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Valley Area Provider Directory Winter 2016 PDF

127 Pages·2016·0.62 MB·English
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Preview Valley Area Provider Directory Winter 2016

Valley Area Provider Directory Winter 2016 Placer County Sacramento County San Joaquin County Solano County Stanislaus County Yolo County M-16-07 Table Of Contents Welcome and Introduction ........................................................................................ 1 Primary Care Physicians Nevada County ........................................................................................................ 7 Placer County .......................................................................................................... 8 Sacramento County .................................................................................................. 15 San Joaquin County ................................................................................................. 26 Solano County ......................................................................................................... 29 Stanislaus County ..................................................................................................... 32 Yolo County ............................................................................................................. 39 Specialty Care Physicians Placer County .......................................................................................................... 42 Sacramento County .................................................................................................. 52 San Joaquin County ................................................................................................. 73 Solano County ......................................................................................................... 81 Stanislaus County ..................................................................................................... 86 Yolo County ............................................................................................................. 92 Facilities/Outpatient Specialty Services ........................................................... 95 Index ..................................................................................................................... 108 WELCOME AND INTRODUCTION Welcome to Sutter Health Plus! We’re committed to providing you access to personalized medical care as well as a variety of programs designed to keep you and your family healthy. This provider directory is designed to assist you in selecting your primary care physician (PCP), finding referral specialists and other providers within your PCP’s medical group, and identifying where facilities are located. As a member of our HMO health plan, you must receive medical care from your PCP and other providers in your PCP’s medical group. Sutter Health Plus has a service area in which it provides health care coverage. You must live, reside or work in the service area to qualify for coverage. With the exception of emergency services or urgent care, you must receive all covered services in the service area. You must notify us if you move out of the service area or no longer work within its boundaries. Please read your Evidence of Coverage and Disclosure Form (EOC) carefully and completely. If you still have questions about how to access care after reviewing your EOC, contact the Member Services Department at 1-855-315-5800 (TTY 1-855-830-3500). Refer to the How to Use This Directory section for information on how to use this provider directory. Meet Our Network of Doctors and Hospitals Valley Area Counties include Sacramento, San Joaquin, Solano, Stanislaus, Yolo and partial coverage in El Dorado, Placer and Sutter Physician Organizations • Sutter Gould Medical Foundation • Sutter Independent Physicians • Sutter Medical Foundation Hospitals • Dameron Hospital • Memorial Medical Center, Modesto • St. Joseph’s Medical Center • Sutter Auburn Faith Hospital • Sutter Davis Hospital • Sutter Medical Center, Sacramento • Sutter Roseville Medical Center • Sutter Solano Medical Center • Sutter Tracy Community Hospital For a copy of the Bay Area provider directory, please call Member Services. Please note: Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. To ensure that you can obtain the health care services that you need, please call your doctor, medical group, independent practice association, clinic, or contact Sutter Health Plus Member Services at 1-855-315-5800 (TTY 1-855-830-3500) or by mail at Sutter Health Plus Sales and Marketing, P.O. Box 160307, Sacramento, CA 95816. 1 Convenient Access to Urgent Care and Express Care The list below identifies Urgent Care and Express Care centers you can access should you need immediate care. Every clinic is staffed by clinicians who have advanced training to diagnose and prescribe medication for common illnesses. Urgent Care County Provider Name Address Telephone Hours El Dorado RapidCare Walk-In 4062 Flying C Rd., Ste. 41 530-676-8234 Weekdays 8 a.m. to 8 p.m. Medical Group Cameron Park, CA 95682 Weekends 9 a.m. to 5 p.m. Placer Med 7 Urgent Care 701 Sunrise Ave. 916-772-6337 Weekdays 9 a.m. to 9 p.m. Roseville, CA 95661 Weekends 9 a.m. to 9 p.m. Placer MedCare 1907 Douglas Blvd., Ste. 70 916-783-0101 Weekdays 9 a.m. to 7 p.m. Medical Center Roseville, CA 95661 Weekends 9 a.m. to 9 p.m. Placer Sutter Urgent Care, 11795 Education St., Ste. 110 530-886-7470 Weekdays 1 p.m. to 8:30 p.m. Auburn Auburn, CA 95602 Weekends 10 a.m. to 5:30 p.m. Placer Sutter Urgent Care, 2 Medical Plaza, Ste. 130 916-865-1400 Weekdays 9 a.m. to 8:30 p.m. Roseville Roseville, CA 95661 Weekends 9 a.m. to 8:30 p.m. Sacramento Elk Grove, 9045 Bruceville Rd., Ste. 100 916-479-9110 Weekdays 9 a.m. to 9 p.m. Urgent Care Elk Grove, CA 95758 Weekends 9 a.m. to 9 p.m. Sacramento Med 7 Urgent Care 4156 Manzanita Ave., Ste. 100 916-488-6337 Weekdays 9 a.m. to 9 p.m. Carmichael, CA 95608 Weekends 9 a.m. to 9 p.m. Sacramento Med 7 Urgent Care 1201 E. Bidwell St. 916-920-6337 Weekdays 9 a.m. to 9 p.m. Folsom, CA 95630 Weekends 9 a.m. to 9 p.m. Sacramento Med 7 Urgent Care 4112 East Commerce Way 916-447-6337 Weekdays 9 a.m. to 9 p.m. Sacramento, CA 95834 Weekends 9 a.m. to 9 p.m. Sacramento Pediatric Urgent Care, 7601 Hospital Dr., Ste. 101-B 916-682-7777 Weekdays 6 p.m. to 10 p.m. Sacramento Sacramento, CA 95823 Weekends 10 a.m. to 10 p.m. Sacramento Sutter Urgent Care, Elk 8170 Laguna Blvd., Ste. 113 916-478-6561 Weekdays 9 a.m. to 9 p.m. Grove Elk Grove, CA 95758 Weekends 9 a.m. to 9 p.m. Sacramento Sutter Urgent Care, 1201 Alhambra Blvd., Ste. 230 916-731-7728 Weekdays 1 p.m. to 8:30 p.m. Sacramento Sacramento, CA 95816 Weekends 10 a.m. to 5:30 p.m. San Joaquin Sutter Urgent Care, 2545 W. Hammer Ln. 209-954-4040 Weekdays 8 a.m. to 7 p.m. Stockton Stockton, CA 95209 Weekends 8 a.m. to 7 p.m. Solano Sutter Urgent Care, 2720 Low Ct. 707-432-2777 Weekdays 1 p.m. to 8:30 p.m. Fairfield Fairfield, CA 94534 Weekends 10 a.m. to 5:30 p.m. Stanislaus Sutter Urgent Care, 600 Coffee Rd. 209-550-4777 Weekdays 7 a.m. to 7 p.m. Modesto Modesto, CA 95355 Weekends 7 a.m. to 5 p.m. Stanislaus Sutter Urgent Care, 100 W. Christoffersen Pkwy. 209-632-3909 Weekdays 8 a.m. to 7 p.m. Turlock Turlock, CA 95832 Weekends 8 a.m. to 7 p.m. Yolo Sutter Urgent Care, 2020 Sutter Pl., Ste. 101 530-750-5830 Weekdays 5:30 p.m. to 9:30 p.m. Davis Davis, CA 95616 Weekends 9 a.m. to 5 p.m. Express Care (Walk-in clinic inside select Rite Aid locations) County Provider Name Address Telephone Hours Placer Sutter Express Care, 4004 Foothills Blvd. 800-972-5547 Weekdays 9 a.m. to 8 p.m. Roseville Roseville, CA 95747 Weekends 10 a.m. to 4 p.m. Sacramento Sutter Express 980 Florin Rd. 800-972-5547 Weekdays 9 a.m. to 8 p.m. Care, Greenhaven Sacramento, CA 95831 Weekends 10 a.m. to 4 p.m. Sacramento Sutter Express Care, 2751 Del Paso Rd. 800-972-5547 Weekdays 9 a.m. to 8 p.m. Natomas Sacramento, CA 95835 Weekends 10 a.m. to 4 p.m. 2 How to Use This Directory This provider directory is organized by county and medical group affiliation. It lists doctors by specialty, hospitals, laboratories, pharmacies, surgery centers, and other service providers you may need to access for covered health care services. There is an alphabetical index of doctors at the back of the directory if you know the name of the doctor you are seeking. This provider directory also identifies whether the PCP is accepting new patients. If you are a new member with Sutter Health Plus and an established patient of a Sutter Health Plus PCP, you can keep your PCP (even if the practice is closed to new patients). Simply check the “yes” box on the enrollment form where we ask if this person is a current patient. If you need to change your PCP, be sure to check with the provider’s office to see if he or she is accepting new patients, even if you are a former patient. For more information about our network providers, please visit our website at sutterhealthplus.org/providersearch. Sutter Health Plus’ Provider Locator tool allows you to search for a doctor who fits your life and needs. The Provider Locator lists doctors meeting your search criteria in alphabetical order by last name, or by geographic proximity if a ZIP code is used as a search criteria. This provider directory is subject to change without notice. Please call Sutter Health Plus Member Services at 1-855-315-5800 (TTY 1-855-830-3500) to obtain current information regarding particular doctors, including whether the doctor is accepting new patients. A Note About Our Health Plan Partners Sutter Health Plus partners with four specialty health plans licensed by the Department of Managed Health Care in California to provide certain covered services to our members. We chose these specialty health plans because of their commitment to quality care, member satisfaction and customer service as well as their expertise and robust networks for their respective specialties. Please refer to your EOC for additional information on how to access the services described below. Mental Health: U.S. Behavioral Health Plan, California (USBHPC) is our plan partner for all covered mental health, behavioral health, and substance use disorder treatment services. For more information and access to their online provider directory, please visit the USBHPC website at liveandworkwell.com or call 1-855-202-0984. Vision: Vision Services Plan (VSP) is our plan partner for covered vision services. Please refer to your Group or Subscriber Agreement or EOC to determine if these services are part of your covered benefits. For more information and access to their online provider directory, please visit the VSP website at vsp.com or call 1-800-877-7195. Dental: Delta Dental is our plan partner to administer covered dental services. Services are ® provided through DeltaCare USA, Delta Dental’s network of dental providers. Please refer to your Group or Subscriber Agreement or EOC to determine if these services are part of your covered benefits. For more information and access to their online provider directory, ® please visit DeltaCare USA’s website at deltadentalins.com or call 1-800-422-4234. 3 Acupuncture/Chiropractic: ACN Group of California (ACN) is our plan partner for optional acupuncture and/or chiropractic benefits. Please refer to your Group or Subscriber Agreement or EOC to determine if these services are part of your health plan. For more information and access to their online provider directory, please visit the ACN website at www.myoptumhealthphysicalhealthofca.com or call 1-800-428-6337. We also partner with MedImpact as our pharmacy benefit manager. For a comprehensive list of all of the pharmacies available to you, including the MedImpact mail order pharmacy service, please visit the Medimpact custom portal for Sutter Health Plus members at mp.medimpact.com/STH or call 1-844-282-5330. 4 Alternate Geographic Access Standards The Sutter Health Plus network of participating providers includes primary care physicians, specialists and hospitals in the eight county service area. Many PCPs, specialists and hospitals are concentrated in the more populous areas of the counties. Members residing in the following ZIP codes may need to travel to a nearby city as indicated below to access a participating PCP, specialist and/or receive non-emergency hospital services. PCPs and Hospitals Within 15–30 miles Greater than 30 miles Alameda County: Sacramento County: 94538 – Fremont (hospital) 17.4 miles 95638 – Clay Station (hospital) 32 miles 94539 – Fremont (hospital) 19.5 miles 95641 – Isleton (hospital) 36 miles 94550 – Livermore (PCP and hospital) 24.5 miles Solano County: 94551 – Livermore (hospital) 19 miles 94571 – Rio Vista (hospital) 35 miles 94566 – Pleasanton (hospital) 18.2 miles Sonoma County: 94586 – Sunol (hospital) 23.4 miles 95421 – Cazadero (hospital) 31 miles Contra Costa County: 95425 – Cloverdale (hospital) 31 miles 94507 – Alamo (hospital) 16.2 miles 95450 – Jenner (hospital) 31 miles 94506 – Danville (hospital) 16.9 miles Yolo County: 94553 – Martinez (hospital) 18.1 miles 95606 – Brooks (hospital) 34 miles 94523 – Pleasant Hill (hospital) 16.1 miles 95637 – Guinda (hospital) 38 miles 94588 – Pleasanton (hospital) 16.4 miles 95679 – Rumsey (hospital) 47 miles El Dorado County: 95679 – Rumsey (PCP) 38 miles 95672 – Rescue (hospital) 22 miles 95682 – Shingle Springs (hospital) 25 miles Sacramento County: 95690 – Walnut Grove (hospital) 28 miles San Mateo County: 94021 – Loma Mar (hospital) 22 miles 94060 – Pescadero (PCP and hospital) 26.2 miles Sonoma County: 95441 – Geyserville (hospital) 20 miles 95442 – Glen Ellen (hospital) 18 miles 95446 – Guerneville (hospital) 18 miles 95465 – Occidental (hospital) 16 miles Stanislaus County: 95329 – La Grange (hospital) 30 miles 95230 – Eugene (hospital) 28 miles 95360 – Newman (hospital) 25 miles Yolo County: 95606 – Brooks (PCP) 23 miles 95637 – Guinda (PCP) 29 miles 95937 – Dunnigan (hospital) 27 miles 5 Members who live in the following areas may need to travel as indicated below, to access some specialty care. Specialists Greater than 30 miles Alameda County: Sonoma County: Livermore 30–35 miles Cazadero 31 miles Pleasanton 31 miles Cloverdale 31 miles Contra Costa County: Jenner 31 miles Bethel Island 32–36 miles Stanislaus County: Placer County: All locations (vascular surgery) 31–58 miles Applegate 34 miles Yolo County: Colfax 34–41 miles Brooks (most specialty care) 32–49 miles Meadow Vista 34 miles Capay 33–42 miles San Joaquin County: Dunnigan 31–44 miles Acampo 33–38 miles Esparto 32–37 miles Linden 34 miles Madison 31–34 miles Lockeford 34–39 miles Rumsey (all specialty care) 40–63 miles Lodi 32–35 miles Zamora 33–36 miles Woodbridge 32–33 miles Solano County: Benicia 46–61 miles Birds Landing 35–46 miles Fairfield 33–50 miles Rio Vista 32–37 miles Suisun City 31–46 miles Travis AFB 41–42 miles Vacaville 37–39 miles Vallejo 50–62 miles 6

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