2013

Provider Directory

Directorio de Proveedores

Humana Gold Plus HMO
Humana Gold Plus HMO-SNP
Humana Medicare Employe...
Humana Gold Plus HMO or Humana Gold Plus HMO-SNP or Humana
Medicare Employer HMO Provider Directory
This directory is curr...
Introduction
This directory provides a list of Humana Gold Plus or Humana Medicare Employer HMO network providers. To get
...
What you should do if you have bills from out-of-network providers that you think should be paid by
Humana Gold Plus or Hu...
Getting Care from Specialists
When your PCP thinks that you need specialized treatment, he or she may give you a "referral...
Self-Referrals
In some cases, you can get coverage for the services listed below without a referral or approval ahead of t...
How do you find Humana Gold Plus or Humana Medicare Employer HMO network providers in your area?
Providers are listed in t...
Are long-term care pharmacies part of the pharmacy network?
Residents of a long-term care facility may access their prescr...
Directorio de Proveedores de Humana Gold Plus HMO o Humana Gold
Plus HMO-SNP o Humana Medicare HMO del Patrono
Este direct...
Introducción
Este directorio proporciona una lista de los proveedores de la red de Humana Gold Plus o Humana Medicare HMO
...
asd

Qué debe hacer en caso de recibir facturas de proveedores fuera de la red y que usted cree que deberían
ser cancelada...
asd

Obtener atención de especialistas
Cuando su PCP cree que usted necesita tratamiento especializado, él o ella podrá da...
asd

Autoremisiones
En algunos casos, usted puede recibir cobertura para los servicios enumerados a continuación sin neces...
asd

¿Cuál es el área de servicio de Humana Gold Plus o Humana Medicare HMO del Patrono?
Los condados (partes de los conda...
asd

Si su plan no tiene beneficios de farmacias de envío por correo preferidas y no preferidas, puede utilizar cualquier
...
asd

Cómo enviar una reclamación de farmacia en papel
Cuando usted va a una farmacia de la red, ésta nos envía automáticam...
Provider Type Listing
Spanish

English

Spanish

English

Acupuntura
Alergias e inmunología
Anestesiología
Anestesiología ...
Spanish

English

Spanish

English

Dermatología - Cirugía
micrográfica
Dermatología Inmunología
dermatológica
Dermatopato...
Spanish

English

Spanish

English

Medicina preventiva Ocupacional
Medicina preventiva Subacuatica e hiperbárica
Médico d...
Spanish

English

Spanish

English

Quiropráctico - Radiología
Radiología
Radiología de diagnóstico
Radioterapia
Radiotera...
THIS PAGE IS LEFT BLANK BECAUSE OF PRINTING REQUIREMENTS
List of Network Providers

Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (17 . . . . . . . . ....
THIS PAGE IS LEFT BLANK BECAUSE OF PRINTING REQUIREMENTS
Hospitals
Osceola Regional
Medical Center
700 W Oak St
Kissimmee, FL 34741
(407) 846-2266

Arnold Palmer Hospital
for Chil...
Urgent Care Centers
FLORIDA

Urgent Care Centers

ORANGE COUNTY

Urgent Care Center
Central Florida Urgent
Care Inc
2921 N...
Primary Care Providers
FLORIDA

Primary Care Providers

ORANGE COUNTY

Family Practice
Advanced Family Practice LLC
1910 N...
Primary Care Providers
Park Avenue Medical
202 N Park Ave
Apopka, FL 32703
(407) 889-4711
Eliacin, Irmaine MD *
PCP# 13142...
Primary Care Providers
Internal Medicine
Abid Rasool MD
4501 S Semoran Blvd
Orlando, FL 32822
(407) 297-1428
Rasool, Abid ...
Primary Care Providers
Pedro Ortega MD
3727 N Goldenrod Rd
Ste 106
Winter Park, FL 32792
(407) 478-0028
Ortega, Pedro L MD...
Primary Care Providers
461 W Oak St
Ste A
Kissimmee, FL 34741
(407) 846-8600
George, Aju MD *
PCP# 133583
Florida Sports a...
Primary Care Providers
Family Medicine Solutions PA
225 N Ronald Reagan
Blvd
Ste 101
Longwood, FL 32750
(407) 767-8006
Rah...
Primary Care Providers
JSA Medical Group
Sanford
920 Lexington Green Ln
Sanford, FL 32771
(321) 257-0489
Weinreich, David ...
Specialists
Schwartz, Eugene F MD
Anesthesiology - Pain
*
Management
Se habla espanol
ORANGE COUNTY
Zeffren, Bernard S MD ...
Specialists
Alvarez, Luis G MD *
Se habla espanol
Duran, Aurelio MD *
Se habla espanol
Filart, Roland A MD *
Guguchev, Pav...
Specialists

SPECIALISTS

7236 Stonerock Cir
Orlando, FL 32819
(407) 370-5800
Steiner, Mark A MD *
Vivek, Deepak P MD *
We...
Specialists
Interventional Cardiology and Vascular
Consultants PLC
1206 N Mills Ave
Orlando, FL 32803
(407) 898-8449
Pal, ...
SPECIALISTS

Specialists
Waldman, Adam J MD * Orlando Heart SpecialWeinstein, Irwin R MD * ists PA
10437 Moss Park Rd
7236...
Specialists
Leavitt Medical Associates of Florida Inc
14050 Town Loop Blvd
Ste 203
Orlando, FL 32837
(407) 852-6650
Amorus...
Specialists

SPECIALISTS

Florida Hospital
Diabetes Center
2520 N Orange Ave
Ste 102
Orlando, FL 32804
(407) 303-2822

Gas...
Specialists
Giles, Olen A MD *
Medicaid Certified
Lin, Anthony C MD *

MD Anderson Cancer
Center Orlando
105 W Miller St
O...
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  1. 1. 2013 Provider Directory Directorio de Proveedores Humana Gold Plus HMO Humana Gold Plus HMO-SNP Humana Medicare Employer HMO Humana Medicare HMO del Patrono Orlando, FL Y0040_DIR_HMO_13_FINAL 47 CMS Approved PD00072A H1036_FL86002BG13
  2. 2. Humana Gold Plus HMO or Humana Gold Plus HMO-SNP or Humana Medicare Employer HMO Provider Directory This directory is current as of This directory provides a list of Humana Gold Plus or Humana Medicare Employer HMO network providers. This directory contains providers in the following states, counties, parishes or municipalities: FL:Orange, Osceola, Seminole Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about network providers in your area, you can visit Humana.com or call Customer Care. If you are a member of Humana Gold Plus, call Customer Care at 1-800-457-4708 (TTY: 711) from 8 a.m. to 8 p.m., seven days a week. If you are a member of Humana Medicare Employer HMO, call Customer Care at 1-866-396-8810 (TTY: 711). We're available Monday through Friday from 8 a.m. to 9 p.m. Eastern time. Our phone system may answer your call after hours, and on Saturdays, Sundays and some holidays; leave a message and we'll call back by the end of the next business day. PD00072A H1036_FL86002BG13 PROVIDER DIRECTORY – 1
  3. 3. Introduction This directory provides a list of Humana Gold Plus or Humana Medicare Employer HMO network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). The term "PCP" will be used throughout this directory. Generally, you must get your health care coverage from your PCP. How to get the most out of your network The "network providers" listed in this directory have agreed to provide you with your health care coverage. 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. If you obtain routine care from out-of-network providers, neither Medicare nor Humana will be responsible for the costs. 2 – PROVIDER DIRECTORY PD00072A
  4. 4. What you should do if you have bills from out-of-network providers that you think should be paid by Humana Gold Plus or Humana Medicare Employer HMO. We cover certain health care services that you get from out-of-network providers. These include care for a medical emergency, urgently needed care, renal dialysis (kidney) services that you get when you are outside the plan's service area, care that has been approved in advance by the plan, and any services which were ordered covered through an appeals process. If an out-of-network provider asks you to pay for covered services you get in these situations, please call Customer Care (details on page 1). Or send the bill(s) with a note explaining the situation to: Humana Claims Office P.O. Box 14601 Lexington, KY 40512-4601 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. If you have an emergency, we will talk with the doctors who are giving you emergency care to help manage and follow up on your care. The doctors who are giving you emergency care will decide when your condition is stable and the medical emergency is over. After the emergency is over you are entitled to follow-up care to be sure your condition continues to be stable. Your follow-up care will be covered by our plan. If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. Suppose that you are temporarily outside the plan's service area, but still in the United States and territories. If you have an urgent need for care, you probably will not be able to find or get to one of the providers in our plan's network. In this situation (when you are outside the service area and cannot get care from network providers), our plan will cover urgently needed care that you get from any provider. Our plan does not cover urgently needed care or any other non-emergency care if you receive the care outside of the United States and territories. If you receive emergency care at an out-of-network hospital and need inpatient care after your emergency condition is stabilized, you must return to a network hospital in order for your care to continue to be covered OR you must have your inpatient care at the out-of-network hospital authorized by the plan and your cost is the cost sharing you would pay at a network hospital. PD00072A PROVIDER DIRECTORY – 3
  5. 5. Getting Care from Specialists When your PCP thinks that you need specialized treatment, he or she may give you a "referral" (approval ahead of time) to see a network specialist. For some types of referrals to plan specialists, your PCP may need to get approval ahead of time from the plan. This is called "prior authorization". It is very important to get a referral from your PCP before you see a network specialist. However, you don't need to get a referral for certain services, see the section on "Self Referrals" below. If you don't have a referral before you get services from a specialist, you may have to pay for these services yourself. If the specialist wants you to come back for follow-up visits, be sure to check the original referral to see if these were included. Each PCP may have certain network specialists they use for referrals. This means that the Humana Gold Plus or Humana Medicare Employer HMO specialists you can use may depend on which person you choose to be your PCP. If there are specific specialists you want to use, find out whether your PCP refers patients to these specialists. You can change your PCP at any time if you want to see a network specialist that your current PCP does not refer to. Please refer to your Evidence of Coverage for information about changing your PCP. If there are specific hospitals you wish to use, find out whether your PCP uses these hospitals. When choosing a physician for Well Woman exams, please refer to the Specialist section within the provider directory for a listing of OB/GYN physicians. Mental Health For mental health or substance abuse services, you or your doctor or counselor should call PsychCare for authorization. Please call 1-800-221-5487 (TTY: 711). The hours are Monday through Friday from 8:30 a.m. to 5:30 p.m. EST. For additional information, go to www.psychcare.com or contact the phone number listed on your plan identification card. Transplant Services Use of a general service facility for transplant services may result in substantial additional expense to you. For transplant related services, please call 1-866-421-5663 (TTY: 1-800-336-6709). Our hours are Monday through Friday, 8:30 a.m. to 5:00 p.m. Humana Fitness Not all Medicare Advantage plans offer a fitness benefit. Please refer to your Evidence of Coverage for fitness benefit and contact information. Vision Providers Vision providers may vary. Please contact your Benefits Administrator for information on the available providers in your area. 4 – PROVIDER DIRECTORY PD00072A
  6. 6. Self-Referrals In some cases, you can get coverage for the services listed below without a referral or approval ahead of time from your PCP. "Self-referred" means you get services on your own from network physicians. The following services may be self-referred: • Emergency services, whether you get these services from plan providers or out-of-network providers. • Urgently needed care that you get from out-of-network providers when you are temporarily outside the plan's service area. • Renal dialysis (kidney) services that you get when you are temporarily outside the plan's service area. • Chiropractic services, Podiatry services and Dermatology services from network providers. (You may self-refer to a network dermatologist up to five times per calendar year.) • Routine women's health care, which includes breast exams, mammograms (X-rays of the breast), pap tests, and pelvic exams. This care is covered without a referral from your PCP only if you get it from a network provider or an OB/GYN who is affiliated with the same medical group as your PCP. • All Medicare covered preventive services as long as you get them from a network provider. These services are listed in the benefits chart in Chapter 4 of your Evidence of Coverage (EOC). Hospital Services The presence of a hospital in this directory does not always guarantee that you will be referred to that particular hospital. Your physician may not admit to all network hospitals. Please consult your current or prospective physician to determine the hospitals with whom they are associated. However, inpatient hospital admissions, except in emergency and urgently needed care situations, will require prior authorization from us. Hospitalist Program If your PCP participates in the Hospitalist Program, and you are admitted to the hospital, all aspects of your care will be actively directed and coordinated by a full time physician specially trained in inpatient care. The physician is referred to as a hospitalist and is independently contracted and board-certified or eligible for board certification by the American Board of Internal Medicine. A case management coordinator, another member of the hospitalist team, is a licensed nurse trained in patient care management. He or she coordinates your needs and services (such as lab work, X-rays, consultations and more) with the hospitalist physician. Your hospitalist physician and case management coordinator will report your condition and progress to your PCP regularly. They may also schedule a follow-up appointment with your PCP. What is the service area for Humana Gold Plus or Humana Medicare Employer HMO? The counties (parts of counties), parishes, or municipalities in our service area are listed below. Humana Gold Plus H1036-146 (HMO);Humana Gold Plus SNP-DB H1036-193 (HMO SNP);Humana Gold Plus SNP-DE H1036-159 (HMO SNP):FL:Orange, Osceola, Seminole PD00072A PROVIDER DIRECTORY – 5
  7. 7. How do you find Humana Gold Plus or Humana Medicare Employer HMO network providers in your area? Providers are listed in this directory by the type of provider. Within each provider type, providers are listed alphabetically by state, and then by county, parish or municipality. Some of our network providers may also be Medicaid certified. Please contact the provider's office in advance to verify their status. If you have questions about Humana Gold Plus or Humana Medicare Employer HMO or require assistance in selecting a PCP, please call our Customer Care Department (details on page 1) or visit our website at Humana.com. Network Pharmacies How to get the most out of your pharmacy network The "network pharmacies" listed in this directory have agreed to provide you with your prescription coverage. You may go to any of our network pharmacies listed in this directory. In most cases, your prescriptions are covered under Humana Gold Plus or Humana Medicare Employer HMO only if they are filled at a network pharmacy, or through our mail-order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. Medicare Part B prescription drug coverage Members with only Medicare Part B prescription drug coverage can use the network pharmacies included in this directory to receive their approved Medicare Part B drugs. For more information about receiving Medicare Part B drugs through out-of-network pharmacies, see "Filling prescriptions outside the network" and "How to submit a paper pharmacy claim" beginning on page 7. Mail-Order Pharmacies Preferred network mail-order pharmacies are pharmacies in Humana's network in which Humana has negotiated lower cost-sharing than at non-preferred network mail-order pharmacies for its plan members for covered prescription drugs. However, you will still have access to lower drug prices at non-preferred network mail-order pharmacies than at out-of-network mail-order pharmacies. You may go to either of these types of network mail-order pharmacies to receive your covered prescription drugs. If your plan does not have preferred and non-preferred mail-order pharmacy benefits, you may use any mail-order pharmacy listed. If you are a member of a qualified State Pharmaceutical Assistance Program, please contact the program to verify that the mail-order pharmacy will coordinate with that program. Are home infusion pharmacies part of the pharmacy network? Humana Gold Plus or Humana Medicare Employer HMO will cover infusion therapy drugs if: • Your prescription drug is on your Humana Gold Plus or Humana Medicare Employer HMO formulary, or you have a formulary exception; • Humana Gold Plus or Humana Medicare Employer HMO has approved your prescription drug for home infusion therapy; and • Your prescription is written by an authorized prescriber. 6 – PROVIDER DIRECTORY PD00072A
  8. 8. Are long-term care pharmacies part of the pharmacy network? Residents of a long-term care facility may access their prescription drugs covered under Humana Gold Plus or Humana Medicare Employer HMO through the facility's long-term care pharmacy or another network long-term care pharmacy. Are Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies part of the pharmacy network? Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies through Humana Gold Plus or Humana Medicare Employer HMO pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g. emergencies). What are Physician Dispensing Pharmacies? These are Physicians/Clinics that are part of Humana’s pharmacy networks that can dispense prescribed medications from within their office. Filling prescriptions outside the network Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available. Before you fill your prescription in these situations, call Customer Care (details on page 1) to see if there is a network pharmacy in your area where you can fill your prescription. If you do go to an out-of-network pharmacy, you may have to pay the full cost (rather than paying just your copayment) when you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting a claim form. However, even after we reimburse you for our share of the cost, you may pay more for a drug purchased at an out-of-network pharmacy because the out-of-network pharmacy's price is generally higher than what a network pharmacy would have charged. You should submit a claim to us if you fill a prescription at an out-of-network pharmacy as any amount you pay will help you qualify for catastrophic coverage. To learn how to submit a paper claim, please refer to "How to submit a paper pharmacy claim" below. We cannot pay for any prescriptions that are filled by pharmacies outside of the United States and territories, even for a medical emergency. How to submit a paper pharmacy claim When you go to a network pharmacy your claim is automatically submitted to us by the pharmacy. However, if you go to an out-of-network pharmacy, the pharmacy may not be able to submit the claim directly to us. When that happens, you may need to pay the full cost of your prescription. When you return home, simply submit your paper claim and your itemized receipt to the following address: Humana Claims Office P.O. Box 14601 Lexington, KY 40512-4601 Upon receipt, we will make an initial coverage determination on the claim. Please refer to your Evidence of Coverage or call Customer Care (details on page 1) for more information on initial coverage determinations. PD00072A PROVIDER DIRECTORY – 7
  9. 9. Directorio de Proveedores de Humana Gold Plus HMO o Humana Gold Plus HMO-SNP o Humana Medicare HMO del Patrono Este directorio está actualizado a partir del Este directorio proporciona una lista de los proveedores de la red de Humana Gold Plus o Humana Medicare HMO del Patrono. Este directorio contiene proveedores en los siguientes estados, condados, parroquias o municipalidades: FL:Orange, Osceola, Seminole Algunos proveedores de la red pueden haber sido agregados o suprimidos de nuestra red después de que se imprimiera este directorio. No garantizamos que los proveedores todavía estén aceptando nuevos afiliados. Para obtener la información más actualizada acerca de los proveedores de la red en su área, puede visitar Humana.com o llamar al departamento de Atención al Cliente. Si está afiliado a Humana Gold Plus llame al departamento de Atención al Cliente al 1-800-457-4708 (TTY: 711) entre las 8 a.m. y las 8 p.m., los siete días de la semana. Si está afiliado al Plan Humana Medicare HMO del Patrono, llame al departamento de Atención al Cliente al 1-866-396-8810 (TTY: 711). Estamos a su disposición de lunes a viernes de 8 a.m. a 9 p.m., hora del Este. Nuestro sistema telefónico podrá responder llamadas fuera del horario de atención, y los sábados, domingos y algunos días festivos; deje un mensaje y le devolveremos la llamada antes de finalizar el siguiente día hábil. 8 – DIRECTORIO DE PROVEEDORES PD00072A H1036_FL86002BG13
  10. 10. Introducción Este directorio proporciona una lista de los proveedores de la red de Humana Gold Plus o Humana Medicare HMO del Patrono. Para obtener información detallada acerca de su cobertura de atención médica, consulte su Evidencia de Cobertura. Tendrá que elegir a uno de los proveedores de nuestra red que estén en este directorio como su médico de atención primaria (PCP). El término "PCP" se utilizará bastante en este directorio. Por lo general, usted deberá recibir su cobertura de atención médica a través de su PCP. Cómo aprovechar al máximo su red Los "proveedores de la red" que están en este directorio han aceptado proporcionarle su cobertura de atención médica. Puede visitar a cualquiera de los proveedores de nuestra red que están en este directorio. Si usted ha estado viendo a un proveedor de la red, no es obligatorio que siga viendo al mismo proveedor. Si usted utiliza proveedores fuera de la red para su atención de rutina, ni Medicare ni Humana serán responsables por los costos. PD00072A DIRECTORIO DE PROVEEDORES – 9
  11. 11. asd Qué debe hacer en caso de recibir facturas de proveedores fuera de la red y que usted cree que deberían ser canceladas por Humana Gold Plus o Humana Medicare HMO del Patrono Nosotros cubrimos ciertos servicios de atención médica que usted reciba de proveedores fuera de la red. Entre estos se encuentran atención que usted reciba en una emergencia médica, atención que se necesita con urgencia, servicios de diálisis renal (riñón) que usted reciba fuera del área de servicio del plan, atención que haya sido aprobada con anticipación por el plan, y servicios cuya cobertura haya sido ordenada a través de un proceso de apelación. Si un proveedor fuera de la red le pide pagar por servicios cubiertos que usted reciba en alguno de estos casos, llame al departamento de Atención al Cliente (consulte la información detallada en la página 8). O envíe la(s) factura(s) con una nota explicando la situación a: Humana Claims Office P.O. Box 14601 Lexington, KY 40512-4601 Usted nunca deberá pagar a ningún proveedor fuera de la red más de la cantidad permitida por Medicare. Pídale al proveedor fuera de la red que antes nos envíe una factura. Si usted ya pagó por los servicios cubiertos, nosotros le reembolsaremos la parte que nos corresponde del costo. Si usted recibe una factura por los servicios, nos la puede enviar para que nosotros la paguemos. Nosotros le pagaremos al proveedor fuera de la red la parte que nos corresponde de la factura y le informaremos a usted la cantidad que debe pagar, en caso de que sea necesario. Si tiene una emergencia, nosotros hablaremos con los médicos que le están proporcionando la atención de emergencia para ayudar a manejar y hacer el seguimiento de su atención. Los médicos que le están proporcionando la atención de emergencia decidirán cuándo su estado es estable y que la emergencia médica ha terminado. Después de que la emergencia haya terminado usted tiene derecho a recibir atención de control posterior para asegurarse de que su estado continúe estable. Nuestro plan cubrirá su atención de control posterior. Si su atención de emergencia es proporcionada por proveedores fuera de la red, nosotros intentaremos coordinar para que proveedores de la red se encarguen de su atención tan pronto como lo permitan las circunstancias y su afección médica. Supongamos que usted se encuentra temporalmente fuera del área de servicio del plan, pero dentro de los Estados Unidos o sus territorios. Si necesita atención médica de urgencia, es posible que no pueda encontrar o conseguir a uno de los proveedores de la red de nuestro plan. En este caso (cuando usted se encuentra fuera del área de servicio y no puede obtener atención de proveedores de la red), nuestro plan cubrirá la atención médica que se necesita con urgencia que usted reciba de cualquier proveedor. Nuestro plan no cubre atención médica que se necesita con urgencia ni ninguna otra atención que no sea de emergencia si usted la recibe fuera de los Estados Unidos o sus territorios. Si usted recibe atención de emergencia en un hospital fuera de la red y necesita atención como paciente interno después de que su afección de emergencia se estabiliza, debe regresar a un hospital de la red para que su atención continúe estando cubierta O debe recibir su atención como paciente interno en el hospital fuera de la red autorizado por el plan y su costo es el costo compartido que usted pagaría en un hospital de la red. 10 – DIRECTORIO DE PROVEEDORES PD00072A
  12. 12. asd Obtener atención de especialistas Cuando su PCP cree que usted necesita tratamiento especializado, él o ella podrá darle una "remisión" (aprobación anticipada) para ver a un especialista de la red. Para ciertos tipos de una remisión a especialistas del plan, su PCP deberá obtener una aprobación del plan con anticipación. Esto se llama "autorización previa". Es muy importante obtener una remisión de su PCP antes de ver a un especialista de la red. No obstante, usted no necesita obtener una remisión para recibir ciertos servicios, consulte la sección a continuación que se trata de "Autoremisiones". Si usted no obtiene una remisión antes de recibir los servicios de un especialista, es posible que usted mismo deba pagar por dichos servicios. Si el especialista desea que usted regrese para hacerle control posterior, asegúrese de revisar la remision original para ver si éste se encuentra incluido. Cada PCP podrá tener especialistas de la red que él/ella usa para hacer sus remisiones. Esto significa que los especialistas de Humana Gold Plus o Humana Medicare HMO del Patrono que usted puede utilizar pueden depender de la persona que usted elija como su PCP. Si hay algún especialista en particular que usted desea consultar, verifique si su PCP hace remisiones de pacientes a dicho especialista. Puede cambiar su PCP en cualquier momento si desea consultar a un especialista de la red que su PCP actual no tiene en su listado de remisiones. Para obtener información acerca de cómo cambiar de PCP, consulte su Evidencia de Cobertura. Si hay algún hospital en particular que usted desea utilizar, verifique si su PCP utiliza dicho hospital. Al elegir a un médico para los exámenes para el bienestar femenino, consulte la sección de Especialistas en el directorio de proveedores para obtener una lista de Obstetras/Ginecólogos. Salud mental Para los servicios de salud mental o de tratamiento de abusos de substancias, usted o su médico o asesor debe llamar a PsychCare para la autorización. Llame al 1-800-221-5487 (TTY: 711). El horario es de lunes a viernes de 8:30 a.m. a 5:30 p.m., hora estándar del Este. Para obtener información adicional, visite www.psychcare.com o llame al número de teléfono que aparece en su tarjeta de identificación del plan. Servicios de trasplante El uso de un centro de servicios generales para servicios de trasplante puede resultar en un costo adicional significativo para usted. Para los servicios relacionados con los trasplantes, llame al 1-866-421-5663 (TTY: 1-800-336-6709). Nuestro horario es de lunes a viernes, de 8:30 a.m. a 5:00 p.m. Humana Fitness No todos los planes Medicare Advantage ofrecen un beneficio de acondicionamiento físico. Para obtener información sobre los contactos y beneficios de acondicionamiento físico consulte su Evidencia de Cobertura. Proveedores de atención de la vista Los proveedores de atención de la vista pueden variar. Para obtener más información acerca de los proveedores disponibles en su área, comuníquese con su Administrador de beneficios. PD00072A DIRECTORIO DE PROVEEDORES – 11
  13. 13. asd Autoremisiones En algunos casos, usted puede recibir cobertura para los servicios enumerados a continuación sin necesidad de que su PCP le dé una remisión o aprobación anticipada. "Autoremision" significa que usted puede recibir los servicios sin remision de médicos de la red. Los siguientes servicios pueden ser de autoremision: • Servicios de emergencia, independientemente de si los recibe de proveedores del plan o de proveedores fuera de la red. • Atención que se necesita con urgencia que usted reciba de proveedores fuera de la red cuando se encuentra temporalmente fuera del área de servicio del plan. • Servicios de diálisis renal (riñón) que usted recibe cuando se encuentra temporalmente fuera del área de servicio del plan. • Servicios quiroprácticos, servicios de podología y servicios de dermatología de proveedores de la red. (Usted puede autoremitirse a un dermatólogo de la red hasta cinco veces por año calendario.) • Atención médica de rutina para la mujer, que incluye exámenes de los senos, mamografías (radiografías del seno), pruebas de Papanicolaou y exámenes pélvicos. Esta atención está cubierta sin necesidad de una remisión de su PCP, sólo si usted la recibe a través de un proveedor de la red o de un Obstetra/Ginecólogo que esté afiliado al mismo grupo médico de su PCP. • Todos los servicios preventivos cubiertos por Medicare siempre y cuando los reciba de un proveedor de la red. Estos beneficios están en la tabla de beneficios del Capítulo 4 de su Evidencia de Cobertura (EOC). Servicios hospitalarios La presencia de hospitales en este directorio no siempre garantiza que usted será remitido a un hospital en particular. Es posible que su médico no conceda admisiones a todos los hospitales de la red. Consulte a su médico actual o potencial para determinar los hospitales con quienes él/ella está asociado. No obstante, las hospitalizaciones como paciente interno, salvo en casos de emergencia o de atención que se necesita con urgencia, requerirán nuestra autorización previa. Programa de hospitalistas Si su PCP participa en el Programa de hospitalistas, y usted es admitido al hospital, todos los aspectos de su atención serán dirigidos y coordinados activamente por un médico de tiempo completo especialmente capacitado para la atención médica de pacientes internos. El médico se conoce como hospitalista y es contratado de manera independiente y tiene certificación en su especialidad o reúne los requisitos necesarios para su certificación por la Junta Americana de Medicina Interna. Un coordinador de administración de casos, otro miembro del equipo de hospitalistas, es un/a enfermero/a con licencia capacitado/a en la administración de atención de pacientes. Él o ella coordina todas las necesidades y los servicios (como los análisis de laboratorio, radiografías, consultas y mucho más) con el médico hospitalista. Su médico hospitalista y coordinador de administración de casos darán informes regulares sobre su estado y progreso a su PCP. También podrán programar una cita de control posterior con su PCP. 12 – DIRECTORIO DE PROVEEDORES PD00072A
  14. 14. asd ¿Cuál es el área de servicio de Humana Gold Plus o Humana Medicare HMO del Patrono? Los condados (partes de los condados), parroquias o municipalidades de nuestra área de servicio aparecen a continuación. Humana Gold Plus H1036-146 (HMO);Humana Gold Plus SNP-DB H1036-193 (HMO SNP);Humana Gold Plus SNP-DE H1036-159 (HMO SNP):FL:Orange, Osceola, Seminole ¿Cómo encuentra proveedores de la red de Humana Gold Plus o Humana Medicare HMO del Patrono en su área? Los proveedores están en este directorio de acuerdo al tipo de proveedor. Dentro de cada tipo de proveedor, los proveedores están en orden alfabético por estado, y luego por condado, parroquia o municipalidad. Algunos de los proveedores de nuestra red también pueden ser certificados por Medicaid. Póngase en contacto con el consultorio del proveedor con anticipación para verificar su estado. Si tiene alguna pregunta acerca de Humana Gold Plus o Humana Medicare HMO del Patrono o requiere asistencia para seleccionar a un PCP, llame a nuestro departamento de Atención al Cliente (consulte la información detallada en la página 8) o visite nuestro sitio web en Humana.com. Farmacias de la red Cómo aprovechar al máximo su red de farmacias Las "farmacias de la red" que están en este directorio han aceptado proporcionarle su cobertura de medicamentos recetados. Puede visitar a cualquiera de las farmacias de nuestra red que están en este directorio. En la mayoría de los casos, sus medicamentos recetados están cubiertos por Humana Gold Plus o Humana Medicare HMO del Patrono sólo si se obtienen en farmacias de la red, o a través de nuestro servicio de farmacia de envío por correo. Una vez que visite una farmacia, no se le exige que continúe visitando la misma farmacia para obtener sus medicamentos recetados. Puede ir a cualquiera de nuestras farmacias de la red. Bajo ciertas circunstancias cubriremos medicamentos recetados obtenidos en farmacias que no pertenecen a la red, según se describe en su Evidencia de Cobertura. Cobertura de medicamentos recetados de la Parte B de Medicare Los afiliados que sólo tienen cobertura de medicamentos recetados de la Parte B de Medicare pueden utilizar las farmacias de la red incluidas en este directorio para recibir sus medicamentos aprobados por la Parte B de Medicare. Para recibir más información acerca de cómo recibir los medicamentos de la Parte B de Medicare a través de farmacias fuera de la red, consulte a partir de la página 14 "Cómo obtener medicamentos recetados fuera de la red" y "Cómo enviar una reclamación de farmacia en papel". Farmacias de envío por correo Las farmacias de envío por correo de la red preferidas son farmacias de la red de Humana con las que Humana ha negociado costos compartidos más bajos que en las farmacias de envío por correo de la red no preferidas para la compra de medicamentos recetados cubiertos por parte de los afiliados de sus planes. Sin embargo, usted aún tendrá acceso a precios de medicamentos más bajos en farmacias de envío por correo de la red no preferidas que en farmacias de envío por correo fuera de la red. Usted puede ir a cualquiera de estos tipos de farmacias de envío por correo de la red para recibir sus medicamentos recetados cubiertos. PD00072A DIRECTORIO DE PROVEEDORES – 13
  15. 15. asd Si su plan no tiene beneficios de farmacias de envío por correo preferidas y no preferidas, puede utilizar cualquier farmacia de envío por correo en la lista. Si usted está afiliado a un Programa Estatal de Asistencia Farmacéutica calificado, póngase en contacto con el programa para verificar que la farmacia de envío por correo coordina con dicho programa. ¿Forman parte de la red de farmacias las farmacias de infusión casera? Humana Gold Plus o Humana Medicare HMO del Patrono cubrirá los medicamentos de terapia de infusión casera si: • Su medicamento recetado se encuentra en su formulario de Humana Gold Plus o Humana Medicare HMO del Patrono, o tiene una excepción al formulario; • Humana Gold Plus o Humana Medicare HMO del Patrono ha aprobado su medicamento recetado para la terapia de infusión casera; y • Su receta ha sido escrita por una persona autorizada. ¿Forman parte de la red de farmacias las farmacias de atención médica a largo plazo? Los residentes de los centros de atención médica a largo plazo pueden tener acceso a sus medicamentos recetados cubiertos por Humana Gold Plus o Humana Medicare HMO del Patrono a través de las farmacias de atención médica a largo plazo de los centros o de otras farmacias de atención médica a largo plazo de la red. ¿Forman parte de la red de farmacias las Farmacias del Programa de Salud Indígena/Tribal/Urbano (I/T/U)? Solamente los indios americanos y de Alaska tienen acceso a las Farmacias del Programa de Salud Indígena/Tribal/Urbano (I/T/U) a través de la red de farmacias de Humana Gold Plus o Humana Medicare HMO del Patrono. Es posible que las personas que no sean indios americanos y de Alaska puedan tener acceso a estas farmacias bajo circunstancias limitadas (por ejemplo, emergencias). ¿Qué son las farmacias con médicos que despachan medicamentos? Son médicos/clínicas que forman parte de la red de farmacias de Humana que pueden despachar los medicamentos recetados dentro de su consultorio. Cómo obtener medicamentos recetados fuera de la red Por lo general, sólo cubrimos medicamentos obtenidos en una farmacia fuera de la red en circunstancias limitadas y fuera de rutina, cuando no hay disponible una farmacia de la red. Antes de obtener sus medicamentos recetados en estas situaciones, llame al departamento de Atención al Cliente (consulte la información detallada en la página 8) para verificar si hay una farmacia de la red en su área donde pueda obtener sus medicamentos recetados. Si usted va a una farmacia fuera de la red, es posible que deba pagar la totalidad del costo (en lugar de pagar sólo su copago) cuando obtenga su medicamento recetado. Puede solicitarnos que le reembolsemos nuestra parte del costo enviándonos un formulario de reclamación. No obstante, incluso después de que le hayamos reembolsado la cantidad que nos corresponde del costo, usted puede pagar más por un medicamento comprado en una farmacia fuera de la red porque el precio de la farmacia fuera de la red, por lo general, es más alto del que cobraría una farmacia de la red. Debería enviarnos una reclamación si obtiene un medicamento recetado en una farmacia fuera de la red, ya que cualquier cantidad que pague le ayudará a calificar para la cobertura catastrófica. Para aprender cómo se envía una reclamación en papel, consulte a continuación: "Cómo enviar una reclamación de farmacia en papel". No podemos pagar por medicamentos recetados que sean despachados por farmacias fuera de los Estados Unidos y sus territorios, incluso si se trata de una emergencia médica. 14 – DIRECTORIO DE PROVEEDORES PD00072A
  16. 16. asd Cómo enviar una reclamación de farmacia en papel Cuando usted va a una farmacia de la red, ésta nos envía automáticamente su reclamación. No obstante, si usted va a una farmacia fuera de la red, es posible que la farmacia no nos pueda enviar la reclamación directamente. Cuando eso sucede, es posible que usted necesite pagar el costo total de su medicamento recetado. Al regresar a casa, simplemente debe enviar su reclamación en papel y su recibo desglosado a la siguiente dirección: Humana Claims Office P.O. Box 14601 Lexington, KY 40512-4601 Una vez recibida la reclamación, tomaremos una determinación de cobertura inicial sobre la reclamación. Consulte su Evidencia de Cobertura o llame al departamento de Atención al Cliente (consulte la información detallada en la página 8) para obtener más información sobre las determinaciones de cobertura iniciales. PD00072A DIRECTORIO DE PROVEEDORES – 15
  17. 17. Provider Type Listing Spanish English Spanish English Acupuntura Alergias e inmunología Anestesiología Anestesiología - control del dolor Arteterapia Asistente médico Asistente quirúrgico Audiología Banco de sangre Cardiología Cardiología intervencionista Centro de atención de heridas Centro de atención de urgencia Centro de atención inmediata Centro de atención médica para enfermedades agudas Centro de cáncer ambulatorio Centro de cáncer de mama Centro de diagnóstico por imágenes Centro de endoscopia Centro de enfermería especializada Centro de mamografía Centro de partos Centro de salud con aprobación federal Centro médico ambulatorio Centro óptico Centro quirúrgico ambulatorio Acupuncture Allergy & Immunology Anesthesiology Anesthesiology - Pain Management Art Therapy Physician Assistant Surgical Assistant Audiology Blood Bank Cardiology Cardiology Interventional Wound Care Center Centros de cirugía ambulatoria Cirugía Cirugía - Atención crítica Cirugía - Cirugía de manos Cirugía - Oral y maxilofacial Cirugía - Toráxica Cirugía - Toráxica cardiovascular Cirugía - Urológica Cirugía - Vascular Cirugía ginecológica Cirugía neurológica Cirugía neurológica Atención crítica Cirugía ortopédica Cirugía plástica Cirugía plástica - Cabeza y cuello Cirugía plástica - Cirugía de manos Clínica Clínica conveniente para el cuidado de la salud Clínica de salud mental Clínica de salud rural Clínica de trastornos del sueño Consejero de salud mental con licencia Control del dolor Anestesiología Control del dolor Psiquiatría y neurología Cuidados de hospicio y tratamiento paliativo Dentistería - Oral y maxilofacial Dermatología Outpatient Surgery Centers Surgery Surgery - Critical Care Surgery - Hand Surgery Surgery - Oral & Maxillofacial Surgery - Thoracic Surgery - Thoracic Cardiovascular Surgery - Urological Surgery - Vascular Gynecologic Surgery Neurologic Surgery Neurologic Surgery Critical Care Orthopedic Surgery Plastic Surgery Plastic Surgery - Head & Neck Plastic Surgery - Hand Surgery Clinic Convenient Care Clinic Urgent Care Center Immediate Care Center Long Term Acute Care Facility Outpatient Cancer Center Breast Cancer Center Imaging Center Endoscopy Center Skilled Nursing Facility Mammography Center Birthing Center Federally Qualified Health Center Ambulatory Medical Facility Optical Center Ambulatory Surgery Center 16 – PROVIDER DIRECTORY PD00072A Mental Health Clinic Rural Health Clinic Sleep Disorder Clinic Licensed Mental Health Counselor Pain Management Anesthesiology Pain Management Psychiatry & Neurology Hospice and Palliative Care Dentistry - Oral & Maxillofacial Dermatology
  18. 18. Spanish English Spanish English Dermatología - Cirugía micrográfica Dermatología Inmunología dermatológica Dermatopatología Diagnósticos cardíacos Dietista Discapacidades del neurodesarrollo Educación para diabéticos Electrofisiología Electrofisiología cardíaca Endocrinología Endocrinología reproductiva e infertilidad Enfermedad cardiovascular Enfermedad pulmonar Enfermedades infecciosas Enfermera anestesista Enfermera partera Enfermera practicante Enfermera registrada Equipo médico duradero Dermatology Micrographic Surgery Dermatology Dermatological Immunology Dermatopathology Cardiac Diagnostics Dietician Neurodevelopmental Disabilities Diabetic Education Electrophysiology Cardiac Electrophysiology Endocrinology Reproductive Endocrinology & Infertility Cardiovascular Disease Laboratorio clínico/de inmunología Litotricia Medicina de electrodiagnóstico Medicina de emergencia Medicina de emergencia Toxicología médica Medicina del deporte Medicina del deporte Medicina física y rehabilitación Medicina del deporte Ortopedia Medicina física y rehabilitación Medicina física y rehabilitación - Control del dolor Medicina física y rehabilitación - Lesiones de la médula espinal Medicina geriátrica Medicina interna Medicina interna Atención crítica Medicina interna Especialista Medicina manipulativa osteopática Medicina materna y fetal Medicina neuromusculoesquelética Medicina nuclear Medicina nuclear Cardiología nuclear Medicina nuclear - In Vivo e In Vitro Medicina ocupacional Medicina para el sueño Medicina preventiva Medicina preventiva Medicina aeroespacial Clinical & Laboratory Immunology Lithotripsy Electrodiagnostic Medicine Pulmonary Disease Infectious Disease Nurse Anesthetist Nurse Midwife Nurse Practitioner Registered Nurse Durable Medical Equipment Especialista en Special Proficiency In manipulación Manipulation Farmacia Pharmacy Flebotomía Phlebotomy Gastroenterología Gastroenterology Genética médica Medical Genetics Ginecología Gynecology Hematología y oncología Hematology & Oncology Hospicio Hospice Hospital de rehabilitación Rehabilitation Hospital Hospital de salud mental Mental Health Hospital Hospital esencial Essential Hospital Hospitales Hospitals Hospitalista Hospitalist INDEFINIDO UNDEFINED PD00072A Emergency Medicine Emergency Medicine Medical Toxicology Sports Medicine Sports Medicine - Physical Medicine & Rehabilitation Sports Medicine Orthopedic Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation - Pain Management Physical Medicine & Rehabilitation - Spinal Cord Injury Geriatric Medicine Internal Medicine Internal Medicine - Critical Care Internal Medicine Specialist Osteopathic Manipulative Medicine Maternal & Fetal Medicine Neuromusculoskeletal Medicine Nuclear Medicine Nuclear Medicine Nuclear Cardiology Nuclear Medicine - In Vivo & In Vitro Occupational Medicine Sleep Medicine Preventive Medicine Preventive Medicine Aerospace Medicine PROVIDER DIRECTORY – 17
  19. 19. Spanish English Spanish English Medicina preventiva Ocupacional Medicina preventiva Subacuatica e hiperbárica Médico de atención de urgencia Médico de hogar para convalecientes Nefrología Neurofisiología clínica Neurología Nutrición Obstetricia y ginecología Odontología Odontología - Endodoncia Odontología - Patología oral Odontología - Ortodoncia Odontología - Periodoncia Odontología Prostodoncia Oftalmología Oftalmología - Optometría Preventive Medicine Occupational Preventive Medicine Undersea and Hyperbaric Hyperbaric Urgent Care Physician Nursing Home Physician Pediatría - Psicología Podología Podología - Cirugía Podología - Ortopedia Podología - Prevención y tratamiento de lesiones por enfermedad diabética en los pies Práctica de grupo de múltiples especialidades Práctica familiar Práctica familiar Especialista Práctica familiar Medicina del deporte Práctica familiar Medicina geriátrica Práctica general Práctica general Especialista Primer asistente de enfermería Primer asistente quirúrgico Proctología Protética y ortopedia Proveedores de equipo de radiología portátil Psicología Psicología - Clínica Psicología Neuropsicología Psicología - Psicoterapia Pediatrics - Psychology Podiatry Podiatry - Surgery Podiatry - Orthopedics Podiatry - Prevention and Treatment of Diabetic Foot Wounds Nephrology Clinical Neurophysiology Neurology Nutrition Obstetrics & Gynecology Dentistry Dentistry - Endodontics Dentistry - Oral Pathology Dentistry - Orthodontics Dentistry - Periodontics Dentistry - Prosthodontics Ophthalmology Ophthalmology Optometry Oído, nariz y garganta Ear, Nose, & Throat Oído, nariz y garganta Ear, Nose, & Throat - Head Cirugía plástica de cabeza and Neck Plastic Surgery y cuello Oído, nariz y garganta Ear, Nose, & Throat - Sleep Medicina para el sueño Medicine Oncología ginecológica Gynecologic Oncology Optometría Optometry Ortopedia - Cirugía de Orthopedic - Hand Surgery manos Patología Pathology Patología del habla y del Speech & Language lenguaje Pathology Pediatría Pediatrics Pediatría - Cardiología Pediatrics - Cardiology Pediatría - Medicina para Pediatrics - Sleep Medicine el sueño Pediatría - Neonatología y Pediatrics - Neonatology & Perinatología Perinatology 18 – PROVIDER DIRECTORY PD00072A Multi - Specialty Group Practice Family Practice Family Practice - Specialist Family Practice - Sports Medicine Family Practice - Geriatric Medicine General Practice General Practice Specialist Nurse First Assistant Surgical First Assistant Proctology Prosthetics & Orthotics Portable X-Ray Suppliers Psychology Psychology - Clinical Psychology Neuropsychology Psychology Psychotherapy Psiquiatría Psychiatry Psiquiatría - Adicción Psychiatry - Addiction Psiquiatría - Forense Psychiatry - Forensic Psiquiatría - Geriátrica Psychiatry - Geriatric Psiquiatría - Medicina para Psychiatry - Sleep el sueño Medicine Psiquiatría para niños y Child & Adolescent adolescentes Psychiatry Psiquiatría y neurología Psychiatry & Neurology Quiropráctico Chiropractor
  20. 20. Spanish English Spanish English Quiropráctico - Radiología Radiología Radiología de diagnóstico Radioterapia Radioterapia oncológica Rehabilitación Ambulatoria Rehabilitación Especializada en lesiones de la columna vertebral y la cabeza Rehabilitación - Subaguda Rehabilitación cardíaca Resonancia magnética (MRI) Reumatología Salud pública Servicio de ambulancia Servicios de atención médica en el hogar Servicios de diagnóstico ambulatorios Servicios de diálisis Servicios de laboratorio Servicios de laboratorio Afiliados al hospital Servicios de salud mental y tratamiento de abusos de substancias Servicios de sillas de ruedas Sólo obstetricia Suministros médicos Suministros para la diabetes Terapeuta de familia y matrimonio con licencia Terapia de infusión Terapia de infusión casera Terapia de las manos Terapia de masaje Terapia física Chiropractor - Radiology Radiology Diagnostic Radiology Radiation Therapy Radiation Oncology Rehabilitation - Outpatient Terapia ocupacional Terapia respiratoria Tocoginecólogo Endocrinología reproductiva e infertilidad Tocoginecólogo Obstetricia y ginecología PCP Tocoginecólogo Oncología ginecológica Trabajador social con licencia clínica Transporte de no emergencia Urología Vivienda asistida Occupational Therapy Respiratory Therapy OBGYN - Reproductive Endocrinology & Infertility PD00072A Rehabilitation Specialized Spinal & Head Injury Rehabilitation - Subacute Cardiac Rehabilitation Magnetic Resonance Imaging (MRI) Rheumatology Public Health Ambulance Service Home Health Care Services Outpatient Diagnostic Services Dialysis Services Laboratory Services Laboratory Services Hospital Affiliated Mental Health & Substance Abuse OBGYN - Obstetrics & Gynecology - PCP OBGYN - Gynecologic Oncology Licensed Clinical Social Worker Non-emergency Transportation Urology Assisted Living Wheelchair Services Obstetrics Only Medical Supplies Diabetic Supplies Licensed Family And Marriage Therapist Infusion Therapy Home Infusion Therapy Hand Therapy Massage Therapy Physical Therapy PROVIDER DIRECTORY – 19
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  22. 22. List of Network Providers Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (17 . . . . . . . . . . . . . . . . . . . . . 1 . . . providers) (12 providers) Urgent Care Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 (94 providers) Primary Care Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Specialists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (602 . . . . . . . . . . . . . . . . . . . 10 . . . . providers) Open Access Networks . . . . . . . . . . . . . . . . . . . . . (113 . . . . . . . . . . . . . . . . . . . 58 . . . . providers) Other Health Care Providers . . . . . . . . . . . . . . . . (292 . . . . . . . . . . . . . . . . . . . 79 . . . . providers) (21 providers) Durable Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 (8 providers) Laboratory Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Dental Providers . . . . . . . . . . . . . . . . . . . . . . . . . . (89 . . . . . . . . . . . . . . . . . . . . 95 . . . providers) Vision Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 (380 providers) Pharmacies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (466 . . . . . . . . . . . . . . . . . . 129 . . . . providers) Fitness Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 (36 providers) Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
  23. 23. THIS PAGE IS LEFT BLANK BECAUSE OF PRINTING REQUIREMENTS
  24. 24. Hospitals Osceola Regional Medical Center 700 W Oak St Kissimmee, FL 34741 (407) 846-2266 Arnold Palmer Hospital for Children 92 W Miller St Orlando, FL 32806 (407) 649-9111 Medicaid Certified Orlando Regional Medical Center 1414 Kuhl Ave Orlando, FL 32806 (407) 841-5111 Medicaid Certified St Cloud Regional Medical Center 2906 17th St Saint Cloud, FL 34769 (407) 892-2135 Medicaid Certified Hospitals ORANGE COUNTY HOSPITALS Hospitals MD Anderson Cancer Center Orlando 1400 S Orange Ave Orlando, FL 32806 (407) 648-3800 FLORIDA Winnie Palmer Hospital SEMINOLE COUNTY for Women and Babies 83 W Miller St Hospitals Orlando, FL 32806 (321) 841-3338 Central Florida Regional Medicaid Certified Hospital Florida Hospital Apopka Winter Park Memorial 1401 W Seminole Blvd 201 N Park Ave Sanford, FL 32771 Hospital Apopka, FL 32703 (407) 321-4500 200 N Lakemont Ave (407) 889-1000 Medicaid Certified Winter Park, FL 32792 Medicaid Certified (407) 646-7000 Florida Hospital Florida Hospital East Medicaid Certified Altamonte Orlando 601 E Altamonte Dr 7727 Lake Underhill Rd OSCEOLA COUNTY Altamonte Springs, FL Orlando, FL 32822 32701 (407) 303-8110 Hospitals (407) 303-2200 Medicaid Certified Medicaid Certified Florida Hospital CeleFlorida Hospital bration Health South Seminole Orlando 400 Celebration Pl Hospital 601 E Rollins St Ste A150 555 W State Road 434 Orlando, FL 32803 Celebration, FL 34747 Longwood, FL 32750 (407) 303-5600 (407) 303-4000 (407) 767-1200 Health Central Medicaid Certified Medicaid Certified 10000 W Colonial Dr Florida Hospital Ocoee, FL 34761 Kissimmee (407) 296-1000 2450 N Orange Blossom Medicaid Certified Trl Kissimmee, FL 34744 (407) 846-4343 Medicaid Certified Dr P Phillips Hospital 9400 Turkey Lake Rd Orlando, FL 32819 (407) 351-8500 Medicaid Certified Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 1
  25. 25. Urgent Care Centers FLORIDA Urgent Care Centers ORANGE COUNTY Urgent Care Center Central Florida Urgent Care Inc 2921 N Orange Ave Orlando, FL 32804 (407) 895-9777 URGENT CARE CENTERS Express Care 2700 Old Winter Garden Rd Ocoee, FL 34761 (407) 296-1000 Florida Hospital Centra Care 12500 S Apopka Vineland Rd Orlando, FL 32836 (407) 934-2273 2301 Sand Lake Rd Orlando, FL 32809 (407) 851-6478 250 N Alafaya Trl Ste 135 Orlando, FL 32828 (407) 934-2273 2540 Lee Rd Winter Park, FL 32789 (407) 629-9281 3099 Aloma Ave Winter Park, FL 32792 (407) 677-1140 509 S Semoran Blvd Orlando, FL 32807 (407) 277-0550 5810 S Semoran Blvd Orlando, FL 32822 (407) 207-0601 630 North Bumby Avenue Orlando, FL 32803 (407) 896-1014 8014 Conroy Windermere Rd Ste 104 Orlando, FL 32835 (407) 291-9960 Florida Hospital Centra Care Winter Garden Village 3005 Daniels Rd Winter Garden, FL 34787 (407) 654-4965 Florida Hospital Centra Care-University 11550 University Blvd Orlando, FL 32817 (407) 277-5758 Hunters Creek Urgent Care Center PLLC 3010 Hunters Creek Blvd Orlando, FL 32837 (407) 240-0129 Paramount Urgent Care Inc 8972 Turkey Lake Rd Ste A-400 Orlando, FL 32819 (407) 226-1906 OSCEOLA COUNTY Urgent Care Center Celebration Urgent Care Center PLLC 1530 Celebration Blvd Ste 101 Celebration, FL 34747 (321) 939-3100 Florida Hospital Centra Care 3293 Greenwald Way N Kissimmee, FL 34741 (407) 847-6771 8010 Red Bug Rd Oviedo, FL 32765 (407) 200-2512 855 S US Highway 17 92 Longwood, FL 32750 (407) 699-8405 Florida Hospital Centra Care Sanford 4451 W 1st St Sanford, FL 32771 (407) 330-3412 4320 W Vine St Kissimmee, FL 34746 (407) 390-1888 7848 W Irlo Bronson Hwy Kissimmee, FL 34747 (407) 397-7032 Instant Medical Care LLC 3626 Vineland Rd Unit 102 Kissimmee, FL 34746 (407) 397-8937 SEMINOLE COUNTY Urgent Care Center Florida Hospital Centra Care 440 W State Road 436 Altamonte Springs, FL 32714 (407) 788-2000 Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 2
  26. 26. Primary Care Providers FLORIDA Primary Care Providers ORANGE COUNTY Family Practice Advanced Family Practice LLC 1910 N Orange Ave Orlando, FL 32804 (407) 898-1451 Patel, Ramesh M MD PCP# 133771 Patel, Varesh R DO PCP# 133771 Alilin Family Medicine LLC 7221 Aloma Ave Ste 400B Winter Park, FL 32792 (407) 657-2111 Alilin Jr, E Roger MD PCP# 133139 Alilin, Ben D MD * PCP# 133139 Apopka Family Medicine 205 N Park Ave Ste 108 Apopka, FL 32703 (407) 880-0011 Patel, Sejal MD * PCP# 103859 Carol A Stewart MD PA 3927 Rosewood Way Orlando, FL 32808 (407) 445-7503 Stewart-Francisco, Carol A MD * PCP# 131457 Established patients only Se habla espanol Florida Family Physicians 201 N Lakemont Ave Winter Park, FL 32792 (407) 678-4433 Nandra, Jasvendar S MD PCP# 133618 Medicaid Certified 2840 N Hiawassee Rd Ste 428 Orlando, FL 32818 (407) 292-2200 Nandra, Jasvendar S MD Central Florida Primary * Care PCP# 133619 1603 S Hiawassee Rd Medicaid Certified Ste 115 Florida Sports and Orlando, FL 32835 Family Health Center (407) 781-0088 249 Moray Ln Ortega, Pedro L MD Winter Park, FL 32792 PCP# 133746 (407) 629-9900 Se habla espanol Aviles, Maribell MD * Deanna Tran DO PCP# 133683 1117 N Pine Hills Rd Se habla espanol Orlando, FL 32808 Mope, Melodie J MD * (407) 297-0805 PCP# 133683 Tran, Deanna H DO * Torres, Joseph L MD * PCP# 133542 PCP# 133683 Se habla espanol Family Care Medical Center 815 Woodbury Rd 10245 E Colonial Dr Ste 104 Orlando, FL 32817 Orlando, FL 32828 (407) 273-7399 (407) 282-3344 Silva, Mildred D MD Aviles, Maribell MD * PCP# 133564 PCP# 133673 Se habla espanol Se habla espanol Mope, Melodie J MD * PCP# 133673 Torres, Joseph L MD * PCP# 133673 Se habla espanol JSA Medical Group West Colonial 7242 W Colonial Dr Orlando, FL 32818 (407) 296-2273 Lim, Kenneth B MD * PCP# 131398 Age 18 and up Medicaid Certified Kirkman Medical Center 882 S Kirkman Rd Ste 108A & B Orlando, FL 32811 (407) 298-4045 Pillai, Srinivasan MD * PCP# 133153 Medicaid Certified Michael J Barimo DO PA 483 N Semoran Blvd Ste 206 Winter Park, FL 32792 (407) 678-2400 Barimo, Michael J DO * PCP# 133439 Christensen, Marie L MD * PCP# 133439 Orlando Family Practice Care 11317 Lake Underhill Rd Ste 200 Orlando, FL 32825 (407) 282-3131 Jorro, Zoila E DO PCP# 133620 Se habla espanol PRIMARY CARE PROVIDERS Americas Medical Center PA 5979 Vineland Rd Ste 208 Orlando, FL 32819 (407) 351-1235 Barupian, Sarkis MD PCP# 131392 Se habla espanol Valay, Durgabhavani MD * PCP# 103859 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 3
  27. 27. Primary Care Providers Park Avenue Medical 202 N Park Ave Apopka, FL 32703 (407) 889-4711 Eliacin, Irmaine MD * PCP# 131429 Gray, Kristen D MD * PCP# 131429 Se habla espanol Medicaid Certified Lugo, Nadia A MD * PCP# 131429 Se habla espanol Perez, Roberto S MD * PCP# 131429 Se habla espanol Medicaid Certified PRIMARY CARE PROVIDERS Physician Care Plus of Orlando LLC 600 N Hart Blvd Orlando, FL 32818 (407) 297-0087 Santos, Adelimelid C MD PCP# 133732 Se habla espanol Torres, Joseph L MD * PCP# 133732 Se habla espanol Prime Care Family Health Center 1339 Arlington St Orlando, FL 32805 (407) 648-5343 Nau, Emmanuel L MD PCP# 131626 1706 E Semoran Blvd Ste 101 Apopka, FL 32703 (407) 880-0800 Nau, Emmanuel L MD PCP# 131627 37 S Semoran Blvd Orlando, FL 32807 (407) 380-7676 Nau, Emmanuel L MD PCP# 131625 Southwest Orlando Family Medicine 7400 Docs Grove Cir Orlando, FL 32819 (407) 352-9717 De La Riva, Michelle E MD PCP# 133613 Age 16 and up Se habla espanol Gonzales, Patrick P MD Physicians Care Plus of * South Orlando LLC PCP# 133613 4151 Hunters Park Ln Se habla espanol Ste 132 Martin, John A MD * Orlando, FL 32837 PCP# 133613 (407) 251-4486 Se habla espanol De Orduna, Carlos L MD Medicaid Certified PCP# 133791 Van, Lydia T MD * Se habla espanol PCP# 133613 The Family Doctors of Buena Venture 3010 Hunters Creek Blvd Orlando, FL 32837 (407) 348-0399 Bautista, Marin MD * PCP# 133778 Se habla espanol Winter Park Family Health Center 2950 Aloma Ave Ste 100 Winter Park, FL 32792 (407) 679-9222 Gray, Kristen D MD * PCP# 131430 Se habla espanol Medicaid Certified Shaw, Ronald L MD * PCP# 131430 Se habla espanol Stanish, Ronald J MD PCP# 131430 General Practice Central Florida Primary Care 172 S Semoran Blvd Orlando, FL 32807 (407) 380-1951 Ello, Florencio V MD PCP# 133781 Se habla espanol Marilyn G Lajoie MD PA 5911 Turkey Lake Rd Ste 205 Orlando, FL 32819 (407) 226-3388 Lajoie, Marilyn G MD PCP# 133460 Se habla espanol Medicaid Certified PHC Curry Ford 5273 Curry Ford Rd Orlando, FL 32812 (407) 894-5054 Merida, Oscar M MD PCP# 133765 Se habla espanol Verges-Bonet, Enrique MD PCP# 133765 PHC Merida 4170 Town Center Blvd Ste 102 Orlando, FL 32837 (407) 857-2817 Leon-Concepcion, Doris A MD PCP# 133718 Se habla espanol Merida, Oscar M MD PCP# 133718 Se habla espanol Geriatric Medicine MetroHealth of East Orlando 10244 E Colonial Dr Ste 101 Orlando, FL 32817 (407) 294-1014 Quaning, Stephen J MD PCP# 133835 MetroHealth of Metrowest 6150 Metrowest Blvd Ste 307 Orlando, FL 32835 (407) 294-1014 Quaning, Stephen J MD PCP# 133834 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 4
  28. 28. Primary Care Providers Internal Medicine Abid Rasool MD 4501 S Semoran Blvd Orlando, FL 32822 (407) 297-1428 Rasool, Abid MD PCP# 133742 Apopka Family Medicine 205 N Park Ave Ste 108 Apopka, FL 32703 (407) 880-0011 Abreu, Nereida C MD * PCP# 103859 Se habla espanol Armando Rego MD PA 601 E Colonial Dr Orlando, FL 32803 (407) 895-9255 Rego, Armando MD * PCP# 133563 Se habla espanol Family and Internal Medicine Center 11183 S Orange Blossom Trl Ste A Orlando, FL 32837 (407) 859-8686 Qureshi, Imtiaz MD * PCP# 133459 Family And Internal Medicine Center 11183 S Orange Blossom Trl Ste A Orlando, FL 32837 (863) 294-0670 Perez, Ruben E MD * PCP# 133459 Se habla espanol JSA Medical GroupHunter's Creek Primary Care Clinic 2000 Cypress Crossing Dr Orlando, FL 32837 (407) 515-1507 Jorge, Vanessa MD * PCP# 133544 Se habla espanol Rodriguez, Sandra I MD * PCP# 133544 Se habla espanol Medicaid Certified JSA Medical GroupLucerne 810 Lucerne Ter Orlando, FL 32801 (407) 841-7730 Tutus, Mara MD PCP# 133821 Mark G Brooks MD PA 10000 W Colonial Dr Ste 187 Ocoee, FL 34761 (407) 578-6610 Brooks, Mark G MD * PCP# 133599 PCP# 133599 MetroHealth of East Orlando 10244 E Colonial Dr Ste 101 Orlando, FL 32817 (407) 294-1014 Pattanayak, Lisa MD * PCP# 133835 Quaning, Stephen J MD PCP# 133835 MetroHealth of Metrowest 6150 Metrowest Blvd Ste 307 Orlando, FL 32835 (407) 294-1014 Pattanayak, Lisa MD * PCP# 133834 Quaning, Stephen J MD PCP# 133834 Quililan, Cesar R MD PCP# 133834 Medicaid Certified MetroHealth of Orlando 100 W Gore St Ste 606 Orlando, FL 32806 (407) 316-8898 Pattanayak, Lisa MD * PCP# 133833 Quaning, Stephen J MD PCP# 133833 Quililan, Cesar R MD PCP# 133833 Medicaid Certified PRIMARY CARE PROVIDERS Florida Sports and Family Health Center 249 Moray Ln Winter Park, FL 32792 (407) 629-9900 Fortich, Karol E MD Central Florida Primary PCP# 133683 Care 815 Woodbury Rd 1603 S Hiawassee Rd Ste 104 Ste 115 Orlando, FL 32828 Orlando, FL 32835 (407) 282-3344 (407) 299-6700 Pedro L Ortega MD PA Fortich, Karol E MD PCP# 133673 PCP# 133746 Digesh Chokshi MD PA Health Specialists of Central FL 1002 S Dillard St 6900 Turkey Lake Road Ste 122 Winter Garden, FL 34787 Ste 1-1 Orlando, FL 32819 (407) 656-4222 (407) 370-9783 Chokshi, Digesh MD * Ghulldu, Harbinder S PCP# 133150 MD * PCP# 133579 Medicaid Certified Jorge J Perez MD PA 1521 Woodward St Orlando, FL 32803 (407) 896-5741 Perez, Jorge J MD PCP# 133560 Established patients only Se habla espanol Muhammad Awan MD 4501 S Semoran Blvd Orlando, FL 32822 (407) 380-1428 Awan, Muhammad A MD * PCP# 133733 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 5
  29. 29. Primary Care Providers Pedro Ortega MD 3727 N Goldenrod Rd Ste 106 Winter Park, FL 32792 (407) 478-0028 Ortega, Pedro L MD PCP# 133745 Se habla espanol Pedro L Ortega MD PA PCP# 133745 Primary Care of Orlando Inc 5308 S John Young Pkwy Ste 100 Orlando, FL 32839 (407) 857-2144 Khan, Jaseem A MD * PCP# 133735 Se habla espanol PRIMARY CARE PROVIDERS Robert K Law DO PA 3151 N Alafaya Trl Ste 101 Orlando, FL 32826 (407) 207-5000 Law, Robert K DO * PCP# 103957 Son L Chau MD PA (CTR 133772) 1287 N Semoran Blvd Ste 200 Orlando, FL 32807 (407) 273-9410 Chau, Son L MD * PCP# 133772 Zulma Cintron MD PA 1400 S Orlando Ave Ste 320 Winter Park, FL 32789 (407) 599-0665 Cintron, Zulma MD * PCP# 131558 Se habla espanol OSCEOLA COUNTY Family Practice Family Health Care of Central Florida, PA 2902 17th St Ste A Saint Cloud, FL 34769 (407) 957-0090 Lester, Donna S MD * PCP# 133582 Link, Michael H MD * PCP# 133582 Medicaid Certified Piedad, Oscar E MD * PCP# 133582 Se habla espanol 461 W Oak St Ste A Kissimmee, FL 34741 (407) 846-8600 Bolourian, Houman MD * PCP# 133583 Link, Michael H MD * PCP# 133583 Medicaid Certified Stapleton, Teri L MD * PCP# 133583 Florida Sports and Family Health Center 309 W Bass St Kissimmee, FL 34741 (407) 935-1192 Aviles, Maribell MD * PCP# 133672 Se habla espanol Mope, Melodie J MD * PCP# 133672 Torres, Joseph L MD * PCP# 133672 Se habla espanol PHC R Burgos MD 3071 Michigan Ave Kissimmee, FL 34744 (407) 348-0990 Burgos, F Ronald MD PCP# 133790 Victor Politano Jr DO PA 1400 W Oak St Ste D Kissimmee, FL 34741 (407) 846-9299 Politano Jr, Victor A DO * PCP# 131494 General Practice Enrique Gutierrez MD 907 N Central Ave Ste A Kissimmee, FL 34741 (407) 846-2050 Gutierrez, Enrique G MD PCP# 133526 Se habla espanol Poinciana Family Medical Center 4551 Pleasant Hill Rd Poinciana, FL 34759 (407) 847-2212 Palazzolo, Arlene M MD PCP# 131580 Se habla espanol Medicaid Certified Geriatric Medicine Family Health Care of Central Florida, PA 461 W Oak St Ste A Kissimmee, FL 34741 (407) 846-8600 George, Aju MD PCP# 133583 Internal Medicine BVL Family Medical Center 2551 Boggy Creek Rd Kissimmee, FL 34744 (407) 348-0990 Agans, Glenn R MD PCP# 131576 Palazzolo, Arlene M MD * PCP# 131576 Se habla espanol Medicaid Certified Family Health Care of Central Florida, PA 2902 17th St Ste A Saint Cloud, FL 34769 (407) 957-0090 Varas, Ricardo MD * PCP# 133582 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 6
  30. 30. Primary Care Providers 461 W Oak St Ste A Kissimmee, FL 34741 (407) 846-8600 George, Aju MD * PCP# 133583 Florida Sports and Family Health Center 309 W Bass St Kissimmee, FL 34741 (407) 935-1192 Fortich, Karol E MD PCP# 133672 G & G Medical Group Inc. 3284 Greenwald Way N Kissimmee, FL 34741 (407) 343-4700 Gonzalez, Norberto E MD * PCP# 131623 Se habla espanol Osceola Physician Management 801 W Oak St Ste 202 Kissimmee, FL 34741 (407) 933-7119 Round, Mark J MD * PCP# 131628 Se habla espanol PHC Glenda Gonzalez 1000 E Osceola Pkwy Kissimmee, FL 34744 (407) 847-7910 Gonzalez-Cortes, Glenda E MD * PCP# 133753 Se habla espanol Medicaid Certified PHC Kissimmee 308 W Bass St Kissimmee, FL 34741 (407) 933-1760 Arvelo, Gustavo MD PCP# 103828 Se habla espanol Garayua, Jorge MD PCP# 103828 Se habla espanol Poinciana Family Medical Center 4551 Pleasant Hill Rd Poinciana, FL 34759 (407) 847-2212 Agans, Glenn R MD PCP# 131580 Syed Mumtaz MD PA 1000 Cypress Pkwy Kissimmee, FL 34759 (407) 201-3944 Mumtaz, Ghazala MD * PCP# 133740 Mumtaz, Syed T MD * PCP# 133740 Associated Family Medicine 320 W Sabal Palm Pl Ste 200 Longwood, FL 32779 (407) 788-6399 Vyas, Zabunnissa MD * PCP# 103871 Associated Family Medicine II PA 515 W State Road 434 Longwood, FL 32750 (407) 830-8600 Jain, Mohit MD * PCP# 103873 724 W Vine St Kissimmee, FL 34741 (407) 944-4450 Mumtaz, Ghazala MD * PCP# 133741 Mumtaz, Syed T MD * PCP# 133741 515 W State Road 434 Ste 110 Longwood, FL 32750 (407) 830-8600 Shaffer, Richard L DO * PCP# 103873 Vyas, Zabunnissa MD * PCP# 103873 SEMINOLE COUNTY Carol A Stewart, MD PA 2735 W State Road 434 Ste 2 Longwood, FL 32779 (407) 445-1503 Stewart-Francisco, Carol A MD * PCP# 133757 Established patients only Se habla espanol Family Practice Altamonte Family Practice 249 Maitland Ave Ste 1000 Altamonte Springs, FL 32701 (407) 332-6366 Krupitsky, Andrew E DO PCP# 133351 PRIMARY CARE PROVIDERS JSA Medical Group- St Cloud Primary Care Clinic 2301 13th St Saint Cloud, FL 34769 (407) 891-7244 Rodriguez, Rodolfo F MD * PCP# 133545 Se habla espanol Medicaid Certified Medical Clinic of Osceola 1506 Village Oak Ln Kissimmee, FL 34746 (407) 931-1998 Talampas, Conrado E MD * PCP# 133327 PCP# 133863 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 7
  31. 31. Primary Care Providers Family Medicine Solutions PA 225 N Ronald Reagan Blvd Ste 101 Longwood, FL 32750 (407) 767-8006 Rahaman, Sultan H MD * PCP# 133418 Family Practice Specialist 809 Douglas Ave Altamonte Springs, FL 32714 (407) 682-7272 Morales, Luis E MD * PCP# 131624 Se habla espanol PRIMARY CARE PROVIDERS Lake Howell Family Medicine Associates 590 Ruby Ct Maitland, FL 32751 (407) 677-4867 Silverman, William M DO PCP# 133637 Medicaid Certified Lake Mary Family Medicine 109 Timberlachen Cir Lake Mary, FL 32746 (407) 333-9877 Simpson, Helen E MD * PCP# 103875 Vyas, Zabunnissa MD * PCP# 103875 Macool, James J MD 1022 W State Road 436 Ste 1006 Altamonte Springs, FL 32714 (407) 774-7781 PCP# 133562 Se habla espanol (407) 302-3119 Caggiano, Christopher DO * PCP# 133843 Aravind Pillai MD 819 E 1st St Ste 3 Sanford, FL 32771 (407) 328-8008 RANDI ANN RODRIGUES Pillai, Aravind N MD * DO PA PCP# 133576 1410 W Broadway St Medicaid Certified Ste 106 Oviedo Family Care Oviedo, FL 32765 Associated Family 1410 W Broadway St (407) 971-1290 Medicine Ste 108 Rodrigues, Randi-Ann 320 W Sabal Palm Pl Oviedo, FL 32765 Ste 200 DO (407) 359-5098 Longwood, FL 32779 PCP# 133837 Marrero, Roger A MD * Se habla espanol (407) 788-6399 PCP# 133770 Arsene-Weeks, Andreea Tuskawilla Family M MD * Oviedo Family Heatlh Medicine PCP# 103871 Center PA 1049 Willa Springs Dr Age 18 and up 808 Executive Dr Ste 1031 Medicaid Certified Oviedo, FL 32765 Winter Springs, FL 32708 (407) 366-7455 (407) 699-6009 Family Practice Patel, Pinkal MD * Vyas, Zabunnissa MD * Specialists PCP# 133775 PCP# 131432 424 Lake Howell Rd Se habla espanol Maitland, FL 32751 (407) 644-6401 Oviedo Family Medical Internal Medicine Cruz, Rene F MD * Center Altamonte Walk In PCP# 133554 100 Alexandria Blvd Ste 1 Medical PA Se habla espanol Oviedo, FL 32765 745 Orienta Ave (407) 359-7997 Jorge Gomez-Amador Ste 1171 Mosch, David P DO * MD (Ctr 133525) Altamonte Springs, FL PCP# 133419 1355 S International Pkwy 32701 Se habla espanol Ste 1451 (407) 767-5111 Lake Mary, FL 32746 Yang, Zhengang MD * Physician Associates (407) 333-9888 PCP# 133512 LLC Gomez, Jorge MD Medicaid Certified 725 Rodel Cv PCP# 133525 Lake Mary, FL 32746 Se habla espanol (407) 302-3115 Bougoulias, Michael MD * PCP# 133843 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 8
  32. 32. Primary Care Providers JSA Medical Group Sanford 920 Lexington Green Ln Sanford, FL 32771 (321) 257-0489 Weinreich, David S MD PCP# 131421 Medicaid Certified Tuskawilla Family Medicine 1049 Willa Springs Dr Ste 1031 Winter Springs, FL 32708 (407) 699-6009 Jacob, Felicia MD * PCP# 131432 Northside Family Medicine 1718 Lexington Green Ln Sanford, FL 32771 (407) 268-9661 Bhalwahy, Amirali R MD * PCP# 103956 Ranawat, Jayant MD * PCP# 103956 Vraj Panara MD 220 N Westmonte Dr Ste B Altamonte Springs, FL 32714 (407) 862-4500 Panara, Vraj L MD * PCP# 133151 Medicaid Certified PHC M. Beltre MD 106 Boston Ave Ste 206 Altamonte Springs, FL 32701 (407) 339-2910 Beltre, Magdalena G MD * PCP# 133752 Se habla espanol Zulma Cintron MD PA 8000 Red Bug Lake Rd Ste 210 Oviedo, FL 32765 (407) 365-9999 Cintron, Zulma MD * PCP# 131408 Se habla espanol PRIMARY CARE PROVIDERS Sanford Medical Group 1621 W 1st St Sanford, FL 32771 (407) 322-4431 Mohan, Sangita MD * PCP# 133549 Srivastava, Vinay C MD * PCP# 133549 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 9
  33. 33. Specialists Schwartz, Eugene F MD Anesthesiology - Pain * Management Se habla espanol ORANGE COUNTY Zeffren, Bernard S MD * Advanced Pain Clinic PA Allergy & Immunology 3901 E Colonial Dr Allergy And Asthma Orlando, FL 32803 Specialists PA Allergy & Asthma (407) 935-9404 7758 Wallace Rd Center of East Orlando Rajyaguru, Vrajlal L MD Ste J 3151 N Alafaya Trl Age 15 and up Orlando, FL 32819 Ste 103 (407) 351-4328 Orlando, FL 32826 Florida Spine Sports Alidina, Laila W MD * (407) 380-8700 and Rehabilitation Hornberger, Boyce A Se habla espanol 7350 Sandlake Comm MD * Arias Jr, Jose R MD Blvd Se habla espanol Ste 2212A Allergy and Asthma Medicaid Certified Orlando, FL 32819 Associates of Central Patel, Pragnesh H MD * (407) 363-9668 Florida Placer , Carlos J MD 7232 W Sand Lake Rd Allergy Asthma Age 11 and up Ste 100 Arthritis Center of Se habla espanol Orlando, FL 32819 Central Florida Medicaid Certified (407) 370-3705 5412 Curry Ford Rd Jacinto, Carlos M MD * Orlando, FL 32812 Richard L Smith MD PA Se habla espanol (407) 658-7882 138 E Gore St Medicaid Certified Andrade, Jose MD * Orlando, FL 32806 Rosenberg, Steven MD * Se habla espanol (407) 650-0033 Medicaid Certified Smith, Richard L MD * Martinez, Santiago E Se habla espanol Allergy and Asthma MD Consultants of Central 733 S Goldenrod Rd Yatham, Padmaja R MD Florida Ste A 1170 S Semoran Blvd 14050 Town Loop Blvd Orlando, FL 32822 Ste C Ste 202 (407) 672-0060 Orlando, FL 32807 Orlando, FL 32837 Martinez, Santiago E (407) 622-7246 (407) 859-9099 MD * Schwartz, Eugene F MD Se habla espanol * Vehe Zarikian Allergy & Se habla espanol Zeffren, Bernard S MD * Asthma Specialits 6388 Silver Star Rd Ste 2D 250 N Alafaya Trl Orlando, FL 32818 Ste 130 (407) 295-2515 Orlando, FL 32828 Zarikian, Vahe N MD (407) 380-7991 Se habla espanol SPECIALISTS FLORIDA Specialists Cardiac Electrophysiology Chakravarth Raghavan MD PA 7484 Docs Grove Cir Orlando, FL 32819 (407) 855-4340 Raghavan, Chakravarthy MD * Medicaid Certified Florida Heart Group 1613 N Mills Ave Orlando, FL 32803 (407) 894-4474 Guerrero, Patricia A MD * Se habla espanol Monir, George MD * Mid Florida Cardiology Specialists 1222 S Orange Ave Orlando, FL 32806 (407) 351-5384 Bello, David MD Se habla espanol Taylor, Peter D MD Orlando Heart Center 10000 W Colonial Dr Ste 484 Ocoee, FL 34761 (407) 290-3050 Alvarez, Luis G MD * Se habla espanol Duran, Aurelio MD * Se habla espanol Filart, Roland A MD * Guguchev, Pavel A MD * 11309 Lake Underhill Rd Orlando, FL 32825 (407) 380-6020 * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 10
  34. 34. Specialists Alvarez, Luis G MD * Se habla espanol Duran, Aurelio MD * Se habla espanol Filart, Roland A MD * Guguchev, Pavel A MD * Cardiovascular Care Centers PA 100 W Gore St Ste 403 Orlando, FL 32806 (407) 872-8588 Mercado, Caleb MD Cardiology Interventional Orlando Heart and Vascular Center LLC 11616 Lake Underhill Rd Ste 215 Orlando, FL 32825 (407) 482-7788 Sompalli, Vineel MD * * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 11 SPECIALISTS Cardiovascular Solutions LLC 10967 Lake Underhill Rd Ste 117 60 W Gore St Mid Florida Cardiology Orlando, FL 32825 Orlando Heart Center Orlando, FL 32806 (407) 249-3005 Specialists 10000 W Colonial Dr (407) 650-1300 Dietzius, Harold P MD * Ste 484 10000 W Colonial Dr Alvarez, Luis G MD * Ste 282 Ocoee, FL 34761 Se habla espanol Florida Heart Group Ocoee, FL 34761 (407) 290-3050 Duran, Aurelio MD * 1613 N Mills Ave (407) 351-5384 Andreae, George MD Se habla espanol Orlando, FL 32803 Cusco, Jorge A MD Dalton, Robert P MD * Filart, Roland A MD * (407) 894-4474 Se habla espanol Domescek, Ronald R MD Guguchev, Pavel A MD * Arias, Jose MD * * Se habla espanol 1222 S Orange Ave 7236 Stonerock Cir Garcia, Joel R MD Bhatheja, Rohit MD * Orlando, FL 32806 Orlando, FL 32819 Steiner, Mark A MD * Franceschi, Alejandro (407) 351-5384 (407) 370-5800 Vivek, Deepak P MD * MD * Guguchev, Pavel A MD * Cusco, Jorge A MD Weinstein, Irwin R MD * Se habla espanol Se habla espanol 7326 Stonerock Cir Duggal, Chandresh MD Medicaid Certified 11309 Lake Underhill Rd Orlando, FL 32819 Einhorn, Arnold M MD Kim, Chin MD * Orlando, FL 32825 (407) 370-5800 Gunasekera, Lushantha Seifein, Hani B MD * (407) 380-6020 Alvarez, Luis G MD * S MD Andreae, George MD Heart and Vascular Se habla espanol Kantounis, Louis J MD Dalton, Robert P MD * PA Duran, Aurelio MD * Kasi, Vijaykumar S MD Care,N Semoran Blvd Domescek, Ronald R MD 1277 Se habla espanol Lanza, Salvador N MD * Ste 101 Filart, Roland A MD * Se habla espanol Garcia, Joel R MD Orlando, FL 32807 Mediratta, Sundeep MD (407) 730-8970 Steiner, Mark A MD * Tawam, Mouaz N MD Vivek, Deepak P MD * Cardiology Baiju, Pradip B MD * Se habla espanol Weinstein, Irwin R MD * Age 18 and up Cardiac Care Services Weinstock, Barry S MD Medicaid Certified PA 60 W Gore St 1850 Lee Rd Orlando, FL 32806 Interventional CardiSte 200 (407) 650-1300 ology and Vascular Winter Park, FL 32789 Andreae, George MD Consultants PLC (407) 644-5544 Dalton, Robert P MD * 1206 N Mills Ave Karkal, Shivanand S MD Domescek, Ronald R MD Orlando, FL 32803 * (407) 898-8449 Garcia, Joel R MD Pal, Ashish MD Steiner, Mark A MD * Vivek, Deepak P MD * Weinstein, Irwin R MD *
  35. 35. Specialists SPECIALISTS 7236 Stonerock Cir Orlando, FL 32819 (407) 370-5800 Steiner, Mark A MD * Vivek, Deepak P MD * Weinstein, Irwin R MD * 7326 Stonerock Cir Orlando, FL 32819 (407) 370-5800 Andreae, George MD Dalton, Robert P MD * Domescek, Ronald R MD * Garcia, Joel R MD Orlando Heart Specialists PA 10437 Moss Park Rd Orlando, FL 32832 (407) 767-8554 Shah, Rajesh A MD * 2881 Delaney Ave Orlando, FL 32806 (407) 767-8554 Arora, Nipun MD * Shah, Rajesh A MD * Vakili, Babak A MD * Medicaid Certified 33 S Washington Ave Apopka, FL 32703 (407) 767-8554 Ranadive, Kishore V MD * Vakili, Babak A MD * Medicaid Certified Cardiovascular Disease Advanced Cardiac Care 10945 Dylan Loren Cir Orlando, FL 32825 (407) 249-3281 Advanced Cardiology Specialists 7300 Sandlake Commons Blvd Ste 321 Orlando, FL 32819 (407) 351-8222 Din, Salah U MD * Cardiac Care Services PA 1850 Lee Rd Ste 200 Winter Park, FL 32789 (407) 644-5544 Karkal, Shivanand S MD * Cardiovascular Associates Inc 4529 Edgewater Dr Orlando, FL 32804 (407) 297-1870 Barrett, Robert L MD * Kim, Thomas Y MD * Kumar, Mukesh MD Laddu, Prashanta A MD * Massey, Johnson P MD * Mathias, Patrick F MD * Shaikh, Naushad A MD * Cardiovascular Care Centers PA 100 W Gore St Ste 403 Orlando, FL 32806 (407) 872-8588 Mercado, Caleb MD * Franceschi, Alejandro MD * Se habla espanol Medicaid Certified Guerrero, Patricia A MD * Se habla espanol Karunaratne, Cardiovascular SoluHarischandra B MD * tions LLC 10967 Lake Underhill Rd Kim, Chin MD * Lozano, Hector F MD * Ste 117 Medicaid Certified Orlando, FL 32825 Ma, Carol MD * (407) 249-3005 Milunski, Mark R MD * Ali, Syed I MD * Dietzius, Harold P MD * Miner, James A MD * Monir, George MD * David J Woska MD PA Saenz, Carlos B MD * 650 N Wymore Rd Se habla espanol Ste 101 Schwartz, Kerry M MD * Winter Park, FL 32789 Seifein, Hani B MD * (407) 645-4320 Weaver, Curtis J MD * Woska, David J MD * Willis, William H MD * Ernesto Fernandez MD Gowani Medical AssociPA ates MD PA 114 W Underwood St 7224 Stonerock Cir Ste A Orlando, FL 32819 Orlando, FL 32806 (407) 345-4999 (407) 423-3344 Fernandez, Ernesto MD Gowani, Sherali H MD * Se habla espanol * Se habla espanol Heart and Vascular Care, PA Florida Heart Group 7975 Lake Underhill Rd 1613 N Mills Ave Ste 240 Orlando, FL 32803 Orlando, FL 32822 (407) 894-4474 (321) 441-0551 Arias, Jose MD * Baiju, Pradip B MD Se habla espanol Medicaid Certified Bhatheja, Rohit MD * Cen, Puxiao MD * Curry, R Charles MD * Se habla espanol Fahey, Francis J MD * Cardiovascular Institute of Orlando PLLC 5540 E Grant St Ste B Orlando, FL 32822 (407) 480-4445 Dara, Suvarchala D MD * * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 12
  36. 36. Specialists Interventional Cardiology and Vascular Consultants PLC 1206 N Mills Ave Orlando, FL 32803 (407) 898-8449 Pal, Ashish MD * 1717 S Orange Ave Ste 105 Orlando, FL 32806 (407) 351-5384 Karam-Demori, Maria C MD * Se habla espanol Mantecon, Israel J MD * Se habla espanol Shroff, Sanjeev K MD * Steiner, Mark A MD * Tarver III, James H MD * Vivek, Deepak P MD * Waldman, Adam J MD * Weinstein, Irwin R MD * 60 W Gore St Orlando, FL 32806 (407) 650-1300 Akram, Kamran MD Alvarez, Luis G MD * Se habla espanol Andreae, George MD * Chapman, Enrique J MD * Se habla espanol Dalton, Robert P MD * Domescek, Ronald R MD * Duran, Aurelio MD * Se habla espanol Filart, Roland A MD * Garcia, Joel R MD * Greenwood, Scott D MD * Guguchev, Pavel A MD * Jaffe, Linda E MD * Johnson III, Melvin J MD * Kolli, Swathy MD * Kurup, Suraj R MD * Lefran, Jose A MD * Se habla espanol Maniar, Parimal B MD * Mantecon, Israel J MD * Se habla espanol Shroff, Sanjeev K MD * Steiner, Mark A MD * Tarver III, James H MD * Vivek, Deepak P MD * * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 13 SPECIALISTS Guguchev, Pavel A MD * Jaffe, Linda E MD * Johnson III, Melvin J MD * Kurup, Suraj R MD * Lefran, Jose A MD * Se habla espanol Jae S Kim MD PA New Life Heart Care PA Maniar, Parimal B MD * Mantecon, Israel J MD * 5840 W Colonial Dr 1460 W Fairbanks Ave Se habla espanol Ste 1 Winter Park, FL 32789 Shroff, Sanjeev K MD * Orlando, FL 32808 (407) 862-4151 Steiner, Mark A MD * (407) 291-2440 Kapoor, Sunil MD * Tarver III, James H MD * Kim, Jae S MD * Se habla espanol Vivek, Deepak P MD * Age 18 and up Orlando Heart and Waldman, Adam J MD * Longwood Medical Vascular Center LLC Weinstein, Irwin R MD * Group PA 11616 Lake Underhill Rd 11309 Lake Underhill Rd 202 N Park Ave Ste 215 Orlando, FL 32825 Apopka, FL 32703 Orlando, FL 32825 (407) 380-6020 (407) 889-2740 (407) 482-7788 Alvarez, Luis G MD * Ahmar, Wasim MD * Kramer, Barry L MD * Se habla espanol Medicaid Certified Age 18 and up Andreae, George MD * Salvia, Michael F MD * Sompalli, Vineel MD * Chapman, Enrique J MD Medicaid Certified Orlando Heart Center * Yaqoob, Khalid MD * 10000 W Colonial Dr Se habla espanol M Kalakota MD PA Ste 484 Dalton, Robert P MD * 5200 Hoffner Ave Ocoee, FL 34761 Domescek, Ronald R MD Orlando, FL 32812 (407) 290-3050 * (407) 855-9787 Alvarez, Luis G MD * Duran, Aurelio MD * Kalakota, Se habla espanol Se habla espanol Madhusudana R MD * Andreae, George MD * Filart, Roland A MD * Se habla espanol Chapman, Enrique J MD Garcia, Joel R MD * * Greenwood, Scott D MD Mid Florida Cardiology Se habla espanol * Specialists Dalton, Robert P MD * Guguchev, Pavel A MD * 1222 S Orange Ave Domescek, Ronald R MD Jaffe, Linda E MD * Orlando, FL 32806 * (407) 351-5384 Johnson III, Melvin J MD Karam-Demori, Maria C Duran, Aurelio MD * * Se habla espanol MD * Kurup, Suraj R MD * Filart, Roland A MD * Se habla espanol Lefran, Jose A MD * Garcia, Joel R MD * Se habla espanol Greenwood, Scott D MD Maniar, Parimal B MD * *
  37. 37. SPECIALISTS Specialists Waldman, Adam J MD * Orlando Heart SpecialWeinstein, Irwin R MD * ists PA 10437 Moss Park Rd 7236 Stonerock Cir Orlando, FL 32832 Orlando, FL 32819 (407) 767-8554 (407) 370-5800 Shah, Rajesh A MD * Akram, Kamran MD Guguchev, Pavel A MD * 2881 Delaney Ave Orlando, FL 32806 Jaffe, Linda E MD * Johnson III, Melvin J MD (407) 767-8554 Arora, Nipun MD * * Shah, Rajesh A MD * Kolli, Swathy MD * Vakili, Babak A MD * Kurup, Suraj R MD * Medicaid Certified Lefran, Jose A MD * Se habla espanol 33 S Washington Ave Maniar, Parimal B MD * Apopka, FL 32703 Mantecon, Israel J MD * (407) 767-8554 Se habla espanol Greenberg, Joel D MD * Shroff, Sanjeev K MD * Se habla espanol Steiner, Mark A MD * Ranadive, Kishore V MD Tarver III, James H MD * * Vivek, Deepak P MD * Vakili, Babak A MD * Waldman, Adam J MD * Medicaid Certified Weinstein, Irwin R MD * Premier Cardiology & 7326 Stonerock Cir Vascular Associates PL Orlando, FL 32819 1555 Howell Branch Rd (407) 370-5800 Ste B2 Alvarez, Luis G MD * Winter Park, FL 32789 Se habla espanol (407) 622-0793 Andreae, George MD * Parikh, Amish M MD * Chapman, Enrique J MD Medicaid Certified * Raul J Herrada MD Se habla espanol Dalton, Robert P MD * 2177 E Michigan St Domescek, Ronald R MD Ste 1 Orlando, FL 32806 * (407) 896-4147 Duran, Aurelio MD * Herrada, Raul J MD * Se habla espanol Se habla espanol Filart, Roland A MD * Garcia, Joel R MD * Greenwood, Scott D MD * Wodi, Linus A MD 201 N Park Ave Ste 300 Apopka, FL 32703 (407) 889-1930 Wodi, Linus A MD * Scott E Farber DDS PA 1864 N Alafaya Trl Ste A Orlando, FL 32826 (407) 275-6626 Farber, Scott E DDS Se habla espanol Clinical Neurophysiology (407) 380-3304 FLORIDA NEUROLOGY & EPILEPSY SPECIALISTS PL 2918 N Pine Hills Rd Orlando, FL 32808 (407) 792-5656 Sharma, Umesh K MD Medicaid Certified 6001 Vineland Rd Ste 118 Orlando, FL 32819 (407) 792-5656 Sharma, Umesh K MD Medicaid Certified Dentistry - Oral & Maxillofacial Blanton & Farber Mds PA 5150 Curry Ford Rd Orlando, FL 32812 (407) 282-3304 Farber, Scott E DDS Se habla espanol MD Anderson Cancer Center Orlando 1400 S Orange Ave Orlando, FL 32806 (407) 648-3800 Feldman, Elizabeth MD Schaumberg Chizever, Jennifer DDS 5150 Curry Ford Rd Orlando, FL 32812 (407) 282-3304 Farber, Scott E DDS Se habla espanol Schaumberg Chizever, Jennifer DDS Williams, Christopher J DMD 201 N Lakemont Ave Winter Park, FL 32792 (407) 629-0075 Williams, Christopher J DMD * 201 N Lakemont Ave Ste 2200 Winter Park, FL 32792 (407) 629-0075 Williams, Christopher J DMD * Dermatology Florida Hospital Medical Group Inc 615 E Princeton St Ste 416 Orlando, FL 32803 (407) 303-1687 Rico, Tace S MD * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 14
  38. 38. Specialists Leavitt Medical Associates of Florida Inc 14050 Town Loop Blvd Ste 203 Orlando, FL 32837 (407) 852-6650 Amoruso, Anthony V MD * Se habla espanol 1901 Lee Rd Winter Park, FL 32789 (407) 647-7300 Tabas, Maxine C MD * 260 Lookout Pl Ste 103 Maitland, FL 32751 (407) 373-0700 Leavitt, Matt L DO * 2868 S Alafaya Trl Ste 130 Orlando, FL 32828 (407) 770-0063 Mammino, Jere J DO * Spohr, Kevin DO 400 W Fairbanks Ave Ste E Winter Park, FL 32789 (407) 645-2300 JAIN, SIMA MD * Leavitt, Matt L DO * 44 Sturtevant St Orlando, FL 32806 (407) 770-0139 Leavitt, Matt L DO * Florida Otolaryngology Group PA 1781 Park Center Dr Ste 210 Orlando, FL 32835 (407) 351-0675 Boger, Gregory N MD * Dubbin, Clifford B MD * Huhn, John F MD * Mokris, Michael S MD * Reese, Bradley R MD * Saffran, Alan J MD * 7251 University Blvd Ste 300 Winter Park, FL 32792 (407) 677-0099 Boger, Gregory N MD * Charnesky, Melissa A DO Dubbin, Clifford B MD * Huhn, John F MD * Mokris, Michael S MD * Reese, Bradley R MD * Saffran, Alan J MD * Waizenegger, Lisa J MD Endocrine Associates of Florida PA * 1530 Citrus Medical Ct Ste 103 Ear, Nose, & Throat Ocoee, FL 34761 Head and Neck Plastic (407) 480-4830 Surgery Orlando Ear Nose And Throat Associates 5830 Lake Underhill Rd Orlando, FL 32807 (407) 658-0228 Bibliowicz, Michael M DO * Se habla espanol Trinh, Thuong H DO 7575 Dr Phillips Blvd Ste 10 Orlando, FL 32819 (407) 992-9229 Trinh, Thuong H DO * Fl Hospital Diabetes Center 2520 N Orange Ave Ste 102 Orlando, FL 32804 (407) 303-2801 Martin, Andrew S MD * Se habla espanol Urdaneta, Ramon A MD * Medicaid Certified SPECIALISTS 1507 Park Center Dr Unit 1D Orlando, FL 32835 (407) 445-9445 JAIN, SIMA MD * Spohr, Kevin DO Ear, Nose, & Throat Florida Diabetes and Endocrine Center 2415 N Orange Ave Ste 505 Orlando, FL 32804 Endocrinology (407) 303-2801 Banda, Madhusudhan R Diabetes & Endocrine MD * Center Of Florida Medicaid Certified 7300 Sandlake Commons Martin, Andrew S MD * Blvd Jeffrey M Laskoff Se habla espanol Ste 112 1502 Lucerne Ter Urdaneta, Ramon A MD Orlando, FL 32819 Orlando, FL 32806 * (407) 248-9990 (407) 841-3620 Medicaid Certified Laskoff, Jeffrey M MD * Zikra, Maha MD * Se habla espanol Diabetes and Endocrine Florida Diabetes, Thyroid & Endocrine Center of Florida Orlando Ear Nose And 7300 Sandlake Commons Center Throat Associates 9430 Turkey Lake Rd Blvd 5830 Lake Underhill Rd Ste 214 Ste 112 Orlando, FL 32807 Orlando, FL 32819 Orlando, FL 32819 (407) 658-0228 (407) 574-5161 Harrington, Dale C DO * (407) 248-9990 Taneja, Deepa MD * Se habla espanol Rabaja, David R DO * * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 15
  39. 39. Specialists SPECIALISTS Florida Hospital Diabetes Center 2520 N Orange Ave Ste 102 Orlando, FL 32804 (407) 303-2822 Gastroenterology Advanced Gastroenterology Affiliates PA 7448 Docs Grove Cir Ste 200 Florida Hospital Medical Orlando, FL 32819 (407) 352-1303 Group Inc Moon, Naeem U MD * 2415 N Orange Ave Ste 502 Alex Menendez, MD PA Orlando, FL 32804 100 W Gore St (407) 303-2801 Ste 300 Pratley, Richard E MD Orlando, FL 32806 Age 18 and up (407) 245-3124 Medicaid Certified Menendez, Alex M MD * Se habla espanol 2520 N Orange Ave Ste 102 Center For Advanced GI Orlando, FL 32804 260 Lookout Pl (407) 303-2801 Ste 201 Banda, Madhusudhan R Maitland, FL 32751 MD * (407) 644-4014 Age 18 and up Hilal, Raouf E MD * Medicaid Certified Se habla espanol Hilal, Talal E MD * Gupta, Rema A MD Se habla espanol 21 W Columbia St Mushahwar, Andria M Orlando, FL 32806 MD * (321) 841-6600 Se habla espanol Gupta, Rema A MD * Medicaid Certified OH Internal Medicine Quagliata, Joseph J MD * Faculty Practice Age 13 and up 21 W Columbia St Medicaid Certified Orlando, FL 32806 Center for Digestive (321) 841-6600 Joseph Hayes, Jyothi M Health of Central Florida MD * 1817 N Mills Ave Rahbany, Rita Y MD Orlando, FL 32803 9166 University Blvd (407) 896-1726 Orlando, FL 32817 Ilagan, Marlon B MD * (407) 673-4600 Medicaid Certified Se habla espanol Levine, Henry MD * Se habla espanol Mayoral, William MD * Se habla espanol Medicaid Certified Ruderman, William B MD * Se habla espanol Styne, Philip N MD * Se habla espanol Florida Hospital Medical Group Inc 601 E Rollins St Orlando, FL 32803 (407) 303-2570 Varadarajulu, Shyam S MD * Gastroenterology and 7350 Sandlake Commons Nutrition Specialists PA 2880 S Osceola Ave Blvd Orlando, FL 32806 Ste 3322 MedPlex B (407) 843-0443 Orlando, FL 32819 Hisamuddin, Kola MD * (407) 896-1726 Medicaid Certified Giday, Samuel A MD * Mohiuddin, Muhammad Central Florida HepaA MD * tology and Gastroenterology Gastroenterology Consultants 2415 N Orange Ave 3000 N Orange Ave Ste 200 Ste D Orlando, FL 32804 Orlando, FL 32804 (407) 303-1812 (407) 292-1414 Cortes, Rafael A MD * Ahmed, Nasim MD * Age 16 and up Se habla espanol Gastroenterology Consultants of Central Digestive and Liver Florida PA Center of Florida 10800 Dylan Loren Cir 7975 Lake Underhill Rd Ste 102 Ste 130 Orlando, FL 32825 Orlando, FL 32822 (407) 277-8665 (407) 384-7388 Moore, Keith R DO * Seela, Srinivas MD * Shaikh, Aniq MD * Medicaid Certified Sheela, Harinath MD * Gastroenterology Medicaid Certified Specialists 205 N Park Ave 7975 Lake Underhill Rd Ste 106 Ste 360 Apopka, FL 32703 Orlando, FL 32822 (407) 260-6000 (407) 384-7388 Covelli, Christina R MD Ramesh, Seela MD * * Age 18 and up * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 16
  40. 40. Specialists Giles, Olen A MD * Medicaid Certified Lin, Anthony C MD * MD Anderson Cancer Center Orlando 105 W Miller St Orlando, FL 32806 (407) 648-3800 Priebe, Anna M MD Se habla espanol 1400 S Orange Ave Orlando, FL 32806 (407) 648-3800 Bakhru, Arvind MD Castaldo, Thomas W MD * McKenzie, Nathalie D MD Priebe, Anna M MD Se habla espanol Schimp, Veronica L DO * OH OB GYN Faculty Practice 105 W Miller St Orlando, FL 32806 (407) 648-3800 Bakhru, Arvind MD Castaldo, Thomas W MD * McKenzie, Nathalie D MD Schimp, Veronica L DO * Gynecology Elizabeth T Hunter MD PA 1400 S Orlando Ave Ste 305 Winter Park, FL 32789 (407) 740-6050 Hunter, Elizabeth T MD * Board Certified Provider Participating physicians and other providers listed in the directory are not agents, employees or partners of Humana Medicare Advantage Plans. They are independent contractors. Humana Medicare Advantage Plans are not providers of medical services. Humana Medicare Advantage Plans do not endorse, control, or interfere with the clinical judgment or treatment recommendations made by the physicians or other providers listed in this directory or otherwise selected by you. 17 SPECIALISTS Aggarwal, Avanish MD * 7328 Stonerock Cir Orlando, FL 32819 9430 Turkey Lake Rd (407) 345-7990 Ste 206 Alarakhia, Nasir G MD * Orlando, FL 32819 Gastroenterology (407) 345-0988 Nephrology Associates Specialists of Orlando Bhaskar, Sudhir K MD * of Central Florida PA PA 3727 N Goldenrod Rd Medicaid Certified 100 W Gore St Ste 300 Feuer, Kenneth R MD * Ste 105 Winter Park, FL 32792 Orlando, FL 32806 Mario F Moquete MD (407) 657-0296 (407) 245-3124 LLC Williams, Mark MD Baker, Robert T MD * 7975 Lake Underhill Rd Se habla espanol Se habla espanol Ste 310 Nephrology Consultants Orlando, FL 32822 Internal Medicine 3727 N Goldenrod Rd (407) 944-0002 Specialist Moquete, Mario F MD * Ste 105 11140 W Colonial Dr Winter Park, FL 32792 Ste 2 Se habla espanol (407) 657-0296 Ocoee, FL 34761 Medicine Specialists at (407) 877-7155 Orlando GastroenterFlorida Hospital Brint, Steven MD * ology PA 2501 N Orange Ave 1507 S Hiawassee Rd 3885 Oakwater Cir Ste 235 Ste 105 Orlando, FL 32806 Orlando, FL 32804 Orlando, FL 32835 (407) 851-5600 (407) 303-7270 (407) 445-9224 Aggarwal, Avanish MD * Styne, Philip N MD * Pothamsetty, Srikiran Bhaskar, Sudhir K MD * Se habla espanol MD * Medicaid Certified Mid Florida GastroenAge 18 and up Feiner, Steven DO terology Consultants Se habla espanol LLC Medicaid Certified Gynecologic Oncology 10000 W Colonial Dr Vander Zalm, Glen MD * Ste 389 Finkler Holloway Bigsby Medicaid Certified Ocoee, FL 34761 Gynecologic Oncology (407) 822-1171 6735 Conroy Rd 2501 N Orange Ave Mastali, Mohammad R Ste 800 Ste 214 MD * Orlando, FL 32835 Orlando, FL 32804 (407) 395-7040 Nasir Alarakhia MD PA (407) 303-2422 Dumois, Richard MD * Kendrick IV IV, James E Group Se habla espanol MD 10000 W Colonial Dr 7350 Sandlake Commons Ste 380 Ocoee, FL 34761 Blvd (407) 345-7990 Ste 2215 Alarakhia, Nasir G MD * Orlando, FL 32819 (407) 851-5600

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