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Sparrow Advantage 2020 Provider Directory PDF file 2020 Provider Directory This Provider/Pharmacy Directory was updated on 07/22/2020. For more recent information or other questions,

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  • 2020 Provider Directory

    Serving: Clinton, Eaton, Gratiot, Ingham, Ionia, Montcalm, and Shiawassee

    This Provider/Pharmacy Directory was updated on 10/14/2020. For more recent information or other questions, please contact Sparrow Advantage Customer Service at 844.529.3757 or, for TTY users, 711, 8 a.m. to 8 p.m., seven days a week. You may reach a messaging service on weekends from April 1 through September 30 and holidays. Please leave a message, and your call will be returned the next business day, or visit Member.phpmedicare.com.

    Changes to our Provider/Pharmacy Directory may occur during the benefit year. An updated Provider/ Pharmacy Directory is located on our website at Member.phpmedicare.com. You may also call Customer Service for updated provider information.

    Sparrow Advantage (HMO-POS) Sparrow Advantage Plus (HMO-POS)

    http://Member.phpmedicare.com http://member.phpmedicare.com

  • Provider Directory

    H7646_20-032_C

    PHP Medicare HMO-POS

    Provider Directory Provider Directory

    This directory is current as of October 14, 2020.

    This directory provides a list of the PHP Medicare current network providers. This directory is for the Michigan service area. It includes Clinton, Eaton, Gratiot, Ingham, Ionia, Montcalm and Shiawassee counties in Michigan. As a member of our plan, you can choose to receive care from out-of-network providers. Our plan will cover services from either in-network or out-of-network providers, as long as the services are medically necessary and covered benefits. However, if you use an out-of-network provider, your share of the costs for your covered services will be higher. If you receive care from a provider who is not eligible to participate in Medicare, you will be responsible for the full cost of services you receive. Please refer to Chapter 3 of your Evidence of Coverage (EOC) for complete details. To access the PHP Medicare online provider directory, you can visit www.sparrowadvantage.com. For any questions about the information contained in this directory (hardcopy or online), please call our Customer Service Department at 844-529-3757, from 8 a.m. to 8 p.m., seven days a week. You may reach a messaging service on weekends from April 1 through September 30 and holidays. Please leave a message, and your call will be returned the next business day. TTY users should call 711. PHP Medicare is an HMO-POS plan with a Medicare contract. Enrollment in PHP Medicare depends on contract renewal. If you need language translation services, call us at 844-529-3757. Your call will be answered by someone who speaks English, who will help connect you to an interpreter for your language. This is a free service. This information may also be available in a different format, including Braille, large print or audio. Please call customer service at the number listed above if you need plan information in another format. The provider and/or pharmacy network may change at any time. You will receive notice when necessary.

    file://essenet.com/data/private/Fulfillment/Doc%20Control/Provider%20Directory/www.sparrowadvantage.com

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    TABLE OF CONTENTS

    Section 1 - Introduction ......................................................... 5 What is the service area for PHP Medicare? ....................................................... 8 How do you find PHP Medicare providers in your area? ....................................... 8

    Section 2 - List of Network Providers ......................................... 9 Hospitals ...................................................................................................... 9

    Hospitals (32) ...................................................................................... 9 Primary Care Providers ................................................................................. 12

    Primary Care Physicians (940).............................................................. 12 Specialty Care Providers ............................................................................... 85

    Allergy & Immunology (57) .................................................................. 85 Cardiothoracic Surgery (57) ................................................................. 88 Cardiovascular Disease (328) ............................................................... 92 Chiropractic (130) ............................................................................ 113 Colorectal Surgery (17) ..................................................................... 120 Dermatology (129) ........................................................................... 121 Endocrinology (83) ........................................................................... 130 Female Pelvic Medicine and Reconstruction (2) ..................................... 137 Gastroenterology (182) ..................................................................... 137 General Surgery (284) ...................................................................... 157 Geriatric Medicine (23) ...................................................................... 176 Gynecological Oncology (6)................................................................ 178 Hand Surgery (19)............................................................................ 179 Hematology (87) .............................................................................. 180 Infectious Disease (56) ..................................................................... 185 Nephrology (140) ............................................................................. 188 Neurological Surgery (65) .................................................................. 198 Neurology (191) ............................................................................... 203 Nuclear Medicine (3) ......................................................................... 220 Obstetrics / Gynecology (321) ............................................................ 220 Oncology (86) .................................................................................. 244 Ophthalmology (323) ........................................................................ 249 Optometrist (308) ............................................................................ 270 Oral and Maxillofacial Surgery (4) ....................................................... 289 Orthopedic Surgery (168) .................................................................. 289 Otolaryngology (ENT) (145) ............................................................... 299 Pain Management (67) ...................................................................... 309 Physical Medicine & Rehabilitation (124) .............................................. 316 Plastic & Reconstructive Surgery (51).................................................. 325 Podiatry (68) ................................................................................... 329 Pulmonary Disease (123)................................................................... 333 Radiation Oncology (68) .................................................................... 341 Rheumatology (51) ........................................................................... 344 Sleep Medicine (15) .......................................................................... 348 Sports Medicine (22) ......................................................................... 349 Urology (156) .................................................................................. 351

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    Vascular Surgery (55) ....................................................................... 361 Other Contracted Providers ......................................................................... 365

    Ambulatory Surgical Center (3) .......................................................... 365 Audiology (50) ................................................................................. 365 Audiology Center (21) ....................................................................... 368 Dialysis Center (84) .......................................................................... 370 Durable Medical Equipment (44) ......................................................... 374 Free Standing Radiology (4)............................................................... 376 Home Health Agency (9) ................................................................... 377 Home Infusion Therapy (3) ................................................................ 377 Independent Lab (11) ....................................................................... 377 Long Term Care Facility (1)................................................................ 378 Rehabilitation Hospital (4) ................................................................. 379 Routine Hearing Exams and Hearing Aids (1)........................................ 379 Skilled Nursing Facility (42) ............................................................... 379 Therapy - Physical (25) ..................................................................... 381 Transportation (1) ............................................................................ 382 Urgent Care Center (24) .................................................................... 382

    Mental Health, Chemical Dependency and Substance Abuse Providers .............. 385 Facilities Behavioral Health - Outpatient (8) ........................................ 385 Facilities Behavioral Health - Inpatient (8) ...........................

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