PPO Statewide Network - Blue Cross Blue Shield of Arizona

1232 Pages·2013·7 MB·English

PPO Statewide Network
Medical/Dental Provider Directory
95802-13
18504 1112
BCBSAZ PPO STATEWIDE PROVIDER DIRECTORY
This directory lists physicians, hospitals and other health care providers who have contracted with Blue Cross Blue
Shield of Arizona (BCBSAZ) as PPO providers. Since individual providers and/or BCBSAZ may elect to terminate
the PPO agreement at any time, the status of providers is subject to change. In order to avoid increased cost-
sharing of your medical expenses by using a non-PPO provider, always confirm the provider’s status prior to your
visit. You can contact the provider directly, call BCBSAZ at [phone] or [phone]. You can do a quick
search for a provider or specialty in this pdf version of the directory by holding down the “Ctrl” and “F” keys, and
typing in the name or specialty in the field that appears.
Going to be Out of Arizona?
Out-of-Arizona Medical Providers http://provider.bcbs.com
Search the BlueCard U.S. Directory for providers in any U.S. state, Puerto Rico or U.S. Virgin Islands.
Out-of-Arizona Dental Providers http://www2.dentemax.com/members/findadentist.aspx
DenteMax Dentist Search (Out-of-Arizona)
BluePreferred Eyewear Providers https://www.eyemedvisioncare.com/azblue/public/provloc.emvc
Either inside or out-of-Arizona.
DISCLAIMER OF LIABILITY
Blue Cross Blue Shield of Arizona (BCBSAZ) published this provider directory as a reference source for its
members. At the time of printing, BCBSAZ attempted to include the name, address and telephone number of all
providers who are contracted with BCBSAZ. To the best of BCBSAZ’s knowledge, the information is/was accurate.
The providers listed in this directory are independent contractors and not employees, agents, partners or
representatives of BCBSAZ. These independent providers have an agreement with BCBSAZ concerning
reimbursement and administrative policies. Each provider exercises independent medical judgment with regard to
care and treatment provided to each member. BCBSAZ makes benefit determinations, not medical decisions.
BCBSAZ does not interfere with the doctor-patient relationship.
BCBSAZ is not representing or warranting to its members the degree of skill, the quality of care, or the type of health
care services which may be provided by the providers listed in this directory. In no event shall BCBSAZ be liable to
any member or any other individual who may be covered under a member contract for any decision made, action
taken, misdiagnosis, or medical malpractice which may occur as a result of treatment provided by any independent
contractor in the directory. BCBSAZ has no control over any diagnosis, treatment, care or other services rendered by
any provider, and disclaims all liability for any loss or injury to its members or any other individual caused by any
provider by reason of negligence, failure to provide treatment or alleged medical malpractice.
For information on how BCBSAZ reimburses providers, please read your benefit plan booklet and, if you are insured
under a group contract, please read the group disclosure provided through your employer.
Please note: The list of providers is subject to change at any time, without notice, because either the providers or
BCBSAZ may elect to terminate the Participation Agreement.
Key to footnotes:
A “●” next to a provider’s name indicates the provider has fulfilled additional training requirements and received
certification from the appropriate American or Canadian board.
A “†” next to a providers name indicates that the provider is not accepting new patients.
A “►” next to a providers name indicates that the provider speaks Spanish.
BCBSAZ PPO Statewide - Medical / Dental 1
Table of Contents
Ahwatukee...................................................... 2 Elfrida............................................................. 116
Ajo.................................................................. 2 Eloy................................................................ 116
Amado............................................................ 2 Flagstaff.......................................................... 117
Anthem........................................................... 2 Florence.......................................................... 134
Apache Junction............................................. 7 Fort Defiance.................................................. 135
Arivaca............................................................ 15 Fort McDowell................................................. 135
Arizona City.................................................... 15 Fort Mohave................................................... 135
Ash Fork......................................................... 15 Fountain Hills.................................................. 137
Avondale........................................................ 16 Fredonia......................................................... 143
Bagdad........................................................... 31 Ganado........................................................... 143
Beaver Dam.................................................... 31 Gila Bend........................................................ 143
Benson........................................................... 31 Gilbert............................................................. 144
Bisbee............................................................ 32 Glendale......................................................... 195
Black Canyon City.......................................... 33 Globe.............................................................. 261
Bouse............................................................. 34 Gold Canyon................................................... 264
Buckeye.......................................................... 34 Golden Valley................................................. 265
Bullhead City.................................................. 37 Goodyear........................................................ 266
Camp Verde................................................... 44 Grand Canyon................................................ 285
Carefree......................................................... 45 Green Valley................................................... 285
Casa Grande.................................................. 46 Guadalupe...................................................... 292
Catalina.......................................................... 57 Happy Jack..................................................... 293
Cave Creek..................................................... 57 Heber.............................................................. 293
Chandler......................................................... 59 Hereford......................................................... 293
Chinle............................................................. 103 Higley.............................................................. 293
Chino Valley................................................... 103 Holbrook......................................................... 293
Claypool.......................................................... 104 Huachuca City................................................ 294
Clifton............................................................. 104 Kayenta.......................................................... 294
Colorado City.................................................. 104 Kearny............................................................ 294
Concho........................................................... 104 Kingman......................................................... 295
Congress........................................................ 104 Lake Havasu City........................................... 303
Coolidge......................................................... 104 Lakeside......................................................... 311
Corona De Tucson......................................... 106 Lakeview......................................................... 314
Cottonwood.................................................... 106 Laveen............................................................ 314
Deer Valley..................................................... 112 Litchfield Park................................................. 317
Dewey............................................................. 112 Littlefield......................................................... 319
Dolan Springs................................................. 112 Mammoth....................................................... 319
Douglas.......................................................... 112 Marana........................................................... 319
Duncan........................................................... 115 Maricopa......................................................... 321
Eagar.............................................................. 115 Mayer.............................................................. 329
El Mirage........................................................ 115 Meadview....................................................... 330
Table of Contents
Mesa............................................................... 330 San Tan Valley............................................... 764
Miami.............................................................. 425 Sanders.......................................................... 768
Mohave Valley................................................ 425 Scottsdale....................................................... 768
Morenci........................................................... 426 Sedona........................................................... 859
Munds Park.................................................... 426 Seligman........................................................ 864
New River....................................................... 426 Sells................................................................ 864
Nogales.......................................................... 427 Show Low....................................................... 865
Oracle............................................................. 430 Sierra Vista..................................................... 871
Oro Valley....................................................... 431 Snowflake....................................................... 881
Overgaard....................................................... 436 Somerton........................................................ 882
Page............................................................... 436 Sonoita........................................................... 883
Paradise Valley............................................... 439 Spring Valley.................................................. 883
Parker............................................................. 441 Springerville.................................................... 883
Patagonia....................................................... 442 Strawberry...................................................... 885
Payson........................................................... 442 Sun City.......................................................... 885
Peach Springs................................................ 447 Sun City West................................................. 899
Pearce............................................................ 447 Sun Lakes...................................................... 914
Peoria............................................................. 447 Superior.......................................................... 915
Peridot............................................................ 476 Surprise.......................................................... 916
Phoenix.......................................................... 476 Taylor............................................................. 933
Pine................................................................ 722 Tempe............................................................ 934
Pinetop........................................................... 722 Thatcher......................................................... 961
Polacca........................................................... 723 Tolleson.......................................................... 961
Portal.............................................................. 723 Tombstone..................................................... 962
Prescott.......................................................... 723 Tonto Basin.................................................... 962
Prescott Valley................................................ 736 Tuba City........................................................ 962
Quartzsite....................................................... 743 Tubac............................................................. 965
Queen Creek.................................................. 744 Tucson............................................................ 966
Rimrock.......................................................... 751 Vail.................................................................1094
Rio Rico.......................................................... 751 Waddell..........................................................1094
Sacaton.......................................................... 752 Wellton...........................................................1094
Safford............................................................ 755 Whiteriver.......................................................1095
Sahuarita........................................................ 760 Wickenburg....................................................1095
Saint Johns..................................................... 760 Willcox............................................................1097
Saint Michaels................................................ 761 Williams..........................................................1100
Salome........................................................... 761 Window Rock.................................................1100
San Carlos...................................................... 761 Winslow..........................................................1100
San Luis......................................................... 761 Yarnell............................................................1101
San Manuel.................................................... 763 Young.............................................................1101
San Simon...................................................... 764 Youngtown......................................................1102
Table of Contents
Yucca..............................................................1103
Yuma..............................................................1103
Index............................................................... I-1
For the following out-of-state providers,
services and supplies are available by phone.
Name / Provider # Specialty / Phone #
ADVANCED CARDIO SERVICES Durable Medical Equipment
[phone]
ADVANCED RESPIRATORY INC Durable Medical Equipment
[phone]
AMEDA DIRECT Durable Medical Equipment
[phone]
APNICURE INC Durable Medical Equipment
[phone]
BETTER LIVING NOW INC Durable Medical Equipment
[phone]
BIOVENTUS LLC Durable Medical Equipment
[phone]
BYRAM HEALTHCARE CENTERS INC Durable Medical Equipment
[phone]
CCS MEDICAL Durable Medical Equipment
[phone]
DEXCOM INC Durable Medical Equipment
[phone]
DIABETES CARE CLUB LLC Durable Medical Equipment
[phone]
EBI LP Durable Medical Equipment
[phone]
ELECTROMED INC Durable Medical Equipment
[phone]
EXPRESS RX LLC Durable Medical Equipment/Orthotics/Prosthetics
[phone]
INFUSYSTEM Durable Medical Equipment
[phone]
INSULET CORPORATION Durable Medical Equipment
[phone]
JACE SYSTEMS Durable Medical Equipment
[phone]
KINEX MEDICAL COMPANY LLC Durable Medical Equipment/Orthotics
[phone]
KOLOB OXYGEN & MEDICAL EQUIPMENT Durable Medical Equipment
[phone]
LIBERATOR MEDICAL SUPPLY Durable Medical Equipment/Prosthetics
[phone]
LIBERTY MEDICAL SUPPLY INC Durable Medical Equipment
[phone]
MAJOR MEDICAL Durable Medical Equipment
[phone]
MP TOTALCARE MEDICAL INC Durable Medical Equipment
[phone]
ORTHOFIX INC Durable Medical Equipment/Orthotics
[phone]
For the following out-of-state providers,
services and supplies are available by phone.
Name / Provider # Specialty / Phone #
RESPIRTECH Durable Medical Equipment
[phone]
RS MEDICAL Durable Medical Equipment
[phone]
SMITH & NEPHEW INC Durable Medical Equipment
[phone]
SOURCE ONE MEDICAL INC Durable Medical Equipment
[phone]
STERLING MEDICAL SERVICES LLC Durable Medical Equipment
[phone]
ZOLL LIFECOR CORPORATION Durable Medical Equipment
[phone]
PREMIER HEARING CENTER Hearing Aid Dispenser
[phone]
AXELACARE HEALTH SOLUTIONS LLC Home Infusion Care
[phone]
AEGIS SCIENCES CORPORATION Laboratories
[phone]
AIT LABORATORIES Laboratories
[phone]
ALLERMETRIX INC Laboratories
[phone]
AMBRY GENETICS CORPORATION Laboratories
[phone]
AMERITOX LTD Laboratories
[phone]
APP UNIPATH LLC Laboratories
[phone]
ARUP LABORATORIES INC Laboratories
[phone]
ASSURED TOXICOLOGY SOLUTIONS LLC Laboratories
[phone]
ATHEROTECH INC Laboratories
[phone]
BOSTWICK LABORATORIES INC Laboratories
El Paso, TX [phone]
BOSTWICK LABORATORIES INC Laboratories
Glen Allen, VA [phone]
BOSTWICK LABORATORIES INC Laboratories
Orlando, FL [phone]
BOSTWICK LABORATORIES INC Laboratories
Uniondale, NY [phone]
BRLI GENPATH DIAGNOSTICS INC Laboratories
[phone]
CALLOWAY LABORATORIES Laboratories
[phone]
For the following out-of-state providers,
services and supplies are available by phone.
Name / Provider # Specialty / Phone #
CLARIENT DIAGNOSTIC SERVICES Laboratories
[phone]
CLINICAL REFERENCE LABORATORY Laboratories
[phone]
COUNSYL INC Laboratories
[phone]
DAVITA LABS Laboratories
[phone]
DAVITA LABORATORY SVCS INC Laboratories
[phone]
DIATHERIX LABORATORIES INC Laboratories
[phone]
ECARDIO DIAGNOSTICS LLC Laboratories
[phone]
ESOTERIX GENETIC LABORATORIES LLC Laboratories
Los Angeles, CA [phone]
ESOTERIX GENETIC LABORATORIES LLC Laboratories
Monrovia, CA [phone]
ESOTERIX GENETIC LABORATORIES LLC Laboratories
New York, NY [phone]
ESOTERIX GENETIC LABORATORIES LLC Laboratories
Santa Fe, NM [phone]
ESOTERIX GENETIC LABORATORIES LLC Laboratories
Temple Terrace, FL [phone]
ESOTERIX GENETIC LABORATORIES LLC Laboratories
Westborough, MA [phone]
GENOMIC HEALTH INC Laboratories
[phone]
MEDICAL DIAGNOSTICS LABORATORIES Laboratories
[phone]
MEDTOX LABORATORIES INC Laboratories
[phone]
MILLENNIUM LABORATORIES INC Laboratories
[phone]
MIRACA LIFE SCIENCES INC Laboratories
[phone]
MYRIAD GENETIC LABORATORIES INC Laboratories
[phone]
NATURAL MOLECULAR TESTING CORP Laboratories
[phone]
NEOGENOMICS LABORATORIES Laboratories
[phone]
PACIFIC TOXICOLOGY LABORATORIES Laboratories
[phone]
PERKIN ELMER LABORATORIES INC Laboratories
[phone]
For the following out-of-state providers,
services and supplies are available by phone.
Name / Provider # Specialty / Phone #
PHARMASAN LABS INC Laboratories
[phone]
POPLAR HEALTHCARE PLLC Laboratories
[phone]
PROPATH SERVICES LLP Laboratories
[phone]
RESPONSE GENETICS INC Laboratories
[phone]
SEQUENOM CNTR FOR MOLECULAR MED Laboratories
Grand Rapids MI [phone]
SEQUENOM CNTR FOR MOLECULAR MED Laboratories
San Diego, CA [phone]
SEROLAB Laboratories
[phone]
SPECTRA EAST INC Laboratories
[phone]
SPECTRA LABORATORIES INC Laboratories
[phone]
US TOXICOLOGY LLC Laboratories
[phone]
WEST COAST PATHOLOGY LABS Laboratories
[phone]
LIFEWATCH INC Medical Supply, Event Monitoring
Philadelphia, PA [phone]
LIFEWATCH INC Medical Supply, Event Monitoring
Rosemont, IL [phone]
LIFEWATCH INC Medical Supply, Event Monitoring
San Francisco, CA [phone]
RAYTEL CARDIAC SERVICES Medical Supply, Event Monitoring
Cherry Hill, NJ [phone]
RAYTEL CARDIAC SERVICES Medical Supply, Event Monitoring
Windsor, CT [phone]
NIPRO DIABETES SYSTEMS Medical Supply, Insulin Pumps/Medical Supply, Soft Goods
Memphis, TN [phone]
NIPRO DIABETES SYSTEMS Medical Supply, Insulin Pumps/Medical Supply, Soft Goods
Mirimar, FL [phone]
ROCHE HEALTH SOLUTIONS INC Medical Supply, Insulin Pumps
[phone]
ENER G FOODS INC Medical Supply, Medical Foods
[phone]
EDGEPARK MEDICAL SERVICES Medical Supply, Soft Goods
[phone]
DJO LLC Orthotics
[phone]
BIO RX LLC Specialty Pharmacy
[phone]
For the following out-of-state providers,
services and supplies are available by phone.
Name / Provider # Specialty / Phone #
BIOFUSION INC Specialty Pharmacy
[phone]
BIOSCRIP PHARMACY SVCS Specialty Pharmacy
[phone]
BRIOVA SPECIALTY PHARMACY Specialty Pharmacy
[phone]
CAREMARK INC Specialty Pharmacy
Bartlett, TN [phone]
CAREMARK INC Specialty Pharmacy
Fairfield, NJ [phone]
CAREMARK INC Specialty Pharmacy
Lenexa, KS [phone]
CAREMARK INC Specialty Pharmacy
Milford, MA [phone]
CAREMARK INC Specialty Pharmacy
Northbrook, IL [phone]
CAREMARK INC Specialty Pharmacy
Northbrook, IL [phone]
CAREMARK INC Specialty Pharmacy
Raleigh, NC [phone]
CAREMARK INC Specialty Pharmacy
Redlands, CA [phone]
CAREMARK INC Specialty Pharmacy
Tampa, FL [phone]
CAREMARK INC Specialty Pharmacy
Troy, MI [phone]
CENTRIC HEALTH RESOURCES INC Specialty Pharmacy
[phone]
COMMUNITY HEALTHCARE SERVICE INC Specialty Pharmacy
[phone]
CORAMRX LLC Specialty Pharmacy
[phone]
CRESCENT HEALTHCARE INC Specialty Pharmacy
[phone]
CURA SCRIPT INC Specialty Pharmacy
[phone]
CVS CAREMARK Specialty Pharmacy
[phone]
NUFACTOR INC Specialty Pharmacy
[phone]
ORSINI PHARMACEUTICAL SVCS Specialty Pharmacy
[phone]
PACIFIC PULMONARY SERVICES Specialty Pharmacy
[phone]
PENTEC HEALTH INC Specialty Pharmacy
[phone]