Medicaid Provider Directory Central Florida Provider Directory Central Florida . 1

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  • Medicaid Provider Directory

    Central Florida

  • 1

    WELCOME TO SIMPLY HEALTHCARE PLANS! First, you need to pick a doctor. The Dr. will send you to a specialist if you need one. There are a lot of doctors to pick from. You should also pick a doctor for each member of your family.

    Next, make an appointment with your doctor. This will give him or her a chance to get to know your health. Remember, you do not want to wait until you are sick to pick a doctor.

    All of your health care is provided at your doctors office or through written referrals from your doctor. In an emergency call 9-1-1 or go to the nearest Hospital Emergency Room. Sometimes you may have a medical problem that is not really serious and your doctors office is closed. For those times you can use an Urgent Care service. Check this book or call 305-408-5890 or 1-800-887-6888 outside Dade County for a list of offices.

    At Simply Healthcare Plans, we want to get to know you, so that we may give you the best care.

    The doctors in this do not work for Simply Healthcare Plans.

    Some doctors may not perform services based on religious or moral beliefs.

    Your book must be looked at to find out exact terms, coverage, limitations and exclusions.

    Note: The doctors and hospitals in this book are updated as of the day the book is printed. Sometimes new doctors are added to our plan or others may leave our plan. We advise that you call us or visit our website at www.simplyhealthcareplans.com to make sure that the doctor is in the Plan.

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    REFERRALS Your Primary Care Doctor is the doctor you will see first. If needed, he/she will send you to a specialist. They will work together for a treatment plan.

    SELF-REFERRALS The following specialty services do not need a referral from your doctor:

    Chiropractic Care You can pick any doctor from this section for up to 20 visits within a 12- month period.

    Dermatology Care You can pick any doctor from this section for up to 5 visits within a 12-month period.

    Podiatry You can pick any doctor from this section for an evaluation. If you need more treatments, surgery, or tests, authorization is needed.

    Gynecology You can pick any doctor from this section for the annual well-woman exam. Ask your doctor for a list of GYNs. Any more visits require a referral.

  • Table of Contents

    Table of Contents

    Index ..................................................................................................................................................... 99MM

    Participating Hospitals ..................................................................................................................... 1919MM

    Primary Care Providers .................................................................................................................... 25General Practice ...................................................25MMInternal Medicine ...................................................25MMPediatrics ..............................................................25MMPediatrics ............25MMFamily Practice .....................................................25MMGeneral Practice ...................................................27MMInternal Medicine ...................................................28MMPediatrics ..............................................................29MMPediatrics ............30MMPediatrics ..............................................................30MMPediatrics ............31MMPediatrics ..............................................................31MMPediatrics ............32MMPediatrics ..............................................................32MMFamily Practice .....................................................33MMGeneral Practice ...................................................34MMInternal Medicine ...................................................35MMPediatrics ..............................................................36MMFamily Practice .....................................................38MMGeneral Practice ...................................................38MMInternal Medicine ...................................................39MM

    Pediatrics ..............................................................40MMFamily Practice ......................................................41MMGeneral Practice ...................................................42MMInternal Medicine ...................................................42MMPediatrics ..............................................................42MMPediatrics ............43MMPediatrics ..............................................................43MMFamily Practice ......................................................43MMInternal Medicine ...................................................46MMInternal Medicine ............47MMInternal Medicine ...................................................47MMPediatrics ..............................................................47MMFamily Practice ......................................................50MMGeneral Practice ...................................................52MMInternal Medicine ...................................................52MMPediatrics ..............................................................54MMFamily Practice ......................................................56MMGeneral Practice ...................................................57MMInternal Medicine ...................................................58MMPediatrics ..............................................................58MM

    Participating Specialists ................................................................................................................... 61Allergy & Immunology ...........................................61MMCardiovascular Medicine .......................................61MMGastroenterology ..................................................61MMInfectious Diseases ...............................................61MMNephrology ............................................................61MMNurse Midwife .......................................................61MM

    Ob-Gyn ..................................................................61MMPain Management .................................................61MMPediatrics ..............................................................61MMRadiology ..............................................................61MMSurgery-General ....................................................61MMSurgery-Plastic ......................................................61MM

  • Table of Contents

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    Radiology - Radiation Oncology ............62MMAdolescent Medicine .............................................62MMAllergy ...................................................................62MMAllergy & Immunology ...........................................62MMAudiologist ............................................................62MMCardiovascular Medicine .......................................63MMChiropractor ..........................................................64MMDermatology ..........................................................65MMDiabetes ................................................................66MMEndocrinology .......................................................66MMGastroenterology ..................................................67MMGenetics ................................................................68MMGeriatrics ...............................................................68MMGynecology ...........................................................68MMHematology/Oncology ...........................................68MMInfectious Diseases ...............................................68MMInternal Medicine ...................................................70MMMaternal/Fetal .......................................................71MMNeonatal-Perinatal Medicine .................................71MMNeonatology ..........................................................72MMNephrology ............72MMNephrology ............................................................72MMNeurology ..............................................................73MMNurse Midwife .......................................................74MMOb-Gyn .................................................................75MMObstetrics ..............................................................76MMOccupational Therapist .........................................76MMOphthalmology ......................................................77MMOptometrist ...........................................................78MMOrthopedic Surgery ...............................................82MMOtolaryngologist ....................................................83MMOtorhinolaryngologist (Ent) ...................................84MMPain Management .................................................84MMPediatrics ..............................................................84MM

    Pediatrics-Allergy ..................................................85MMPediatrics-Cardiology ............................................85MMPediatrics-Gastroenterology ..................................85MMPediatrics-Nephrology ...........................................85MMPediatrics-Neurology .............................................86MMPediatrics-N