Florida Provider Directory - WellCare Provider Directory. This book lists all the providers in the Staywell provider network. Each one will choose how to care for you and how to get

Columbia County

2012

Florida Provider

Directory

This book lists all the providers in the Staywell provider network. Each one will choose how to care for you and how to get you the services you need.

Your relationship with your doctor is your own. Your doctor uses his or her own judgment when caring for you. He or she is making their own decisions about the care you get.

Staywell is not responsible for a doctor’s medical judgment or the decisions he or she makes about your care.

Staywell tries to be sure all the providers listed in this book can serve your needs when you need them. There may be times when they may not be able to work with you. This could be because their practice is too busy to fit you in. Or, it may be because they are no longer a Staywell network provider.

Call our Customer Service Department if you have any questions.

Call Magellan Behavioral Health if you are now getting mental health care. The number is 1-877-712-5340. (TTY/TDD users, call 1-877-247-6272.)

Some doctors may not do some kinds of care based on religious or moral beliefs.

Staywell Customer Service 1-866-334-7927 (TTY/TDD: 1-877-247-6272) Monday–Friday, 7am to 7pm Eastern

Este libro contiene una lista de todos los proveedores que forman parte de la red de proveedores de Staywell. Cada uno de ellos elegirá cómo cuidarlo y cómo proveerle los servicios que usted necesite.

Su relación con su médico es privada. Al brindarle sus servicios, el médico utiliza su propio criterio. Además, toma sus propias decisiones sobre el cuidado que usted recibe.

Staywell no es responsable de su criterio médico ni de las decisiones que tome acerca de su cuidado.

Staywell procura asegurarse de que todos los proveedores incluidos en este libro puedan satisfacer sus necesidades cuando corresponda. Es posible que ocasionalmente estos profesionales no puedan brindarle asistencia. Esto podría ocurrir si están demasiado ocupados para poder atenderlo. O quizás ya no formen parte de la red de proveedores de Staywell.

Si tiene alguna pregunta, por favor llame a nuestro Departamento de Servicio al Cliente.

Si usted está recibiendo servicios de cuidado de la salud mental, llame a Magellan Behavioral Health al 1-877-712-5340. (Los usuarios de TTY/TDD deben llamar al 1-877-247-6272.)

Es posible que algunos médicos no presten determinados cuidados sobre la base de creencias morales y religiosas.

Servicio al Cliente de Staywell1-866-334-7927(TTY/TDD: 1-877-247-6272)Lunes a viernes de 7 am a 7 pm, hora del este

TABLE OF CONTENTSFLORIDA STAYWELL SEPTEMBER 2012

1

PRIMARY CARE PROVIDERSALACHUA COUNTY ......................................................................2BAKER COUNTY ...........................................................................2COLUMBIA COUNTY ....................................................................2GILCHRIST COUNTY ....................................................................2SUWANNEE COUNTY ..................................................................3

SPECIALTY PHYSICIANSALACHUA COUNTY ......................................................................4ALL COUNTY.................................................................................7BAKER COUNTY ...........................................................................7COLUMBIA COUNTY ....................................................................7SUWANNEE COUNTY ................................................................10UNION COUNTY..........................................................................10

HOSPITALSALACHUA COUNTY ....................................................................11COLUMBIA COUNTY ..................................................................11

ANCILLARY PROVIDERSALACHUA COUNTY ....................................................................12ALL COUNTY...............................................................................12COLUMBIA COUNTY ..................................................................12GILCHRIST COUNTY ..................................................................12HAMILTON COUNTY...................................................................12SUWANNEE COUNTY ................................................................12UNION COUNTY..........................................................................13

ALLIED PROVIDERSBAKER COUNTY .........................................................................14COLUMBIA COUNTY ..................................................................14SUWANNEE COUNTY ................................................................14

BEHAVIORAL HEALTH PROVIDERSALACHUA COUNTY ....................................................................15COLUMBIA COUNTY ..................................................................15GILCHRIST COUNTY ..................................................................15HAMILTON COUNTY...................................................................15SUWANNEE COUNTY ................................................................15UNION COUNTY..........................................................................15

PHARMACIESALACHUA COUNTY ....................................................................16BAKER COUNTY .........................................................................16COLUMBIA COUNTY ..................................................................16GILCHRIST COUNTY ..................................................................16HAMILTON COUNTY...................................................................16SUWANNEE COUNTY ................................................................16UNION COUNTY..........................................................................16

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE # EXISTING PATIENTS ONLY2

PRIMARY CARE PHYSICIANSFLORIDA STAYWELL SEPTEMBER 2012

FAMILY PRACTICE

Benchimol, George, MD !"Provider ID: 666339Language: SpanishGainesville Physicians6900 NW Ninth BlvdGainesville, FL 32605(352) 333-6680

Ages Seen: 06 Yrs/99 YrsMon:8:00 -5:00Tue:8:00 -5:00Wed:8:00 -5:00Thu:8:00 -5:00Fri:8:00 -12:00

Carmichael, Patrick, MD !"Provider ID: 669674Gainesville Physicians6900 NW Ninth BlvdGainesville, FL 32605(352) 333-8860

Ages Seen: 06 Yrs/99 YrsNorth Florida Regional

Mon:8:00 -5:00Tue:8:00 -5:00Wed:8:00 -5:00Thu:8:00 -5:00Fri:8:00 -12:00

Ivey, James, MD !"Provider ID: 146443Palms Medical Group1010 NW Eighth Ave Ste AGainesville, FL 32601(352) 528-0587

Ages Seen: 00 Yrs/99 YrsMon:8:00 -6:00Tue:8:00 -6:00Wed:8:00 -6:00Thu:8:00 -6:00Fri:8:00 -6:00Sat:8:30 -12:00

Jackson, Mashira, MD !"Provider ID: 677511Language: SpanishGainesville Physicians6900 NW Ninth BlvdGainesville, FL 32605(352) 333-6680



Shannon, Karen, MD !"Provider ID: 677498Gainesville Physicians6900 NW Ninth BlvdGainesville, FL 32605(352) 333-6680



Thompson, David, MD !"#Provider ID: 173925Language: SpanishGainesville Physicians6900 NW Ninth BlvdGainesville, FL 32605(352) 333-6100



PEDIATRICS

Sanders, Sandy, MD !"Provider ID: 629658Palms Pediatrics1010 NW Eighth Ave Ste AGainesville, FL 32601(352) 376-8211


FAMILY PRACTICE

Kim, P, MD !"Provider ID: 619339P J Kim MD420 NE Santa Fe BlvdHigh Springs, FL 32643(386) 454-2724


GENERAL PRACTICE

Monsod, Lourdes, MD "#Provider ID: 146634Baker County Health Department480 W Lowder StMacclenny, FL 32063(904) 259-6291

Ages Seen: 00 Yrs/99 YrsOrange Park Medical CenterSt Vincents Medical Center Riverside


PEDIATRICS

McIntosh, Bruce, MD !"#Provider ID: 08659Language: Creole, SpanishBaker County Health Department408 W Lowder StMacclenny, FL 32063(904) 259-6291

Ages Seen: 00 Yrs/18 YrsBaptist Medical Center JaxSt Vincents Medical Center Riverside


FAMILY PRACTICE

De Leon, Ernest, MD !"Provider ID: 165908Lake City Regional Medical Group L4225 NW American LnLake City, FL 32055(386) 758-6141

Ages Seen: 02 Yrs/100 YrsLake City Medical Center


PEDIATRICS

Milla, Paulino, MD !"Provider ID: 200150Language: SpanishMilla Pediatrics and Assoc1847 SW Barnett WayLake City, FL 32025(386) 755-2240


Smith, Maria, MD !"Provider ID: 571203Language: TagalogMilla Pediatrics and Assoc1847 SW Barnett WayLake City, FL 32025(386) 755-2240


FAMILY PRACTICE

Dunn, Grace, MD !"Provider ID: 629671Palms Medical Group1830 N Main StBell, FL 32619(352) 463-1100


Thomas, Bruce, MD !"Provider ID: 629661Palms Medical Group1830 N Main StBell, FL 32619(352) 463-1100


ALACHUA COUNTYGAINESVILLE

HIGH SPRINGS

BAKER COUNTYMACCLENNY

COLUMBIA COUNTYLAKE CITY

GILCHRIST COUNTYBELL

PRIMARY CARE PHYSICIANSFLORIDA STAYWELL SEPTEMBER 2012


FAMILY PRACTICE

Chapman, Christine, DO !"Provider ID: 629664Trenton Medical Group911 S Main StTrenton, FL 32693(352) 463-2374


Floegel, Antje, MD !"Provider ID: 629653Trenton Medical Group911 S Main StTrenton, FL 32693(352) 463-2374


Nguyen, Andrew, MD "Provider ID: 170910Andrew Nguyen MD308 N Main StTrenton, FL 32693(352) 463-7381


Stephen, Falkowski, DO "Provider ID: 629674Palms Medical Group911 S Main StTrenton, FL 32693(352) 463-2374


PEDIATRICS

Wittstruck, Sarah, MD !"Provider ID: 192074Trenton Medical Group911 S Main StTrenton, FL 32693(352) 463-2374


FAMILY PRACTICE

Usow, Eugene, DO !"Provider ID: 311718Palms Medical Group103 US 27 SWBranford, FL 32008(386) 935-3090


PEDIATRICS

Milla-Orellana, Paulino, MD !"Provider ID: 621021Language: SpanishHorizon Pediatrics611 Demorest St SELive Oak, FL 32064(386) 362-5437

Ages Seen: 00 Yrs/21 YrsBaptist Medical Center JaxMemorial Hospital JacksonvilleSt Vincents Medical Center Riverside


GILCHRIST COUNTY (cont.)

TRENTON

SUWANNEE COUNTYBRANFORD

LIVE OAK


SPECIALTY PHYSICIANSFLORIDA STAYWELL SEPTEMBER 2012

Burke, Floyd, MD !"Provider ID: 275213Southern Cardiac Nuclear Imaging150 NW 75th Dr Ste AGainesville, FL 32607(352) 332-5755


Burke, Floyd, MD !"Provider ID: 680694Language: SpanishCardiovascular Health ConsultantsNorth Florida Heart 350 NW 76 Th

Dr Ste BGainesville, FL 32607(352) 332-5755



Burke, Floyd, MD !"Provider ID: 680694Language: SpanishSouthern Cardiac Interpretation350 NW 76th Dr Ste BGainesville, FL 32607(352) 332-5755



Caputo, Christopher, DO !"Provider ID: 226934Interventional Cardiologists of Gai4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Caputo, Christopher, DO !"Provider ID: 226934Interventional Cardiologists of Gai1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Dillon, Michael, MD !"Provider ID: 01782Interventional Cardiologists of Gai1151 NW 64th TerGainesville, FL 32605(352) 331-8570

Ages Seen: 00 Yrs/99 YrsLake City Medical CenterNorth Florida Regional


Dillon, Michael, MD !"Provider ID: 01782Interventional Cardiologists of Gai4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Imperi, Gregory, MD !"Provider ID: 159675Interventional Cardiologists of Gai1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Imperi, Gregory, MD !"Provider ID: 159675Interventional Cardiologists of Gai4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Khuddus, Matheen, MD !"Provider ID: 470612Interventional Cardiologists4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Khuddus, Matheen, MD !"Provider ID: 470612Interventional Cardiologists1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Koons, Jay, MD !"Provider ID: 208930International Cardiologists of Gain1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Koons, Jay, MD !"Provider ID: 208930International Cardiologists of Gain4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Lee, Arthur, MD !"Provider ID: 287465Interventional Cardiologists4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Lee, Arthur, MD !"Provider ID: 287465Interventional Cardiologists1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Roark, Steven, MD !"Provider ID: 164728International Cardiologists of Gain1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Roark, Steven, MD !"Provider ID: 164728Cardiology Assoc of Gainesville4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Silverstein, Burton, MD !"Provider ID: 280028International Cardiologists of Gain1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Silverstein, Burton, MD !"Provider ID: 280028International Cardiologists of Gain4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



ALACHUA COUNTYCARDIOLOGY



Smock, Andrew, MD !"Provider ID: 164667Interventional Cardiologists4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Smock, Andrew, MD !"Provider ID: 164667Interventional Cardiologists1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Van Roy, Daniel, MD !"Provider ID: 166034Language: French, Thai1131 NW 64th TerGainesville, FL 32605(352) 331-8570



Van Roy, Daniel, MD !"Provider ID: 166034Language: French, ThaiInterventional Cardiologists of Gai1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Van Roy, Daniel, MD !"Provider ID: 166034Language: French, ThaiInterventional Cardiologists of Gai4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Werbel, Brian, MD !"Provider ID: 329174Interventional Cardiologists of Gai4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Wessel, Timothy, MD !"Provider ID: 451461Interventional Cardiologists of Gai4645 NW Eighth AveGainesville, FL 32605(352) 375-1212



Wessel, Timothy, MD !"Provider ID: 451461Interventional Cardiologists of Gai1151 NW 64th TerGainesville, FL 32605(352) 331-8570



Brient, Bruce, MD !"Provider ID: 214870Surgical Group of Gainesvill1143 NW 64th TerGainesville, FL 32605(352) 331-1201


Castaldo, Eric, MD !"Provider ID: 617428Surgical Group of Gainesville1143 NW 64th TerrGainesville, FL 32605(352) 331-1201


Deturris, Stanley, MD !"Provider ID: 188911Surgical Group of Gainesvill1143 NW 64th TerGainesville, FL 32605(352) 331-1201


Hipp, Timothy, MD !"Provider ID: 273836Surgical Group of Gainesville1143 NW 64th TerrGainesville, FL 32605(352) 331-1201


Pickens, N, MD !Provider ID: 214930Surgical Group of Gainesville6717 NW 11th Pl Ste DGainesville, FL 32605(352) 332-9611


Pickens, N, MD !"Provider ID: 214930Surgical Group of Gainesvill1143 NW 64th TerGainesville, FL 32605(352) 331-1201


Rose, Jeffrey, MD !"Provider ID: 617430Surgical Group of Gainesville1143 NW 64th TerrGainesville, FL 32605(352) 331-1201


Sarantos, Peter, MD !"Provider ID: 214940Surgical Group of Gainesville1143 NW 64th TerrGainesville, FL 32605(352) 331-1201


Jain, Vidya, MD !Provider ID: 150080Language: HindiJain Hand Surgery6109 NW 11th Pl Ste AGainesville, FL 32605(386) 758-9097



Acs, Peter, MD !"Provider ID: 5795341147 NW 64th TerraceGainesville, FL 32605(352) 332-3900


Dickerson, Laura, MD !"Provider ID: 5795321147 NW 67th TerraceGainesville, FL 32605(352) 332-3900


ALACHUA COUNTY (cont.)

CARDIOLOGY (cont.)

GENERAL SURGERY

HAND SURGERY

HEMATOLOGY & ONCOLOGY



Kima, Marie, MD !"Provider ID: 173566Marie Alixe Kima6440 W Newberry Rd Ste 505Gainesville, FL 32605(352) 367-9700


Bhatia, Andres, MD !"Provider ID: 210300Gainsville Hemato1147 NW 64th TerGainesville, FL 32605(352) 332-3900


De LA Puerta, Manuel, MD !"Provider ID: 5795351147 NW 64th TerGainesville, FL 32605(352) 332-3900


Gordan, Lucio, MD !"Provider ID: 288324Gainesville Hematology-Oncology1147 NW 64th TerraceGainesville, FL 32605(352) 332-3900


Iyer, UMA, MD "Provider ID: 503068Community Cancer Center7000 NW 11th PlGainesville, FL 32605(352) 331-0900


McCarley, Dean, MD !"Provider ID: 223023Language: SpanishCommunity Cancer Center of North

Florida7000 NW 11th PlGainesville, FL 32605(352) 331-0900



Myrick, Samuel, MD !"Provider ID: 317010Language: SpanishCommunity Cancer Center of North



Rottmann, Anne, MD !"Provider ID: 151170Southeastern Neurology4343 W Newberry Rd Ste 3Gainesville, FL 32607(352) 224-2243



Agrios, Anthony, MDProvider ID: 2152506400 W Newberry Rd Ste 101Gainesville, FL 32605(352) 331-3332


Stevens, Heather, MD "Provider ID: 652425Language: SpanishFlorida Woman Care6400 W Newberry Rd Ste 207Gainesville, FL 32605(352) 371-2011

Ages Seen: 00 Yrs/99 YrsMon:8:30 -5:00Tue:8:30 -5:00Thu:8:30 -5:00Fri:8:30 -12:30

Hines, Michael, MDProvider ID: 213130The Retina Center6400 W Newberry Rd Ste 301Gainesville, FL 32605(352) 333-5050


Lange, Michael, MD !"Provider ID: 57773611834 CR 101Gainesville, FL 32612(352) 753-4014


Mames, Robert, MDProvider ID: 213140The Retina Center6400 W Newberry Rd Ste 301Gainesville, FL 32605(352) 333-5050


Petitto, Virginia, MD #Provider ID: 214190708 E University AveGainesville, FL 32601(352) 373-4300

Ages Seen: 00 Yrs/99 Yrs

Hernandez, Madeline, OD !"Provider ID: 57759611834 CR 101Gainesville, FL 32612(352) 753-4014


Graper, Charles, MD !"Provider ID: 504304Language: SpanishGraper Facial Institute832 NW 57th StGainesville, FL 32605(352) 331-6661



Camacho, Jorge, MD !Provider ID: 210520Language: SpanishPulmonary Physicians of Gainsville4741 NW Eighth Ave Ste CGainesville, FL 32605(352) 375-0302


Foster, Arundhati, MD !Provider ID: 143879Pulmonary Physicians of Gainsville4741 NW Eighth Ave Ste CGainesville, FL 32605(352) 375-0302



INFECTIOUS DISEASE

MEDICAL ONCOLOGY

NEUROLOGY

OBSTETRICS/GYNECOLOGY

OPHTHALMOLOGY

OPTOMETRY

ORAL & MAXILLOFACIAL SURGERY

PULMONARY DISEASE



Tonner, Joseph, MD !Provider ID: 210530Pulmonary Physicians of Gainsville4741 NW Eighth Ave Ste CGainesville, FL 32605(352) 375-0302


Tonner, Joseph, MD !Provider ID: 210530Pulmonary Physicians of Gainsville720 SW Second Ave Ste 208Gainesville, FL 32601(352) 375-0302


Wynne, James, MD "Provider ID: 2105404741 NW Eighth Ave Ste CGainesville, FL 32605(352) 375-0302


Holzman, Martin, MD !"Provider ID: 610745Community Cancer Center7000 NW 11th PlGainesville, FL 32605(352) 331-0900


Warwicke, Laurel, MD !"Provider ID: 192937Community Cancer Center of North



Longley, Selden, MD !"#Provider ID: 212540Southeastern Integrated Medical4343 Newberry Rd Ste 8Gainesville, FL 32605(352) 378-5173


Proia, Richard, MD !"Provider ID: 605583North Florida Surgical Associates1121 NW 64th Terr Ste BGainesville, FL 32605(352) 331-9583



Snyder, Jeffery, MD !"Provider ID: 283150North Florida Surgical Associates1121 NW 64th Ter Ste BGainesville, FL 32605(352) 331-3583



Gaddy, Clark, MD !"Provider ID: 390776Southeastern Urological Center1179 NW 64th TerrGainesville, FL 32605(352) 374-4223



AdvanticaFor Additional Providers and

Locations Please Call:FL 00000(866) 468-0450

Cardozo, James, DCProvider ID: 192466Baker County Chiropractic1437 S Sixth StMacclenny, FL 32063(904) 259-2999


Deweese, Damon, DCProvider ID: 28865736 S College StMacclenny, FL 32063(904) 259-1976

Ages Seen: 00 Yrs/99 YrsTue:9:00 -6:00Thu:9:00 -6:00

Brown, Andrew, MD !"Provider ID: 516086Boorland Groover Clinic159 N Third StMacclenny, FL 32063(904) 398-7205

Ages Seen: 18 Yrs/99 YrsBaptist Medical Center JaxMemorial Hospital JacksonvilleOrange Park Medical Center

Wed:8:00 -2:00Thu:12:00 -5:00

Drewry, William, MD !Provider ID: 15367Borland Groover Clinic159 N Third StMacclenny, FL 32063(904) 259-3151

Ages Seen: 12 Yrs/99 YrsBaptist Medical Center JaxBaptist Medical Center NassauOrange Park Medical Center


Kuehn, Stephen, MD !Provider ID: 25074Borland-Groover Clinic159 N Third StMacclenny, FL 32063(904) 259-3151

Ages Seen: 18 Yrs/99 YrsBaptist Medical Center JaxOrange Park Medical CenterSt Vincents Medical Center Riverside


Sprague, Richard, MD !Provider ID: 25069Borland-Groover Clinic159 N Third StMacclenny, FL 32063(904) 259-3151

Ages Seen: 18 Yrs/99 YrsBaptist Medical Center JaxOrange Park Medical CenterSt Vincents Medical Center Riverside


Broomeiii, Frank, ODProvider ID: 1479551460 Baker SqMacclenny, FL 32063(904) 000-0000


Caputo, Christopher, DO !"Provider ID: 226934Interventional Cardiologists of Gai3140 NW Medical Center Ln Ste

140Lake City, FL 32055(386) 487-0118




PULMONARY DISEASE (cont.)

RADIATION ONCOLOGY

RHEUMATOLOGY

THORACIC & CARDIOVASCULAR

SURGERY

UROLOGY

ALL COUNTYOPTOMETRY

BAKER COUNTYCHIROPRACTIC

GASTROENTEROLOGY

OPTOMETRY

COLUMBIA COUNTYCARDIOLOGY



Caputo, Christopher, DO !"Provider ID: 226934Interventional Cardiologists of Gai3239 NW York DrLake City, FL 32055(386) 752-0515



Dillon, Michael, MD !"Provider ID: 01782Interventional Cardiologists of Gai3140 NW Medical Center Ln Ste

140Lake City, FL 32055(386) 487-0118



Dillon, Michael, MD !"Provider ID: 01782Interventional Cardiologists of Gai3239 NW York DrLake City, FL 32055(386) 752-0515



Imperi, Gregory, MD !"Provider ID: 159675Interventional Cardiologists of Gai3239 NW York DrLake City, FL 32055(386) 752-0515



Imperi, Gregory, MD !"Provider ID: 159675Interventional Cardiologists of Gai3140 NW Medical Center Ln Ste

140Lake City, FL 32055(386) 487-0118



Khuddus, Matheen, MD !"Provider ID: 470612Interventional Cardiologists3140 Medical Center Ln Ste 140Lake City, FL 32055(385) 487-0118



Khuddus, Matheen, MD !"Provider ID: 470612Interventional Cardiologists3239 NW York DrLake City, FL 32055(386) 752-0515



Koons, Jay, MD !"Provider ID: 208930International Cardiologists of Gain3239 NW York DrLake City, FL 32055(386) 752-0515



Koons, Jay, MD !"Provider ID: 208930International Cardiologists of Gain3140 Medical Center Ln Ste 140Lake City, FL 32055(386) 487-0118



Lee, Arthur, MD !"Provider ID: 287465Interventional Cardiologists3239 NW York DrLake City, FL 32055(386) 752-0515



Lee, Arthur, MD !"Provider ID: 287465Interventional Cardiologists3140 Medical Center Ln Ste 140Lake City, FL 32055(386) 487-0118



Roark, Steven, MD !"Provider ID: 164728International Cardiologists of Gain3239 NW York DrLake City, FL 32055(386) 752-0515



Roark, Steven, MD !"Provider ID: 164728International Cardiologists of Gain3140 Medical Center Ln Ste 140Lake City, FL 32055(386) 487-0118



Silverstein, Burton, MD !"Provider ID: 280028International Cardiologists of Gain3239 NW York DrLake City, FL 32055(386) 752-0515



Silverstein, Burton, MD !"Provider ID: 280028International Cardiologists of Gain3140 Medical Center Ln Ste 140Lake City, FL 32055(386) 487-0118



Smock, Andrew, MD !"Provider ID: 164667Interventional Cardiologists3239 NW York DrLake City, FL 32055(386) 752-0515



Smock, Andrew, MD !"Provider ID: 164667Interventional Cardiologists3140 Medical Center Ln Ste 140Lake City, FL 32055(386) 487-0118



Van Roy, Daniel, MD !"Provider ID: 166034Language: French, ThaiInterventional Cardiologists of Gai3239 NW York DrLake City, FL 32055(386) 752-0515



COLUMBIA COUNTY (cont.)

CARDIOLOGY (cont.)



Van Roy, Daniel, MD !"Provider ID: 166034Language: French, ThaiInterventional Cardiologists of Gai3140 NW Medical Center Ln Ste

140Lake City, FL 32055(386) 487-0118



Werbel, Brian, MD !"Provider ID: 329174Interventional Cardiologists of Gai3140 NW Medical Center Ln Ste

140Lake City, FL 32055(386) 487-0118



Werbel, Brian, MD !"Provider ID: 329174Interventional Cardiologists of Gai3239 NW York DrLake City, FL 32055(386) 752-0515



Wessel, Timothy, MD !"Provider ID: 451461Interventional Cardiologists of Gai3140 NW Medical Center Ln Ste

140Lake City, FL 32055(386) 487-0118



Wessel, Timothy, MD !"Provider ID: 451461Interventional Cardiologists of Gai3239 NW York DrLake City, FL 32055(386) 752-0515



Harrison, Kevin, DC "Provider ID: 550432Lake City Chiropractic Massage

Center512 W Duval StLake City, FL 32055(386) 752-3877


Greene, Charles, MD !"Provider ID: 201277789 W Duval StLake City, FL 32055(904) 419-2054

Ages Seen: 00 Yrs/99 YrsBaptist Medical Center Jax


Faisal, Mohammad, MD !"Provider ID: 435Language: Bengali1283 SW Sr 47 Ste 104Lake City, FL 32025(386) 758-5985


Pickens, Brian, MD !"Provider ID: 212951Surgical Group of Gainesville3140 NW Medical Center LaneLake City, FL 32055(386) 755-6682


Soler, Alejandro, MD !"Provider ID: 588317Surgical Group of Gainesville3140 NW Medical Center LaneLake City, FL 32055(386) 755-6682


Jain, Vidya, MD !Provider ID: 150080Language: Hindi404 Hall of Fame DrLake City, FL 32055(386) 758-9097



Nidadavolu, Naga, MD "Provider ID: 658498Lake City Institute of Neurology4355 Northwest American LnLake City, FL 32055(386) 755-1221


Foreman, Ronald, OD !"Provider ID: 577727763 SW Main Blvd Ste 101Lake City, FL 32025(386) 752-1722


Graper, Charles, MD !"Provider ID: 504304Language: SpanishGraper Facial Institute1111 SW Main BlvdLake City, FL 32025(352) 331-6661


Mon:8:30 -10:00Wed:8:30 -10:00

Glenn, Jeffrey, DO !"Provider ID: 228632Ocala Health Surgical Group3140 NW Medical Center Ln Ste

130Lake City, FL 32055(386) 755-9720



Gauger, Cynthia, MD !"Provider ID: 210758Nemours Childrens Clinic164 NW Madison StLake City, FL 32055(386) 758-1811



CARDIOLOGY (cont.)

CHIROPRACTIC

EAR NOSE & THROAT

GASTROENTEROLOGY

GENERAL SURGERY

HAND SURGERY

NEUROMUSCULAR MEDICINE

OPTOMETRY

ORAL & MAXILLOFACIAL SURGERY

ORTHOPAEDIC SURGERY

PEDIATRIC HEMATOLOGY/ONCOLOGY



Thompson, Mark, DO "Provider ID: 495273Physicians For Cure795 S W State Rd 47Lake City, FL 32025(386) 758-7822


Warwicke, Laurel, MD !"Provider ID: 192937Community Cancer Center of Lake

Cit4520 W US Hwy 90Lake City, FL 32055(386) 755-0601


Khuddus, Matheen, MD !"Provider ID: 470612Interventional Cardiologists10820 Marvin Jones BlvdLive Oak, FL 32060(386) 658-5300



Pearl, Robert, DOProvider ID: 439183Language: SpanishNBHD Pompano Peds601 W Atlantic BlvdLive Oak, FL 32060(954) 785-4273

Ages Seen: 13 Yrs/99 YrsOrlando Regional Medical Center


Foreman, Ronald, OD !"Provider ID: 577727625 Helveston StLive Oak, FL 32060(386) 752-1722


Samera, Scott, DPM "Provider ID: 664775303 Suwannee Ave Hwy 129Branford, FL 32008(386) 935-1093



King, Lawrence, MD !Provider ID: 1914585153 N Ninth Ave Ste 307Lake Butler, FL 32054(850) 416-2554



RADIATION ONCOLOGY

SUWANNEE COUNTYCARDIOLOGY

OBSTETRICS/GYNECOLOGY

OPTOMETRY

PODIATRY

UNION COUNTYNEUROLOGY

HOSPITALSFLORIDA STAYWELL SEPTEMBER 2012

" WHEELCHAIR ACCESSIBLE11

North Florida Regional "6500 W Newberry RdGainesville, FL 32605(352) 333-4000


Lake City Medical Center "1050 N Commerce BlvdLake City, FL 32055(386) 719-9000

ALACHUA COUNTYHOSPITAL

COLUMBIA COUNTYHOSPITAL


ANCILLARY PROVIDERSFLORIDA STAYWELL SEPTEMBER 2012

Birth Center of Gainesville "810 E University AveGainesville, FL 32601(352) 372-4784


Gainesville Open MRI Center "Gainesville Open MRI4340 W Newberry Rd Ste 104Gainesville, FL 32607(352) 337-7310


North Florida Imaging1810 NW Sixth St Ste AGainesville, FL 32609(352) 373-5616

Southern Cardiac Nuclear Imaging "

150 NW 75th Dr Ste AGainesville, FL 32607(352) 332-5755


BMA of AlachuaBMA of Florida1550 Research DrAlachua, FL 32615(904) 418-2235


BMA of GainsvilleBMA of Florida720 SW Second Ave Ste 250Gainesville, FL 32601(352) 335-1751


BMA of GainsvilleBMA of Florida6685 NW Ninth BlvdGainesville, FL 32605(352) 331-2421


KCI USA5510 SW 41 BlvdSte 202 & 203Gainesville, FL 32608(888) 275-4524


Oxylife Respiratory Services6405 SW 38th St Bldg 100 Ste

101-1Ocala, FL 34474(352) 872-2971


Hanger Pros & Orth East3600 NW 43rd St Ste C2Gainesville, FL 32606(877) 754-6542


Ocala Artificial Limb and Brac409 NW 60th St Ste 4Gainesville, FL 32607(352) 331-3399

Durable Medical EquipmentFor Additional Providers and


Home Health CareFor Additional Providers and


Quest DiagnosticsFor Additional Providers and


BMA of Lake CityBMA of Florida559 E Franklin StLake City, FL 32055(904) 755-4990


The Health Center of Lake City "560 SW McFarlane AveLake City, FL 32025(386) 768-4777


Hanger Pros & Orth East "Hanger Prosthetics and Orthotics457 SW Perimeter Gln Ste 102Lake City, FL 32025(877) 754-6542








BMA of Suwannee RiverBMA of Florida319 W Wade StTrenton, FL 32693(352) 463-2008


Desloge Home Oxygen and Medical Equipmen

Desloge Home Oxygen and Medical Equipment

2510 Miccosukee RdTallahassee, FL 32308(850) 656-8900


BMA of Live OakBMA of Florida1550 Walker Ave SWLive Oak, FL 32064(904) 364-6604


Barnes Healthcare of Florida1700 NW 80th BlvdGainesville, FL 32606(800) 825-1733


ALACHUA COUNTYBIRTHING CENTER

DIAGNOSTIC IMAGING

DIALYSIS

DURABLE MEDICAL EQUIPMENT

ORTHOTICS & PROSTHETICS

ALL COUNTYDURABLE MEDICAL

EQUIPMENT

HOME HEALTH CARE

LABORATORY PATHOLOGY TESTING

COLUMBIA COUNTYDIALYSIS

OCCUPATIONAL THERAPY

ORTHOTICS & PROSTHETICS

PHYSICAL THERAPY

SKILLED NURSING FACILITY

SPEECH THERAPY

GILCHRIST COUNTYDIALYSIS

HAMILTON COUNTYDURABLE MEDICAL

EQUIPMENT

SUWANNEE COUNTYDIALYSIS

DURABLE MEDICAL EQUIPMENT

ANCILLARY PROVIDERSFLORIDA STAYWELL SEPTEMBER 2012


Maxim Healthcare2011 SW 20th Place Ste 104Ocala, FL 34474(352) 291-4888


Barnes Healthcare of Florida1548-A South Water StStarke, FL 32091(866) 392-4145


Preferred Home Health Providers900 E Orange AveEustic, FL 32726(352) 589-5854


SUWANNEE COUNTY (cont.)

HOME HEALTH CARE

UNION COUNTYDURABLE MEDICAL

EQUIPMENT

HOME HEALTH CARE


ALLIED PROVIDERSFLORIDA STAYWELL SEPTEMBER 2012

Varney, Kendall, AuDProvider ID: 651627Hearing Care Resources159 N Third StMacclenny, FL 32063(904) 259-2046


Jeter, Randall, AuDProvider ID: 651621Nutech Hearing166 SW Main BlvdLake City, FL 32025(386) 438-5539


Silver, Mark, AuDProvider ID: 651625Nutech Hearing166 SW Main BlvdLake City, FL 32025(386) 438-5539


Varney, Kendall, AuDProvider ID: 651627Hearing Care Resources132 SW Columbia Ave Ste 101Lake City, FL 32025(386) 754-6711


Varney, Kendall, AuDProvider ID: 651627Hearing Care Resources109 E Howard StLive Oak, FL 32064(386) 362-5452


BAKER COUNTYHEARING AID THERAPY &

SPECIALIST

COLUMBIA COUNTYHEARING AID THERAPY &

SPECIALIST

SUWANNEE COUNTYHEARING AID THERAPY &

SPECIALIST

BEHAVIORAL HEALTHFLORIDA STAYWELL SEPTEMBER 2012

! BOARD CERTIFIED " WHEELCHAIR ACCESSIBLE15

Damron, Heather, MS "Provider ID: T2797700000-03Language: Bulgarian, CroationHeather Shannon Damron4432 NW 23rd Ave Ste 4Gainesville, FL 32606(352) 379-4665

Ages Seen: 06 Yrs/64 YrsMon:9:00 -9:00Tue:9:00 -9:00Wed:9:00 -9:00Thu:9:00 -9:00Fri:9:00 -9:00Sat:9:00 -5:00Sun:9:00 -5:00

Frazier, Barbara, MSW "Provider ID: T1723880000-01Barbara S Frazier2631 NW 41st StBldg E Ste 1Gainesville, FL 32606(352) 374-8526


Frazier, John, MSW !"Provider ID: T0560280000-05John Phillip Frazier2631 NW 41st St Ste E1Gainesville, FL 32606(352) 374-8526

Ages Seen: 00 Yrs/99 YrsMon:12:00 -9:00Thu:12:00 -9:00Fri:9:00 -5:00Sat:5:00 -9:00

Family Preservation ServicesProvider ID: T6000174140-031731 NW Sixth St Ste 1Gainesville, FL 32609(352) 264-8152

Ages Seen: 00 Yrs/99 Yrs

Meridian Behavioral Healthcare "

Provider ID: T1708740000-01Language: French, German, Italian, Portuguese4300 SW 13th StGainesville, FL 32608(352) 374-5600

Ages Seen: 00 Yrs/99 YrsMon:9:00 -9:00Tue:9:00 -9:00Wed:9:00 -9:00Thu:9:00 -9:00Fri:9:00 -9:00Sat:9:00 -9:00Sun:9:00 -9:00

Frazier, John, MSW !"Provider ID: T0560280000-07John Phillip Frazier934 NE Lake Desoto CirLake City, FL 32055(352) 755-3780

Ages Seen: 00 Yrs/99 YrsThu:9:00 -5:00Fri:12:00 -9:00Sat:9:00 -5:00

Mhatre, Umesh, MD !"Provider ID: T0901750000-04Umesh M Mhatre165 SW Vision GlnLake City, FL 32025(386) 755-1800

Ages Seen: 00 Yrs/99 YrsFlagler HospitalShands At Lake Shore



Provider ID: T1712950000-02439 SW Michigan StLake City, FL 32025(386) 487-0800


Ravindra, Rajani, MD "Provider ID: T0362230000-02Rajani Kumari Ravindra1740 W US Hwy 90 Ste 102Lake City, FL 32055(386) 755-3000

Ages Seen: 18 Yrs/99 YrsLake City Medcl Center

Mon:9:00 -5:00Tue:9:00 -5:00Wed:9:00 -5:00Thu:9:00 -5:00

Walker, Shirley, Eds "Provider ID: T8209840000-01Shirley Ann Walker216 N Main St Ste CTrenton, FL 32693(352) 463-7766

Ages Seen: 00 Yrs/99 YrsTue:9:00 -5:00Wed:9:00 -5:00Thu:9:00 -5:00


Provider ID: T1708850000-01728 NE Seventh StTrenton, FL 32693(352) 463-3145



Provider ID: T1708860000-01406 Tenth Ave NWJasper, FL 32052(386) 792-1338



Provider ID: T6007032530-01920 Nobles Ferry RdLive Oak, FL 32064(800) 330-5615



Provider ID: T2336440000-01395 W Main StLake Butler, FL 32054(352) 374-5600


ALACHUA COUNTYBEHAVIORAL HEALTH

COUNSELING

COMMUNITY MENTAL HEALTH CENTER

COLUMBIA COUNTYBEHAVIORAL HEALTH

COUNSELING

PEDIATRIC PSYCHIATRY


PSYCHIATRY

GILCHRIST COUNTYBEHAVIORAL HEALTH

COUNSELING


HAMILTON COUNTYCOMMUNITY MENTAL

HEALTH CENTER

SUWANNEE COUNTYCOMMUNITY MENTAL

HEALTH CENTER

UNION COUNTYCOMMUNITY MENTAL

HEALTH CENTER


PHARMACY LOCATIONSFLORIDA STAYWELL SEPTEMBER 2012

Barnes Healthcare of Gainesville

CVS

Chroniscript A Walgreens

City Drugs

Family Medical Dental Center

Genoa Healthcare

Hometown Pharmacy - Alachua

Hometown Pharmacy- Newberry

Kmart

Publix

Shands Medical Plaza Pharmacy

Shands South Campus Pharmacy

Southeastern Community Pharmacy

Target

Wal Mart

Walgreens

Westlab Pharmacy

Winn Dixie

Wises Parkwood Pharmacy

Wises Pharmacy

CVS

Macclenny Pharmacy Company

Northeast Florida State Hospital

Wal Mart

Walgreens

Winn Dixie

Baya LTC Pharmacy

Baya Pharmacy East

Baya Pharmacy West

CVS

Cheek Scott Drugs

Desoto Drug Store

North Flordia Pharmacy Fort White

North Florida Pharmacy

North Florida Pharmacy

Publix

Wal Mart

Walgreens

Winn Dixie

Bell Pharmacy

Best Drugs of Trenton

Trenton Pharmacy

CVS

CVS

Cheek and Scott Drugs

North Florida Pharmacy of Branford

The Apothecary

The Village Pharmacy At Dowling Park

Wal Mart

Walgreens

Winn Dixie

CVS

Kirby and Company Pharmacy

ALACHUA COUNTYPHARMACY

BAKER COUNTYPHARMACY

COLUMBIA COUNTYPHARMACY

GILCHRIST COUNTY

PHARMACY

HAMILTON COUNTYPHARMACY

SUWANNEE COUNTYPHARMACY

UNION COUNTYPHARMACY

INDEX OF PROVIDERSFLORIDA STAYWELL SEPTEMBER 2012

17

AAcs, Peter, MD ...............................................5Advantica ......................................................7Agrios, Anthony, MD .....................................6

BBarnes Healthcare of Florida ..............12, 13Barnes Healthcare of Gainesville .............16Baya LTC Pharmacy ...................................16Baya Pharmacy East ..................................16Baya Pharmacy West .................................16Bell Pharmacy .............................................16Benchimol, George, MD ...............................2Best Drugs of Trenton ...............................16Bhatia, Andres, MD .......................................6Birth Center of Gainesville ........................12BMA of Alachua ..........................................12BMA of Gainsville .......................................12BMA of Lake City ........................................12BMA of Live Oak .........................................12BMA of Suwannee River ............................12Brient, Bruce, MD ..........................................5Broomeiii, Frank, OD ....................................7Brown, Andrew, MD ......................................7Burke, Floyd, MD ...........................................4

CCamacho, Jorge, MD .....................................6Caputo, Christopher, DO .......................4, 7, 8Cardozo, James, DC .....................................7Carmichael, Patrick, MD ...............................2Castaldo, Eric, MD ........................................5Chapman, Christine, DO ...............................3Cheek and Scott Drugs ..............................16Cheek Scott Drugs .....................................16Chroniscript A Walgreens .........................16City Drugs ...................................................16CVS ..............................................................16

DDamron, Heather, MS ..................................15De LA Puerta, Manuel, MD ...........................6De Leon, Ernest, MD .....................................2Desloge Home Oxygen and Medical Equip-men ..............................................................12Desoto Drug Store ......................................16Deturris, Stanley, MD ....................................5Deweese, Damon, DC ...................................7Dickerson, Laura, MD ...................................5Dillon, Michael, MD ...................................4, 8Drewry, William, MD ......................................7Dunn, Grace, MD ...........................................2Durable Medical Equipment ......................12

FFaisal, Mohammad, MD .................................9Family Medical Dental Center ...................16Family Preservation Services ...................15Floegel, Antje, MD .........................................3Foreman, Ronald, OD .............................9, 10Foster, Arundhati, MD ...................................6Frazier, Barbara, MSW ................................15Frazier, John, MSW .....................................15

GGaddy, Clark, MD ......................................... 7Gainesville Open MRI Center ................... 12Gauger, Cynthia, MD .................................... 9Genoa Healthcare ...................................... 16Glenn, Jeffrey, DO ........................................ 9Gordan, Lucio, MD ........................................ 6Graper, Charles, MD ................................. 6, 9Greene, Charles, MD .................................... 9

HHanger Pros & Orth East .......................... 12Harrison, Kevin, DC ...................................... 9Hernandez, Madeline, OD ............................ 6Hines, Michael, MD ....................................... 6Hipp, Timothy, MD ........................................ 5Holzman, Martin, MD .................................... 7Home Health Care ...................................... 12Hometown Pharmacy - Alachua ............... 16Hometown Pharmacy- Newberry ............. 16

IImperi, Gregory, MD ................................. 4, 8Ivey, James, MD ........................................... 2Iyer, UMA, MD ............................................... 6

JJackson, Mashira, MD .................................. 2Jain, Vidya, MD ......................................... 5, 9Jeter, Randall, AuD ..................................... 14

KKCI USA ...................................................... 12Khuddus, Matheen, MD ..................... 4, 8, 10Kim, P, MD .................................................... 2Kima, Marie, MD ........................................... 6King, Lawrence, MD ................................... 10Kirby and Company Pharmacy ................ 16Kmart .......................................................... 16Koons, Jay, MD ........................................ 4, 8Kuehn, Stephen, MD .................................... 7

LLake City Medical Center .......................... 11Lange, Michael, MD ...................................... 6Lee, Arthur, MD ......................................... 4, 8Longley, Selden, MD .................................... 7

MMacclenny Pharmacy Company ............... 16Mames, Robert, MD ...................................... 6Maxim Healthcare ...................................... 13McCarley, Dean, MD .................................... 6McIntosh, Bruce, MD .................................... 2Meridian Behavioral Healthcare ............... 15Mhatre, Umesh, MD .................................... 15Milla, Paulino, MD ......................................... 2Milla-Orellana, Paulino, MD ......................... 3Monsod, Lourdes, MD .................................. 2Myrick, Samuel, MD ..................................... 6

NNguyen, Andrew, MD .................................... 3Nidadavolu, Naga, MD ................................. 9

North Flordia Pharmacy Fort White ......... 16North Florida Imaging ............................... 12North Florida Pharmacy ............................ 16North Florida Pharmacy of Branford ....... 16North Florida Regional .............................. 11Northeast Florida State Hospital .............. 16

OOcala Artificial Limb and Brac .................. 12Oxylife Respiratory Services .................... 12

PPearl, Robert, DO ........................................ 10Petitto, Virginia, MD ...................................... 6Pickens, Brian, MD ....................................... 9Pickens, N, MD ............................................. 5Preferred Home Health Providers ............ 13Proia, Richard, MD ........................................ 7Publix .......................................................... 16

QQuest Diagnostics ..................................... 12

RRavindra, Rajani, MD .................................. 15Roark, Steven, MD .................................... 4, 8Rose, Jeffrey, MD ......................................... 5Rottmann, Anne, MD .................................... 6

SSamera, Scott, DPM ................................... 10Sanders, Sandy, MD ..................................... 2Sarantos, Peter, MD ..................................... 5Shands Medical Plaza Pharmacy ............. 16Shands South Campus Pharmacy ........... 16Shannon, Karen, MD .................................... 2Silver, Mark, AuD ........................................ 14Silverstein, Burton, MD ............................ 4, 8Smith, Maria, MD .......................................... 2Smock, Andrew, MD ................................. 5, 8Snyder, Jeffery, MD ...................................... 7Soler, Alejandro, MD ..................................... 9Southeastern Community Pharmacy ....... 16Southern Cardiac Nuclear Imaging .......... 12Sprague, Richard, MD .................................. 7Stephen, Falkowski, DO ............................... 3Stevens, Heather, MD .................................. 6

TTarget .......................................................... 16The Apothecary ......................................... 16The Health Center of Lake City ................. 12The Village Pharmacy At Dowling Park ... 16Thomas, Bruce, MD ...................................... 2Thompson, David, MD .................................. 2Thompson, Mark, DO ................................. 10Tonner, Joseph, MD ..................................... 7Trenton Pharmacy ..................................... 16

UUsow, Eugene, DO ....................................... 3

VVan Roy, Daniel, MD ............................. 5, 8, 9Varney, Kendall, AuD .................................. 14

18

INDEX OF PROVIDERSFLORIDA STAYWELL SEPTEMBER 2012

WWal Mart ......................................................16Walgreens ...................................................16Walker, Shirley, Eds ....................................15Warwicke, Laurel, MD .............................7, 10Werbel, Brian, MD .....................................5, 9Wessel, Timothy, MD .................................5, 9Westlab Pharmacy .....................................16Winn Dixie ...................................................16Wises Parkwood Pharmacy .......................16Wises Pharmacy .........................................16Wittstruck, Sarah, MD ...................................3Wynne, James, MD .......................................7

Notes

Notes

Notes

Notes

FL020368_CAD_PRD_MLT ©WellCare 2012 FL_09_12

4891

3

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For the most current listing of providers, visit our website. Go to www.florida.wellcare.com.

Documents

Florida Provider Directory - WellCare Provider Directory. This book lists all the providers in the Staywell provider network. Each one will choose how to care for you and how to get