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Essence Healthcare 2020 Provider/Pharmacy Directory · PDF file Directory This Provider/Pharmacy Directory was updated on 12/11/2019. For more recent information or other questions,

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  • 2020 Provider/Pharmacy Directory

    This Provider/Pharmacy Directory was updated on 01/13/2020. For more recent information or other questions,

    please contact Essence Healthcare Customer Service at 1-866-597-9560 or, for TTY users, 711, 8 a.m. to 8 p.m., seven

    days a week. You may reach a messaging service on weekends from April 1 through September 30 and holidays. Please leave a

    message, and your call will be returned the next business day, or visit www.essencehealthcare.com.

    Changes to our Provider/Pharmacy Directory may occur during the benefit year. An updated Provider/Pharmacy Directory is located on our website at www.essencehealthcare.com. You

    may also call Customer Service for updated provider information.

    http://www.essencehealthcare.com http://www.essencehealthcare.com

  • Provider Directory

    Y0027_20-080_C

    Essence Advantage HMO Plan

    Provider Directory Provider Directory

    This directory is current as of January 13, 2020.

    This directory provides a list of Essence Advantage’s current network providers.

    This directory is for the Missouri/Illinois Service area. It includes Boone, Jefferson, Saint Charles, and Saint Louis Counties, and Saint Louis City in Missouri; Madison, Monroe and Saint Clair counties in Illinois.

    To access Essence Advantage’s online provider directory, you can visit www.everythingessence.com. For any questions about the information contained in this directory (hardcopy or online), please call our Customer Service Department at 314-209-2700 or toll free 1-866-597-9560, seven days a week from 8 a.m. to 8 p.m. You may reach a messaging service on weekends and holidays from April 1 through September 30. Please leave a message, and your call will be returned the next business day. TTY users should call 711.

    Essence Healthcare is an HMO plan with a Medicare contract. Enrollment in Essence Healthcare depends on contract renewal.

    We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, call us at 1-866-597-9560. Your call will be answered by someone who speaks English, who will help connect you to an interpreter for your language. This is a free service.

    This information may be available in a different format, including Braille, large print or audio. Please call customer service at the number listed above if you need plan information in another format or language.

    The pharmacy network and/or provider network may change at any time. You will receive notice when necessary.

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    TABLE OF CONTENTS

    Section 1 - Introduction .................................................................................................................... 6 What is the service area for Essence Advantage? ............................................................................................... 9 How do you find Essence Advantage providers in your area? ...................................................................... 9

    Section 2 - List of Network Providers....................................................................................... 10 Hospitals ........................................................................................................................................................................... 10

    Hospitals (24) ................................................................................................................................................... 10 Primary Care Physicians .............................................................................................................................................. 12

    Primary Care Physicians (352).................................................................................................................... 12 Specialty Care Providers ............................................................................................................................................. 43

    Allergy & Immunology (37) ........................................................................................................................ 43 Cardiothoracic Surgery (35) ....................................................................................................................... 46 Cardiovascular Disease (221) ..................................................................................................................... 49 Chiropractic (48) ............................................................................................................................................. 70 Colorectal Surgery (24) ................................................................................................................................ 73 Dermatology (108) ......................................................................................................................................... 75 Dermatology Mohs (7) ................................................................................................................................. 84 Dietician (9) ...................................................................................................................................................... 85 Electrophysiology (30) .................................................................................................................................. 86 Endocrinology (69) ........................................................................................................................................ 89 Female Pelvic Medicine and Reconstruction (15) .............................................................................. 95 Gastroenterology (148) ................................................................................................................................ 97 General Surgery (127) ................................................................................................................................ 110 Gynecological Oncology (18) ................................................................................................................. 122 Hand Surgery (25) ....................................................................................................................................... 123 Hematology (65) .......................................................................................................................................... 126 Hyperbaric Medicine (1) ........................................................................................................................... 131 Infectious Disease (54) .............................................................................................................................. 131 Interventional Cardiology (59) ............................................................................................................... 136 Interventional Radiology (6) .................................................................................................................... 141 Nephrology (105) ........................................................................................................................................ 142 Neurological Surgery (59) ........................................................................................................................ 152 Neurology (125) ........................................................................................................................................... 157 Neuropsychology (15) ............................................................................................................................... 167 Neuroradiology (1) ..................................................................................................................................... 169 Neurotology (4) ........................................................................................................................................... 169 OBGYN - Gyn Only (2) ............................................................................................................................... 169 Obstetrics / Gynecology (230) ................................................................................................................ 170 Oncology (142)............................................................................................................................................. 191 Ophthalmology (200) ................................................................................................................................ 202 Ophthalmology - Corneal (14) ............................................................................................................... 220

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    Ophthalmology-Retina Only (44) .......................................................................................................... 221 Optometrist (447) ........................................................................................................................................ 225 Orthopedic Surgery (283) ........................................................................................................................ 259 Otolaryngology (ENT) (113) .................................................................................................................... 287 Pain Management (56) .............................................................................................................................. 297 Phlebology (1) ................................................

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