University Of California Health Net Medicare Advantage HMO .

Transcription

University of CaliforniaHealth Net Medicare AdvantageHMO Plan Provider Directory2019UC Davis, UCLA and UCSD Medical GroupsThis directory is current as of October 5, 2018.This directory provides a list of Health Net Seniority Plus Employer (HMO)’s current network providers.This directory is for Los Angeles, Placer, Sacramento, San Diego, and Yolo counties, CA.To access Health Net Seniority Plus Employer (HMO)'s online provider directory, you can visit healthnet.com/uc. For any questions about the information contained in this directory, please call our Member ServiceDepartment at 1-800-539-4072. From October 1 through March 31, you can call us 7 days a week from 8:00a.m. to 8:00 p.m. From April 1 to September 30, you can call us Monday through Friday from 8:00 a.m. to 8:00p.m. A messaging system is used after hours, weekends, and on federal holidays. TTY users should call 711.Health Net is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaidprograms. Enrollment in Health Net depends on contract renewal.This information is also available in a different format including larger print and audio. Please call MemberService at the number listed above if you need plan information in another format.H0562 19 9987EGDIR C

Table of ContentsSection 1 – IntroductionIntroduction.3What is the service area for Health Net Medicare Advantage?.5How do you find Health Net Medicare Advantage providers in your area? .7Section 2 – List of Network ProvidersParticipating Physician Groups and Specialists. 17Hospital Listing by City .171Skilled Nursing Facilities .181Participating Physician Groups by City Index.211Primary Care Physicians and Specialists Index .213Hospital Index .233

Section 1 – IntroductionThis directory provides a list of Health Net Medicare Advantage plan providers. To getdetailed information about your health care coverage, please see your Evidence of Coverage(EOC).You will have to choose one of our network providers who are listed in this directory to be your PrimaryCare Provider (PCP). The term “PCP” will be used throughout this directory. Generally, you must get yourhealth care services from your PCP. As a member of Health Net Medicare Advantage, you will have a PCPwho coordinates all of your care. Your PCP is a health care professional who is trained to give you basic care.He or she is responsible for providing or coordinating covered services while you are a member of HealthNet Medicare Advantage.When you enroll in Health Net Medicare Advantage, you will select a Health Net Participating PhysicianGroup from our network. You’ll also choose a Primary Care Physician from this Health Net ParticipatingPhysician Group. This Health Net Medicare Advantage participating provider directory is a list of all HealthNet Participating Physician Groups (and their affiliated Primary Care Physicians and hospital affiliations).As a Health Net Medicare Advantage member, all of your routine health care is provided and arranged byyour PCP. Your specialty care, X-rays, laboratory tests, therapy, medications, hospital admissions, and followup care will also be provided, authorized or coordinated by your PCP. If you go to a doctor, hospital or otherprovider without the approval of your PCP – except in an emergency or when you need urgent care, out-ofarea renal dialysis, or certain gynecological care or other self-referred services – you will be responsible forpaying any charges for these services. Neither Medicare nor Health Net will pay for non-emergency servicesor non-urgently needed care without the prior authorization of your PCP.The network providers listed in this directory have agreed to provide you with your health care services. You maygo to any of our network providers listed in this directory; however, some services may require a referral. Otherproviders are available in our network. If you have been going to one network provider, you are not required tocontinue to go to that same provider. In some cases, you may get covered services from out-of-networkproviders. Even though your PCP is trained to handle most of your common health needs, there may be timeswhen he or she feels you need more specialized treatment. In that case, you may receive a referral (writtenpermission) to see a specialist. Specialists are doctors who provide health car services for a specific disease or partof the body. Examples include oncologists (care for cancer patients), cardiologists (care for the heart) andorthopedists (care for bones).Please refer to your Evidence of Coverage for further information.3

What Is the ServiceMedicare Advantage?Area for Health NetThe counties in our service area are listed below.Los Angeles CountyPlacer CountySacramento CountySan Diego CountyYolo County5

How Do You Find Health Net MedicareAdvantage Providers in Your Area?We have arranged the information in several different ways. If you are interested in a particular PCP orspecialist, turn to Section 2. If you’d like to see who is available in your community, then turn to Index ofParticipating Physician Groups by City.If you have questions about Health Net Medicare Advantage, please call our Member Service Department at1-800-539-4072. TTY users should call 711.The provider network may change at any time. You will receive notice when necessary.7

Section 1557 Non-Discrimination LanguageNotice of Non-DiscriminationHealth Net complies with applicable federal civil rights laws and does not discriminate on the basis ofrace, color, national origin, age, disability, or sex. Health Net does not exclude people or treat themdifferently because of race, color, national origin, age, disability, or sex.Health Net: Provides free aids and services to people with disabilities to communicate effectively with us, such asqualified sign language interpreters and written information in other formats (large print, accessibleelectronic formats, other formats). Provides free language services to people whose primary language is not English, such as qualifiedinterpreters and information written in other languages.If you need these services, contact Health Net’s Customer Contact Center at California: 1-800-431-9007(Jade, Sapphire, Amber, and HMO SNP), 1-800-275-4737 (all other HMO); Oregon: 1-888-445-8913 (HMOand PPO) (TTY: 711).From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours,weekends, and on federal holidays.If you believe that Health Net has failed to provide these services or discriminated in another way onthe basis of race, color, national origin, age, disability, or sex, you can file a grievance by calling thenumber above and telling them you need help filing a grievance; Health Net’s Customer Contact Centeris available to help you.You can also file a civil rights complaint with the U.S. Department of Health and Human Services,Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available athttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health andHuman Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201,1-800-368-1019 (TDD: 1-800-537-7697).Complaint forms are available at th Net is contracted with Medicare for HMO, HMO SNP and PPO plans, and with some state Medicaidprograms. Enrollment in Health Net depends on contract renewal.FLY022809EO00 (8/18)CA OR 19 8313MLI C 0730201813

Section 1557 Non-Discrimination LanguageMulti-Language Interpreter ServicesCalifornia: 1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP),1-800-275-4737 (all other HMO); Oregon: 1-888-445-8913 (HMO and rnia: 1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP),1-800-275-4737 (all other HMO) (TTY: 711).California: 1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP), 1-800-275-4737(all other HMO); Oregon: 1-888-445-8913 (HMO and PPO) (TTY: 711)(TTY: 711).(TTY: 711).(HMO and PPO) (TTY: 711).Oregon: 1-888-445-8913 (HMO and PPO)Oregon: 1-888-445-8913 (HMO and PPO)Oregon: 1-888-445-8913HINDICalifornia: 1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP), 1-800-275-4737(all other HMO) (TTY: 711).HMONGCalifornia: 1-800-431-9007 (Jade, Sapphire, Amber, and HMOSNP), 1-800-275-4737 (all other HMO) (TTY: 711).JAPANESEKOREAN14California: 1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP),1-800-275-4737 (all other HMO); Oregon: 1-888-445-8913 (HMO and PPO) (TTY: 711)

MON-KHMERCAMBODIANCalifornia: 1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP),1-800-275-4737 (all other HMO); Oregon: 1-888-445-8913 (HMO and PPO) (TTY: : 1-800-431-9007 (Jade,Sapphire, Amber, and HMO SNP), 1-800-275-4737 (all other HMO) (TTY: 711)Oregon: 1-888-445-8913 (HMO and PPO) (TTY: 711).California: 1-800-431-9007 (Jade, Sapphire,Amber, and HMO SNP), 1-800-275-4737 (all other HMO); Oregon: 1-888-445-8913(HMO and PPO) (TTY: 711).California: 1-800-431-9007 (Jade, Sapphire, Amber,and HMO SNP), 1-800-275-4737 (all other HMO); Oregon: 1-888-445-8913 (HMO andPPO) (TTY: 711).TAGALOGCalifornia:1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP), 1-800-275-4737 (all otherHMO) (TTY: 711).THAICalifornia:1-800-431-9007 (Jade, Sapphire, Amber, and HMO SNP), 1-800-275-4737 (all otherHMO); Oregon: 1-888-445-8913 (HMO and PPO) (TTY: 711).UKRAINIANOregon: 1-888-445-8913 (HMO and PPO) (TTY: 711).VIETNAMESE15

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ParticiParticipating Physician Groups and Specialists2315 Stockton Blvd., Suite 2600Sacramento, CA 95817-2201(800) 445-3936Urgent Care: 4Elk Grove UCC (916)479-9110Capitol UCC (916)422-9110Folsom UCC (916)984-8244Med 7 UCC - Carmichael (916)488-6337Hundal, Apeet, M.D.Gender: Female3200 Bell Rd.Auburn, CA 95603-9244(530) 888-7616Hospitals Used:UC Davis Medical CenterHospital Accreditation: TJCAuburnPrimary Care PhysiciansAvila-Kirwan, GuadalupeA., M.D.Gender: FemaleProv Language: Spanish.3200 Bell Rd.Auburn, CA 95603-9244(530) 888-7616Boyd, Michael D., M.D.Gender: Male3200 Bell Rd.Auburn, CA 95603-9244(530) 888-7616Merck, Dan T., M.D.Gender: Male3200 Bell Rd.Auburn, CA 95603-9244(530) 888-7616SpecialtyPPG/Phy #Internal Medicine11161 148790Internal Medicine11161 06878617AuburnPrimary Care PhysiciansNichol, James W., M.D.Gender: MaleSpecialty Prov Language: Spanish.PPG/Phy # 3200 Bell Rd.Internal Medicine1 Auburn, CA 95603-9244(530) 888-7616Family Practice1Panek, Karen M., M.D.1161 069906 Gender: FemaleProv Language: Spanish.3200 Bell Rd.Auburn, CA 95603-92441 (530) 888-7616Family PracticeS Varnosfaderani,1161 185015 Narges, M.D.Gender: Female3200 Bell Rd.Auburn, CA 95603-9244(530) 888-7616Family Practice11161 1592611161 147453Internal Medicine11161 127107Participating Physician Groups and SpecialistsUC Davis Medical GroupPPG 1161Hospital Accreditation: TJC The Joint Commission14Board CertifiedMember should contact PCP or PPG before going to Urgent Care Centerwww.healthnet.com / 17

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161AuburnPrimary Care PhysiciansYoungblood, John A.,M.D.Gender: Male3200 Bell Rd.Auburn, CA 95603-9244(530) 888-7616Citrus HeightsPrimary Care PhysiciansArnott, Tyron, M.D.Gender: Male7551 Madison Ave.Citrus Heights, CA 95610-7449(916) 904-3000Specialty Citrus HeightsSpecialtyPPG/Phy # Primary Care PhysiciansPPG/Phy #1Family Practice Chen, Patricia, M.D.Internal Medicine1Gender: Female7551 Madison Ave.1161 0901331161 147136 Citrus Heights, CA 95610-7449(916) 904-3000Family Practice1Pham, Manh, M.D.Specialty Gender: Male1161 203469PPG/Phy # 7551 Madison Ave.Citrus Heights, CA 95610-7449Internal Medicine1(916) 904-30001161 051237 DavisPrimary Care PhysiciansAcevedo Espinoza,1InternalMedicineBeamesderfer, TimothySonia, M.D.N., M.D.Gender: FemaleGender: Male2660 W. Covell Blvd.7551 Madison Ave.1161 067596 Davis, CA 95616-5645(530) 747-3000Citrus Heights, CA 95610-7449(916) 904-3000Alan, Thomas, M.D.Internal Medicine1Blinder, Alla, D.O.Gender: Female7551 Madison Ave.1161 193364Citrus Heights, CA 95610-7449(916) 904-30001Board Certified18 / www.healthnet.comGender: Male2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000SpecialtyPPG/Phy #Family Practice11161 207798Internal Medicine11161 104605

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161Brown III, William M.,D.O.Gender: Male2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000Henchell, Heidi M., D.O.Gender: Female2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000Knoepfler, Anca E., M.D.Gender: Female2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-300012SpecialtyPPG/Phy #Internal Medicine11161 010384McNulty, Heidi A., D.O.Family Practice Gender: Female2660 W. Covell Blvd.Davis, CA 95616-56451161 214848 (530) 747-3000Family Practice1Mo, Karen L., M.D.Gender: FemaleFamily Practice1 2660 W. Covell Blvd.Davis, CA 95616-56451161 106873 (530) 747-3000Family Practice1Perez, Pauline R., M.D.Gender: FemaleInternal Medicine1 2660 W. Covell Blvd.Davis, CA 95616-56451161 124735 (530) 747-3000Family Practice11Riggle, Paul C., M.D.Gender: Male2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-30001161 0285131161 5642011161 104573Family Practice11161 05153219Baumeister, Lisa M.,M.D.Gender: Female2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000Specialty DavisPPG/Phy # Primary Care PhysiciansFamily Practice1 Louie, Samuel, M.D.2Gender: Male2440 W. Covell Blvd.1161 069739 Davis, CA 95616-5671(530) 747-3000Participating Physician Groups and SpecialistsDavisPrimary Care PhysiciansBoard CertifiedPhysician is currently unavailable to new patients through this physician group.www.healthnet.com / 19

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161DavisPrimary Care PhysiciansSiemens, Kelly S., M.D.Gender: Female2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000Silva-McKenzie, Sabrina,M.D.Gender: Female2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000Tanji, Jeffrey L., M.D.3Gender: Male2440 W. Covell Blvd. # ADavis, CA 95616-5671(530) 747-3000Tortorice, Steven T.,D.O.Gender: Male2660 W. Covell Blvd.Davis, CA 95616-5645(530) 747-3000Specialty Elk GrovePPG/Phy # Primary Care PhysiciansFamily Practice1 Hall, Allen D., M.D.Gender: Male1161 094396 8110 Laguna Blvd.Elk Grove, CA 95758-8094(916) 683-3955Family Practice1 Accessibility:*: Limited(IB,E)SpecialtyPPG/Phy #Family Practice1Jensen, Rose, M.D.Gender: Female1161 220999 8110 Laguna Blvd.Elk Grove, CA 95758-8094(916) 683-39551 Accessibility:*: Limited(IB,E)Family PracticeLouie, Sarah L., M.D.1161 016984 Gender: Female8110 Laguna Blvd.Elk Grove, CA 95758-80941 (916) 683-3955Family PracticeAccessibility:*: Limited(IB,E)Family Practice1Folsom1161 187513 Primary Care PhysiciansBadawi, Amr A., M.D.Gender: Male271 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-93001161 0779441161 220702Family Practice11161 194246SpecialtyPPG/Phy #Internal Medicine11161 185024* Accessibility: P Parking, EB Exterior Building, IB Interior Building, R Restroom, E ExamRoom, PD Patient Diagnostic and Treatment Use, PA Patient Areas, and T ExamTable/Scale. You should call the doctor's office to talk about your access needs for yourdisability. Health Net does not and cannot guarantee the initial or continued availability of anyParticipating Provider and/or accessibility requirement. Please refer to the telephonenumbers on the front cover of this directory for the current provider and/or accessibility status13Board CertifiedPhysician is currently not available through this physician group.20 / www.healthnet.com

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161Jaeger, Nancy L., M.D.Gender: Female271 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-9300Kelly, Bernadette A.,M.D.Gender: Female271 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-9300Krouse, Adam T., D.O.Gender: Male271 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-9300Maw, Soe S., M.D.Gender: Female271 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-930012SpecialtyPPG/Phy #Family Practice11161 051683Nguyen, Don H., D.O.1161 132809 Gender: Male271 Turn Pike Dr.Folsom, CA 95630-8098Family Practice1 (916) 985-9300Slapnik, Kurt J., M.D.2Gender: Male1161 067459 251 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-9300Internal Medicine1Family Practice1 Williams, Kimberly D.,Internal Medicine121Baquero, Victor H., M.D.Gender: Male271 Turn Pike Dr.Folsom, CA 95630-8098(916) 985-9300Specialty FolsomPPG/Phy # Primary Care PhysiciansFamily Practice1 Montemayor, GertrudesP., M.D.1161 088715 Gender: Female271 Turn Pike Dr.Folsom, CA 95630-8098Family Practice1 (916) 985-93001161 192429Family Practice11161 021428D.O.1161 211091 Gender: Female271 Turn Pike Dr.Folsom, CA 95630-80981 (916) 985-9300Internal Medicine1161 1634431161 188704Participating Physician Groups and SpecialistsFolsomPrimary Care PhysiciansBoard CertifiedPhysician is currently unavailable to new patients through this physician group.www.healthnet.com / 21

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161Rancho CordovaPrimary Care PhysiciansSpecialty Rancho CordovaSpecialtyPPG/Phy # Primary Care PhysiciansPPG/Phy #1Family Practice Leavy, Benjamin R.,Family Practice1Davis, Molly B., M.D.AM.D.Gender: Female3201 Data Drive1161 193362 Gender: Male3201 Data Drive1161 088751Rancho Cordova, CA 95670-7374(916) 851-1440Rancho Cordova, CA 95670-7374Family Practice1 (916) 851-1440Duru, Lilian, M.D.Family Practice1Luke, John, M.D.Gender: Male3201 Data Drive1161 142619Rancho Cordova, CA 95670-7374Family Practice1 (916) 851-1440Glassberg, Eric A., M.D.Internal Medicine1Prescott, Pamela T.,Gender: Male3201 Data Drive1161 201537 M.D.2Gender: FemaleRancho Cordova, CA 95670-7374(916) 851-14403201 Data Drive1161 051534Family Practice1 Rancho Cordova, CA 95670-7374Humphrey, Christine,(916) 851-1440M.D.Gender: Female3201 Data Drive1161 110102Rancho Cordova, CA 95670-7374(916) 851-1440Gender: FemaleRocklin3201 Data Drive1161 208713 Primary Care PhysiciansRancho Cordova, CA 95670-7374Cao, Huy L., M.D.(916) 851-1440Gender: Male550 W. Ranch View Dr.Rocklin, CA 95765-5396(916) 295-57001SpecialtyPPG/Phy #Family Practice1Board CertifiedPhysician is currently unavailable to new patients through this physician group.APhysician is currently accepting new patients.222 / www.healthnet.com1161 077946

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161Pawar, Sanyukta A.,M.D.Gender: Female550 West Ranch View Dr.Rocklin, CA 95765-5396(916) 295-5700RosevillePrimary Care PhysiciansChaput, Lily, M.D.Gender: Female2261 Douglas Blvd.Roseville, CA 95661-3831(916) 783-7109Jafri, Fatima, M.D.Gender: Female2261 Douglas Blvd.Roseville, CA 95661-3831(916) 783-71091SpecialtyPPG/Phy #Family Practice11161 090164Internal Medicine1Sharif, Mushfeka, M.D.Internal Medicine Gender: FemaleProv Language: Bengali, Hindi1161 1936522261 Douglas Blvd.1161 145569 Roseville, CA 95661-3831(916) 783-71091Tu, Jye-Ping, M.D.Specialty Gender: FemalePPG/Phy # Prov Language: Mandarin2261 Douglas Blvd.Internal Medicine1Roseville, CA 95661-3831(916) 783-71091161 037968Zheng, Yunli, M.D.Gender: Male2261 Douglas Blvd.Internal Medicine1Roseville, CA 95661-3831(916) 783-71091161 146476Internal Medicine11161 520614Internal Medicine11161 06884323Guerrero, Ethelwoldo P.,M.D.Gender: Male550 W. Ranch View Dr.Rocklin, CA 95765-5396(916) 295-5700Specialty RosevillePPG/Phy # Primary Care PhysiciansInternal Medicine1 Mach, David, D.O.Gender: Male2261 Douglas Blvd.1161 129049 Roseville, CA 95661-3831(916) 783-7109Participating Physician Groups and SpecialistsRocklinPrimary Care PhysiciansBoard Certifiedwww.healthnet.com / 23

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161SacramentoPrimary Care PhysiciansBerry, Brigitte L., M.D.Gender: Female3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-7777Specialty SacramentoPPG/Phy # Primary Care PhysiciansInternal Medicine1 Bevan, Heather J., M.D.Gender: Female1161 077941 3160 Folsom Blvd. # 1400Sacramento, CA 95816-5219(916) 734-5846SpecialtyPPG/Phy #Family Practice1Bhe, Anthony J., M.D.Gender: Male4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737Internal Medicine1Bonekat, H. William,Family Practice D.O.Gender: Male1161 028202 2825 J St. # 400Sacramento, CA 95816-4300(916) 734-0779Internal Medicine1Family Practice1 Bonekat, H. William,Internal Medicine1Family Practice1Bertakis, Klea D., M.D.2Gender: Female4860 Y St. # 16001161 501299Sacramento, CA 95817-2307(916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Bevan, Heather J., M.D.Gender: Female2000 O St.Sacramento, CA 95811-5224(916) 442-1011Bevan, Heather J., M.D.Gender: Female3160 Folsom Blvd. # 1400Sacramento, CA 95816-5219(916) 734-5846Bevan, Heather J., M.D.Gender: Female2000 O St.Sacramento, CA 95811-5224(916) 442-10111161 0282021161 19401811161 036673D.O.1161 028202 Gender: Male4860 Y St. # 0100Sacramento, CA 95817-2307(916) 734-3588Family Practice131161 0366731161 028202* Accessibility: P Parking, EB Exterior Building, IB Interior Building, R Restroom, E ExamRoom, PD Patient Diagnostic and Treatment Use, PA Patient Areas, and T ExamTable/Scale. You should call the doctor's office to talk about your access needs for yourdisability. Health Net does not and cannot guarantee the initial or continued availability of anyParticipating Provider and/or accessibility requirement. Please refer to the telephonenumbers on the front cover of this directory for the current provider and/or accessibility status1Board CertifiedPhysician is currently unavailable to new patients through this physician group.3Physician is currently not available through this physician group.224 / www.healthnet.com

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161Internal Medicine1 M.D.ABurnham, Kevin J., M.D.Gender: Male4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737Internal Medicine1 M.D.2Chang, Jason K., M.D.Gender: Male3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-7777Internal Medicine1 Draper, Jennifer E.,31161 212016Internal MedicineChristiansen, Katerina,Bonekat, H. William,D.O.3Gender: Male4860 Y St. # 0100Sacramento, CA 95817-2307(916) 734-3588SpecialtyPPG/Phy #Internal MedicineGender: Female3160 Folsom Blvd. # 25001161 036673 Sacramento, CA 95816-5219(916) 734-777725Bonekat, H. William,D.O.Gender: Male2825 J St. # 400Sacramento, CA 95816-4300(916) 734-0779Specialty SacramentoPPG/Phy # Primary Care PhysiciansInternal Medicine1 Chen, Jennifer C., M.D.Gender: Female3160 Folsom Blvd. # 25001161 036673 Sacramento, CA 95816-5219(916) 734-77771161 221022Family PracticeDraper, Jennifer E.,Gender: Female1161 188446 3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-77771161 145145General PracticeM.D.1161 103453 Gender: Female3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-777721161 145145Participating Physician Groups and SpecialistsSacramentoPrimary Care Physicians1Board CertifiedPhysician is currently unavailable to new patients through this physician group.3Physician is currently not available through this physician group.APhysician is currently accepting new patients.2www.healthnet.com / 25

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161SacramentoPrimary Care PhysiciansSpecialty SacramentoPPG/Phy # Primary Care PhysiciansFamily Practice1 Garcia, Jorge A., M.D.Gender: Male4860 Y St. # 04001161 095560 Sacramento, CA 95817-2307(916) 734-2737SpecialtyPPG/Phy #Internal Medicine1Gonzalez-Flores, Alicia,M.D.Gender: FemaleProv Language: Spanish.4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737Internal Medicine1Eidson-Ton, WetonaSuzanne, M.D.Gender: Female4860 Y St. # 1600Sacramento, CA 95817-2307(916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Obstetrics/ GynecologyEidson-Ton, WetonaSuzanne, M.D.Gender: Female4860 Y St. # 16001161 095560Sacramento, CA 95817-2307(916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Fancher, Tonya L., M.D.Gender: Female4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-27371161 0588841161 194020Family Practice1Griffin, Kelly A., M.D.AGender: FemaleInternal Medicine1 4860 Y St. # 16001161 212228Sacramento, CA 95817-23071161 096901 (916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Gutierrez, Noe, M.D.Family Practice Gender: Male2400 Del Paso Rd. # 1451161 128413 Sacramento, CA 95834-9627(916) 928-3940Fenton, Joshua J., M.D.Gender: Male4860 Y St. # 1600Sacramento, CA 95817-2307(916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Family Practice111161 193370* Accessibility: P Parking, EB Exterior Building, IB Interior Building, R Restroom, E ExamRoom, PD Patient Diagnostic and Treatment Use, PA Patient Areas, and T ExamTable/Scale. You should call the doctor's office to talk about your access needs for yourdisability. Health Net does not and cannot guarantee the initial or continued availability of anyParticipating Provider and/or accessibility requirement. Please refer to the telephonenumbers on the front cover of this directory for the current provider and/or accessibility status1ABoard CertifiedPhysician is currently accepting new patients.26 / www.healthnet.com

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161SacramentoPrimary Care PhysiciansSpecialty SacramentoPPG/Phy # Primary Care PhysiciansFamily Practice1 Holt, Zachary B., M.D.Hagos, Elilta M., M.D.Gender: FemaleGender: Male500 University Ave. # 2201161 190575 4860 Y St. # 0400Sacramento, CA 95825-6504Sacramento, CA 95817-2307(916) 286-8700(916) 734-2737Accessibility:*: Basic(P,EB,IB,R,E,T)Holt, Zachary B., M.D.Hirsch, Calvin H., M.D.Gender: Male4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737Ho, Jensine, M.D.Gender: Female3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-7777Ho, Lisa, M.D.Gender: Female3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-77771161 153141General PracticeProv Language: Cantonese,1161 081850 Punjabi, Russian, Spanish.4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737Internal Medicine1Hosoume, John T., M.D.1161 007340 Gender: Male3160 Folsom Blvd. # 2500Sacramento, CA 95816-5219(916) 734-7777Internal Medicine1161 153141Internal Medicine11161 036575Family Practice1Jerant, Anthony F., M.D.1161 224295 Gender: Male4860 Y St. # 16001161 067918Sacramento, CA 95817-2307(916) 734-3630Internal Medicine1Accessibility:*: Basic(P,EB,IB,R,E,T)1161 10966427Internal Medicine1 Gender: MaleParticipating Physician Groups and SpecialistsHenderson, Mark, M.D.Gender: Male4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737SpecialtyPPG/Phy #Internal Medicine* Accessibility: P Parking, EB Exterior Building, IB Interior Building, R Restroom, E ExamRoom, PD Patient Diagnostic and Treatment Use, PA Patient Areas, and T ExamTable/Scale. You should call the doctor's office to talk about your access needs for yourdisability. Health Net does not and cannot guarantee the initial or continued availability of anyParticipating Provider and/or accessibility requirement. Please refer to the telephonenumbers on the front cover of this directory for the current provider and/or accessibility status1Board Certifiedwww.healthnet.com / 27

Participating Physician Groups and SpecialistsUC Davis Medical Group PPG 1161SacramentoPrimary Care PhysiciansSpecialty SacramentoPPG/Phy # Primary Care PhysiciansInternal Medicine1 Lao, Melissa, M.D.Gender: Female3160 Folsom Blvd. # 14001161 187486 Sacramento, CA 95816-5219(916) 734-5846Karalakulasingam,Chrishanthie J., M.D.Gender: Female500 University Ave. # 220Sacramento, CA 95825-6504(916) 286-8700Accessibility:*: Basic(P,EB,IB,R,E,T)Keenan, Craig R., M.D.Gender: Male4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-27371161 220996Family Practice1Leavy, Benjamin R.,M.D.1Internal Medicine Gender: Male500 University Ave. # 2201161 0887511161 079409 Sacramento, CA 95825-6504(916) 286-8700Accessibility:*: Basic(P,EB,IB,R,E,T)Family Practice1Kelly, Bernadette A.,M.D.Gender: Female4860 Y St. # 16001161 067459Sacramento, CA 95817-2307(916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Kravitz, Richard L., M.D.Gender: Male4860 Y St. # 0400Sacramento, CA 95817-2307(916) 734-2737SpecialtyPPG/Phy #Family PracticeFamily Practice1Lin, Huey C., M.D.Gender: Male4860 Y St. # 16001161 104373Sacramento, CA 95817-2307(916) 734-3630Accessibility:*: Basic(P,EB,IB,R,E,T)Louie, Samuel, M.D.Internal Medicine1 Gender: Male2825 J St. # 4001161 021911 Sacramento, CA 95816-4300(916) 734-0779Internal Medicine11161 010384* Accessibility: P P

Health Net Medicare Advantage HMO Plan Provider Directory 2019 This directory is current as of October 5, 2018. This directory provides a list of Health Net Seniority Plus Employer (HMO)’s current network providers. This directory is for Los Angel