Mental Health / Substance Abuse

274 Pages·2010·18.47 MB·English

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c HMO Plan
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M January 1, 2011 – December 31, 2011
To get the most up-to-date information about CIGNA
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Medicare Select network providers in your area, you can P
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visit www.cignamedicare.com or call our Customer n This directory provides a list of CIGNA Medicare Select
P (HMO) plan providers.
Service Department at 1-800-627-7534. ro
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i This directory is for the CIGNA Medicare Select service
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7 days a week, 8 am – 8 pm e area, which includes Maricopa County and certain zip
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(Monday – Friday, March 2 – October 14) D codes within Apache Junction and Queen Creek, Arizona.
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c This directory is current as of July, 2010. Some network
TTY users should call 1-800-987-8816. to
r providers may have been added or removed from the list
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after this directory was printed. We do not guarantee that
each provider is still accepting new members.
www.cignamedicare.com
To get the most up-to-date information about CIGNA
www.CignaMedicalGroup.com
Medicare Select network providers in your area, you
can visit www.cignamedicare.com or call our Customer
Service Department at 1-800-627-7534.
7 days a week, 8 am – 8 pm
(Monday – Friday, March 2 – October 14).
TTY users should call 1-800-987-8816.
This information is available in a different format,
including Spanish. Please call Customer Service at the
number listed above if you need plan information in
another format or language.
La información representado aquí es disponible en
Español y otros formatos. Si Ud. necesita la información
del plan en otro formato o idioma, lláme a los Servicios al
“CIGNA Medicare Services,” “CIGNA Medicare Select Plus Rx” (HMO), “CIGNA Medicare Select” Cliente por el número citado anteriormente.
(HMO) and the “Tree of Life” logo are registered service marks of CIGNA Intellectual Property,
Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. CIGNA Medicare
Select and CIGNA Medicare Select Plus Rx plans are off ered by operating subsidiary CIGNA
HealthCare of Arizona, Inc., and not by CIGNA Corporation. CIGNA HealthCare of Arizona,
Inc. is a Medicare Advantage organization with a Medicare contract. As of the date of
publication, CIGNA Medicare Select and CIGNA Medicare Select Plus Rx plans are off ered
to employers and individuals in Maricopa County and certain zip codes within Apache
Junction and Queen Creek, Arizona only.
809569 f 08/10 © 2010 CIGNA
800569 f 08/10 H0354_922009b CMS Approved 08232010
800569f_AZ_Select_ProvDir_Cover_v7.indd 1 8/24/10 10:24 AM
Table of Contents
PAGE PAGE
2 CIGNA Medicare Select Service Area 66 Sun City West Medical Office
3 Introduction 67 Westridge Medical Office
5 Cigna Medical Group Map 69 Wickenburg Primary Care Providers
East Valley SPECIALTY DIRECTORY
7 CareToday South Chandler
70 Specialists
8 C.J. Harris Multi-Specialty Center
170 Chiropractic Services
13 CareToday Gilbert
OTHER SERVICES
14 Chandler Medical Office
182 Hospitals
17 Gilbert Medical Office
185 Emergency and Urgent Care
19 Mesa Medical Office
186 Urgent Care Locations
20 San Tan Medical Office
189 Convenience Care Locations - CareToday
21 Stapley Multi-Specialty Center
191 Skilled Nursing Facilities
24 Superstition Springs Medical Office
195 Vision Care Centers
26 Tempe Medical Office
197 Hearing Centers
Central Valley
198 Pharmacies
27 CareToday Anthem
201 Mental Health/Substance Abuse
28 CareToday Downtown Phoenix
235 Other Services
29 CareToday Pinnacle Peak
238 Provider Compensation
30 Clyde Wright Multi-Specialty Center
INDEX
37 North Valley Medical Office
39 Paradise Valley Multi-Specialty Center 240 Index of Providers
41 Scottsdale Medical Office
43 Scottsdale Norte Medical Office
45 South Mountain Medical Office
47 The Pointe Medical Office
West Valley
48 Arrowhead Ranch Medical Office
49 CareToday Arrowhead
50 CareToday Avondale
51 CareToday Laveen
52 CareToday Surprise
53 CareToday Tolleson
54 Deer Valley Medical Office
55 Palm Valley Medical Office
56 Paseo Multi-Specialty Center
59 Sun City Multi-Specialty Center
www.cignamedicare.com Page 1
Section 1
Introduction
CIGNA Medicare Select Service Area
Zip Code / City Zip Code / City Zip Code / City Zip Code / City
85302 Glendale 85274 Mesa 85022 Phoenix
Maricopa County
85303 Glendale 85275 Mesa 85023 Phoenix
85320 Aguila 85304 Glendale 85277 Mesa 85024 Phoenix
85322 Arlington 85305 Glendale 85342 Morristown 85025 Phoenix
85323 Avondale 85306 Glendale 85087 New River 85026 Phoenix
85392 Avondale 85307 Glendale 85343 Palo Verde 85027 Phoenix
85326 Buckeye 85308 Glendale 85253 Paradise Valley 85028 Phoenix
85396 Buckeye 85310 Glendale 85345 Peoria 85029 Phoenix
85377 Carefree 85311 Glendale 85380 Peoria 85030 Phoenix
85329 Cashion 85312 Glendale 85381 Peoria 85031 Phoenix
85327 Cave Creek 85313 Glendale 85382 Peoria 85032 Phoenix
85331 Cave Creek 85318 Glendale 85383 Peoria 85033 Phoenix
85224 Chandler 85338 Goodyear 85385 Peoria 85034 Phoenix
85225 Chandler 85395 Goodyear 85001 Phoenix 85035 Phoenix
85226 Chandler 85236 Higley 85002 Phoenix 85036 Phoenix
85244 Chandler 85339 Laveen 85003 Phoenix 85037 Phoenix
85246 Chandler 85340 Litchfield Park 85004 Phoenix 85038 Phoenix
85248 Chandler 85309 Luke AFB 85005 Phoenix 85039 Phoenix
85249 Chandler 85201 Mesa 85006 Phoenix 85040 Phoenix
85227 Chandler Heights 85202 Mesa 85007 Phoenix 85041 Phoenix
85086 Desert Hills 85203 Mesa 85008 Phoenix 85042 Phoenix
85335 El Mirage 85204 Mesa 85009 Phoenix 85043 Phoenix
85264 Fort McDowell 85205 Mesa 85010 Phoenix 85044 Phoenix
85269 Fountain Hills 85206 Mesa 85011 Phoenix 85045 Phoenix
85268 Fountain Hills 85207 Mesa 85012 Phoenix 85046 Phoenix
85337 Gila Bend 85208 Mesa 85013 Phoenix 85048 Phoenix
85233 Gilbert 85209 Mesa 85014 Phoenix 85050 Phoenix
85234 Gilbert 85210 Mesa 85015 Phoenix 85051 Phoenix
85295 Gilbert 85211 Mesa 85016 Phoenix 85053 Phoenix
85296 Gilbert 85212 Mesa 85017 Phoenix 85054 Phoenix
85297 Gilbert 85213 Mesa 85018 Phoenix 85055 Phoenix
85298 Gilbert 85214 Mesa 85019 Phoenix 85060 Phoenix
85299 Gilbert 85215 Mesa 85020 Phoenix 85061 Phoenix
85301 Glendale 85216 Mesa 85021 Phoenix 85062 Phoenix
2
Zip Code / City Zip Code / City Zip Code / City Zip Code / City
85063 Phoenix 85086 Phoenix 85372 Sun City 85355 Waddell
85064 Phoenix 85098 Phoenix 85373 Sun City 85358 Wickenburg
85065 Phoenix 85099 Phoenix 85374 Sun City 85390 Wickenburg
85066 Phoenix 85142 Queen Creek 85376 Sun City 85361 Wittmann
85067 Phoenix 85263 Rio Verde 85378 Sun City 85363 Youngtown
85068 Phoenix 85250 Scottsdale 85387 Sun City
Pinal County
85069 Phoenix 85251 Scottsdale 85375 Sun City West (the following
85070 Phoenix 85252 Scottsdale 85248 Sun Lakes zip codes only)
85071 Phoenix 85254 Scottsdale 85379 Surprise 85117 Apache Junction
85072 Phoenix 85255 Scottsdale 85388 Surprise 85118 Apache Junction
85073 Phoenix 85256 Scottsdale 85280 Tempe 85119 Apache Junction
85074 Phoenix 85257 Scottsdale 85281 Tempe 85120 Apache Junction
85075 Phoenix 85258 Scottsdale 85282 Tempe 85178 Apache Junction
85076 Phoenix 85259 Scottsdale 85283 Tempe 85140 Queen Creek
85077 Phoenix 85260 Scottsdale 85284 Tempe 85143 Queen Creek
85078 Phoenix 85261 Scottsdale 85285 Tempe
85079 Phoenix 85262 Scottsdale 85287 Tempe
85080 Phoenix 85266 Scottsdale 85289 Tempe
85082 Phoenix 85267 Scottsdale 85353 Tolleson
85083 Phoenix 85271 Scottsdale 85354 Tonopah
85085 Phoenix 85351 Sun City 85290 Tortilla Flat
3
Section 1
Introduction
This directory provides a list of the CIGNA Medicare What should you do if you have bills from
Select network providers. For more detailed non-plan providers that you think should be
paid by CIGNA Medicare Select?
information about your health care coverage,
please see your Evidence of Coverage. CIGNA Medicare Select covers certain health care
services you get from non-network providers. These
You will have to choose one of our plan providers
include care for a medical emergency or urgently
listed in this directory to be your Primary Care
needed care outside the service area. If a non-network
Physician (PCP). The term “PCP” will be used
provider asks you to pay for covered services you
throughout this directory. Generally, you must get get in these situations, do not pay the bill. Please call
your health care services from your PCP, who will Customer Service or you can mail your bills to CIGNA
also assist you in obtaining additional services such HealthCare Customer Reimbursement 11001 N. Black
as visits to specialist providers. Canyon Highway Phoenix, AZ 85029. We will pay your
non-network provider our share of the bill and will let
The “network providers” listed in this directory have
you know what, if anything, you owe.
agreed to provide you with your health care services.
What is the service area for CIGNA
You may go to any of our network providers listed in this
Medicare Select?
directory; however some services, including specialist
The counties and parts of counties in our service
visits require a referral or prior authorization from CIGNA
area are listed on the previous two pages. Our
Medicare Select. Please call your PCP or Customer Service
service area includes Maricopa County and the cities
for more information. If you have been going to one plan
of Apache Junction (the following zip codes only:
provider, you are not required to continue going to that
85117, 85118, 85119, 85120, 85178) and Queen
same provider. To change your PCP, simply call Customer
Creek (the following zip codes only: 85140 and
Service at any time and they will assist you.
85143) in Pinal County.
In some cases, you may get covered services from How do you find CIGNA Medicare Select
non-network providers. Out-of-area coverage is providers in your area?
generally care that is urgently needed due to an Look over the enclosed listing of Cigna Medical
unforeseen medical condition. CIGNA Medicare Select Group facilities and select a health care center that
covers emergency or urgently needed care when you is convenient to your home or work. You may
are outside of the service area. A situation is a “medical choose a PCP from the list of Family Practice and
Internal Medicine physicians at any center.
emergency” if you reasonably believe that your health
is in serious danger. If you experience a medical If you have questions about CIGNA Medicare
emergency, call 911 or go to the nearest emergency Select, or require assistance in selecting a PCP,
room or urgent care facility for immediate medical please call our Customer Service Department at
care. A list of local hospitals and urgent care centers 1-800-627-7534.
can be found in this directory. 7 days a week, 8 am – 8 pm
(Monday – Friday, March 2 – October 14, 2011).
You must use plan providers except in emergency or
urgent care situations or for out-of-area renal dialysis TTY users should call 1-800-987-8816. Or, visit
services. If you obtain routine care from out-of- www.cignamedicare.com.
network providers, neither Medicare nor CIGNA
All of the providers noted in this directory accept
Medicare Select will be responsible for the cost. Medicare and Medicaid and will provide services to
CIGNA Medicare Select Plus Rx – Dual (HMO SNP)
plan members as deemed eligible.
4
Group Health Care Centers’ street addresses and phone numbers are listed on the following page 14

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Cigna Medical Group
ANtHeM GleNdAle PHoeNIx 25 Scottsdale
1 CMG Caretoday 8 CMG Caretoday 1+6 Clyde Wright* 7287 E. Earll Dr., Bldg. D
39510 N. Daisy Mtn. Dr. 20165 N. 67th Ave. 755 E. McDowell Rd. 480-840-0800
Ste. 166 Ste. 107 602-271-5111
26 Scottsdale Norte*
623-551-2311 623-561-1590
17 CMG Caretoday No pharmacy at this location
AvoNdAle +9 Paseo* 102 N. Central Ave. 10900 N. Scottsdale Rd.
2 CMG Caretoday 5891 W. Eugie 602-254-6007 Ste. 606
1473 N. Dysart Rd. 602-588-6600 18 deer valley 480-368-2500
Ste. 100 GoodyeAr 16635 N. 43rd Ave. SuN City
623-925-4931 10 Palm valley 602-843-7900 27 Sun City*
CHANdler 14445 W. McDowell Rd. 19 North valley 13041 N. Del Webb Blvd.
3 Chandler Ste. A-104 710 W. Bell Rd. 623-977-7201
1717 W. Chandler Blvd. 623-536-3720 602-588-3800 SurPrISe
480-821-7565 lAveeN 20 Paradise valley 28 Sun City West
4 CMG Caretoday 11 CMG Caretoday 3805 E. Bell Rd., Ste. 2100 13991 W. Grand Ave.
4980 S.Alma School Rd., A3 3535 W. Southern Ave. 602-404-5200 Ste. 105
480-895-8955 Ste.128 21 South Mountain 623-455-7800
602-276-5563
GIlbert 7236 S. Central Ave. 29 CMG Caretoday
5 CMG Caretoday MeSA 602-276-5565 13794 W. Waddell Rd.
2483 S. Market St., Ste. 103 12 Mesa 22 the Pointe Ste. 207
480-857-8561 4360 E. Brown Rd., Ste. 113 7600 N. 15th St., Ste. 185 623-214-8755
6 Gilbert 480-218-2779 602-678-3000 teMPe
4001 E. Baseline Rd. 1+3 Stapley* 23 Westridge* 30 C.J. Harris*
Ste. 107 1840 S. Stapley Dr. 2302 N. 75th Ave. 1920 E. Baseline Rd.
480-632-4060 Ste. 101 623-849-7500 480-345-5000
480-464-8500
7 San tan SCottSdAle 31 tempe
3530 S. Val Vista Dr. 14 Superstition Springs* 24 CMG Caretoday 433 W. Broadway Rd.
Ste. 101 6811 E. Superstition 7609 E. Pinnacle Peak Rd. 480-731-7000
480-722-2340 Springs Blvd.
Ste. C9 tolleSoN
480-641-4000
480-585-0095
32 CMG Caretoday
PeorIA
9870 W. Lower Buckeye Rd.
15 Arrowhead ranch Ste.140
21731 N. 77th Ave. 623-478-7665
Ste. 1300
623-561-3300 Health Care Center with Pharmacy
+ Urgent Care with Health Care Center
CMG CareToday Convenience Care Clinic
* Digital Imaging Services Offered
6
East Valley
CareToday South Chandler
4980S.AlmaSchoolRoad,Ste.A-3 ● Chandler,AZ85248 ● 480-895-8955 ● AZRelay
1-800-842-9818
(Located on the north west corner of Alma School Rd. and Chandler Heights Rd)
Family Practice
Robin Henry, NP
Clinical Degree: Wayne State
University, Detroit, MI,
Tennessee State University,
Nashville, TN
Thomas Kasbeer, PA
Date of First Medical License:
1975
Clinical Degree: University of
Nebraska School of Medicine,
US Air Force School of Health
Care Services
(cid:2) Board Certified (cid:2) Accepting current patients only Page 7
East Valley
C.J. Harris Multi-Specialty Center
1920 E. Baseline Rd. ● Tempe,AZ 85283 ● 480-345-5000 ● AZ Relay 1-800-842-9818
(Located on the north side of Baseline Rd, between McClintock Dr and Price Rd.)
Audiology
Patricia Kao-Hutt, M.A.,
CCC-A
Date of First Medical License:
2001
Clinical Degree: Purdue
University, W. Lafayette, IN,
Indiana University, Bloomington,
IN
Karen Lasseigne, Au.D.,
CCC-A
Date of First Medical License:
1989
Fellowship: Lakeshore Hearing
Centers, Holland, Michigan
Clinical Degree: Central
Michigan University
Practice Interests: Hearing
Loss, Tinnitus
Society Memberships:
American Academy of
Audiology; American Speech &
Hearing Associaton, Arizona
Speech & Hearing Association
Cardiovascular Disease
Khaled Albasha, MD(cid:2)
Date of First Medical License:
1993
Board Certified: Cardiovascular
Disease
Medical School: Damascus
University
Residency: Mercy Hospital and
Medical Center
Fellowship: Cook County
Hospital, Chicago, Illinois
Page 8 (cid:2) Board Certified (cid:2) Accepting current patients only
East Valley
C.J. Harris Multi-Specialty Center
1920 E. Baseline Rd. ● Tempe,AZ 85283 ● 480-345-5000 ● AZ Relay 1-800-842-9818
(Located on the north side of Baseline Rd, between McClintock Dr and Price Rd.)
Family Practice
Judy Neidich, PA-C
Date of First Medical License:
Theresa Getz, PA-C
1980
Date of First Medical License:
Clinical Degree: Wichita State
2002
University
Clinical Degree: Arizona School
Practice Interests: Cardiology
of Health Science, Mesa, AZ
Society Memberships:
Practice Interests: DM, HTN,
American Academy of Physician
Thyroid Diagnoses, Women’s
Assistants, Arizona State
Wealth
Association of Physician
Society Memberships:
Assistants
American Academy of Physician
Robert Spadafora, DO(cid:2) Assistants, Arizona State
Board Certified: Cardiovascular Association of Physician
Disease Assistants
Residency: Lehigh Valley
Saquib Hamid, MD(cid:2)
Hospital, Allentown, PA
Provider ID: 1189268M
Fellowship: University of
Date of First Medical License:
Pennsylvania, Philadelphia, PA
2007
Society Memberships: Fellow,
Other Language(s) Spoken:
American College of Cardiology,
Urdu, Punjabi
American Society of Nuclear
Board Certified: Family Practice
Cardiology, American Society of
Medical School: Saba University
Echocardiography
School of Medicine
Residency: University of
Chiropractic Alabama, Tuscaloosa, AL
Practice Interests: Sports
Kimberly Moon, LMT Medicine
Date of First Medical License: Society Memberships:
2000 AMSSM, American Medical
Clinical Degree: Bio-Link Society for Sports Medicine
Therapeutic Massage Institute,
Tempe, AZ Terry C. Turner, MD(cid:2)
Practice Interests: Massage Provider ID: 1042968M
Therapy Date of First Medical License:
1983
Lawrence B. Nielsen, DC Board Certified: Family Practice
Medical School: Logan College Medical School: University of
of Chiropractic, Chesterfield, MO Cinncinati, Cinncinati, OH
Residency: Scottsdale Memorial
Hospital, Scottsdale, AZ
Practice Interests: Sports
Medicine
(cid:2) Board Certified (cid:2) Accepting current patients only Page 9