M670 BlueDirect PPO Premier - Blue Cross Blue Shield Association · 2008. 3. 19. · Welcome to BlueDirect® January 08 1 Welcome to the Blue Cross and Blue Shield of New Mexico (BCBSNM)

BlueDirect®

A Guide to Your Health Care Providers Revised January 2008

www.bcbsnm.com

Table of Contents

January 2008 i

Table of Con

tents

Welcome to PPO ........................ 1

Bienvenido a PPO ........................ 5

Hospitals and Urgent Care Facilities ................ 9

PPO Medical/Surgical Providers ............. 11

CortezFamily Practice ........................... 11Hematology & Medical Oncology .................................... 11Internal Medicine ........................ 11Obstetrics-Gynecology ............... 11

DurangoAnesthesiology ........................... 11Cardiovascular Disease.............. 11Dermatology ............................... 11Family Practice ........................... 11General Surgery ......................... 11General Vascular Surgery .......... 11Hematology & Medical Oncology .................................... 11Internal Medicine ........................ 12Obstetrics-Gynecology ............... 12Ophthalmology ........................... 12Orthopaedic Surgery .................. 12Otolaryngology ........................... 12Pediatrics .................................... 12Physical Medicine & Rehabilitation .............................. 13Pulmonary Diseases................... 13Urology ....................................... 13

MancosFamily Practice ........................... 13

Pagosa SpringsFamily Practice ........................... 13Obstetrics-Gynecology ............... 13

TrinidadFamily Practice ........................... 13General Surgery ......................... 13Internal Medicine ........................ 13Obstetrics-Gynecology ............... 13Ophthalmology ........................... 13Urology ....................................... 13

AbiquiuFamily Practice ........................... 13

AlamogordoCardiovascular Disease.............. 13Dermatology ............................... 13Endocrinology ............................. 13Family Practice ........................... 13Gastroenterology ........................ 14General Surgery ......................... 14Gynecology................................. 14Hematology & Medical Oncology .................................... 14Internal Medicine ........................ 14Neurology ................................... 14Nuclear Medicine ........................ 14Obstetrics-Gynecology ............... 14Ophthalmology ........................... 14Orthopaedic Surgery .................. 14Otolaryngology ........................... 14Pain Mgmt or Anesthesiology Pain Mgmt........................................... 14Pediatrics .................................... 14

Pulmonary Diseases .................. 14Radiology ................................... 14Thoracic Surgery ........................ 14Urology ....................................... 14

AlbuquerqueAllergy-Immunology ................... 14Anesthesiology ........................... 15Cardiovascular Disease ............. 17Colon-Rectal Surgery ................. 19Dermatology ............................... 19Emergency Medicine .................. 19Endocrinology ............................ 21Family Practice ........................... 22Gastroenterology ........................ 25General Practice ........................ 25General Surgery ......................... 26General Vascular Surgery .......... 27Geriatric Medicine ...................... 27Gynecology ................................ 27Hematology & Medical Oncology .................................... 27Infectious Diseases .................... 28Internal Medicine ........................ 28Maternal & Fetal Medicine .......... 32Neonatology ............................... 33Nephrology ................................. 33Neurological Surgery .................. 33Neurology ................................... 33Nuclear Medicine ....................... 34Obstetrics ................................... 34Obstetrics-Gynecology ............... 34Ophthalmology ........................... 36Orthopaedic Surgery .................. 37Otolaryngology ........................... 39Pain Mgmt or Anesthesiology Pain Mgmt .......................................... 39Pathology ................................... 39Pediatric Cardiology ................... 40Pediatric Endocrinology ............. 40Pediatric Gastroenterology ........................ 40Pediatric Nephrology .................. 40Pediatric Opthalmology .............. 40Pediatric Pulmonology ............... 40Pediatric Radiology .................... 40Pediatric Rheumatology ............. 40Pediatrics ................................... 40Physical Medicine & Rehabilitation ............................. 43Plastic Surgery ........................... 43Preventive Medicine ................... 43Pulmonary Diseases .................. 43Radiation Professional Service ....................................... 44Radiology ................................... 44Rheumatology ............................ 47Thoracic Surgery ........................ 48Urology ....................................... 48

Angel FireFamily Practice ........................... 48

AnimasFamily Practice ........................... 48

AnthonyFamily Practice ........................... 48Internal Medicine ........................ 48Pediatrics ................................... 48

ArtesiaFamily Practice ........................... 49Gastroenterology ........................ 49General Practice ........................ 49General Surgery ......................... 49Internal Medicine ........................ 49Obstetrics-Gynecology ............... 49Pediatrics ................................... 49

AztecFamily Practice ........................... 49

BelenCardiovascular Disease ............. 49Dermatology ............................... 49Family Practice ........................... 49Internal Medicine ........................ 49Pediatrics ................................... 49

BernalilloFamily Practice ........................... 49Internal Medicine ........................ 49

Pediatrics ....................................49Bloomfield

Family Practice ...........................49Capitan

Family Practice ...........................49Gynecology .................................49Obstetrics-Gynecology................49

CarlsbadAnesthesiology............................50Cardiovascular Disease ..............50Family Practice ...........................50Gastroenterology ........................50General Practice .........................50General Surgery..........................50Hematology & Medical Oncology .....................................50Internal Medicine.........................50Neurology....................................50Obstetrics-Gynecology................50Ophthalmology ............................50Orthopaedic Surgery ...................50Otolaryngology ............................50Pathology ....................................51Pediatrics ....................................51Physical Medicine & Rehabilitation ..............................51Radiology ....................................51Urology........................................51

CarrizozoObstetrics-Gynecology................51

Cedar CrestFamily Practice ...........................51

CerrillosFamily Practice ...........................51

ChamaFamily Practice ...........................51

ChaparralFamily Practice ...........................51

CimarronFamily Practice ...........................51Internal Medicine.........................51

ClaytonFamily Practice ...........................51General Practice .........................51General Surgery..........................51Internal Medicine.........................51Radiology ....................................51

CloudcroftFamily Practice ...........................51

ClovisAnesthesiology............................51Cardiovascular Disease ..............51Dermatology................................51Family Practice ...........................51General Practice .........................52General Surgery..........................52Internal Medicine.........................52Nephrology..................................53Neurology....................................53Obstetrics-Gynecology................53Ophthalmology ............................53Orthopaedic Surgery ...................53Otolaryngology ............................53Pathology ....................................53Pediatrics ....................................54Physical Medicine & Rehabilitation ..............................54Radiation Professional Service ........................................54Radiology ....................................54

ColumbusFamily Practice ...........................54

CorralesFamily Practice ...........................54

CubaFamily Practice ...........................54

DemingAnesthesiology............................54Family Practice ...........................54Gastroenterology ........................54General Practice .........................54

General Surgery ......................... 55Hematology & Medical Oncology .................................... 55Internal Medicine ........................ 55Obstetrics-Gynecology ............... 55Ophthalmology ........................... 55Orthopaedic Surgery .................. 55Pathology.................................... 55Pediatrics .................................... 55Physical Medicine & Rehabilitation .............................. 55Radiology.................................... 55Urology ....................................... 55

DexterFamily Practice ........................... 55

EdgewoodFamily Practice ........................... 55Obstetrics-Gynecology ............... 55Pediatrics .................................... 55

El RitoFamily Practice ........................... 55Ophthalmology ........................... 56

EmbudoFamily Practice ........................... 56

EspanolaCardiovascular Disease .............. 56Endocrinology ............................. 56Family Practice ........................... 56General Surgery ......................... 56Internal Medicine ........................ 56Obstetrics-Gynecology ............... 56Ophthalmology ........................... 56Orthopaedic Surgery .................. 56Pathology.................................... 56Pediatrics .................................... 57Pulmonary Diseases ................... 57Urology ....................................... 57

EstanciaFamily Practice ........................... 57

EuniceFamily Practice ........................... 57

FarmingtonAnesthesiology ........................... 57Cardiovascular Disease .............. 57Dermatology ............................... 57Family Practice ........................... 57Gastroenterology ........................ 57General Practice ......................... 58General Surgery ......................... 58Hematology & Medical Oncology .................................... 58Internal Medicine ........................ 58Nephrology ................................. 58Neurological Surgery .................. 58Neurology ................................... 58Obstetrics-Gynecology ............... 58Ophthalmology ........................... 58Orthopaedic Surgery .................. 59Otolaryngology ........................... 59Pathology.................................... 59Pediatrics .................................... 59Physical Medicine & Rehabilitation .............................. 59Plastic Surgery ........................... 59Radiation Professional Service ........................................ 59Radiology.................................... 59

Fort SumnerFamily Practice ........................... 59

GallupAnesthesiology ........................... 59Cardiovascular Disease .............. 59Emergency Medicine .................. 59Endocrinology ............................. 60Family Practice ........................... 60General Surgery ......................... 60Hematology & Medical Oncology .................................... 60Internal Medicine ........................ 60Nephrology ................................. 60Neurology ................................... 60Obstetrics-Gynecology ............... 60Ophthalmology ........................... 61Orthopaedic Surgery .................. 61Otolaryngology ........................... 61

COLORADO

NEW MEXICO

PPO NetworkTable of Contents

ii January 2008

Tabl

e of

Con

ten

ts

Pathology ....................................61Pediatrics ....................................61Physical Medicine & Rehabilitation ..............................61Plastic Surgery ............................61Radiation Professional Service ........................................61Radiology ....................................61Urology ........................................61

GilaInternal Medicine .........................62

GrantsFamily Practice ...........................62General Surgery ..........................62Internal Medicine .........................62Obstetrics-Gynecology ................62

HatchFamily Practice ...........................62

HobbsAnesthesiology ............................62Cardiovascular Disease ..............62Family Practice ...........................62Gastroenterology ........................62General Practice .........................62General Surgery ..........................62Gynecology .................................62Hematology & Medical Oncology .....................................62Internal Medicine .........................62Obstetrics-Gynecology ................63Ophthalmology ............................63Orthopaedic Surgery ...................63Pediatrics ....................................63Physical Medicine & Rehabilitation ..............................63Radiology ....................................63

JalGeneral Practice .........................63

Jemez PuebloFamily Practice ...........................63

La LomaFamily Practice ...........................63

Las CrucesAllergy-Immunology ....................63Anesthesiology ............................63Cardiovascular Disease ..............64Dermatology ................................64Emergency Medicine ..................64Endocrinology .............................64Family Practice ...........................64Gastroenterology ........................65General Practice .........................65General Surgery ..........................65General Vascular Surgery ...........65Gynecology .................................65Hematology & Medical Oncology .....................................65Infectious Diseases .....................66Internal Medicine .........................66Nephrology ..................................66Neurological Surgery ..................66Neurology ....................................66Nuclear Medicine ........................66Obstetrics-Gynecology ................67Occupational & Environmental Medicine ..............67Ophthalmology ............................67Orthopaedic Surgery ...................67Otolaryngology ............................67Pathology ....................................67Pediatric Rheumatology ..............67Pediatrics ....................................68Physical Medicine & Rehabilitation ..............................68Plastic Surgery ............................68Pulmonary Diseases ...................68Radiation Professional Service ........................................68Radiology ....................................68Rheumatology .............................69Thoracic Surgery .........................69Urology ........................................69

Las VegasAllergy-Immunology ....................69Anesthesiology ............................69Cardiovascular Disease ..............69Family Practice ...........................69General Surgery ..........................69

Hematology & Medical Oncology.....................................69Internal Medicine ........................69Neurology ...................................70Obstetrics-Gynecology ...............70Ophthalmology............................70Orthopaedic Surgery...................70Otolaryngology............................70Pediatrics ....................................70Radiology ....................................70Urology .......................................70

Loco HillsFamily Practice ...........................70

LordsburgFamily Practice ...........................70Ophthalmology............................70

Los AlamosAllergy-Immunology ....................70Anesthesiology ...........................70Cardiovascular Disease ..............70Dermatology ...............................70Endocrinology .............................70Family Practice ...........................70Gastroenterology ........................71General Practice .........................71General Surgery .........................71Hematology & Medical Oncology.....................................71Internal Medicine ........................71Obstetrics-Gynecology ...............71Ophthalmology............................71Orthopaedic Surgery...................71Otolaryngology............................71Pathology ....................................71Pediatrics ....................................71Urology .......................................71

Los LunasCardiovascular Disease ..............71Family Practice ...........................71General Practice .........................72Internal Medicine ........................72Ophthalmology............................72Pediatrics ....................................72

LovingFamily Practice ...........................72

LovingtonCardiovascular Disease ..............72Family Practice ...........................72General Practice .........................72Internal Medicine ........................72Radiology ....................................72

MagdalenaFamily Practice ...........................72

MesillaFamily Practice ...........................72

MimbresFamily Practice ...........................72

MoraInternal Medicine ........................72Pediatrics ....................................72

MoriartyFamily Practice ...........................72

MountainairGeneral Practice .........................72

Ojo CalienteFamily Practice ...........................72

PecosInternal Medicine ........................72

PenascoFamily Practice ...........................72

PinehillFamily Practice ...........................72

PortalesFamily Practice ...........................72General Practice .........................73General Surgery .........................73Internal Medicine ........................73Obstetrics-Gynecology ...............73Pediatrics ....................................73

QuestaFamily Practice ...........................73

RatonFamily Practice ........................... 73General Surgery ......................... 73Hematology & Medical Oncology .................................... 73Internal Medicine ........................ 73Obstetrics ................................... 73Obstetrics-Gynecology ............... 73Ophthalmology ........................... 73Pathology ................................... 73Radiology ................................... 73

ReserveFamily Practice ........................... 73

RiberaFamily Practice ........................... 73

Rio RanchoFamily Practice ........................... 73General Practice ......................... 74Hematology & Medical Oncology .................................... 74Internal Medicine ........................ 74Obstetrics-Gynecology ............... 74Ophthalmology ........................... 74Pathology ................................... 74Pediatrics .................................... 74Radiology ................................... 74

RoswellAllergy-Immunology .................... 74Anesthesiology ........................... 74Cardiovascular Disease ............. 74Dermatology ............................... 74Emergency Medicine .................. 75Endocrinology ............................. 75Family Practice ........................... 75Gastroenterology ........................ 75General Practice ......................... 75General Surgery ......................... 75Hematology & Medical Oncology .................................... 75Internal Medicine ........................ 75Nephrology ................................. 76Neurological Surgery .................. 76Neurology ................................... 76Obstetrics-Gynecology ............... 76Ophthalmology ........................... 76Orthopaedic Surgery .................. 76Otolaryngology ........................... 76Pathology ................................... 76Pediatrics .................................... 76Physical Medicine & Rehabilitation .............................. 77Pulmonary Diseases .................. 77Radiation Professional Service ....................................... 77Radiology ................................... 77Rheumatology ............................ 77Urology ....................................... 77

RoyFamily Practice ........................... 77

RuidosoAnesthesiology ........................... 77Family Practice ........................... 77General Practice ......................... 77General Surgery ......................... 77Gynecology ................................ 77Hematology & Medical Oncology .................................... 78Internal Medicine ........................ 78Obstetrics-Gynecology ............... 78Ophthalmology ........................... 78Pathology ................................... 78Pulmonary Diseases .................. 78Radiology ................................... 78

San FidelOphthalmology ........................... 78

San MiguelFamily Practice ........................... 78

Santa FeAllergy-Immunology .................... 78Anesthesiology ........................... 78Cardiovascular Disease ............. 79Dermatology ............................... 79Endocrinology ............................. 79Family Practice ........................... 79Gastroenterology ........................ 80General Practice ......................... 80General Surgery ......................... 80

Hematology & Medical Oncology .....................................81Internal Medicine .........................81Nephrology ..................................82Neurological Surgery...................82Neurology ....................................82Nuclear Medicine ........................82Obstetrics-Gynecology ................82Ophthalmology ............................82Orthopaedic Surgery ...................83Otolaryngology ............................83Pain Mgmt or Anesthesiology Pain Mgmt ...........................................83Pathology ....................................83Pediatric Rheumatology ..............83Pediatrics ....................................83Physical Medicine & Rehabilitation ..............................84Plastic Surgery ............................84Pulmonary Diseases ...................84Radiation Professional Service ........................................84Radiology ....................................84Thoracic Surgery .........................85Urology ........................................85

Santa RosaGeneral Practice .........................85Internal Medicine .........................85

Santa TeresaFamily Practice............................85General Practice .........................85Internal Medicine .........................86Ophthalmology ............................86

Silver CityAnesthesiology ............................86Dermatology ................................86Family Practice............................86General Practice .........................86General Surgery ..........................86Internal Medicine .........................86Obstetrics-Gynecology ................86Ophthalmology ............................86Orthopaedic Surgery ...................86Otolaryngology ............................86Pathology ....................................86Pediatrics ....................................86Physical Medicine & Rehabilitation ..............................86Radiology ....................................86Urology ........................................86

SocorroEmergency Medicine...................86Family Practice............................86General Surgery ..........................87Internal Medicine .........................87Ophthalmology ............................87Pathology ....................................87Pediatrics ....................................87

SpringerGeneral Practice .........................87

Sunland ParkFamily Practice............................87General Practice .........................87Thoracic Surgery .........................87

TaosCardiovascular Disease ..............87Emergency Medicine...................87Family Practice............................87General Practice .........................87General Surgery ..........................87Hematology & Medical Oncology .....................................87Internal Medicine .........................87Obstetrics-Gynecology ................88Ophthalmology ............................88Orthopaedic Surgery ...................88Pediatrics ....................................88Radiology ....................................88Thoracic Surgery .........................88Urology ........................................88

TatumGeneral Practice .........................88

ThoreauFamily Practice............................88

Tierra AmarillaGeneral Practice .........................88

Table of ContentsPPO Network

January 2008 iii

Table of Con

tents

TruchasFamily Practice ........................... 88

Truth Or ConsequencesFamily Practice ........................... 88General Surgery ......................... 88Internal Medicine ........................ 88Ophthalmology ........................... 89Pediatrics .................................... 89

TucumcariEmergency Medicine .................. 89Family Practice ........................... 89General Practice ......................... 89General Surgery ......................... 89Internal Medicine ........................ 89

TularosaFamily Practice ........................... 89

Wagon MoundFamily Practice ........................... 89

El PasoInternal Medicine ........................ 89Ophthalmology ........................... 89Pediatrics ................................... 89Physical Medicine & Rehabilitation ............................. 89

LubbockCardiovascular Disease ............. 89

MuleshoeFamily Practice ...........................89General Practice .........................89

OdessaCardiovascular Disease ..............89

Primary Care Providers.............. 90

Allied Health Practitioners ........ 96

Ancillary Services.............. 137

Pharmacy Network ............. 148

Alphabetical Index ................. 152

Providers By Specialty Index .. 172

TEXAS

Notes

iv January 08

Welcome to BlueDirect®

January 08 1

Welcome to the Blue Cross and Blue Shield of New Mexico (BCBSNM) Preferred Provider Organization (PPO) Network. As a PPO member, you are part of the largest PPO network in New Mexico. This means you receive maximum health care benefits without giving up your freedom to make choices. With your PPO plan, you can choose from more than 44 hospitals, including a large teaching hospital, and from more than 8,000 health care providers. What’s more, you do not need a referral to see any physician in the network. This means it is easy for you to find the health care providers you need when you need them. When you use PPO hospitals and providers, you receive maximum benefits and reduce out-of-pocket costs. To make sure that your provider charges you properly, always show your BCBSNM identification card prior to receiving care. When you use non-PPO hospitals and providers, your benefits are lower and your out-of-pocket costs will be higher. January 1, 2004 Provider Network Changes Affecting Members Living Within the Counties of Bernalillo, Sandoval, Torrance, or Valencia Effective January 1, 2004, Presbyterian Healthcare Services (PHS) and Presbyterian Medical Group (PMG) are no longer contracted with Blue Cross and Blue Shield of New Mexico for the counties of Bernalillo, Sandoval, Torrance, and Valencia. Members may continue to see Albuquerque-area PHS and PMG providers at a reduced benefit level for most covered services although some benefits are available only from a contracted provider. Refer to your summary of benefits or benefit booklet for information on non-contracted or out-of-network providers; or call customer service at the number on the back of your ID card. January 1, 2004 Provider Network Changes Affecting Members Living Outside Bernalillo, Sandoval, Torrance, or Valencia Counties For members living outside the four counties, the PHS and PMG providers will continue to be considered in-network for specialty care services. The PHS and PMG termination does not include PHS facilities and associated physicians outside the four-county area or when specialty care can be provided only at Presbyterian Hospital in Albuquerque. Directory Updates

Because we are continually working to expand the PPO network, affiliations with hospitals and provider can change over time. You are urged to check with your providers before undergoing treatment to confirm their PPO status and hospital affiliation. You can also call the customer service department at the toll free telephone number listed on the back of your BCBSNM ID card.

Introduction - continued

2 January 08

We’re also on the Web!

You can locate a convenient PPO provider via our Web site, www.bcbsnm.com. Click on “Provider Directory” to search by name, specialty, or location. Still, you are encouraged to check PPO status with your provider prior to receiving services, or call the customer services department at the toll free number on the back of your ID card. Finding a Provider

This directory can help you choose a physician or hospital by identifying those who participate in the BCBSNM PPO network. You can also use this directory as a reference to make sure your provider or hospital participates in the network. Remember, the fact that a provider is listed in this directory does not make services received from that provider automatically eligible for benefits. Services must be medically necessary and covered under your health plan in order to be eligible for any Plan benefits. The directory is organized by these provider classifications:

• Hospitals and Urgent Care Facilities • Primary Care Groups and Clinics • PPO Medical/Surgical Providers • Primary Care Providers such as Certified Nurse Practitioners • Allied Health Practitioners such as Chiropractors, Acupuncturists, Podiatrists, etc. • Ancillary Services such as Durable Medical Equipment (DME) Providers,

Home Health Providers, etc. • Pharmacy Network

Each classification lists providers by specialty, alphabetically, within city: State

City Name County Name

Specialty

Provider Name Provider Number: NM001234

SPECIAL NOTE (if any) Group Practice Name Street address, Zip Telephone

Denotes an out-of-network PHS/PMG provider for members living in the counties of Bernalillo, Sandoval, Torrance, and Valencia.


January 08 3

The preceding Geographic List presents providers organized by state, county, city, specialty and finally alphabetically. You can find a provider any of three ways: by location, by specialty, or by provider name. If a provider provides services in more than one geographic area, his or her name is repeated under each city where services are rendered. This makes it easy to pinpoint a provider near you. Note that providers may not participate in the PPO network at all locations where they practice. If a location does not appear in this directory, the provider may not participate in the PPO network at that location. Be sure to call your provider for complete information on participation and hospital affiliation or, you may call the customer services department at the toll free number on the back of your ID card. The Table of Contents in the front of the directory can help a user quickly find a geographic listing. Two indexes in the back of the directory serve very specific purposes:

• The Alphabetical Index provides a quick reference when looking for a particular health care provider referenced by page number for complete information on the provider.

• The Providers by Specialty Index provides a quick reference when looking for a particular

health care provider practicing in a specific specialty. For Our Providers

Please remember to contact your Network Services Department if there are errors in this directory or to report a change in your physical or legal location. Call 1-800-567-8540 or 505-837-8800 or fax 1-866-290-7718 or 505-816-2688. The Provider Service Unit will take your calls concerning claims, eligibility, and benefits. They can be reached by calling 1-888-349-3706, Monday through Friday from 8 a.m. to 5 p.m. For Referrals or Prior Authorizations, call our Health Services Department or fax your request. Phone: 1-800-325-8334 or 505-291-3585. Fax: 1-800-835-8704 or 505-237-5252

BlueLINK Information

BlueLINK is the Blue Cross and Blue Shield of New Mexico electronic voice response referral system. BlueLINK improves your access and promotes a paperless environment. The system will decrease the amount of information needed for each referral. The BlueLINK system requires minimal clinical information. Using your touch-tone telephone, you input an ICD-9 code for a diagnosis. While you are still on the phone, you receive a BlueLINK system confirmation number at the end of each transaction. The BlueLINK system is available 24 hours a day, 7 days a week by calling 1-866-708-4917.


4 January 08

BlueCard PPO Program As a Blue Cross and Blue Shield Plan BlueCard PPO member, you enjoy the convenience of carrying your membership card—The BlueCard. If your ID card has the “PPO in a suitcase” logo, then you know that your health care benefits are with you wherever you go. If you are:

• a member (or covered dependent) living outside the service area of your Blue Cross and Blue Shield Plan or,

• a member (or covered dependent) traveling on business or pleasure, You may use a Blue Cross and Blue Shield BlueCard PPO provider to receive the advantages of PPO benefits and savings. When you are out of town and become ill, or if you or a family member is living in another area and need to find information about a Blue Cross and Blue Shield BlueCard doctor or hospital, just call BlueCard Access at 1-800-810-BLUE (2583) to locate the nearest BlueCard doctor or hospital. Show your membership card to any Blue Cross and Blue Shield BlueCard PPO doctor or hospital across the USA. You have plenty to choose from—PPO providers include more than 80% of all hospitals and physicians across the United States. When you visit a PPO doctor or hospital, you have no claim forms to file and no billing hassles. Remember you are responsible for obtaining precertification/prior authorization from your Blue Cross and Blue Shield Plan. As always, in case of emergency, you should seek immediate care from the closest health care provider.

Bienvenido a BlueDirect®

January 08 5

Bienvenido a la Red de Organización de Proveedores Preferidos (PPO) de Blue Cross and Blue Shield of New Mexico (BCBSNM). Como miembro de PPO, usted es parte de la red de PPO más grande de New Mexico. Esto significa que usted recibe beneficios de cuidado médico máximos sin renunciar a su libertad de elegir. Con PPO, usted puede elegir de entre más de 44 hospitales, incluyendo un hospital general con facultad de medicina y de entre más de 8,000 proveedores de cuidado médico. Además, no necesita ser referido para ver a cualquier médico de la red. Esto significa que es fácil para usted encontrar a los proveedores de cuidado médico que necesite cuando los necesite. Al usar los hospitales y proveedores de PPO, usted recibe los beneficios máximos y reduce sus gastos de desembolso personales. Para asegurarse de que su proveedor le cobre la cantidad correcta, muestre siempre su tarjeta de identificación de BCBSNM antes de recibir cuidado médico. Al usar los hospitales y proveedores que no sean de PPO, sus beneficios serán menores y sus gastos de desembolso personales serán mayores. Cambios a la Red de Proveedores a partir del 1º de Enero del 2004 que Afectan a los Miembros que Viven En los Condados de Bernalillo, Sandoval, Torrance, o Valencia En vigencia a partir del 1º de enero del 2004, Presbyterian Healthcare Services (PHS) y Presbyterian Medical Group (PMG) ya no forman parte del contrato con Blue Cross and Blue Shield of New Mexico para los condados de Bernalillo, Sandoval, Torrance, y Valencia. Refiérase a la sección Cómo Encontrar a un Proveedor para ver un ejemplo. Los miembros pueden continuar viendo a los proveedores de PHS y PMG del área de Albuquerque a un nivel de beneficios reducido para la mayoría de los servicios cubiertos aunque algunos beneficios están disponibles sólo mediante un proveedor contratado. Refiérase a su resumen de beneficios o al folleto de beneficios para información sobre proveedores no contratados o fuera de la red; o llame a servicio al cliente al número indicado al dorso de su tarjeta de identificación. Cambios a la Red de Proveedores a partir del 1º de Enero del 2004 que Afectan a los Miembros que Viven Fuera de los Condados de Bernalillo, Sandoval, Torrance, y Valencia Para los miembros que no viven en estos cuatro condados, los proveedores de PHS y PMG continuarán siendo considerados dentro de la red para servicios de cuidado de especialidad. La terminación de PHS y PMG no incluye instalaciones de PHS y médicos asociados fuera del área de los cuatro condados o cuando el cuidado de especialidad pueda ser provisto sólo en el “Presbyterian Hospital” En Albuquerque. Actualizaciones del Directorio

Debido a que estamos trabajando continuamente para expandir la red de PPO, las afiliaciones con hospitales y proveedores pueden cambiar con el tiempo. Por favor verifique prontamente con sus proveedores antes de recibir tratamiento para confirmar su situación respecto al PPO y afiliación de hospital. Usted puede también llamar al departamento de servicio al cliente al número de teléfono gratuito indicado al dorso de su tarjeta de identificación de BCBSNM.

Introducción

6 January 08

¡Estamos también en la Internet!

Usted puede encontrar un proveedor de PPO convenientemente ubicado mediante nuestra página de Internet, www.bcbsnm.com. Haga clic en el “Directorio de Proveedores” (Provider Directory) para buscar por nombre, especialidad o ubicación. Además, le invitamos a verificar la situación respecto al PPO con el proveedor antes de recibir servicios o llame al departamento de servicio al cliente al número gratuito indicado al dorso de su tarjeta de identificación. Cómo Encontrar a un Proveedor

Este directorio puede ayudarle a elegir a un médico u hospital identificando los que participan en la red de PPO de BCBSNM. También puede usar este directorio como referencia para asegurarse de que su proveedor u hospital participe en la red. Recuerde—el hecho de que un proveedor esté en este directorio no hace que los servicios recibidos por parte de ese proveedor sean automáticamente elegibles para beneficios. Los servicios deben ser médicamente necesarios y cubiertos bajo su plan médico para que sean elegibles para cualquier Plan de beneficios. Este directorio tiene varias secciones, como sigue:

• Hospitales e Instalaciones de Cuidado Urgente • Grupos y Clínicas de Cuidado Médico General Primario • Proveedores Médicos/Quirúrgicos de PPO • Proveedores de Cuidado Primario como Enfermeras Certificadas • Profesionales Médicos Independientes como Quiroprácticos, Acupuncturistas, Podiatristas, etc. • Servicios Independientes como Proveedores de Equipo Médico Duradero (DME, siglas en Inglés),

Proveedores Médicos en el Hogar, etc. • Red de Farmacias

Cada sección indica a los proveedores dentro de la ciudad por especialidad y alfabéticamente:

Estado Significa un

proveedor de PHS/PMG fuera de la red para miembros que viven en los condados de Bernalillo, Sandoval, Torrance, y Valencia.

Nombre de la Ciudad Nombre del Condado

Especialidad

Nombre del Proveedor Número del Proveedor: NM001234 Identificación de BlueLINK: 1234567

AVISO ESPECIAL (si lo hay) Idiomas hablados por el proveedor (vea la última página para la relación de Códigos de Idiomas del Proveedor)

Nombre de Práctica del Grupo Dirección, Código Postal Teléfono

Introducción

January 08 7

Para ayudarle a encontrar un proveedor rápidamente, el directorio está organizado de tres formas: • Lista Geográfica– refiérase a la sección anterior sobre Cómo Encontrar un Proveedor • Índice Alfabético • Índice de Proveedores por Especialidad

El ejemplo anterior de la Lista Geográfica presenta proveedores organizados por estado, condado, ciudad, especialidad y por último alfabéticamente. Usted puede encontrar un proveedor por alguna de las tres formas: por ubicación, por especialidad o por nombre del proveedor. Si un proveedor provee servicios en más de un área geográfica, su nombre es repetido bajo cada ciudad donde se presten los servicios. Esto facilita el encontrar a un proveedor cerca de usted. Note que los proveedores puede que no participen en la red de PPO en todos los lugares donde lleven a cabo su práctica. Si una ubicación no aparece en este directorio, el proveedor puede que no participe en la red de HMO en ese lugar. Asegúrese de llamar a su proveedor para obtener información completa sobre la participación y afiliación de hospital o puede llamar al departamento de servicio al cliente al número gratuito indicado al dorso de su tarjeta de identificación. El Índice Alfabético presenta una lista conveniente de proveedores alfabéticamente. Esta sección provee una referencia rápida al buscar un proveedor de cuidado médico particular. La sección geográfica está relacionada por número de página para poder obtener una información completa sobre el proveedor. El Índice de Proveedores por Especialidad presenta una lista de proveedores por especialidad. La siguiente sección provee una referencia rápida para poder buscar a un proveedor de cuidado médico en particular practicando en una especialidad específica. Para Nuestros Proveedores

Por favor recuerde comunicarse con su Departamento de Servicios de la Red si hay errores en este directorio o para reportar un cambio en su ubicación física o legal. Teléfono: 1-800-567-8540 ó 505-837-8800 ó Facsímil: 1-866-290-7718 ó 505-816-2688. Blue Cross and Blue Shield of New Mexico se enorgullece de anunciar que ha formado una Unidad de Servicio al Proveedor que recibirá cualquier pregunta sobre reclamos, elegibilidad o beneficios. Esta unidad de servicios puede ser contactada llamando al 1-888-349-3706, de lunes a viernes de 8 a.m. a 5 p.m. Para Referencias o Autorizaciones Previas llame a nuestro Departamento de Servicios Médicos o envíe su solicitud por facsímil al: Teléfono: 1-800-325-8334 ó 505-291-3585 ó Facsímil: 1-800-835-8704 ó 505-237-5252.

Información sobre BlueLINK

BlueLINK es el sistema de referencia de respuesta de voz electrónica de Blue Cross and Blue Shield of New Mexico. BlueLINK mejora su acceso y promueve un ambiente sin papeleo. El sistema reducirá la cantidad de información necesaria para cada referencia. El sistema de BlueLINK requiere información clínica mínima. Usando su teléfono de teclas, usted marcará un código de ICD-9 para un diagnóstico. Mientras esté todavía en el teléfono recibirá un número de confirmación del sistema de BlueLINK al final de cada transacción. El sistema de BlueLINK está disponible 24 horas al día, 7 días a la semana llamando al: 1-866-708-4917.

Introducción

8 January 08

Programa BlueCard PPO Como miembro de BlueCard PPO del Plan de Blue Cross and Blue Shield, usted disfruta la conveniencia de su tarjeta de membresía—la Tarjeta BlueCard. Si su tarjeta de identificación tiene el logotipo de “PPO en una maleta,” entonces usted sabe que sus beneficios de cuidado médico le acompañan donde quiera que vaya. Si usted es:

• un miembro (o dependiente cubierto) viviendo fuera del área de servicio de su Plan de Blue Cross and Blue Shield o,

• un miembro (o dependiente cubierto) en viaje de negocio o placer. Usted puede usar un proveedor de BlueCard PPO de Blue Cross and Blue Shield para recibir las ventajas de los beneficios y ahorros de PPO. Cuando esté fuera de su lugar de residencia y se enferme o si usted o un familiar está viviendo en otra área y necesita encontrar información sobre un médico u hospital de BlueCard de Blue Cross and Blue Shield, simplemente llame al Acceso de BlueCard al 1-800-810-BLUE (2583) para ubicar el médico u hospital de BlueCard más cercano. Muéstrele su tarjeta de membresía a cualquier médico u hospital de BlueCard PPO de Blue Cross and Blue Shield en todos los EE.UU. Usted tiene una gran selección de entre la cual escoger—los proveedores de PPO incluyen más del 80% de todos los hospitales y médicos en los Estados Unidos. Cuando visite a un médico u hospital de PPO, no tiene que enviar formularios de reclamo y no tiene que preocuparse por las facturas. Recuerde que usted es responsable de obtener precertificación/autorización previa de su Plan de Blue Cross and Blue Shield. Como siempre, en caso de emergencia, debe buscar cuidado médico inmediato del proveedor de cuidado médico más cercano.

Hospitals and Urgent Care FacilitiesFacilities that provide inpatient and outpatient care such as hospitals, ambulatory surgical centers, and urgent care facilities.

January 2008 9

Hospitals an

d Urgen

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Facilities

General Acute Care Hospital

ANIMAS SURGICAL HOSPITAL, Provider ID: NM000098575 RIVERGATE LANE , 81301970-247-3537MERCY MEDICAL CENTER, Provider ID: NM00A0021010 THREE SPRINGS BLVD , 81301970-247-4311


GERALD CHAMPION REGIONAL MED CTR, Provider ID: NM0000012669 SCENIC DR , 88310505-439-6100


HEART HOSPITAL OF NM, Provider ID: NM000082504 ELM ST NE , 87102505-242-5600KINDRED HOSPITAL ALBUQUERQUE, Provider ID: NM000081700 HIGH ST NE , 87102505-242-4444LOVELACE MED CTR DOWNTOWN, Provider ID: NM010084601 DR MLK JR NE , 87105505-366-2600LOVELACE WESTSIDE HOSPITAL, Provider ID: NM01008810501 GOLF COURSE RD NE , 87114505-727-2000LOVELACE WOMENS HOSPITAL, Provider ID: NM0100904701 MONTGOMERY BLVD NE , 87109505-727-7800PRES HOSPITAL OUT NETWORK, Provider ID: NM0000421100 CENTRAL AVE SE , 87106505-841-1234Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval, Valencia, and Torrance counties.

PRES KASEMAN HOSP OUT NETWORK, Provider ID: NM0000448300 CONSTITUTION AVE NE , 87110505-291-2000Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval, Valencia, and Torrance counties.UNM HOSPITAL, Provider ID: NM0000062211 LOMAS BLVD NE , 87106505-272-2111

Rehabilitation Facility

HEALTHSOUTH REHAB HOSPITAL, Provider ID: NM00CR047000 JEFFERSON ST NE , 87109505-344-9478LOVELACE REHABILITATION HOSPITAL, Provider ID: NM01CR51505 ELM ST NE , 87102505-727-8000SPECIALTY HOSPITAL OF ALBUQ, Provider ID: NM000095235 ELM ST NE , 87102505-842-5550

Urgent Care Center

PRES UC IN NETWORK, Provider ID: NM00UCBF3901 ATRISCO N W , 87120505-462-7575Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval, Valencia, and Torrance counties.WALK IN CARE, Provider ID: NM01UCBG5150 JOURNAL CENTER BLVD NE , 87109505-262-7000


ARTESIA GENERAL HOSPITAL, Provider ID: NM000025702 N 13TH ST , 88210505-748-3333


CARLSBAD MEDICAL CENTER LLC, Provider ID: NM0000322430 W PIERCE ST , 88220505-887-6633


UNION COUNTY GEN HOSP, Provider ID: NM000080301 HARDING ST , 88415505-374-2585


PLAINS REG MED CTR CLOVIS, Provider ID: NM0000222100 N THOMAS ST , 88101505-769-2141

Urgent Care Center

PLAINS REG URGENT CARE CLOVI, Provider ID: NM00UCAR2100 N THOMAS ST , 88101505-769-2141X PRESS CARE LLP, Provider ID: NM00UCCA2021 W 21ST ST , 88101505-762-7331


MIMBRES MEMORIAL HOSPITAL, Provider ID: NM000023900 W ASH ST , 88030505-546-2761


ESPANOLA HOSPITAL, Provider ID: NM0000261010 SPRUCE ST # AT , 87532505-753-7111


SAN JUAN REG MED CENTER, Provider ID: NM000029801 W MAPLE ST , 87401505-325-5011


SAN JUAN REG REHAB HOSP, Provider ID: NM00CR05525 S SCHWARTZ AVE , 87401505-327-3422

Urgent Care Center

SJRMC URGENT CARE, Provider ID: NM00UCAL4820 E MAIN ST , 87402505-326-0459SOUTHWEST HEALTHCARE PROF INC, Provider ID: NM00UCBQ1601 EAST 20TH ST , 87401505-864-3628


REHOBOTH MCKINLEY HOSP, Provider ID: NM0000181901 REDROCK DR , 87301505-863-7000


CIBOLA GEN HOSP, Provider ID: NM0000721016 E ROOSEVELT AVE , 87020505-287-4446


LEA REGIONAL MEDICAL CENTER, Provider ID: NM0000795419 N LOVINGTON HWY , 88240505-492-5000

Urgent Care Center

CENTER FOR INDUSTRIAL MEDICINE, Provider ID: NM00UCCB1900 N DAL PASO , 88240505-492-9675


MEMORIAL MEDICAL CENTER, Provider ID: NM0000962450 S TELSHOR BLVD , 88011505-522-8641MOUNTAIN VIEW REGIONAL HOSP, Provider ID: NM0000834311 E LOHMAN AVE , 88011505-556-7600


MOUNTAIN VIEW REGIONAL REHAB, Provider ID: NM00CR314311 E LOHMAN AVE , 88011505-556-7600REHAB HOSP OF SOUTHERN NM, Provider ID: NM0000974441 E LOHMAN AVE , 88011505-521-6400

Urgent Care Center

1ST CARE CLINIC, Provider ID: NM00UCBC3530 FOOTHILLS RD # N , 88011505-532-6054

CODurangoLa Plata County

NMAlamogordoOtero County

AlbuquerqueBernalillo County

ArtesiaEddy County

CarlsbadEddy County

ClaytonUnion County

ClovisCurry County

DemingLuna County

EspanolaRio Arriba County

FarmingtonSan Juan County

GallupMcKinley County

GrantsCibola County

HobbsLea County

Las CrucesDona Ana County

Hospitals and Urgent Care FacilitiesPPO Network

January 200810

COVENANT CLINICS LLC, Provider ID: NM00UCBN3961 E LOHMAN AVE #33, 88011505-556-0200NEW URGENT CARE CENTER PROPERTY, Provider ID: NM00UCBO540 WALTON BLVD , 88001505-525-2700


ALTA VISTA REGIONAL HOSPITAL, Provider ID: NM000068104 LEGION DR , 87701505-426-3500


NMBH INSTITUTE AT LAS VEGAS, Provider ID: NM00CR033695 HOT SPRINGS BLVD , 87701505-454-1493


LOS ALAMOS MED CENTER, Provider ID: NM0100403917 WEST RD , 87544505-662-4201

Urgent Care Center

LOS ALAMOS URGENT CARE, Provider ID: NM00UCBM1460 TRINITY DR STE A, 87544505-662-0768


NOR LEA GEN HOSP, Provider ID: NM0000241600 NO MAIN , 88260505-396-6611


ROOSEVELT GENERAL HOSPITAL, Provider ID: NM00007742121 US HIGHWAY 70 , 88130505-359-1800


MINERS COLFAX MED CENTER, Provider ID: NM000020200 HOSPITAL DR , 87740505-445-2741

Urgent Care Center

MINERS COLFAX MED CTR UC, Provider ID: NM00UCAQ200 HOSPITAL DR , 87740505-445-2741


PRES HOSPITAL OUT NETWORK, Provider ID: NM0000424100 HIGH RESORT BLVD , 87124505-462-8800Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval, Valencia, and Torrance counties.PRES RIO RANCHO EMERGENCY CTR, Provider ID: NM0000894100 HIGH RESORT BLVD , 87124505-462-8800Note: Provider is not contracted with BCBSNM for members residing in Bernalillo, Sandoval, Valencia, and Torrance counties.

Urgent Care Center

WALK IN CLINIC RIO RANCHO, Provider ID: NM01UCBH1721 RIO RANCHO NW , 87124505-896-8600


EASTERN NM MED CENTER, Provider ID: NM000049405 W COUNTRY CLUB RD , 88201505-622-8170ROSWELL REGIONAL HOSPITAL, Provider ID: NM000091117 EAST 19TH ST , 88201505-627-7000


LINCOLN CO MED CTR, Provider ID: NM000052211 SUDDERTH DR , 88345505-257-7381


PHYSICIANS MED CTR OF SANTA FE, Provider ID: NM0000922990 RODEO PARK DR EAST , 87505505-474-3270ST VINCENT HOSPITAL, Provider ID: NM000054455 SAINT MICHAELS DR , 87505505-983-3361


ST VINCENT REHAB, Provider ID: NM00CR06455 SAINT MICHAELS DR , 87505505-983-3361

Urgent Care Center

ULTIMED, Provider ID: NM00UCBJ707 PASEO DE PERALTA , 87501505-989-8707URGENT CARE SANTA FE, Provider ID: NM00UCAV2801 W RODEO RD STE B13, 87507505-474-0120


GUADALUPE COUNTY HOSPITAL, Provider ID: NM000027535 LAKE DR , 88435505-472-3417


GILA REGIONAL MED CENTER, Provider ID: NM0000571313 E 32ND ST , 88061505-538-4000

Urgent Care Center

AFTERHOURS FAMILY HEALTHCARE, Provider ID: NM00UCAX1600 E 32ND ST , 88061505-388-5953FAMILY URGENT CARE, Provider ID: NM00UCBB3202 N RIDGE LOOP DR , 88061505-388-5444


SOCORRO GENERAL HOSPITAL, Provider ID: NM0000691202 HIGHWAY 60 WEST , 87801505-835-1140


HOLY CROSS HOSPITAL, Provider ID: NM0000761397 WEIMER RD , 87571505-758-8883


SIERRA VISTA HOSPITAL, Provider ID: NM000063800 E 9TH AVE , 87901505-894-2111


DAN C TRIGG MEMORIAL HOSP, Provider ID: NM000064301 E MIEL DE LUNA AVE , 88401505-461-0141

Las VegasSan Miguel County

Los AlamosLos Alamos County

LovingtonLea County

PortalesRoosevelt County

RatonColfax County

Rio RanchoSandoval County

RoswellChaves County

RuidosoLincoln County

Santa FeSanta Fe County

Santa RosaGuadalupe County

Silver CityGrant County

SocorroSocorro County

TaosTaos County

Truth Or ConsequencesSierra County

TucumcariQuay County

PPO Medical/Surgical ProvidersPPO Medical/Surgical providers are professional physicians who have either an MD or DO degree and are licensed to practice medicine. Included below are General Practitioners (doctors who are licensed, but do not have residency training), as well as physicians who have had residency training in these medical specialties: Family Practice, Internal Medicine, Pediatrics, and Obstetrician/Gynecologists. Also included are Specialists who have taken additional training and provide specialty care. Examples include: Surgery, Allergy & Immunology, Anesthesiology, Cardiology, Dermatology, Gastroenterology, Ear, Nose & Throat (ENT), Endocrinology, Neurology, Nephrology (kidneys), Obstetrics/Gynecology, Ophthalmology (eyes), Orthopedics, Pulmonology (lungs), and Urology.

January 2008 11

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Family Practice

FURY, DIANNA MDProvider ID: NM009L99CORTEZ MEDICAL CLINIC INC33 N ELM ST , 81321970-565-8556Fax: 970-564-1134JOHNSON, CAROLYN MDProvider ID: NM0132921413 N MILDRED RD , 81321970-565-4436Fax: 970-565-2007

Hematology & Medical Oncology

HELLER, HENRY MDProvider ID: NM01I3484 CORNERS ONCOLOGY HEMATOLOG1021 N MILDRED RD # C , 81321970-564-9098

Internal Medicine

BARKHURST, HOPE MDProvider ID: NM009P292095 N DOLORES RD , 81321970-564-8086Fax: 970-564-8087LIPPARD, TRACY MDProvider ID: NM009T60SOUTHWEST INTERNAL MEDICINE111 N PARK ST , 81321970-564-8730Fax: 970-565-5430PYLE, BLAIR MDProvider ID: NM00I958BLAIR W PYLE MD PC1011 N MILDRED RD , 81321970-565-0813Fax: 970-565-3940

Obstetrics-Gynecology

BARKHURST, HOPE Provider ID: NM009P292095 N DOLORES RD , 81321970-564-8086Fax: 970-564-8087

Anesthesiology

ALLISON, TIMOTHY MDProvider ID: NM00YN22316 SAWYER DR , 81303970-259-2525ALLISON, TIMOTHY MDProvider ID: NM00YN22375 E PARK AVE , 81301970-247-4311

DEEM, GREGORY MDProvider ID: NM009P401010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1065DYSON, JOHN MDProvider ID: NM013236MERCY MED CTR MANAGED CARE1010 THREE SPRINGS BLVD , 81301970-247-4311EDMISTON, MARK MDProvider ID: NM009A481910 MAIN AVE UNIT A, 81301970-259-2525MAYER, DAVID MDProvider ID: NM009P411010 THREE SPRINGS BLVD , 81301970-247-4311MCCALLUM, MICHAEL MDProvider ID: NM009P421010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1065MURPHY, MARK MDProvider ID: NM009P681010 THREE SPRINGS BLVD , 81301970-764-3207Fax: 970-764-3209RAPIEJKO, JOHN MDProvider ID: NM00X329375 E PARK AVE , 81301970-259-2525REED, BRIAN MDProvider ID: NM009T21MERCY MED CTR MANAGED CARE1010 THREE SPRINGS BLVD , 81301970-247-4311RICE, RANDALL MDProvider ID: NM00XE651910 MAIN AVE A , 81301970-884-7346ROSENKRANZ, MICHAEL MDProvider ID: NM01J420375 E PARK AVE , 81301970-259-5180VEROW, ANTHONY MDProvider ID: NM00YS69375 E PARK AVE , 81301970-592-5259WHITESELL, ALBERT MDProvider ID: NM019F131010 THREE SPRINGS BLVD , 81301970-247-4311

Cardiovascular Disease

DEMOS, MICHAEL MDProvider ID: NM009X22FOUR CORNERS HEART CLINIC PC1 MERCADO ST STE 130, 81301970-247-1120Fax: 970-247-1128LIPNIK, STEPHEN MDProvider ID: NM009X23FOUR CORNERS HEART CLINIC PC1 MERCADO ST STE 130, 81301970-247-1120Fax: 970-247-1128

MILLER, EUGENIA MDProvider ID: NM01XQ86FOUR CORNERS HEART CLINIC PC1 MERCADO ST STE 130, 81301970-247-1120Fax: 970-247-1128WINCHESTER, CATHERINE MDProvider ID: NM009X24FOUR CORNERS HEART CLINIC PC1 MERCADO ST STE 130, 81301970-247-1120Fax: 970-247-1128

Dermatology

GAUGHAN, LAWRENCE MDProvider ID: NM009T18DURANGO DERMATOLOGY523 S CAMINO DEL RIO STE B, 81303970-247-1970GAUGHAN, MARK MDProvider ID: NM009T19DURANGO DERMATOLOGY523 S CAMINO DEL RIO STE B, 81303970-247-1970SANDERS, SUSAN MDProvider ID: NM01XJ593649 MAIN AVE , 81301970-259-4131

Family Practice

CASIAS, LUKE MDProvider ID: NM001G21575 RIVERGATE LN STE 105, 81301970-385-2344Fax: 405-841-9354CIOTTI, SUZANNE MDProvider ID: NM009T83COTTONWOO HOLISTIC FAM HLTH PC3473 MAIN AVE , 81301970-259-3110Fax: 970-259-6605Languages: SpanishDAVIDSON, ADELIA MARIE MDProvider ID: NM00YH71SOUTHWEST WOMENS HEALTH ASSO575 RIVERGATE LN STE 210, 81301970-247-0042Fax: 970-259-8837JACKSON, ALISON MDProvider ID: NM01YV84DURANGO FAMILY MEDICINE PC1 MERCADO ST STE 160, 81301970-385-9850Fax: 970-385-9854KEARNEY, PATRICK MDProvider ID: NM009J90DURANGO FAMILY MEDICINE PC1 MERCADO ST STE 160, 81301970-385-9850Fax: 970-385-9854LAVENGOOD, JOHN MDProvider ID: NM019A22DURANGO FAMILY MEDICINE PC1 MERCADO ST STE 160, 81301970-385-9850Fax: 970-385-9854

LEWIS, MEGAN MDProvider ID: NM009T78MOUNTAIN VIEW FAM HLTHCARE PC2530 COLORADO AVE , 81301970-385-1770Fax: 970-259-5776MURPHY, JOSEPH MDProvider ID: NM01XU20DURANGO FAMILY MEDICINE PC1 MERCADO ST STE 160, 81301970-385-9850Fax: 970-385-9854OCHSNER, FREDERICK MDProvider ID: NM009T851010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1045PIRNAT, MARTIN MDProvider ID: NM009J61DURANGO FAMILY MEDICINE PC1 MERCADO ST STE 160, 81301970-385-9850Fax: 970-385-9854

General Surgery

DEAVER, DAVID MDProvider ID: NM00L300SOUTHWEST SURGICAL ASSOC1 MERCADO ST STE 220, 81301970-247-4448DESKO, ROBERT MDProvider ID: NM009F54SOUTHWEST SURGICAL ASSOC1 MERCADO ST STE 220, 81301970-247-4448Languages: FrenchSHEAR, DAVID MDProvider ID: NM019T06MERCY MED CTR MANAGED CARE1010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1065WINDER, DENIS MDProvider ID: NM00Y789316 SAWYER DR , 81303970-259-3818Fax: 970-259-9553WINDER, DENIS MDProvider ID: NM00Y789316 SAWYER DRIVE , 81303970-259-3818Fax: 970-259-9553WITHERS, JOHN MDProvider ID: NM01XU72316 SAWYER DR , 81303970-382-2622

General Vascular Surgery

STERN, MARK MDProvider ID: NM02XP87SOUTHWEST SURGICAL ASSOC1 MERCADO ST STE 220, 81301970-247-4448


BUSH, STEVEN MDProvider ID: NM000470DURANGO CANCER CENTER3801 NORTH MAIN , 81301970-385-4746

COCortezMontezuma County

DurangoLa Plata County

PPO Medical/Surgical Providers

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CATHCART, CYNTHIA MDProvider ID: NM009T08SOUTHWEST ONCOLOGY ASSOC PC1 MERCADO ST STE 100, 81301970-385-7977CATHCART, CYNTHIA MDProvider ID: NM001P09DURANGO CANCER CENTER3801 MAIN AVE , 81301970-385-4746Fax: 970-259-5787ELCONIN, JOEL MDProvider ID: NM009279DURANGO CANCER CENTER3801 MAIN AVE , 81301970-385-4746HELLER, HENRY MDProvider ID: NM01I3484 CORNERS ONCOLOGY HEMATOLOG1800 E 3RD AVE STE 104, 81301970-247-0777Fax: 970-247-0902SMITH, RICHARD MDProvider ID: NM009755SOUTHWEST ONCOLOGY ASSOC PC1 MERCADO ST STE 100, 81301970-385-7977Fax: 970-385-2727Languages: SpanishSMITH, RICHARD MDProvider ID: NM001P77DURANGO CANCER CENTER3801 MAIN AVE , 81301970-385-4746Fax: 970-259-5787

Internal Medicine

COOKE, W DONALD MDProvider ID: NM01XU83ALLERGY AND INTERNAL MED SPE1800 E 3RD AVE STE 108, 81301970-259-0780Fax: 970-382-2620Languages: SpanishGRANT, GWENDOLYN MDProvider ID: NM001P79DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045Note: No patients under 18 years oldLanguages: RussianHALLIN, GUSTAV MDProvider ID: NM00E110FOUR CORNERS PULMONARY1010 THREE SPRINGS BLVD , 81301970-247-4311HEINICKE, JENNIFER MDProvider ID: NM019014375 E PARK AVE STE 103, 81301970-247-4311Note: Hospital Based OnlyLanguages: SpanishHELMS, ELIZABETH MDProvider ID: NM009X25MERCY MED CTR MANAGED CARE1010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1054MASSONE, JOHN MDProvider ID: NM009T871010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-385-5374NICKELSEN, JILLIAN MDProvider ID: NM00YQ88MERCY MED CTR MANAGED CARE1010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-259-5664

PYSKLO, JULIE MDProvider ID: NM019A371010 THREE SPRINGS BLVD , 81301970-247-4311Note: Hospital Based OnlySADDLER, MARK MDProvider ID: NM009P971010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1054SALKA, CARL MDProvider ID: NM00XQ93FOUR CORNERS INFECTIOUS1010 THREE SPRINGS BLVD , 81301970-247-4311WASHBURN, JAMES MDProvider ID: NM009X78FOUR CORNERS PULMONARY1010 THREE SPRINGS BLVD , 81301970-247-4311Fax: 970-382-1077


BACA, ELIZABETH MDProvider ID: NM002J08FOUR CORNERS OB GYN A PC LLP1 MERCADO ST STE 105, 81301970-382-8800Fax: 970-382-0122Note: Female Patients OnlyLanguages: SpanishGROSSMAN, RICHARD MDProvider ID: NM001107375 E PARK AVE STE 3C , 81301970-382-8800IRISH, JAMES MDProvider ID: NM01J7201199 MAIN AVE # 218 , 81301970-382-9505Note: Female Patients OnlyJORDAN, LEANNE MDProvider ID: NM01YM93FOUR CORNERS OB GYN A PC LLP1 MERCADO STREET SUITE 105, 81301970-382-8800Fax: 970-382-0122Languages: SpanishLASICH, BETTY MDProvider ID: NM002J05FOUR CORNERS OB GYN A PC LLP1 MERCADO ST STE 105, 81301970-832-8800Fax: 970-982-0122Note: Female Patients OnlyLanguages: SpanishLIFTON, LLOYD MDProvider ID: NM00E1091910 MAIN AVE UNIT A , 81301970-259-0701LIFTON, LLOYD MDProvider ID: NM00E109375 E PARK AVE , 81301970-259-0701LIFTON, LLOYD MDProvider ID: NM00E109575 RIVERGATE LN STE 207, 81301970-259-0701Fax: 970-259-0707PRIEBE, KIMBERLY MDProvider ID: NM009P38FOUR CORNERS OB GYN A PC LLP375 E PARK AVE STE 3 C, 81301970-382-8800Fax: 970-382-0122ROACH, CHRISTOPHER MDProvider ID: NM02W269FOUR CORNERS OB GYN A PC LLP#1 MERCADO ST SUITE 105, 81301970-382-8800Fax: 970-382-0122Languages: German

ROACH, CHRISTOPHER MDProvider ID: NM02W269FOUR CORNERS OB GYN A PC LLP375 E PARK AVE STE 3 C, 81301970-382-8800Fax: 970-382-0122Languages: GermanSTENGEL, MARY MDProvider ID: NM02Y8941810 E 3RD AVE STE 102 , 81301303-259-0701STENGEL, MARY MDProvider ID: NM02Y894575 RIVERGATE LANE , 81301970-247-0042Fax: 970-259-8837

Ophthalmology

MEYER, ERIC MDProvider ID: NM009751FOUR CORNERS EYE CLINIC PC575 RIVERGATE LN STE 212, 81301970-259-2202Fax: 970-259-2837PARKINSON, JOHN MDProvider ID: NM01Z714FOUR CORNERS EYE CLINIC PC575 RIVERGATE LN STE 212, 81301970-259-2202Fax: 970-259-2837SIPPERLEY, JACK MDProvider ID: NM009T58FOUR CORNERS EYE CLINIC PC575 RIVERGATE LN STE 212, 81301970-259-2202Fax: 970-259-2837Languages: SpanishWARD, ROBERT MDProvider ID: NM001H12FOUR CORNERS EYE CLINIC PC575 RIVERGATE LANE STE 212, 81301970-259-2202Fax: 970-259-2837

Orthopaedic Surgery

BLEVINS, FIELD MDProvider ID: NM00YS80575 RIVERGATE LANE NBR 105, 81301970-375-7786DVIRNAK, PAUL MDProvider ID: NM01YH31575 RIVERGATE LN NO 105, 81301970-375-7786FORREST, JENNIFER MDProvider ID: NM009P00575 RIVERGATE LN STE 209, 81301970-385-1883Fax: 970-259-7091FURRY, KIMBERLY MDProvider ID: NM00YQ89DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045GOODMAN, ROBERT MDProvider ID: NM002Q061 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045Languages: RussianGOODMAN, ROBERT MDProvider ID: NM01I627575 RIVERGATE LN NO 105, 81301970-375-7786HANOSH, CHRISTOPHER MDProvider ID: NM009T96575 RIVERGATE LN STE 105, 81301970-259-3020Fax: 970-259-9766

KIRCHER, MARK MDProvider ID: NM01WO60575 RIVERGATE NBR 105, 81301970-375-7786LAWTON, RICHARD MDProvider ID: NM009A14DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045Languages: SpanishPATERSON, ANDREW MDProvider ID: NM009T16DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045Languages: RussianPATERSON, ANDREW MDProvider ID: NM009T16DURANGO ORTHOPEDIC ASSOC130 ROCK POINT DR , 81301970-382-9500Fax: 970-375-0007Languages: RussianSCOTT, GARY MDProvider ID: NM01WX87DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045YOUSSEF, JIM MDProvider ID: NM01YK67DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045

Otolaryngology

WILEY, PHILIP MDProvider ID: NM01XQ951165 S CAMINO DEL RIO 200 , 81303970-247-2920WILLIAMS, WILLIAM MDProvider ID: NM01WH76ANIMAS EAR AND SINUS CLINIC1165 CAMINO DEL RIO , 81301970-259-1669

Pediatrics

CHAUDHURI, PAKHI MDProvider ID: NM009T051199 MAIN AVE STE 205, 81301970-259-7337Fax: 970-259-7366Note: No patients under 18 years oldFRALEY, MARTHA MDProvider ID: NM009T92PEDIATRIC PARTNERS OF THE SW575 RIVERGATE LN STE 109, 81301970-375-0100Fax: 970-375-9210HUFFMAN, BRENDA MDProvider ID: NM009T94PEDIATRIC PARTNERS OF THE SW575 RIVERGATE LN STE 109, 81301970-375-0100Fax: 970-375-9210HUTT, PAMELA MDProvider ID: NM009X10SOUTHWEST ONCOLOGY ASSOC PC1 MERCADO ST STE 100, 81301970-385-7977Fax: 970-385-7977MCGRATH, ROBERT MDProvider ID: NM00W998SOUTHWEST CHILDS HEALTH CLIN1810 E THIRD AVE 101 , 81301970-247-4567Fax: 970-259-4105

Durango


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MILLER, KELLY MDProvider ID: NM009T93PEDIATRIC PARTNERS OF THE SW575 RIVERGATE LN STE 109, 81301970-375-0100Fax: 970-375-9210Languages: SpanishZEMACH, ARTHUR MDProvider ID: NM009T95PEDIATRIC PARTNERS OF THE SW575 RIVERGATE LN STE 109, 81301970-375-0100Fax: 970-375-9210

Physical Medicine & Rehabilitation

BOHACHEVSKY, CYRIL MDProvider ID: NM00YQ90DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-247-5362Fax: 970-259-6045Languages: SpanishISSER, MARA DOProvider ID: NM004B15DURANGO ORTHOPEDIC ASSOC1 MERCADO ST STE 202, 81301970-382-9500Fax: 970-375-0007Languages: ChineseSILVA, DAVID DOProvider ID: NM01E55ASOUTHWEST COLO SPINE575 RIVERGATE LN STE 204, 81301970-382-8292Fax: 970-382-0073

Pulmonary Diseases

BROWN, RICHARD MDProvider ID: NM00XQ59FOUR CORNERS PULMONARY1010 THREE SPRINGS BLVD , 81301970-247-4311

Urology

FORREST, MARK MDProvider ID: NM009J17DURANGO UROLOGICAL ASSOC575 RIVERGATE LN STE 209, 81301970-259-0440Languages: SpanishMAYER, FRANK MDProvider ID: NM019F45DURANGO UROLOGICAL ASSOC575 RIVERGATE LN STE 209, 81301970-259-0440Fax: 970-259-7091Languages: Spanish

Family Practice

CASIAS, LUKE MDProvider ID: NM009P37VALLEY WIDE HEALTH SYSTEMS INC111 E RAILROAD AVE , 81328970-533-9125Fax: 970-533-7310SABAT, NANCY MDProvider ID: NM001J07VALLEY WIDE HEALTH SYSTEMS INC111 E RAILROAD AVE , 81328970-533-9125Fax: 970-533-7310Languages: Spanish

Family Practice

BRICCA, ROBERT MDProvider ID: NM019Q78PAGOSA SPRINGS FAM MED CTR PC75 S PAGOSA BLVD , 81147970-731-4131Fax: 970-731-9384Languages: FrenchMAZZOLA, MARION MDProvider ID: NM011P12PAGOSA SPRINGS FAM MED CTR PC75 S PAGOSA BLVD , 81147970-731-4131Fax: 970-731-9384Languages: FrenchMAZZOLA, TIMOTHY MDProvider ID: NM011P10PAGOSA SPRINGS FAM MED CTR PC75 S PAGOSA BLVD , 81147970-731-4131Fax: 970-731-9384Languages: FrenchPRUITT, JAMES MDProvider ID: NM01Y342PAGOSA SPRINGS FAM MED CTR PC75 S PAGOSA BLVD , 81147970-731-4131Languages: SpanishWEINPAHL, MARK MDProvider ID: NM019J54PAGOSA SPRINGS FAM MED CTR PC75 S PAGOSA BLVD , 81147970-731-4131Fax: 970-731-9384


JORDAN, LEANNE MDProvider ID: NM01YM93FOUR CORNERS OB GYN A PC LLP95 S PAGOSA BLVD , 81147970-382-8800Languages: Spanish

Family Practice

JIMENEZ, JOSEPH MDProvider ID: NM009P64ST VINCENTS PRIMARY CARE LLC400 BENEDICTA AVE STE A, 81082719-846-2206Fax: 719-846-7823Languages: Spanish

General Surgery

YEAGLE, CHARLES MDProvider ID: NM009N34CHARLES F YEAGLE MD PC400 BENEDICTA AVE STE F, 81082719-846-1700Fax: 719-846-1704Note: No patients under 5 years oldLanguages: German

Internal Medicine

FABEC, SALLY MDProvider ID: NM00J864328 S BONAVENTURE AVE # 5 , 81082719-846-4433Fax: 719-846-8350


BOWERS, MARCI MDProvider ID: NM009F55328 S BONAVENTURE AVE # 5 , 81082719-846-6300Fax: 719-846-8350Languages: French

Ophthalmology

COATNEY, MICHAEL ODProvider ID: NM004B11ROCKY MTN EYE CTR PC2120 FREEDOM RD , 81082719-846-2436Fax: 719-846-9236Languages: Spanish

Urology

CICHOCKI, GERALD MDProvider ID: NM009T15GERALD A CICHOCKI MD PC328 BONAVENTURE AVE STE 4, 81082719-846-2388Fax: 719-846-7305

Family Practice

GERLING, MERI MDProvider ID: NM001H18LAS CLINICAS DEL NORTEHWY 84 STE 185, 87510505-685-4479Fax: 505-685-4532Languages: Spanish

Cardiovascular Disease

MASSOUD, GEORGE MDProvider ID: NM019K40PECOS VALLEY OF NM LLC2559 MEDICAL DR STE F, 88310505-434-3225Languages: ArabicNORMAN, JOHN MDProvider ID: NM001H57NEW MEXICO HEART INSTITUTE P1401 10TH ST STE 1, 88310505-437-2924Fax: 505-437-2991Languages: Spanish

Dermatology

TONCRAY, JENNIFER DOProvider ID: NM009374TULAROSA BASIN DERMATOLOGY1212 9TH ST # A , 88310505-437-6700Languages: Spanish

Endocrinology

MISHKIN, MICHAEL MDProvider ID: NM009N221315 12TH ST , 88310505-437-5716Fax: 505-437-5733

Family Practice

BANIKARIM, KAY MDProvider ID: NM014370DAN MOEZZI MD PC2474 INDIAN WELLS RD , 88310505-443-0339BANKSTON, CHANDI DOProvider ID: NM014B531315 12TH ST , 88310505-437-5716Fax: 505-437-5733FERNANDO, LUGO DOProvider ID: NM004B69BEN ARCHER HEALTH CTR1501 10TH ST , 88310505-443-8133Languages: SpanishGONZALES, MARIO MDProvider ID: NM001B381501 E 10TH ST , 88310505-443-8133Fax: 505-531-2172Languages: SpanishGRUMMERT, SANDRA MDProvider ID: NM009Y45INTERNAL MED SPEC OF ALAMO2559 MEDICAL DR STE C, 88310505-439-8220Fax: 505-443-1818* Not Accepting New PatientsHEREDIA, GILBERTO MDProvider ID: NM009956WHITE SANDS FAMILY PRACTICE2010 PECAN DR , 88310505-434-9737JONES, JOHN RICHARD MDProvider ID: NM009965ALAMOGORDO FAMILY PRACTICE C1909 CUBA AVE # 4 , 88310505-443-6262JUN, SUNGHO MDProvider ID: NM0012012559 MEDICAL DR # B , 88310505-437-8828Fax: 505-437-4122LEATHERWOOD, MARK MDProvider ID: NM001J08BEN ARCHER HEALTH CTR1501 E 10TH ST , 88310505-443-8133Languages: SpanishMARTINEZ, ENRIQUE MDProvider ID: NM001726BEN ARCHER HEALTH CTR1501 10TH ST , 88310505-443-8133Languages: SpanishMILLER, CLYDE MDProvider ID: NM001A561501 E 10TH ST , 88310505-443-8133Languages: SpanishMOEZZI, DAN MDProvider ID: NM014493DAN MOEZZI MD PC2474 INDIAN WELLS RD , 88310505-443-0339NEELEY, RAQUEL MDProvider ID: NM009Y59BEN ARCHER HEALTH CTR1501 E 10TH ST , 88310505-443-8133Languages: SpanishPAUL, ALLAN MDProvider ID: NM012112ALLAN L PAUL MD PC2559 MEDICAL DR STE E, 88310505-437-5595

MancosMontezuma County

Pagosa SpringsArchuleta County

TrinidadLas Animas County

NMAbiquiuRio Arriba County

AlamogordoOtero County

Alamogordo


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PAYLOR, SHAUNA MDProvider ID: NM019Y69OTERO CNTY HOS ASSOC DBA GCRMC1401 10TH ST STE 1, 88310505-434-5195Fax: 505-434-5790SINGH, JAGDEV MDProvider ID: NM0025841909 CUBA AVE , 88310505-437-1900WALCHER, JOE B MDProvider ID: NM0003811211 8TH ST STE C , 88310505-437-7979

Gastroenterology

MUELLER, JUERGEN Provider ID: NM009Y05OTERO CNTY HOS ASSOC DBA GCRMC923 9TH ST STE A, 88310505-443-7440

General Surgery

GUERRA, CRISTINA MDProvider ID: NM001P22SURGICARE PLUS PC2539 MEDICAL DR STE 107, 88310505-439-6560Fax: 505-439-6720POLLARD, WILLIAM MDProvider ID: NM009K90ALAMOGORDO SURG ASSOC PA1100 10TH ST , 88310505-437-2244RICHARDSON, GREGORY MDProvider ID: NM002271ALAMOGORDO SURG ASSOC PA1100 10TH ST , 88310505-437-2244

Gynecology

SAMPATH, RUTHVEN MDProvider ID: NM012432OTERO CNTY HOS ASSOC DBA GCRMC2050 N SCENIC DR , 88310505-443-2999Note: Female Patients OnlyLanguages: Spanish


KOREC, STEFAN MDProvider ID: NM009296OTERO ONCOLOGY PC2559 MEDICAL DR STE G, 88310505-437-8126Fax: 505-437-8205

Internal Medicine

ABOOD, FERIAL MDProvider ID: NM019809INTERNAL MED SPEC OF ALAMO2559 MEDICAL DR STE C, 88310505-443-0323Fax: 505-443-1818ADAY, D BRENT MDProvider ID: NM002005ALAMOGORDO CLINIC LTD1410 ASPEN DR STE A , 88310505-437-7000* Accepting Existing and Family Patients OnlyLanguages: SpanishALQASSEM, NASSER MDProvider ID: NM009D30INTERNAL MED ASSOC OF NM1101 9TH ST # A , 88310505-437-8411

ANIREDDY, GIRIDHAR MDProvider ID: NM019B45ALAMOGORDO INTERNAL MEDICINE PC1212 9TH ST STE C, 88310505-434-2965Fax: 505-439-8254Languages: HindiFELLERS, NEAL MDProvider ID: NM009N552559 MEDICAL DR STE C, 88310505-443-0323HANUMANDLA, SAROJANA MDProvider ID: NM029B44ALAMOGORDO INTERNAL MEDICINE PC1212 9TH ST STE C, 88310505-434-2965Fax: 505-439-8254Languages: HindiMUELLER, JUERGEN MDProvider ID: NM009Y05OTERO CNTY HOS ASSOC DBA GCRMC923 9TH ST STE A, 88310505-443-7440VELASQUEZ, MICHAEL DOProvider ID: NM0193811212 9TH ST STE E, 88310505-443-1001Fax: 505-443-1771

Neurology

SIMMONS, JOHN MDProvider ID: NM019949NEW MEXICO BRAIN INSTITUTE108 COTTONWOOD DR , 88310505-434-0901

Nuclear Medicine

HADZIC, EJUB MDProvider ID: NM039200OTERO COMM CANCER CTR LLP2559 SCENIC DR # G , 88310505-437-8126


BANERJI, AMANDA DOProvider ID: NM014A84CTR FOR WOMENS HLTH & SPECIALTY S2559 MEDICAL DR STE D, 88310505-434-2229Fax: 505-439-5705Languages: SpanishDANNER, KARA MDProvider ID: NM001D46CTR FOR WOMENS HLTH & SPECIALTY S2559 MEDICAL DR STE D, 88310505-434-2229Fax: 505-439-5705LINDLEY, NORMAN MDProvider ID: NM001A892559 MEDICAL DR STE D, 88310505-434-2229Fax: 505-439-5705NAHABET, CHAWKI MDProvider ID: NM011D13CTR FOR WOMENS HLTH & SPECIALTY S2559 MEDICAL DR STE D, 88310505-434-2229Fax: 505-439-5705Languages: Spanish

Ophthalmology

AHMADI, ADAM MDProvider ID: NM009V89ALAMOGORDO EYE CLINIC INC1124 10TH ST , 88310505-434-1200Fax: 505-437-3947

HALL, J ROGER MDProvider ID: NM009780ALAMOGORDO EYE CLINIC INC1124 10TH ST , 88310505-434-1200Languages: SpanishHAM, DONALD MDProvider ID: NM001161ALAMOGORDO EYE CLINIC INC1124 10TH ST , 88310505-434-1200Languages: SpanishYANG, MICHELLE MDProvider ID: NM009783923 9TH ST # B , 88310505-437-9900

Orthopaedic Surgery

BRYANT, FRANK MDProvider ID: NM022360SOUTHWEST ORTHOPAEDICS PC2539 MEDICAL DR STE 110, 88310505-434-1400Fax: 505-434-1452Languages: SpanishDODSON, DOUGLAS DOProvider ID: NM004006ALAMOGORDO ORTHO SPORTS MEDI2301 INDIAN WELLS STE A, 88310505-434-0639Fax: 505-434-4148FREEH, ERIC DOProvider ID: NM0140642301 INDIAN WELLS STE A, 88310505-434-0639Fax: 505-434-4148RICKMAN, ALLAN MDProvider ID: NM011755ALAMOGORDO ORTHO SPORTS MEDI2301 INDIAN WELLS STE A, 88310505-434-0639Fax: 505-434-4148

Otolaryngology

FROST, TIMOTHY MDProvider ID: NM013135ALAMOGORDO ENT FPS PC1401 10TH ST # C , 88310505-437-4533

Pain Mgmt or Anesthesiology Pain Mgmt

SCHLICHT, CHRISTIAN DOProvider ID: NM004C06OTERO CNTY HOS ASSOC DBA GCRMC2539 MEDICAL DR COMPLEX A STE 110, 88310505-437-1967

Pediatrics

DENNIG, DIETER MDProvider ID: NM00437150 HIGH SIERRA DR , 88310505-439-9845STARR, LARRY DEAN MDProvider ID: NM012678ALAMOGORDO PEDIATRIC ASSOC P2559 MEDICAL DR STE A, 88310505-434-1500STARR, NANCY JEAN MDProvider ID: NM012682ALAMOGORDO PEDIATRIC ASSOC P2559 MEDICAL DR STE A, 88310505-434-1500

Pulmonary Diseases

FELLERS, NEAL Provider ID: NM009N552559 MEDICAL DR STE C, 88310505-443-0323

Radiology

CREEL, CHRISTOPHER MDProvider ID: NM002Q012539 MEDICAL DR STE 101, 88310505-434-1353Fax: 505-434-1398HEBERT, JEFFREY MDProvider ID: NM001P28X RAY ASSOCIATES OF NM2539 MEDICAL DR STE 101, 88310505-434-1353Fax: 505-434-1398LORUSSO, ALEXANDER MDProvider ID: NM009V81X RAY ASSOCIATES OF NM2539 MEDICAL DR STE 101A, 88310505-434-1353Fax: 505-434-1398STEWART, JOHN MDProvider ID: NM009Z15X RAY ASSOCIATES OF NM2539 MEDICAL DR STE 101, 88310505-434-1353Fax: 505-434-1398Languages: French

Thoracic Surgery

LOGUE, WILLIAM MDProvider ID: NM001P17SURGICARE PLUS PC2539 MEDICAL DR STE 107, 88310505-439-6560Fax: 505-439-6720

Urology

SMALTZ, ROBERT MDProvider ID: NM0093642539 MEDICAL DR COMPLEX A STE 103, 88310505-437-4909Fax: 505-437-4953

Allergy-Immunology

ABERNATHY CARVER, KATHERINE MDProvider ID: NM003311ALLERGY ASTHMA CARE INC2509 VIRGINIA ST NE # B , 87110505-294-1471CLAYTON, MICHAEL MDProvider ID: NM0033582509 VIRGINIA NE STE A, 87110505-296-5426Fax: 505-296-1248FELDMAN, BRUCE MDProvider ID: NM000857ALLERGY & ASTHMA ASSOC PA8010 MOUNTAIN RD NE , 87110505-265-6782Fax: 505-225-3715ROSANDICH, RONALD MDProvider ID: NM0023554801 MCMAHON BLVD NW , 87114505-268-2481Fax: 505-268-0889

AlbuquerqueBernalillo County

Alamogordo


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ROSANDICH, RONALD MDProvider ID: NM0023558010 MOUNTAIN RD NE STE 300, 87110505-268-2481Fax: 505-268-0889SCHUYLER, MARK MDProvider ID: NM013679UNM MEDICAL GROUP INC2211 LOMAS BLVD NE , 87131505-272-2415TOLBER, STEVEN MDProvider ID: NM012786STEVEN G TOLBER MD PA7121 PROSPECT PLACE NE , 87110505-883-2574Fax: 505-883-0725

Anesthesiology

ABETYA, BRANDON MDProvider ID: NM002B051100 CENTRAL SE , 87106505-260-4300Fax: 505-260-4338Languages: SpanishABETYA, BRANDON MDProvider ID: NM002B05201 CEDAR SE STE 7650, 87106505-260-4300Fax: 505-260-4338Languages: SpanishABETYA, BRANDON MDProvider ID: NM002B05301 CEDAR SE , 87106505-260-4300Fax: 505-000-0000Languages: SpanishABETYA, BRANDON MDProvider ID: NM002B058300 CONSTITUTION AVE NE , 87110505-260-4300Fax: 505-000-0000Languages: SpanishARNDT, CHRISTOPHER MDProvider ID: NM011K42UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610ATHERTON, MICHAEL MDProvider ID: NM009Q59ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729BAKER, ELIZABETH MDProvider ID: NM011D44UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610BERG, ADAM MDProvider ID: NM009C57ANES ASSOCIATES OF NM PC1720 LOUISIANA N E 401 , 87110505-260-4300BIAZAK, GARY MDProvider ID: NM009C58ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300BIAZAK, ROBERT MDProvider ID: NM009C59ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300BLACK, ANDREW MDProvider ID: NM001H07ANES ASSOCIATES OF NM PC1100 CENTRAL AVE SE , 87106505-841-1234Languages: Spanish

BLACK, ANDREW MDProvider ID: NM001H07ANES ASSOCIATES OF NM PC201 CEDAR ST SE STE 7650, 87106505-724-4397Languages: SpanishBLACK, ANDREW MDProvider ID: NM001H07ANES ASSOCIATES OF NM PC301 CEDAR ST SE , 87106505-841-1234Languages: SpanishBLACK, ANDREW MDProvider ID: NM001H07ANES ASSOCIATES OF NM PC8300 CONSTITUTION AVE NE , 87110505-841-1234Languages: SpanishBLAZEK, GERALD MDProvider ID: NM000325ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729BRIERLEY, JANET MDProvider ID: NM019865UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610BROWN, DONALD MDProvider ID: NM009Q61ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729BROWN, DOUGLAS MDProvider ID: NM009L15ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729BRYA, WILLIAM MDProvider ID: NM000454ALB ANESTHESIA CONSULTANTS1720 WYOMING BLVD NE , 87112505-292-9200BURRUP, CAMERON MDProvider ID: NM001H08ANES ASSOCIATES OF NM PC1100 CENTRAL AVE SE , 87106505-841-1234Languages: SpanishBURRUP, CAMERON MDProvider ID: NM001H08ANES ASSOCIATES OF NM PC201 CEDAR ST SE STE 7650, 87106505-724-4397Languages: SpanishBURRUP, CAMERON MDProvider ID: NM001H08ANES ASSOCIATES OF NM PC301 CEDAR ST SE , 87106505-841-1234Languages: SpanishBURRUP, CAMERON MDProvider ID: NM001H08ANES ASSOCIATES OF NM PC8300 CONSTITUTION AVE NE , 87110505-841-1234Languages: SpanishBURSTROM, RUTH MDProvider ID: NM019866UNM MEDICAL GROUP INC2701 FRONTIER NE SURG B 1W , 87131505-272-2610CASTILLO, PAUL MDProvider ID: NM009Z59ANES ASSOCIATES OF NM PC1100 CENTRAL AVE SE , 87106505-841-1234Languages: Spanish

CASTILLO, PAUL MDProvider ID: NM009Z59ANES ASSOCIATES OF NM PC201 CEDAR ST SE STE 7650, 87106505-724-4397Languages: SpanishCASTILLO, PAUL MDProvider ID: NM009Z59ANES ASSOCIATES OF NM PC301 CEDAR ST NE , 87106505-841-1234Languages: SpanishCASTILLO, PAUL MDProvider ID: NM009Z59ANES ASSOCIATES OF NM PC8300 CONSTITUTION AVE NE , 87110505-841-1234Languages: SpanishCHAPMAN, NIELS MDProvider ID: NM019868UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610CHARSLEY, MARGARET MDProvider ID: NM019E44UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610COFFEY, GEORGE MDProvider ID: NM009G12ANES ASSOCIATES OF NM PC1720 LOUISIANA N E #401 , 87110505-260-4300DAHLGREN, NELS MDProvider ID: NM002M041100 CENTRAL AVE SE , 87106505-260-4300Fax: 505-260-4338Languages: SpanishDAHLGREN, NELS MDProvider ID: NM002M04201 CEDAR SE STE 7650, 87106505-260-4300Fax: 505-260-4338Languages: SpanishDAHLGREN, NELS MDProvider ID: NM002M04301 CEDAR SE , 87106505-260-4300Fax: 505-260-4338Languages: SpanishDAHLGREN, NELS MDProvider ID: NM002M048300 CONSTITUTION NE , 87110505-260-4300Fax: 505-260-4338Languages: SpanishDELGADO, ANITA MDProvider ID: NM009Q62ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729DELGADO, ANITA MDProvider ID: NM009W71LOVELACE HEALTH SYSTEMS5400 GIBSON BLVD SE , 87108505-262-7197Fax: 505-262-3559DIXON, K MDProvider ID: NM001896ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729DOMINGUEZ, WILLIAM MDProvider ID: NM009C60ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300

DORAN, NIVINE MDProvider ID: NM019874UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610DUNAGAN, JAMES MDProvider ID: NM019E38UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610FALCON, RICARDO MDProvider ID: NM029N88UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610FARLEY, JON MDProvider ID: NM009E89OPHTHALMIC ANES SVCS PC4401 MASTHEAD ST NE STE 120, 87109505-243-7729Fax: 505-243-4804FORTNER, SALLY MDProvider ID: NM019869UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610FURLONG, MONICA MDProvider ID: NM019H73UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610GALLAGHER, CHRISTOPHER MDProvider ID: NM009872UNIV PHYSICIANS ASSOCIATES2701 FRONTIER NE , 87131505-272-2610GALLAGHER, CHRISTOPHER MDProvider ID: NM009U56ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729GANGA, CHOUDARY MDProvider ID: NM009C62ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300GARSON, LESLIE MDProvider ID: NM019S65UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610GERSTEIN, NEAL MDProvider ID: NM019U45UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610GODWIN, EARL MDProvider ID: NM009C63ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300GONZALEZ, DIEGO MDProvider ID: NM009R90ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729GORDON, TRACY MDProvider ID: NM009C64ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300GRECO, MICHAEL MDProvider ID: NM001B632701 FRONTIER NE , 87131505-272-2610

Albuquerque


January 200816

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GRONERT, BRIAN MDProvider ID: NM009G13ANES ASSOCIATES OF NM PC1720 LOUISIANA N E #401 , 87110505-260-4300GUADERRAMA, LAURO MDProvider ID: NM009Y73ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729HANSEN, TIMOTHY DOProvider ID: NM009E27SW INTERVENTIONAL PAIN SPEC4700 JEFFERSON ST NE # 700 , 87109505-881-5080HARDING, JAMES MDProvider ID: NM022542UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610HARTSON, DAVID MDProvider ID: NM009X65ANES ASSOCIATES OF NM PC1720 LOUISIANA BLVD NE STE 401, 87110505-260-4300Fax: 505-260-4338Languages: SpanishHASKE, MICHAEL MDProvider ID: NM001J04ANES ASSOCIATES OF NM PC1100 CENTRAL AVE SE , 87106505-260-4300Fax: 505-260-4338Languages: SpanishHASKE, MICHAEL MDProvider ID: NM001J04ANES ASSOCIATES OF NM PC201 CEDAR SE STE 7650, 87106505-260-4300Languages: SpanishHASKE, MICHAEL MDProvider ID: NM001J04ANES ASSOCIATES OF NM PC301 CEDAR SE , 87106505-841-1234Languages: SpanishHASKE, MICHAEL MDProvider ID: NM001J04ANES ASSOCIATES OF NM PC8300 CONSTITUTION AVE NE , 87110505-841-1234Languages: SpanishHERCEG, IVAN MDProvider ID: NM019S92UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610HOEFNER, ERNEST DOProvider ID: NM004A67ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729HOROWITZ, MARC MDProvider ID: NM019M98UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610HUDSON, RICK MDProvider ID: NM009C68ANES ASSOCIATES OF NM PC1720 LOUISIANA N E STE 401 , 87110505-260-4300ISAACS, IRWIN MDProvider ID: NM009R83ANES ASSOCIATES OF NM PC1720 LOUISIANA NE STE 401, 87110505-260-4300

JAIME, FRANCISCO MDProvider ID: NM019879UNM MEDICAL GROUP INC2701 FRONTIER NE , 87131505-272-2610JAROS, JOSEPH MDProvider ID: NM001476ANES SPEC OF ALB4401 MASTHEAD ST NE STE 120, 87109505-243-7729JOHNSEN, MIC

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M670 BlueDirect PPO Premier - Blue Cross Blue Shield Association · 2008. 3. 19. · Welcome to BlueDirect® January 08 1 Welcome to the Blue Cross and Blue Shield of New Mexico (BCBSNM)