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Member Services: 1-855-817-5787 (TTY: 1-800-255-2880) Monday through Friday 8 a.m to 8 p.m. local time Y0071_14_19073_U CMS Accepted 02/10/2014 mss.anthem.com/ccc Provider and Pharmacy Directory Anthem HealthKeepers Medicare-Medicaid Plan (MMP), a Commonwealth Coordinated Care Plan Virginia — Tidewater and Central Regions

Provider and Pharmacy Directory - Anthem · PDF file2014-2015 Provider and Pharmacy Directory * HealthKeepers, Inc. is a health plan that contracts with both Medicare and the Virginia

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  • Member Services: 1-855-817-5787 (TTY: 1-800-255-2880) Monday through Friday 8 a.m to 8 p.m. local time

    Y0071_14_19073_U CMS Accepted 02/10/2014

    Tidewater Region: Gloucester, Isle Of Wight, James City County, Mathews, Northampton, York, Chesapeake, Hampton, Newport News, Norfolk, Poquoson, Portsmouth, Suffolk, Virginia Beach, Williamsburg

    Central Region: Amelia, Brunswick, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Essex, Goochland, Greensville, Hanover, Henrico, King and Queen, King George, King William, Lancaster, Lunenburg, Middlesex, New Kent, Northumberland, Nottoway, Powhatan, Prince George, Richmond Co., Southampton, Surry, Sussex, Colonial Heights, Emporia, Franklin City, Hopewell, Petersburg, Richmond City, Westmoreland

    This directory only includes providers in the cities and counties listed above. To get help finding a provider in another county or to request a complete Anthem HealthKeepers MMP Provider and Pharmacy Directory for Virginia, call Member Services.

    HealthKeepers, Inc. is a health plan that contracts with both Medicare and the Virginia Department of Medical Assistance Services to provide benefits of both programs to enrollees. HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

    Y0071_14_19073_U CMS Accepted 02/10/2014AVADMKT-0004-13 V2 01/14 PPD TCR

    Have questions? Call us toll free at 1-855-817-5787 (TTY: 1-800-255-2880) Monday through Friday from 8 a.m to 8 p.m. local time. Or visit mss.anthem.com/ccc.

    mss.anthem.com/ccc

    Provider and Pharmacy Directory

    Anthem HealthKeepers Medicare-Medicaid Plan (MMP),a Commonwealth Coordinated Care Plan

    Virginia Tidewater and Central Regions

  • Page

    2014-2015 Provider and Pharmacy Directory..............................................................................3

    Getting started in Anthem HealthKeepers MMP ..........................................................................4

    Choosing a Primary Care Provider (PCP).....................................................................................6

    Getting long-term services and supports ....................................................................................6

    Identifying Providers in the Anthem HealthKeepers MMP Network ..............................................7

    Finding Anthem HealthKeepers MMP providers in your Area.......................................................8

    List of Network Providers ............................................................................................................8

    Primary Care Providers ...............................................................................................................9

    Specialists ................................................................................................................................60

    Urgent Care Centers ...............................................................................................................282

    Hospitals and Facilities............................................................................................................284

    Skilled Nursing Facilities ..........................................................................................................293

    National Ancillary Providers .....................................................................................................300

    Ancillary Providers...................................................................................................................302

    Behavioral Health....................................................................................................................339

    Long-Term Services and Supports..........................................................................................437

    Transportation.........................................................................................................................470

    CareMore Care Centers ..........................................................................................................471

    Dental Providers .....................................................................................................................473

    Vision Providers ......................................................................................................................536

    Pharmacies.............................................................................................................................569

    Index: Physicians ....................................................................................................................636

    Index: Dental...........................................................................................................................679

    Index: Vision ...........................................................................................................................686

    Table of Contents

    Table of Contents 1

  • 2014-2015 Provider and Pharmacy Directory* HealthKeepers, Inc. is a health plan that contracts with both Medicare and the Virginia

    Department of Medical Assistance Services to provide benefits of both programs toenrollees.

    * Benefits, List of Covered Drugs, pharmacy and provider networks, and/or copaymentsmay change from time to time throughout the year and on January 1 of each year.

    * You can ask for this information in other formats, such as Braille or large print. Call1-855-817-5787 (TTY: 1-800-855-2880). The call is free.

    * You can get this information for free in other languages. Call 1-855-817-5787. The call isfree. Puede recibir esta informacin sin cargo en otros idiomas. Llame al 1-855-817-5787.La llamada es gratuita.

    * This Directory lists health care professionals (such as doctors, nurse practitioners andpsychologists), facilities (such as hospitals or clinics), and support providers (such as AdultDay Health and Home Health providers) that you may see as an Anthem HealthKeepersMedicare-Medicaid Plan (MMP) member. We also list the pharmacies that you may use toget your prescription drugs.

    * We will refer to this group as network providers in this Directory. These providers signeda contract with us to provide you services. This is a list of the Anthem HealthKeepers MMPnetwork providers for the Central/Tidewater region of Virginia. This region includes thesecounties and cities:

    Central: Amelia, Brunswick, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie,Essex, Goochland, Greensville, Hanover, Henrico, King and Queen, King George, KingWilliam, Lancaster, Lunenburg, Mecklenburg, Middlesex, New Kent, Northumberland,Nottoway, Powhatan, Prince Edward, Prince George, Richmond Co., Southampton,Spotsylvania, Stafford, Surry, Sussex, Westmoreland, Colonial Heights, Emporia, FranklinCity, Fredericksburg, Hopewell, Petersburg, Richmond City

    Tidewater: Gloucester, Isle Of Wight, James City County, Mathews, Northampton, York,Chesapeake, Hampton, Newport News, Norfolk, Poquoson, Portsmouth, Suffolk, VirginiaBeach, Williamsburg

    This directory only includes providers in the areas listed above. To get help finding aprovider in another county or to request a complete Provider and Pharmacy Directory forVirginia, call Member Services.

    Anthem HealthKeepers Medicare-Medicaid PlanA Commonwealth Coordinated Care Plan

    If you have questions, please call HealthKeepers, Inc. at 1-855-817-5787 (TTY: 1-800-855-2880), Mondaythrough Friday 8 a.m. to 8 p.m. local time. The call is free. For more information, visit mss.anthem.com/ccc.

    Y0071_14_19072_T CMS Approved 02/28/2014 3

  • The list is up-to-date as of 04/17/2014, but you need to know that:

    Some Anthem HealthKeepers MMP network providers may have been added orremoved from our network after this Directory was printed.

    Some Anthem HealthKeepers MMP providers in our network may not be accepting newmembers. If you are having trouble finding a provider who will accept new members, callMember Services at 1-855-817-5787 (TTY: 1-800-855-2880), and we will help you.

    To get the most up-to-date information about the Anthem HealthKeepers MMP networkproviders in your area, visit mss.anthem.com/ccc or call Member Services at1-855-817-5787 Monday through Friday from 8 a.m. to 8 p.m. local time. The call is free.TTY users call 1-800-855-2880.

    Doctors and health care professionals that are in the Anthem HealthKeepers MMP networkare listed on pages 9 - 487.

    Pharmacies that are in our network are listed on pages 488 - 554.

    Providers

    Getting started in Anthem HealthKeepers MMPThrough Anthem HealthKeepers MMP, you have a team of people to help you get the careyou need. This team, called your Interdisciplinary Care Team (ICT), is made of all yourcaregivers: your doctors and nurses, long-term care providers, pharmacists, behavior healthspecialists, and social workers. Your ICT makes sure your medical and behavioral health,long-term care and supports, and social needs are met. Youll choose your providers fromthe list in this directory.

    This section explains key terms youll see in our Provider and Pharmacy Directory.

    Providers are doctors, nurses, pharmacists, therapists and other people who providecare and services. Services include medical care, long-term services and supports,services, supplies, prescription drugs, equipment, and other services.

    C The term providers also includes hospitals, clinics and other places that providemedical services, medical equipment, and long term services and