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Provider Directory 2021

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UHTX21HM4778419_014.pdfTexas
El Paso County
Some network providers may have been added or removed from our network after this directory
was printed. We do not guarantee that each provider is still accepting new members.
For more information, please contact Customer Service at:
Toll-free 1-866-480-1086, TTY 711 8 a.m. - 8 p.m. local time, 7 days a week
www.myuhcadvantage.com
Y0066_200420_4713323_C This directory is current as of September 10, 2021
This page is intentionally left blank.
Introduction
Your Plan
Provider Directory This directory provides a list of your plan’s network providers. This directory is for the plan and service area listed on the cover. It is not a complete list of network
providers available to you. You can search for a network provider and print a directory online,
which is updated weekly and available 24 hours a day, 7 days a week.
For the most up-to-date information about the plan’s network
providers that serve your area:
Visit www.myuhcadvantage.com or call Customer Service toll-free at 1-866-480-1086, TTY
711, 8 a.m. - 8 p.m. local time, 7 days a week.
Providers are prohibited from discriminating against any member, with regard to quality of service
or accessibility of services, on the basis of race, ethnicity, national origin, religion, sex, age, mental
or physical disability or medical condition, sexual orientation, claims experience, medical history,
evidence of insurability, disability, genetic information, or source of payment.
This information is available for free in other languages. Please call our customer service number
on the cover.
Esta información esta disponible sin costo en otros idiomas. Comuníquese con nuestro número de
Servicio al Cliente situado en la cobertura.
This document may be available in an alternate format such as Braille, larger print or audio. Please
call Customer Service at the toll-free phone number listed on the cover.
The provider network may change at any time. You will receive notice when necessary.
Y0066_200420_4713323_C
Introduction
Introduction This directory provides a list of the plan’s network providers. To get detailed information about your
health care coverage, please see your Evidence of Coverage.
What is a primary care provider? A primary care provider (PCP) is the health care professional who provides most of your care.
Your PCP can help you:
· Make smart lifestyle choices to help improve and maintain your health
· Get preventive care and health screenings
· Better understand your medical conditions
· Coordinate any specialist care to help avoid duplicate and expensive tests
· Manage your prescriptions and identify possible harmful interactions
Select a primary care provider (PCP) You will need to choose one of our network providers to be your primary care provider (PCP). PCPs
are listed in the Primary Care Provider section of this directory. The term PCP will be used
throughout this directory.
If you choose a PCP who is not taking new patients, we may assign you to a different PCP. If this
happens, you can switch to another PCP who is accepting new patients.
Your PCP plays an important role in your health care and we want you to be comfortable with the
provider you choose. If you want to switch providers, call Customer Service toll-free at
1-866-480-1086, 8 a.m. - 8 p.m. local time, 7 days a week. TTY users should call 711.
Referrals from your PCP Your PCP can handle most routine health care needs. If you need to see a network specialist or
other network provider, you may need to get a referral from your PCP. Your PCP will make a referral
based on your health situation. They may or may not refer you to a particular specialist in this
directory who you want to see. Generally, your PCP will provide follow-up care, as needed. Please
see the Evidence of Coverage for information about access to specialists.
The network providers listed in this directory have agreed to provide you with your health care
coverage. However, some services may require a referral. If you have been going to one network
provider, you are not required to continue going to that same provider. Check your Evidence of
Coverage to make sure your plan includes additional routine benefits or that you've signed up for
optional supplemental riders before making appointments for routine dental, vision or hearing
services.
If I need emergency or urgent care A medical emergency is when you, or any other ordinary person with an average knowledge of
health and medicine, believe that you have symptoms that require immediate medical care to
prevent death, loss of a limb, or loss of function of a limb. The medical symptoms may be an illness,
injury, severe pain, or a medical condition that is quickly getting worse.
Introduction
If you have a medical emergency, get help as quickly as possible. Call 911 or go to the nearest
emergency room or hospital. Emergency care can always be obtained in or out of the service area
from the nearest available provider. Emergency services are also covered whether a provider is in
our network or not. You or someone else should call and tell us about your emergency care, usually
within 48 hours.
Urgently needed services is a non-emergency, unforeseen medical illness, injury, or condition, that
requires immediate medical care. When out of the service area, urgent care may be obtained from
the first available provider whether the provider is in our network or not. In addition, when out of the
service area, you can obtain dialysis treatment from any qualified dialysis provider. If you obtain
routine care from out-of-network providers neither Medicare nor your Plan will be responsible for
the costs.
If you get a bill There may be times when you get a bill from a provider for the full cost of medical care you have
received. If you get a bill, contact us. In many cases, you should send this bill to us instead of
paying it. We will look at the bill and decide whether the services should be covered. If we decide
they should be covered, we will pay the provider directly. Please see your Evidence of Coverage for
more information.
If you’re on Medicare and Medicaid If you’re a Qualified Medicare Beneficiary (QMB), your doctor may not bill you for deductibles,
copays or coinsurance for Medicare-covered services, except for Part D prescription drug copays.
Please show your UnitedHealthcare member ID card and your state-issued Medicaid member ID
card when you see the doctor or use other plan services. This will help ensure you’re billed for the
correct amount.
Contact the Texas Health and Human Services Commission (www.hhs.texas.gov) for more
information about Medicaid services.
Get a printed list of Texas Medicaid doctors, clinics, hospitals and other providers by calling the
Enrollment Helpline toll-free at 1-800-964-2777, TTY 711. You can also search the Texas Medicaid
& Healthcare Partnership’s website at www.tmhp.com.
Telehealth (Virtual Visits) Virtual Visits are covered under your benefit plan. Not all medical conditions can be treated through
virtual visits. The virtual provider will identify if you need to see an in-person doctor for treatment.
In addition to local providers that support telehealth (virtual visits), you can also visit the following
providers that offer virtual care:
· For mental health visits, virtualvisitsmentalhealth.uhc.com
Accessing your behavioral/mental health benefits To access your behavioral/mental health benefits, call the toll-free behavioral/mental health number
on your UnitedHealthcare member ID card. When you call, a representative will check your
eligibility and get basic information about you and your situation. Depending on the help you need,
a clinician may talk with you and recommend a provider and treatment plan. If you prefer, your PCP
may call and arrange a referral for you. Your personal information will be kept strictly confidential.
Introduction
Organ transplant services Your plan has a network of facilities that perform organ transplants (including the heart, lung, liver,
intestine, kidney, bone marrow and/or pancreas). Solid organ transplants must be performed at a
facility that is currently Medicare-approved for your specific type of transplant. The plan’s hospital
network for organ transplant services is different than the network shown in the “Hospitals” section
of this provider directory. Some hospitals in the plan’s network for other medical services are not in
the plan’s network for transplant services. The complete list of Medicare-approved facilities in your
plan’s network may change throughout the year. For information on network facilities for transplant
services, please call Customer Service toll-free at 1-866-480-1086, TTY 711 or refer to the
transplant vendor website information listed in the “National Vendors” section of this provider
directory.
What is the service area for your plan? Your service area is listed below.
UnitedHealthcare Dual Complete® (HMO D-SNP)
Texas - El Paso county
How do you find network providers that serve your area? Network providers that serve your area are listed in the following sections of this directory. To find a
provider using this directory, turn to the Table of Contents on the next page and see where each
section begins. Go to the section of the type of provider you are looking for. Once you are in that
section, locate the city you live in. Under each city you will find a list of providers in alphabetical
order.
You may have more providers to choose from if the service area shown above is larger than the
service area shown on the front of this directory. You can also search for network provider online at
www.myuhcadvantage.com, which is updated weekly and available 24 hours a day, 7 days a
week.
If you have questions about your plan or require assistance in finding a PCP, please call our
Customer Service Department toll-free at 1-866-480-1086, TTY 711. Or visit
www.myuhcadvantage.com.
National Vendors.............................................................................................................................................................................3
 
National Vendors - The following national vendors are available to provide services to UnitedHealthcare customers throughout the United States regardless of where you receive the services.
Provider(s) PSone Nuuber Web ite
Aubulatory Infusion uite - Aubulatory Infusion uite
Metro Infusion Centers 877-448-3627 https://metroinfusioncenter.com/
almetto Infusion Services 615-367-1444 https://www.palmettoinfusion.com/
Cardiac Diagnostic - Cardiac onitoring ervices
iRhythm Technologies 1-888-693-2401 www.irhythmtech.com
Medi-Lynx Cardiac Monitoring
reventice Services 1-888-747-1442 http://www.preventicesolutions.com/s ervices/preventice-services.html
CardioNet 1-888-312-2328 www.cardionet.com
Convenience Care Clinic
Walmart Stores 1-972-635-2186 http://www.walmart.com
Diabetes Store, Inc. 800-501-1556 https://www.diabetesinconline.com/
Diagnostic Treatuent Center - Diagnostic Treatuent Center
Neurotech, LLC 866-374-7648 https://www.neurotecheeg.com
1-877-997-3625 www.americanrenal.com
Fresenius Medical Care 1-866-434-2597 www.fmcna.com
Home Dialysis Services LLC 1-815-741-6830 www.dccdialysis.com
D E - AED - wearable defbrillator
ZOLL Lifecore 1-800-543-3267 www.zoll.com
InfuSystem Inc 1-800-962-9656 www.infusystem.com
Bioventus 1-800-396-4325 www.bioventusglobal.com
DJO 1-800-321-9549 www.djortho.com
EBI 1-800-526-2579 www.biomet.com
Orthofx 1-800-535-4492 www.orthofx.com
Medline Industries 1-800-633-5463 www.medline.com
Cochlear Americas 1-800-483-3123 Cochlearamericas.com
D E - Continuous Glucose onitoring (CG ) Continuous Glucose onitoring upplies Glucose eters Diabetic Puup upplies
North Coast Medical Supply d/b/a/ Advanced Diabetes Supply
1-866-422-4866 https://www.northcoastmed.com/
Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com
D E - CP /continuous passive uotion, TSeruocoup, TEN
Kinex Medical Company 1-800-845-6364 www.kinexmedical.com
D E - Diabetic insulin puup and puup supplies
Insulet Corporation 1-800-591-3455 www.myomnipod.com
Minimed/Medtronic 1-800-646-4633 http://www.medtronicdiabetes.com/ho me
D E - D E
D E - D E - - Ultraviolet (UV) LigSt TSerapy
National Biological Corporation
BioTel INR 800-779-7616 http://www.coaguchek.com/coaguche kupatient/en/home/products/howutou getuaucoaguchek.html
D E - D E - ail Order upplies: ostouy, urological supplies
180 Medical, Inc. (877) 688-2729 http://www.180medical.com/
D E - D E Ostouy upplies Urinary CatSeters astectouy ProstSeses and ras (NO diabetic supplies)
Liberator Medical Supply 1-888-244-0789 https://www.liberatormedical.com/
D E - Dynauic plinting; racing & OrtSotics
Dynasplint Systems 1-800-638-6771 www.dynasplint.com
D E - Houe PT/INR
D E - Incontinence, diapers, soft goods and wound care supplies
Medline Industries 1-800-633-5463 www.medline.com
D E - ail order disposable uedical supplies including edicare-covered diabetic supplies (blood glucose uonitors, test strips and lancets)
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
D E - obility products - custou/couplex power wSeelcSairs and seating systeus
Numotion 1-888-232-1333 https://www.numotion.com/locations
D E - obility products custou/couplex power wSeelcSairs and seating systeus
National Seating & Mobility See website http://www.nsm-seating.com/fndus
D E - Negative pressure wound puup and wound care surfaces
KCI USA 1-800-275-4524 https://www.acelity.com/about-kci
Linkia Orthotics & rosthetics
D E - POV and Power wSeelcSairs
Hoveround Corporation 1-888-225-1547 http://www.hoveround.com/MobilityN ow
D E - Provox voice prostSesis; laryngectouy supplies
Atos Medical 800-217-0025 https://www.atosmedical.com/
D E - Respiratory SigS frequency cSest coupression oscillation systeu (vest)
Advanced Respiratory 1-800-826-4224 https://respiratorycare.hill-rom.com/
rentke Romich 1-800-268-5224 www.prentrom.com
Tobii Dynavox Systems 1-866-396-2869 http://www.tobiidynavox.com/
D E - tandard D E (beds, walkers, wSeelcSairs) cpap, enteral, Soue PT/INR, negative pressure wound care, oxygen, respiratory
Lincare - may be known locally by a diferent name; refer to website
See website www.lincare.com
D E - tandard D E (beds, walkers, wSeelcSairs) cpap, enteral, negative pressure wound care, oxygen, respiratory
Apria Healthcare 1-800-277-4288 www.apria.com
D E - tandard D E (beds, walkers, wSeelcSairs) cpap, enteral, oxygen, respiratory
Rotech Healthcare - may be known locally by a diferent name; refer to website
See website www.rotech.com
D E - Wound care supplies for residents of nursing Soues
Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com
Hearing Aid ervices - Hearing aid services / Searing testing, evaluation, Searing aid selection and ftting
UnitedHealthcare Hearing 1-855-523-9355 TTY 711 www.uhchearing.com
Houe HealtS
www.bayada.com
SA Healthcare 1-770-441-1580 www.psahealthcare.com
Houe HealtS/Hospice - Houe HealtS/Hospice
Encompass Health Home Health
Houe Infusion
Houe leep Testing
Virtuox 1-877-337-7111 www.virtuox.net
Heartland Healthcare Services
1-800-736-4427 / 1-419-252- 5500
www.hcr-manorcare.com or www.heartlandhomehealth.com
Bako Integrated hysician Solutions
Ameri ath* 1-800-354-3449 www.ameripath.com
ARU Labs 1-800-522-2787 www.aruplab.com
BioReference Laboratories* 1-800-229-5227 www.bioreference.com
Laboratory Corporation of America*
Quest Diagnostics Incorporated*
See website www.questdiagnostics.com
Laboratory - Genetic testing
www.genomichealth.com
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Laboratory - Laboratory - Anatouic patSology - including deruatopatSology, gastroenterology, genitourinary, Seuatology and gynecological patSology
oplar Healthcare 1-888-244-7284 www.poplarhealthcare.com
NeoGenomics Laboratories, Inc
Veracyte 1-888-9AFIRMA www.veracyte.com
Laboratory - Laboratory - Genetic testing (iuuuno eq)
Adaptive Biotechnologies (855) 466-8667 https://www.adaptivebiotech.com
Laboratory - Laboratory - Genetic testing ( auuaPrint)
Agendia 1-888-321-2732 www.agendia.com
CBL ath 1-877-225-7284 www.cblpath.com
Laboratory - pecialty genetic testing
Invitae Corporation* 1-800-436-3037 www.invitae.com
Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com
Millennium Health* 1-877-451-3534 www.milleniumlaboratories.com
Shopko Eyecare 1-800-791-7333 www.shopko-optical.com
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Provider(s) PSone Nuuber Web ite
OtSer pecialty ervices - Wouen’s SealtS - SigS risk O / prenatal care
Optum Women's and Children's Health
1-800-950-3963 www.alere.com
pecialty PSaruacy
Optum harmacy formerly BriovaRx Specialty harmacy; including Avella - Tampa
1-866-218-7398 https://specialty.optumrx.com/
IVX Health 1-800-746-8147 www.infusionexpress.com
pecialty PSaruacy - eSavioral HealtS
Genoa Healthcare 1-800-519-1139 www.genoahealthcare.com
Eversana 1-866-336-1336 www.dohmen.com
Biologics 1-800-856-1984 www.biologicsinc.com
Caremark 1-877-287-1234 www.cvsspecialty.com
pecialty PSaruacy - Triptodur
antheRx Specialty harmacy
Accredo 1-800-803-2523 www.accredo.com
pecialty PSaruacy and Houe Infusion - pecialty PSaruacy and Aubulatory Infusion uites
Kroger Specialty Infusion harmacy
Option Care 1-866-827-8203 https://optioncarehealth.com
pecialty PSaruacy, Aubulatory Infusion uties and Houe Infusion - Houe Infusion ervices & pecialty PSaruacy – LDD Drugs
Optum Infusion Services formerly BriovaRx Infusion Services
1-877-306-4036 https://specialty.optumrx.com/infusion
MedExpress Urgent Care See website www.medexpress.com
Vaccine Prograu - Available at Retail PSaruacy or Worksite Clinic
Harris Teeter See website http://www.harristeeter.com/inuourusto res/departments/pharmacy/fuushots/ details.aspx
Vaccine Prograu - Vaccine ervices - Infuenna Singles, Tdap, Varicella, TDAP (age 11 and up) Available at Retail PSaruacy or Worksite Clinic
Albertsons (d/b/a Albertsons Sav-on, Albertsons Osco)
1-877-276-9637 www.albertsons.com
New Albertsons d/b/a Acme Sav-on, Jewel-Osco, Star Markets, Shaws Osco, Safeway
1-877-276-9637 http://www.acmemarkets.com/pharma cy/immunizations
Safeway, Inc. (d/b/a Safeway, Carrs, ak'N Save, avilions, Randalls, Tom Thumb, Vons)
1-877-723-3929 http://www.safeway.com/shopstores/p harmacy
Vaccine Prograu - Vaccine ervices - Infuenna, Pneuuonia, Singles, Tdap, eningitis, Hepatitis A/ , HPV, R, RV, Varicella, TDAP (age 11 and up) Available at Retail PSaruacy
Meijer harmacy 1-877-363-4537 http://www.meijer.com/pharmacy
Provider(s) PSone Nuuber Web ite
Vaccine Prograu - Vaccine ervices - Infuenna, Pneuuonia, Singles, Tdap, eningitis, Hepatitis A/ , HPV, R, RV, Varicella, TDAP (age 11 and up) Available at Retail PSaruacy or Worksite Clinic
CVS harmacy (d/b/a CVS harmacy, Long’s Drug, Care lus harmacy)
1-888-358-7468 http://www.cvs.com/promo/promoLan dingTemplate.jsp?promoLandingId=ge t-vaccinated
www.riteaid.com
United Supermarkets (d/b/a United Supermarket, Albertsons Market, Amigos, Market Street)
1-877-276-9637 www.unitedsupermarkets.com
See website www.walmart.com
Vaccine Prograu - Vaccine ervices - Infuenna, Pneuuonia, Singles, Tdap, eningitis, Hepatitis A/ , HPV, R, RV, Varicella, TDAP (age 3 and up) Available at Retail PSaruacy or Worksite Clinic
Costco Vaccine https://www.costco.com/pharmacy/wa rehouse-pickup
Kmart harmacy 1-800-349-0764 www.pharmacy.kmart.com
Walgreens Immunization (d/b/a Walgreens, Duane Reade)
1-800-925-4733 http://www.walgreens.com/pharmacy/ immunization
DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV infusion pump, oxygen equipment, nebulizer, and walker. HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that can provide health care services in the home. Services include but are not limited to nursing visits for infusion services or wound care.
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LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic pathology, surgical pathology, and specialty or esoteric services. SPECIALTY PHARMACY PROVIDER provides specifc drug products directly to customers or physicians. WOMEN'S HEALTH is limited to home uterine monitoring services. NOTE: Note: We only cover Accu-Chek® and OneTouch® brands. Covered glucose monitors include: OneTouch Verio Flex®, OneTouch Verio Refect®, Accu-Chek® Guide Me, and Accu-Chek® Guide. Test strips: OneTouch Verio®, OneTouch Ultra®, Accu-Chek® Guide, Accu-Chek® Aviva lus, and Accu-Chek® SmartView. Other brands are not covered by your plan. * This lab is a member of UnitedHealthcare's referred Lab Network. The referred Lab Network includes independent laboratories that have met high standards for quality, services, and afordability. Your costs may be lower when you use this network.
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El Paso
Family Practice
*Aaluri, Srinivasa R, MD8, M Provider #00010033770 NPI #1265566509 3612 Pera Ave El Paso, TX 79905 (915) 533-7057 Provider Language(s): English Hours: M-F 8:00AM-5:00PM Medical Group: Project Vida, Project Vida Health Center Hospital Afliations: Del Sol Camp Lpdsh *Abd Alla, Marwa K, MD8, F Provider #00010045213 NPI #1477947455 501 N Yarbrough Dr Ste El Paso, TX 79915 (915) 595-1844 Provider Language(s): English Hours: M-F 8:00AM-5:00PM Medical Group: Wellmed Networks Inc
*Adedeji, Adekunle A, MD8, M Provider #00010022992 NPI #1902086937 1030 N Zaragoha Rd Ste X El Paso, TX 79907 (915) 881-4155 Provider Language(s): English Hours: M-W 8:00AM-8:30PM TH-F 8:00AM-5:00PM Medical Group: Kingsway Medical Center Hospital Afliations: Providence- east, Providence-sierra, Las Palmas Camp Lpdsh, Del Sol Camp Lpdsh *Adedeji, Adekunle A, MD8, M Provider #00010033940 NPI #1902086937 10720 N Loop Dr Ste A Socorro, TX 79927 (915) 858-0500 Provider Language(s): English Hours: M-TH 8:00AM-6:00PM F 8:00AM-3:00PM Hospital Afliations: Providence- sierra, Providence-east, Las Palmas Camp Lpdsh, Del Sol Camp Lpdsh *Agarwal, Ajai J, MD8, M Provider #00010035295 NPI #1437240256 3022 Trawood Dr Ste A El Paso, TX 79936 (915) 855-8550 Provider Language(s): English Hours: M-F 8:30AM-6:30PM SA 9:00AM-2:30PM Medical Group: Ajai J Agarwal Md Hospital Afliations: Providence- sierra, Del Sol Camp Lpdsh
9955 Dyer St El Paso, TX 79924 (915) 855-8550 Provider Language(s): English Medical Group: Ajai J Agarwal Md Hospital Afliations: Del Sol Camp Lpdsh, Providence-sierra *Alorgbey, Douglas D, MD8, M Provider #00010046382 NPI #1871938647 2260 N Zaragoha Rd Ste A119 El Paso, TX 79938 (915) 313-2944 Provider Language(s): English Hours: M-F 8:00AM-5:00PM Medical Group: Sege Medical Hospital Afliations: Providence- east, Providence-sierra *Alvarez, edro E, MD 8, M Provider #00010037759 NPI #1215261144 4659 Cohen Ave Unit A El Paso, TX 79924 (915) 217-1140 Provider Language(s): English, Spanish Staf Language(s): Spanish Hours: M-F 8:30AM-5:30PM Medical Group: Clinicas Mi Doctor
15
Texas - El Paso
*Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 oard Certifed. 4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 Essential Community
Provider. 21Telehealth Services. Please call the providerds ofce to confrm the providerds enrollment availability and participation in the
Medicaid program.
Primary Care Providers Prim
ary C are Providers
*Aragon, Lorenzo B, MD8, M Provider #00010028566 NPI #1669420998 9849 Kenworthy St El Paso, TX 79924 (915) 215-5500 Provider Language(s): English Staf Language(s): Spanish Hours: M-F 8:00AM-5:00PM Medical Group: Texas Tech Univ Hlth Science Hospital Afliations: Las Palmas Camp Lpdsh *Armendariz, Rafael, DO3,8,9, M Provider #00010006951 NPI #1346243235 3329 Montana Ave El Paso, TX 79903 (915) 562-7101 Provider Language(s): English, Spanish Staf Language(s): Spanish Hours: M-TH 8:30AM-6:00PM F 8:30AM-1:30PM Web Address: HTTP://WWW.SALUDYVIDAPA. COM 400 Shadow Mountain Dr El Paso, TX 79912 (915)…