, Quality & Clinical Support Systems
Blue Cross of California (Wellpoint) Ivan Kamil, VP, Medical Director, One WellPoint Way
Medical policy and Quality Health Assurance Thousand Oaks, CA 91362-5035
Division www.bluecrossca.com
Blue Shield of CA Eric Brook, MD(retired) Blue Shield of California
Sr. Vice President/Chied Medical Officer 50 Beale Street
[phone] San Francisco, CA 94105-1808
[email protected] [phone]
Alan Sokolow-CMO fax [phone]
Deborah Schwab-Dir. Health & Tech. Program www.blueshieldca.com
Fiona Wilmot, Med. Dir. -Medical Policy CTAF Contact
[email protected] Sandra Mills
(Dr. Brook has retired) [email protected]
Matt Gerrior, RN, MBA
Sr. Manager- Medical Policy (Post Claims)
[email protected]
[phone]
[phone]
Health Net Lance Lang, MD 21650 Oxnard Street
VP & Sr. Medical Director Woodland Hills, CA 91367
Jonathan H. Scheff, MD 800.291.6911
SVP & CMO 818.676.6000
Health Net of CA Michael Fine, MD 212181 Burbank Blvd
Sr. Med. Dir. Woodland Hills, CA 91367
www.healthnet.com
[phone]
Pacificare/United Healthcare Sam Ho, M.D. UHC Long Beach
Chief Medical Officer California Main
Pacific and Southwest Region 180 E. Ocean Blvd.
Harlan Levine, MD Suite 500
Chief Medical Officer Long Beach, CA 90802
Care Mgmt
Judy Fujimoto, M.D.
Medical Director
(Cypress CA)
Jeff Mason, M.D.
Medical Director
Aetna Howard Arkans, MD 2409 Camino Ramon
Regional Medical Director San Ramon, CA 94538
800-756-7039
www.aetna.com
www.aetna.com/inyourstate/member/california
.html
L.A. Care Health of California, Inc. Elaine Batchlor, MD CMO 555 W. Fifth Street
29th Floor
Los Angeles, CA 90013-3036
Cigna HealthCare of California Inc
Care 1st Health Plan Jorge Weingarten, MD CMO 601 Potreo Grande Drive
Monterey Park, CA 91755
[phone]
Community Health Group Rafael Amaro, CMO 740 Bay Blvd
Chula Vista, CA 91910
619-498-6484
Community Health Plan Shobha Naimpally, MD CMO 1000 S. Fremont Ave.
Bldg. A-9
East 2nd Floor Unit four
Albambra, CA 91803-8859
[phone]
Health Plan of San Mateo Mary Giammona, Medical Director 701 Gateway Blvd.
[phone] Ste.400
San Francisco, CA 94103
www.sthp.org
[phone]
Molina Medical Center
One Health Plan
San Francisco Health Swati Awsare, Medical Director 201 Third Street
7th Floor
San Francisco, CA 94103
www.sthp.org
Sharp Health Plan Nora Faine, Medical Director 4305 University Ave.
John R. LeMoine, System Director Suite 200
San Diego, CA 92123
www.sharp.com
[phone]
Universal Care Stephen Bass, MD CMO 1600 East Hill Street
Signal Hill, CA 90755
[phone]
www.universalcare.com
Western Health Advantage 1331 Garden Highway#100
Sacramento, CA 95833
www.westernhealth.com
[phone]
CMSA
Fresno Diana Powell
[phone]
[email protected]
LA www.cmsa-scc.org
Dale Prince
[phone]
[email protected]
Sacramento Shelli Sanson-Brown
[phone]
[email protected]
San Francisco Jennifer Avian
[phone]
[email protected]
San Jose www.thbaychapter-cmsa.org
James Sepeda
[phone]
[email protected]
COLORADO
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Anthem Colorado Jay Krakovitz, MD-Sr. Medical Director 700 Broadway
Denver, CO
303-831-3160
Kaiser Healthplan John H. Cochran, Exec. Medical Director 10350 E. Dakota Avenue
Colorado Permanente Med. Group Denver, CO 80231-1314
David J. Magid, MD MPH 303-338-3800
Clinical Research
CIGNA Healthcare Larry Wolk, MD 3900 E. Mexico Ave. S
VP& Sr Medical Director Denver, CO 80210
303-782-1500
Aetna Troy Brennen-Medical Director 6501 S. Fiddler's Green Circle
Greenwood, CO 80111
[phone]
www.aetna.com
Great West Healthcare Stephen Gorshow, MD 8525 E. Orchard Rd.
VP & Medical Director Greenwood Village, CO 80111
[email protected] 800-537-2033
Rocky Mountain Health Plan David S. Herr 277 Crossroads Blvd.
Grand Junction, CO 81516
[phone]
United Health Care of Colorado/PacifiCare of Colorado Jaqueline Stiff 8051 E .Maplewood Ave.
Suite 300
Englewood, CO 80111
303-267-3225
303-267-3599
Pacificare (UHC) Samuel Ho, Medical Director 6455 S. Yosmite Street
Englewood, CO 80111
[phone]
Humana Barb Miller-Mgr Prov. Relations 8400 E. Prentice Avenue
S.#1400
Greenwood Village, CO 80111
303-694-1044
CONNECTICUT
HEALTH PLANS MEDICAL DIRECTOR CONTACT INFO.
Anthem Blue Cross Blue Shield Dr. Eleanor Seiler, CMO 370 Bassett Road North Haven, CT 06473
Wellpoint Northeast Region (Wellpoint Anthem) [email protected]
Elizabeth Malko, Medical Director
Pete Bowers, Medical Director
Health Net of the Northeast Robert Groossman, MD PO Box 904
Shelton, CT 06484
UHC of New England/Oxford Sanford Cohen CMO 485 Monroe Turnpike
Trumbell, CT 06611
[phone]
www.oxhp.com
Cigna Healthcare Jeffrey L. Kang 900 Cottage Grove Road
W. Allen Schaffer, MD, Sr. VP & Chief Hartford, CT 06152
Clinical Officer [phone]
Douglas Hadley, MD
Medical Officer, Coverage Policy Unit
Cigna Healthcare B8MM
Fax [phone]
Cell [phone]
[email protected]
Aetna, Inc Manual J. Soares, MD 151 Farmington Avenue, MC17
Joseph R. Polidoro-Medical Director Hartford, CT 06156-7315
Adele M. Perlman MD-Med. Dir. [email protected]
Robert S. McDonough, MD JD, M.P.D [phone]
Med. Dir/Sr. Technology Consultant
William C. Popik, MD
Chief Medical Officer
Connecti Care(Parent Owner HIP Health Plan) Paul Bluestein, MD CMO 175 Scott Swamp Street
PO Box 4050
Farmington, CT 06034-4050
www.connecticare.com
[phone]
Guardian Life Insurance Co of America
Community Health Network of CT John Federico, CMO 11 Fairfield Blvd.
Wallington, CT 06492
[phone]
www.chnet.com
United Healthcare/Oxford Health Plans-CT Terrence Fitzgerald 48 Monroe Turnpike
Reg. Medical Director Trumbull, CT 06611
www.oxhp.com
[phone]
CMSA Groups
Hartford Marcia Esson www.ctcmsa.org
[phone]
[email protected]
PPO's
Integrated Health Planc, Inc
Viant Inc (Beech SC)
W/C & Case Mgmt
Hartford Fire Ins. Co. Robert E. Bonner, MD MPH 690 Asylum Ave.
Medical Director & VP Hartford, CT 06115
860-547-8194
[phone]
[email protected]
Group Reinsurance Plus Marcia Esson, RN, BS [email protected]
Medical Case Mgr. II 860.843.6263
Travelers Medical mgmt. Adam Seidner, MD, MPH One Tower Square
Services, Inc. National Medical Director Hartford, CT 06183
860.954.5385 [phone]
Ann M. Parizo, Mgr. Med. Mgmt. www.travelers.com
[email protected]
Triad Healthcare, Inc. Santo Sampino DC [phone]
Chief Med Officer [email protected]
80 Spring Lane
Plainville, CT 06062
www.travelers.com
[phone]