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ERTX18HM4110807_000.pdfErickson Advantage® Champion (HMO-POS SNP)
Erickson Advantage® Freedom (HMO-POS)
Erickson Advantage® Guardian (HMO-POS SNP)
Texas
For more information, please contact Customer Service at:
Toll-Free 1-866-314-8188, TTY 711 8 a.m. - 8 p.m. local time, 7 days a week
www.EricksonAdvantage.com
Y0066_170626_143320_NM
Introduction
Your plan
PROVIDER DIRECTORY This directory provides a list of your plan’s network providers. This directory is for the plans listed on the cover. It is not a complete list of network providers
available to you. You can search for a network provider and print a directory online, which is
updated weekly and available 24 hours a day, 7 days a week.
This directory is current as of September 1, 2017. 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.
For the most up-to-date information about the plan’s network
providers in your area:
Visit www.EricksonAdvantage.com or call Customer Service toll-free at 1-866-314-8188, TTY
711, 8 a.m. - 8 p.m. local time, 7 days a week.
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies,
a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on
the plan’s contract renewal with Medicare.
Providers are prohibited from discriminating against any member, with regard to quality of service
or accessibility of services, on the basis of race, ethnicity, national origin, religion, sex, age, mental
or physical disability or medical condition, sexual orientation, claims experience, medical history,
evidence of insurability, disability, genetic information, or source of payment.
This information is available for free in other languages. Please call Customer Service toll-free at the
number listed above.
Esta información está disponible sin costo en otros idiomas. Llame a nuestro Servicio al Cliente al
número gratuito indicado arriba.
This document may be available in an alternate format such as Braille, larger print or audio. Please
call Customer Service at the toll-free phone number listed above.
The provider network may change at any time. You will receive notice when necessary.
Y0066_170626_143320_NM
Introduction
Introduction This directory provides a list of the plan’s network providers. You must be a resident of an Erickson
community to enroll in this plan. You may also receive services from out-of-network providers. You
do not need a referral to see any network or out-of-network provider for covered services. You can
see any provider (network or out-of-network) that participates in Medicare and accepts the plan. To
get detailed information about your health care coverage, please see your Evidence of Coverage.
What is a primary care provider? A primary care provider (PCP) is the health care professional who provides most of your care.
Your PCP can help you:
·Make smart lifestyle choices to help improve and maintain your health
·Get preventive care and health screenings
·Better understand your medical conditions
·Coordinate any specialist care to help avoid duplicate and expensive tests.
· Manage your prescriptions and identify possible harmful interactions
Select a primary care provider (PCP) You will need to choose one of our network providers to be your primary care provider (PCP). PCPs
are listed in the Primary Care Provider section of this directory. The term PCP will be used
throughout this directory. You may also receive services from out-of-network providers.
Members who live in a skilled nursing facility may have a limited selection of PCPs. Please call
Customer Service at the toll-free number listed on the cover of this directory for help finding a PCP.
Your PCP plays an important role in your health care and we want you to be comfortable with the
provider you choose. Your local Erickson Advantage Customer Service Advocate can help you
choose a PCP - simply call the toll-free number on your member ID card, or visit the Member
Services office within your community.
The difference between network and out-of-network providers Network providers are providers that your plan works with to provide your care. If you use a network
provider, your out-of-pocket costs, which are costs paid by you, may be lower. Out-of-network
providers are providers that we currently do not work with, so your out-of-pocket costs may be
higher.
The network providers listed in this directory have agreed to provide you with your health care
coverage. You can see a network specialist without getting a referral. In some cases, you may get
covered services from out-of-network providers. If you have been going to one network provider,
you are not required to continue going to that same provider. Check your Evidence of Coverage to
make sure your plan includes additional benefits or that you've signed up for optional supplemental
riders before making appointments for dental, vision or hearing services.
Introduction
If I need emergency or urgent care A medical emergency is when you, or any other ordinary person with an average knowledge of
health and medicine, believe that you have symptoms that require immediate medical care to
prevent death, loss of a limb, or loss of function of a limb. The medical symptoms may be an illness,
injury, severe pain, or a medical condition that is quickly getting worse.
If you have a medical emergency, get help as quickly as possible. Call 911 or go to the nearest
emergency room or hospital. Emergency care can always be obtained in or out of the service area
from the nearest available provider. Emergency services are also covered whether a provider is in
our network or not. You or someone else should call and tell us about your emergency care, usually
within 48 hours.
Urgently needed services is a non-emergency, unforeseen medical illness, injury, or condition, that
requires immediate medical care. When out of the service area, urgent care may be obtained from
the first available provider whether the provider is in our network or not. In addition, when out of the
service area, you can obtain dialysis treatment from any qualified dialysis provider.
Out-of-network providers are under no obligation to treat Plan members, except in emergency
situations. For a decision about whether we will cover an out-of-network service, we encourage you
or your provider to ask us for a pre-service organization determination before you receive the
service. Please call our customer service number or see your Evidence of Coverage for more
information, including the cost sharing that applies to out-of-network services and which out-of-
network services are covered.
If you get a bill There may be times when you get a bill from a provider for the full cost of medical care you have
received. If you get a bill, contact us. In many cases, you should send this bill to us instead of
paying it. We will look at the bill and decide whether the services should be covered. If we decide
they should be covered, we will pay the provider directly. Please see your Evidence of Coverage for
more information.
If you’re on Medicare and Medicaid If you’re a Qualified Medicare Beneficiary (QMB), your doctor may not bill you for deductibles,
copays or coinsurance for Medicare-covered services, except for Part D prescription drug copays.
Please show your member ID card and your state-issued Medicaid member ID card when you see
the doctor or use other plan services. This will help ensure you’re billed for the correct amount.
Routine hearing and vision care coverage To get the most out of your benefits, choose a network provider for a routine hearing exam and
vision care services.
Your local Erickson Advantage Customer Service Advocate can help you find a provider — simply
call the toll-free number on your member ID card, or visit the Member Services office within your
community.
Dental services Members whose plan includes additional dental benefits should refer to the Dental section of this
directory to choose a dental provider.
Introduction
Organ transplant services Your plan has a nationwide network of facilities that perform organ transplants (including the heart,
lung, liver, intestine, kidney, bone marrow and/or pancreas). Solid organ transplants must be
performed at a facility that is currently Medicare-approved for your specific type of transplant. The
plan’s hospital network for organ transplant services is different than the network shown in the
“Hospitals” section of this provider directory. Some hospitals in the plan’s network for other
medical services are not in the plan’s network for transplant services. The complete list of
Medicare-approved facilities in your plan’s network may change throughout the year. For
information on network facilities for transplant services, please call Customer Service toll-free at
1-866-314-8188, TTY 711 or refer to the transplant vendor website information listed in the
“National Vendors” section of this provider directory.
What is the service area for your plan? Your service area is listed below.
Erickson Advantage® Freedom (HMO-POS)
Massachusetts - Essex and Plymouth counties
Michigan - Oakland county
North Carolina - Mecklenburg county
Erickson Advantage® Signature with Drugs (HMO-POS)
Colorado - Douglas county
Kansas - Johnson county
Massachusetts - Essex and Plymouth counties
Michigan - Oakland county
North Carolina - Mecklenburg county
Introduction
Colorado - Douglas county
Kansas - Johnson county
Massachusetts - Essex and Plymouth counties
Michigan - Oakland county
North Carolina - Mecklenburg county
Colorado - Douglas county
Kansas - Johnson county
Massachusetts - Essex and Plymouth counties
Michigan - Oakland county
North Carolina - Mecklenburg county
Colorado - Douglas county
Kansas - Johnson county
Massachusetts - Essex and Plymouth counties
Michigan - Oakland county
North Carolina - Mecklenburg county
Introduction
How do you find network providers in your area? Network providers in your area are listed in the following sections of this directory. To find a
provider using this directory, turn to the Table of Contents on the next page and see where each
section begins. Go to the section of the type of provider you are looking for. Once you are in that
section, locate the city you live in. Under each city you will find a list of providers in alphabetical
order.
You may have more providers to choose from if the service area shown above is larger than the
service area shown on the front of this directory. You can also search online at
www.EricksonAdvantage.com, which is updated weekly and available 24 hours a day, 7 days a
week.
If you have questions about your plan or require assistance in selecting a PCP, please call our
Customer Service Department toll-free at 1-866-314-8188, TTY 711. Or visit
www.EricksonAdvantage.com.
National Vendors............................................................................................................................................................................. 3
  
National Vendors The following national vendors are available to provide services to UnitedHealthcare customers throughout the United States regardless of where you receive the services.
Provider(s) Phone Number WebSite
LifeWatch 1-877-774-9846 www.lifewatch.com
CardioNet 1-888-312-2328 www.cardionet.com
Convenience Care Clinic
Walgreens Healthcare Clinic (f/k/a Take Care Health)
1-866-825-3227 www.walgreens.com/topic/pharma cy/healthcare-clinic
Fresenius Medical Care 1-866-434-2597 www.fmcna.com
DME - AED - wearable defibrillator
ZOLL Lifecore 1-800-543-3267 www.zoll.com
DME - Ambulatory Infusion Pumps
InfuSystem Inc 1-800-962-9656 www.infusystem.com
DME - Bone Growth Stimulator
DME - Commodity, oxygen, respiratory
Lincare - may be known locally by a different name; refer to website
See website www.lincare.com
Rotech Healthcare - may be known locally by a different name; refer to website
See website www.rotech.com
Apria Healthcare 1-800-277-4288 www.apria.com
Kinex Medical Company 1-800-845-6364 www.kinexmedical.com
Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com
DME - Diabetic glucometer and supplies
Arriva Medical 1-800-580-1871 www.arrivamedical.com
MiniMed Distribution 1-877-576-6113 www.minimed.com
DJO 1-800 321-9549 www.djortho.com
DME - Home PT/INR
DME - Incontinence, diapers, soft goods and wound care supplies
Medline Industries 1-800-633-5463 www.medline.com
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
McKesson Patient Care Solutions
Hoveround Corporation 1-888-225-1547 www.hoveround.com/MobilityNow
KCI USA 1-888-275-4524 www.kci1.com
Advanced Respiratory 1-800-426-4224 www.thevest.com
DME - TENS units
DME - Wound care supplies for residents of nursing homes
Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com
DME - Wound care surfaces
Hill Rom 1-800-445-3730 www.hill-rom.com
www.bayada.com
Maxim Health Care Services
Provider(s) Phone Number WebSite
Home Health Care and Home Infusion - Women’s health - high risk OB / prenatal care
Optum Women's and Children's Health
1-800-950-3963 www.alere.com
Home Infusion
Biologics 1-800-856-1984 www.biologicsinc.com
BriovaRx Infusion Services
1-855-275-9647 www.optioncare.com
Heartland Healthcare Services
1-800-736-4427 / 1-419- 252-5500
www.hcr-manorcare.com or www.heartlandhomehealth.com
1-877-273-5534 www.optumhospice.com
Bako Integrated Physician Solutions
AmeriPath 1-800-354-3449 www.ameripath.com
StrataDx Pathology 1-800-325-7284 www.stratadx.com
Laboratory - BRCA for breast & ovarian cancer; COLARIS for colon & endometrial cancer; MELARIS for melanoma & pancreatic cancer; Theraguide 5-FU
Myriad Genetic Laboratories
ARUP Labs 1-800-522-2787 www.aruplab.com
www.dominiondiagnostics.com
www.genomichealth.com
Invitae Corporation 1-800-436-3037 invitae.com
Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com
Agendia 1-888-321-2732 www.agendia.com
CardioDx 1-866-941-4996 www.cardiodx.com
Laboratory - Prenatal testing
Medical Diagnostic Laboratories
Integrated Oncology 1-800-447-5816 www.integratedoncology.com
Aegis Sciences Corporation
Concentra Health Services
See website www.concentra.com
Caremark 1-877-287-1234 www.caremark.com
Specialty Pharmacy - Xolair only
Specialty Pharmacy and Home Infusion - Enzyme Deficiency, Immune Globulins (IVIG), Pulmonary Hypertension
Accredo Health Group 1-866-296-4513 www.accredo.com
Transplant
MedExpress Urgent Care See website www.medexpress.com
Vaccine Program - Influenza (Trivalent, Quadrivalent, High Dose, Intradermal), Pneumonia, Zostavax, Tdap, Meningococcal, Hepatitis B, HPV, TDAP (Tetanus, Diphtheria & Pertussis), Shingles (Zostavax), Meningitis, HPV, and Hepatitis B (age 15 and up). Worksite Clinics and Retail locations
H-E-B 1-210-938-8357 www.heb.com/pharmacy/services/i mmunizations.jsp
Meijer Pharmacy 1-877-363-4537 www.meijer.com/pharmacy
1-855-798-7267 www.jewelosco.com/pharmacy/im munizations-3/
New Albertsons (d/b/a Acme Sav-on, Jewel-Osco, Star Markets, Shaws Osco, Safeway)
1-855-798-7267 www.acmemarkets.com/pharmacy /immunizations/
Publix Pharamcy 1-800-242-1227 www.publix.com/pharmacy- wellness/pharmacy/preventive- care/vaccinations
Safeway, Inc. d/b/a Safeway, Carrs, Pak'N Save, Pavilions, Randalls, Thom Thumb
1-855 798 7267 www.safeway.com/shopstores/phar macy
ShopKo Pharmacy 1-800-791-7333 http://pharmacy.shopko.com/flush ots.php
The Kroger Co. (d/b/a Fred Meyer, Smith’s Food & Drug Center, Ralphs Grocery, Dillons, Tom Thumb, Kwik Shop, Frys, King Soopers, Jay C, QFC, Bakers, City Market, Owens, Payless, Gerbes, Roundy's, Copps, Mariano's, Metro Market, Pick 'N Save)
See website www.kroger.com/topic/pharmacy/ #/vaccinations-made-easy
1-855-798-7267 www.unitedsupermarkets.com
Vaccine Program - Influenza (Trivalent, Quadrivalent, High Dose, Intradermal), Pneumonia, Zostavax, Tdap, Meningococcal, Hepatitis B, TDAP (Tetanus, Diphtheria & Pertussis), Shingles (Zostavax), Meningitis, and Hepatitis B (age 18 and up). Worksite Clinics and Retail locations
CVS Pharmacy (d/b/a CVS Pharmacy, Long’s Drug, CarePlus Pharmacy)
1-888-358-7468 www.cvs.com
www.riteaid.com
10
1-800-925-4733 https://www.walgreens.com/pharm acy/immunization/immunization_i ndex.jsp
See website www.walmart.com
DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV infusion pump, oxygen equipment, nebulizer, and walker. HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that can provide health care services in the home. Services include but are not limited to nursing visits for infusion services or wound care. LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic pathology, surgical pathology, and specialty or esoteric services. SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or physicians. WOMEN'S HEALTH is limited to home uterine monitoring services.
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Geriatric Medicine
Strickland, Richard M, MD3,8, M Provider #00040260829 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080 Studley, Jill L, MD8, F Provider #00040299016 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080 Tremaine, Brian N, MD3,8, M Provider #00040116365 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080
Internal Medicine
Chandra, Nagaleela M, MD8, F Provider #00040227476 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080 Norman, Mary A, MD3,8, F Provider #00040039764 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080 Hours: M-F 8:00AM-5:00PM Patel, Raina, MD3,8, F Provider #00040032947 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080
Strickland, Richard M, MD3,8, M Provider #00040260829 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080 Studley, Jill L, MD8, F Provider #00040299016 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080 Tremaine, Brian N, MD3,8, M Provider #00040116365 8000 Frankford Rd Dallas, TX 75252 (972) 232-8080
15
   Texas - Collin
  
  
Texas
Bexar
Cardiology
Moore, Scott A, MD8, M 502 Madison Oak, Ste 310 San Antonio, TX 78258 (469) 893-6114 NPI #1639149263
Cardiovascular Disease
Moore, Scott A, MD8, M 502 Madison Oak, Ste 310 San Antonio, TX 78258 (469) 893-6114 NPI #1639149263 Paudel, Rajiv, MD8, M 3327 Research Plaza, Ste 310 San Antonio, TX 78235 (469) 893-6114 NPI #1023240132 Reich, Stephen S, MD8, M 875 Village Drive, Ste 608 San Antonio, TX 78217 (469) 893-6114
Clinical Cardiac Electrophysiology
Reich, Stephen S, MD8, M 875 Village Drive, Ste 608 San Antonio, TX 78217 (469) 893-6114
Internal Medicine
Moore, Scott A, MD8, M 502 Madison Oak, Ste 310 San Antonio, TX 78258 (469) 893-6114 NPI #1639149263
Paudel, Rajiv, MD3,8, M 3327 Research Plaza, Ste 310 San Antonio, TX 78235 (469) 893-6114 NPI #1023240132 Reich, Stephen S, MD8, M 875 Village Drive, Ste 608 San Antonio, TX 78217 (469) 893-6114
Collin
Acupuncture
Lu, Zhanping, MA8, M 425 Maplelawn Dr Ste 101 Plano, TX 75075 (972) 519-8488 Provider Language(s): Chinese Hours: M-SA 9:00AM-6:30PM NPI #1528070281 Nguyen, James, DC8, M 5858 W Main St Ste 115 Frisco, TX 75033 (469) 701-1112 Provider Language(s): Vietnamese Hours: TU-F 10:00AM-6:00PM SA 9:00AM-1:00PM NPI #1538463245 Stokes, Ralph D JR, DC8, M 6020 W Parker Rd Ste 200 Plano, TX 75093 (972) 608-5000 NPI #1598794844 Zhang, Lei, DC, LAC8, M 2411 Coit Rd Ste 110 Plano, TX 75075 (972) 769-7345 Provider Language(s): Chinese Hours: SU 11:00AM-6:00PM M-SA 9:00AM-6:00PM
Allergy
Gupta, Sandeep K, MD8, M 4708 Alliance Blvd Ste 610 Plano, TX 75093 (972) 596-4383 NPI #1457406423 Santilli, Gregg M, MD3,8, M 6100 Windcom Ct Ste 101 Plano, TX 75093 (972) 398-3500 Provider Language(s): Spanish NPI #1023099082 7785 Eldorado Pkwy Ste 500 McKinney, TX 75070 (972) 542-0500 NPI #1023099082
Allergy and Immunology
Allergy Partners Of Dallas-fort Worth8
3140 Legacy Dr Ste 120 Frisco, TX 75034 (972) 566-7788 4500 Hillcrest Rd Ste 150 Frisco, TX 75035 (972) 566-7788 5056 Tennyson Pkwy Ste 200 Plano, TX 75024 (972) 272-4463 Allergy Partners Of El Paso8
3140 Legacy Dr Ste 120 Frisco, TX 75034 (972) 566-7788 4500 Hillcrest Rd Ste 150 Frisco, TX 75035 (972) 566-7788 Allergy Partners Of Texas8
5056 Tennyson Pkwy Ste 200 Plano, TX 75024 (828) 209-0594
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Specialists
  Specialists
Alvares, Michael L, MD8, M 5056 Tennyson Pkwy Plano, TX 75024 (828) 209-0594 Hours: M 8:30AM-12:00PM NPI #1306055264 Chinoy, Birjis D, MD3,8, M 8000 Warren Pkwy Ste 200 Frisco, TX 75034 (469) 633-1313 Hours: M-F 8:00AM-6:00PM NPI #1811960461 Crisp, Howard C, MD8, M 4708 Alliance Blvd Ste 485 Plano, TX 75093 (972) 596-4383 NPI #1760608442 El-hag, Aly A, MD3,8, M 8941 Coit Rd Ste 100 Plano, TX 75024 (972) 668-2200 NPI #1790880268 Garg, Nikki, MD3,8, F 6100 Windcom Ct Ste 101 Plano, TX 75093 (972) 398-3500 Hours: M 8:30AM-5:00PM TU-W 8:30AM-6:00PM TH 8:30AM-5:00PM F 7:30AM-4:00PM NPI #1801030135 7785 Eldorado Pkwy Ste 500 McKinney, TX 75070 (972) 398-3500 Provider Language(s): Spanish Hours: M 8:30AM-6:00PM TU-F 8:30AM-5:00PM NPI #1801030135 Gupta, Sandeep K, MD3,8, M 4708 Alliance Blvd Ste 610 Plano, TX 75093 (972) 596-4383 NPI #1457406423
John Allen Van Wagoner Md8
6101 Windcom Ct Ste 400 Plano, TX 75093 (972) 398-3500 Kavosh, Eric R, MD3,8, M 5904 Chapel Hill Blvd Ste 103 Plano, TX 75093 (972) 473-2532 Hours: M-F 8:00AM-5:00PM NPI #1164683249 Khan, Amanullah, MD3,8, M 5948 W Parker Rd Ste 100 Plano, TX 75093 (972) 548-9690 Provider Language(s): Spanish, Hindi, Urdu Hours: M-F 8:00AM-4:30PM NPI #1245265099 Lin, Joanne H, MD3,8, F 2251 W Eldorado Pkwy Ste 150 McKinney, TX 75070 (972) 548-2797 Provider Language(s): Mandarin Hours: M 7:30AM-4:00PM TU 9:00AM-6:00PM W 7:30AM-4:00PM TH 9:00AM-6:00PM F 7:30AM-1:00PM NPI #1043232564 Morgan, Matt, MD3,8, M 2770 Virginia Pkwy Ste 201 Mc Kinney, TX 75071 (972) 540-0777 Provider Language(s): Chinese Hours: M-F 8:45AM-4:45PM NPI #1962403154 Narayan, Archana R, MD3,8, F 4708 Alliance Blvd Ste 485 Plano, TX 75093 (972) 596-4383 NPI #1285830935 Neaville, William A, MD3,8, M 1105 Central Expy N Ste 2120 Allen, TX 75013 (972) 359-0030 NPI #1326009614
North Texas Allergy And Asthma Associates8
4708 Alliance Blvd Ste 610 Plano, TX 75093 (972) 596-4383 Page, Richard A, MD3,8, M 2740 Virginia Pkwy Ste 300 McKinney, TX 75071 (972) 548-1145 Provider Language(s): Spanish Hours: TU 8:15AM-6:00PM TH 9:15AM-5:00PM NPI #1649279670 Rahimi, Rafiquddin S, MD3,8, M 3409 Spectrum Blvd Ste 300 Richardson, TX 75082 (972) 907-1140 NPI #1386713329 Rao, Seshagiri A, MD3,8, M 3016 Communications Pkwy…