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Providerdirectory 2022UnitedHealthcare Dual Complete (HMO D-SNP)NevadaClark and Washoe CountiesSome network providers may have been added or removed from our network after this directorywas 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 7118 a.m. - 8 p.m. local time, 7 days a weekwww.myuhcadvantage.comY0066 210614 4978098 CThis directory is current as of May 10, 2022
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IntroductionYour planProvider directoryThis 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 networkproviders 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 networkproviders that serve your area:Visit www.myuhcadvantage.com or call Customer Service toll-free at 1-866-480-1086, TTY711, 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 serviceor accessibility of services, on the basis of race, ethnicity, national origin, religion, sex, age, mentalor physical disability or medical condition, sexual orientation, claims experience, medical history,evidence of insurability, disability, genetic information, or source of payment.UnitedHealthcare does not discriminate on the basis of race, color, national origin, sex, age, ordisability in health programs and activities.UnitedHealthcare provides free services to help you communicate with us such as letters in otherlanguages, braille, large print, audio, or you can ask for an interpreter. Please contact our CustomerService number at 1-866-480-1086, for additional information.UnitedHealthcare ofrece servicios gratuitos para ayudarle a que se comunique con nosotros. Porejemplo, cartas en otros idiomas, braille, letra grande, audio o bien, usted puede pedir unintérprete. Comuníquese con nuestro número de Servicio al Cliente al 1-866-480-1086, paraobtener información adicional.The provider network may change at any time. You will receive notice when necessary.Y0066 210614 4978098 C
IntroductionIntroductionThis directory provides a list of the plan’s network providers. To get detailed information about yourhealth 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 interactionsSelect a primary care provider (PCP)You will need to choose one of our network providers to be your primary care provider (PCP). PCPsare listed in the Primary Care Provider section of this directory. The term PCP will be usedthroughout this directory.If you choose a PCP who is not taking new patients, we may assign you to a different PCP. If thishappens, 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 theprovider you choose. If you want to switch providers, call Customer Service toll-free at1-866-480-1086, 8 a.m. - 8 p.m. local time, 7 days a week. TTY users should call 711.Referrals from your PCPYour PCP can handle most routine health care needs. If you need to see a network specialist orother network provider, you may need to get a referral from your PCP. Your PCP will make a referralbased on your health situation. Generally, your PCP will provide follow-up care, as needed. Pleasesee 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 carecoverage. However, some services may require a referral. If you have been going to one networkprovider, you are not required to continue going to that same provider. Check your Evidence ofCoverage to make sure your plan includes additional routine benefits or that you've signed up foroptional supplemental riders before making appointments for routine dental, vision or hearingservices.If I need emergency or urgent careA medical emergency is when you, or any other ordinary person with an average knowledge ofhealth and medicine, believe that you have symptoms that require immediate medical care toprevent 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.
IntroductionIf you have a medical emergency, get help as quickly as possible. Call 911 or go to the nearestemergency room or hospital. Emergency care can always be obtained in or out of the service areafrom the nearest available provider. Emergency services are also covered whether a provider is inour network or not. You or someone else should call and tell us about your emergency care, usuallywithin 48 hours.Urgently needed services is a non-emergency, unforeseen medical illness, injury, or condition, thatrequires immediate medical care. When out of the service area, urgent care may be obtained fromthe first available provider whether the provider is in our network or not. In addition, when out of theservice area, you can obtain dialysis treatment from any qualified dialysis provider. If you obtainroutine care from out-of-network providers neither Medicare nor your plan will be responsible forthe costs.If you get a billThere may be times when you get a bill from a provider for the full cost of medical care you havereceived. If you get a bill, contact us. In many cases, you should send this bill to us instead ofpaying it. We will look at the bill and decide whether the services should be covered. If we decidethey should be covered, we will pay the provider directly. Please see your Evidence of Coverage formore information.If you’re on Medicare and MedicaidIf 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 IDcard when you see the doctor or use other plan services. This will help ensure you’re billed for thecorrect amount.Telehealth (Virtual Visits)Telehealth, also referred to as virtual visits, is covered under your benefit plan. You can accesstelehealth services from any network provider that offers virtual care. Telehealth services mayinclude primary care, specialist care, physical therapy, occupational therapy, speech therapy,cardiac rehabilitation, urgent care and/or mental health care. Not all network providers offer virtualcare and those that do may not offer it for all services indicated. Not all medical conditions can betreated through telehealth. Your provider may tell you that you need to see an in-person doctor fortreatment. You can find out which network providers offer virtual care by looking for the telehealthindicator listed next to a provider’s name within this directory.In addition to local providers that support telehealth services for mental health care, you can alsoaccess virtual visits online through a mental health provider. Go to www.myuhcadvantage.com toget started.Accessing your behavioral health benefitsTo access your behavioral health benefits, call the toll-free behavioral health number on yourUnitedHealthcare member ID card. When you call, a representative will check your eligibility andget basic information about you and your situation. Depending on the help you need, a clinicianmay talk with you and recommend a provider and treatment plan. If you prefer, your PCP may calland arrange a referral for you. Your personal information will be kept strictly confidential.
IntroductionOrgan transplant servicesYour 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 afacility that is currently Medicare-approved for your specific type of transplant. The plan’s hospitalnetwork for organ transplant services is different than the network shown in the “Hospitals” sectionof this provider directory. Some hospitals in the plan’s network for other medical services are not inthe plan’s network for transplant services. The complete list of Medicare-approved facilities in yourplan’s network may change throughout the year. For information on network facilities for transplantservices, please call Customer Service toll-free at 1-866-480-1086, TTY 711 or refer to thetransplant vendor website information listed in the “National Vendors” section of this providerdirectory.What is the service area for your plan?Your service area is listed below.UnitedHealthcare Dual Complete (HMO D-SNP)Nevada - Clark and Washoe countiesHow 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 aprovider using this directory, turn to the Table of Contents on the next page and see where eachsection begins. Go to the section of the type of provider you are looking for. Once you are in thatsection, locate the city you live in. Under each city you will find a list of providers in alphabeticalorder.You may have more providers to choose from if the service area shown above is larger than theservice area shown on the front of this directory. You can also search for network provider online atwww.myuhcadvantage.com, which is updated weekly and available 24 hours a day, 7 days aweek.If you have questions about your plan or require assistance in finding a PCP, please call ourCustomer Service Department toll-free at 1-866-480-1086, TTY 711. Or visitwww.myuhcadvantage.com.
Table of ContentsPrimary Care Providers .3Specialists .135Skilled Nursing Facilities .735Hospitals .739Urgent Care/Surgicenters .743Ancillary .751Mental Health Providers .813Index .10751
3ArizonaCoconinoFamily PracticeBjork, Janeen C, MD 3 8 9 FNPI: 1932103462467 Vista AvePage, AZ 86040(928) 645-8123Medical Group: OptumcareNevadaProvider #: 00010011395Hospital Affiliations: CentennialHills Hosp Med Ctr, DesertSprings Hospital, Desert ViewHospital, Dignity St Rose - CraigRanch, Dignity St Rose - SaharaHours: M-F 8:00AM-5:00PMFoley, Dennis James, MD 3 8 9MNPI: 1194729632467 Vista AvePage, AZ 86040(928) 645-8123Medical Group: OptumcareNevadaProvider #: 00010011448Hospital Affiliations: CentennialHills Hosp Med Ctr, DesertSprings Hospital, Desert ViewHospital, Dignity St Rose - CraigRanch, Dignity St Rose - SaharaHours: M-F 8:00AM-5:00PMObstetrics and GynecologyFoley, Dennis James, MD 8 9 MNPI: 1194729632467 Vista AvePage, AZ 86040(928) 645-8123Medical Group: OptumcareNevadaProvider #: 00010011448Hospital Affiliations: CentennialHills Hosp Med Ctr, DesertSprings Hospital, Desert ViewHospital, Dignity St Rose - CraigRanch, Dignity St Rose - SaharaHours: M-F 8:00AM-5:00PMMohaveCardiovascular DiseaseMercedes Germosen, AnaCristina, MD 3 8 FNPI: 12657453431739 E Beverly Ave Ste 217Kingman, AZ 86409(928) 681-8724Medical Group: OptumcareNevadaProvider #: 00040005962Hospital Affiliations: KingmanRegional Medical Center3269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00040005962Hospital Affiliations: KingmanRegional Medical CenterFamily PracticeBeneze, Nathan E, MD 8 MNPI: 13462863253003 Highway 95 Ste G73Bullhead City, AZ 86442(928) 758-7700Medical Group: OptumcareNevadaProvider #: 00010011392Hospital Affiliations: WesternArizona Regional MedicalCano, Efren Ricardo, DO 3 8 MNPI: 16091755531739 E Beverly Ave Ste 204Kingman, AZ 86409(928) 681-8706Medical Group: OptumcareNevadaProvider #: 00010011406Hospital Affiliations: KingmanRegional Medical Center2202 N Stockton Hill Rd Ste 100Kingman, AZ 86401(928) 681-8708Medical Group: OptumcareNevadaProvider #: 00010011406Hospital Affiliations: KingmanRegional Medical Center2202 N Stockton Hill Rd Ste 101Kingman, AZ 86401(928) 681-8701Medical Group: OptumcareNevadaProvider #: 00010011406Hospital Affiliations: KingmanRegional Medical Center* Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 EssentialCommunity Provider.Please call the providers office to confirm the provider's enrollment availability and participation in theMedicaid program. For more information about behavioral/mental health benefits, see "Accessing yourbehavioral/mental health benefits" in the Introduction section of this directory.Primary Care ProvidersPrimary Care ProvidersCoconino
4MohaveCegielski Jr, John William, MD 38 MNPI: 19222679392202 N Stockton Hill Rd Ste 100Kingman, AZ 86401(928) 681-8708Medical Group: OptumcareNevadaProvider #: 00010011409Hospital Affiliations: KingmanRegional Medical Center2202 N Stockton Hill Rd Ste 101Kingman, AZ 86401(928) 681-8701Medical Group: OptumcareNevadaProvider #: 00010011409Hospital Affiliations: KingmanRegional Medical Center2226 Hualapai Mountain Rd #101Kingman, AZ 86401(928) 681-8530Medical Group: OptumcareNevadaProvider #: 00010011409Hospital Affiliations: KingmanRegional Medical Center4995 Us Highway 68 Ste 1Golden Valley, AZ 86413(928) 681-8500Medical Group: OptumcareNevadaProvider #: 00010011409Hospital Affiliations: KingmanRegional Medical CenterPrimary Care ProvidersDeboer, Michael J, DO 8 MNPI: 10335201921726 E Beverly Ave Ste AKingman, AZ 86409(928) 753-3303Medical Group: OptumcareNevadaProvider #: 00010011425Hospital Affiliations: KingmanRegional Medical Center3116 N Stockton Hill RdKingman, AZ 86401(928) 681-8742Medical Group: OptumcareNevadaProvider #: 00010011425Hospital Affiliations: KingmanRegional Medical CenterGarrison, Justin Blake, DO 3 8MNPI: 18415334292226 Hualapai Mountain Rd #101Kingman, AZ 86401(928) 681-8530Medical Group: OptumcareNevadaProvider #: 00010011453Hospital Affiliations: KingmanRegional Medical Center3269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00010011453Hospital Affiliations: KingmanRegional Medical Center4995 Us Highway 68 Ste 1Golden Valley, AZ 86413(928) 681-8500Medical Group: OptumcareNevadaProvider #: 00010011425Hospital Affiliations: KingmanRegional Medical CenterHaydu, Joseph A, MD 3 8 MNPI: 17002960923269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00010011465Fakhraie, Keiko Sato, DO 3 8 F Hospital Affiliations: Dignity StRose - Sahara, North VistaNPI: 1891991642Hospital, Summerlin Hospital1739 E Beverly Ave Ste 209Medical Ctr, University Med Ctr OfKingman, AZ 86409Southern Nevada(928) 681-8730Medical Group: OptumcareNevadaProvider #: 00010011440Hospital Affiliations: KingmanRegional Medical Center* Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 EssentialCommunity Provider.Please call the providers office to confirm the provider's enrollment availability and participation in theMedicaid program. For more information about behavioral/mental health benefits, see "Accessing yourbehavioral/mental health benefits" in the Introduction section of this directory.
5Jackson, Kenneth D, MD 3 8 M Morgan, Donald Lynn, DO 3 8 MNPI: 1073510491NPI: 12058268801739 E Beverly Ave Ste 2002202 N Stockton Hill Rd Ste 100Kingman, AZ 86409Kingman, AZ 86401(928) 681-8705(928) 681-8706Medical Group: OptumcareMedical Group: OptumcareNevadaNevadaProvider #: 00010011487Provider #: 00010011525Hospital Affiliations: KingmanHospital Affiliations: KingmanRegional Medical CenterRegional Medical Center3269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00010011487Hospital Affiliations: KingmanRegional Medical Center2202 N Stockton Hill Rd Ste 101Kingman, AZ 86401(928) 681-8701Medical Group: OptumcareNevadaProvider #: 00010011525Hospital Affiliations: KingmanRegional Medical CenterKhatib, Nadim Badie, MD 2 3 8 M Myers, Sean A, DO 3 8 MNPI: 1578526562NPI: 13961239152755 Silver Creek Rd Ste 1091739 E Beverly Ave Ste 204Bullhead City, AZ 86442Kingman, AZ 86409(928) 763-9009(928) 681-8706Medical Group: OptumcareMedical Group: OptumcareNevadaNevadaProvider #: 00010011496Provider #: 00010011527Hospital Affiliations: WesternHospital Affiliations: KingmanArizona Regional MedicalRegional Medical CenterKruger, Tricia M, MD 1 3 8 FNPI: 15385710543269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00010011499Hospital Affiliations: KingmanRegional Medical Center2202 N Stockton Hill Rd Ste 100Kingman, AZ 86401(928) 681-8708Medical Group: OptumcareNevadaProvider #: 00010011527Hospital Affiliations: KingmanRegional Medical Center2202 N Stockton Hill Rd Ste 101Kingman, AZ 86401(928) 681-8701Medical Group: OptumcareNevadaProvider #: 00010011527Hospital Affiliations: KingmanRegional Medical Center2226 Hualapai Mountain Rd #101Kingman, AZ 86401(928) 681-8530Medical Group: OptumcareNevadaProvider #: 00010011527Hospital Affiliations: KingmanRegional Medical Center4995 Us Highway 68 Ste 1Golden Valley, AZ 86413(928) 681-8500Medical Group: OptumcareNevadaProvider #: 00010011527Hospital Affiliations: KingmanRegional Medical CenterPresbrey, Chelsea Dawn, DO 3FNPI: 15486576952202 N Stockton Hill Rd Ste 100Kingman, AZ 86401(928) 681-8708Medical Group: OptumcareNevadaProvider #: 00010011552Hospital Affiliations: KingmanRegional Medical Center8* Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 EssentialCommunity Provider.Please call the providers office to confirm the provider's enrollment availability and participation in theMedicaid program. For more information about behavioral/mental health benefits, see "Accessing yourbehavioral/mental health benefits" in the Introduction section of this directory.Primary Care ProvidersPrimary Care ProvidersMohave
6Mohave2202 N Stockton Hill Rd Ste 101Kingman, AZ 86401(928) 681-8701Medical Group: OptumcareNevadaProvider #: 00010011552Hospital Affiliations: KingmanRegional Medical Center2020 Silver Creek Rd Ste A210Bullhead City, AZ 86442(928) 444-1823Medical Group: OptumcareNevadaProvider #: 00010012039Hospital Affiliations: CentennialHills Hosp Med Ctr, DesertSprings Hospital, Desert View2226 Hualapai Mountain Rd #101 Hospital, Dignity St Rose - CraigRanch, Dignity St Rose - SaharaKingman, AZ 86401(928) 681-85302500 Canyon Rd Bldg BMedical Group: OptumcareBullhead City, AZ 86442Nevada(928) 763-9290Provider #: 00010011552Medical Group: OptumcareHospital Affiliations: KingmanNevadaRegional Medical CenterProvider #: 00010012039Hospital Affiliations: Centennial4995 Us Highway 68 Ste 1Hills Hosp Med Ctr, DesertGolden Valley, AZ 86413Springs Hospital, Desert View(928) 681-8500Hospital, Dignity St Rose - CraigMedical Group: OptumcareRanch, Dignity St Rose - SaharaNevadaProvider #: 00010011552Subhan, Mohammad A, MD 3 8Hospital Affiliations: KingmanMRegional Medical CenterNPI: 1306819883Simmons, Ludane Tonie, MD 2 3 2202 N Stockton Hill Rd Ste 101Kingman, AZ 864018 F(928) 684-8701NPI: 1114367364Medical Group: Optumcare3735 Hwy 95NevadaBullhead City, AZ 86442Provider #: 00010011328(928) 704-6400Hospital Affiliations: KingmanMedical Group: OptumcareRegional Medical CenterNevadaProvider #: 000100120393269 N Stockton Hill RdHospital Affiliations: CentennialKingman, AZ 86409Hills Hosp Med Ctr, Desert(928) 684-8577Springs Hospital, Desert ViewHospital, Dignity St Rose - Craig Medical Group: OptumcareRanch, Dignity St Rose - Sahara NevadaProvider #: 00010011328Hospital Affiliations: KingmanRegional Medical CenterPrimary Care ProvidersWomack, William Brian, DO 8MNPI: 16796782051611 Joy LnFort Mohave, AZ 86426(928) 768-9496Medical Group: OptumcareNevadaProvider #: 00010011352Hospital Affiliations: Valley ViewMedical Center, Western ArizonaRegional MedicalHours: M-F 8:00AM-5:00PMZegarra, Ted Edward, MD 3 8 MNPI: 10634926764995 Us Highway 68 Ste 1Golden Valley, AZ 86413(928) 681-8500Medical Group: OptumcareNevadaProvider #: 00010011358Hospital Affiliations: KingmanRegional Medical CenterFamily Practice SpecialistHaydu, Joseph A, MD 8 MNPI: 17002960923269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00010011465Hospital Affiliations: Dignity StRose - Sahara, North VistaHospital, Summerlin HospitalMedical Ctr, University Med Ctr OfSouthern Nevada* Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 EssentialCommunity Provider.Please call the providers office to confirm the provider's enrollment availability and participation in theMedicaid program. For more information about behavioral/mental health benefits, see "Accessing yourbehavioral/mental health benefits" in the Introduction section of this directory.
7Clemenson, Steven G, MD 3 4 8MNPI: 1174541874Abdul, Waheed, DO, MD 1 4 8 M 2202 N Stockton Hill Rd Ste 101NPI: 1558737981Kingman, AZ 864013269 N Stockton Hill Rd(928) 681-8701Kingman, AZ 86409Medical Group: Optumcare(928) 681-8577NevadaMedical Group: OptumcareProvider #: 00040007554NevadaHospital Affiliations: CentennialProvider #: 00040005890Hills Hosp Med Ctr, DesertHospital Affiliations: KingmanSprings Hospital, MountainviewRegional Medical CenterHospital, St Rose DominicanHosp Delima Campus, UniversityMed Ctr Of Southern NevadaAslam, Nabila, MD 3 4 8 FNPI: 19220891272226 Hualapai Mountain Rd #1013015 Highway 95 Ste 107BKingman, AZ 86401Bullhead City, AZ 86442(928) 681-8530(928) 763-0433Medical Group: OptumcareMedical Group: OptumcareNevadaNevadaProvider #: 00040007554Provider #: 00040005901Hospital Affiliations: CentennialHospital Affiliations: Valley ViewMedical Center, Western Arizona Hills Hosp Med Ctr, DesertSprings Hospital, MountainviewRegional MedicalHospital, St Rose DominicanHours: M-F 8:00AM-5:00PMHosp Delima Campus, UniversityMed Ctr Of Southern Nevada3015 Highway 95 Ste 107BBullhead City, AZ 864423801 Santa Rosa Dr Ste 103(928) 763-0433Kingman, AZ 86401Medical Group: Intermountain(928) 681-8742HealthcareMedical Group: OptumcareProvider #: 00040006052NevadaHospital Affiliations: Valley ViewMedical Center, Western Arizona Provider #: 00040007554Hospital Affiliations: CentennialRegional MedicalHills Hosp Med Ctr, DesertProvider Languages (S): UrduSprings Hospital, MountainviewHours: M-F 8:00AM-5:00PMHospital, St Rose DominicanHosp Delima Campus, UniversityMed Ctr Of Southern NevadaInternal MedicinePrimary Care Providers3801 Santa Rosa Dr Ste 400Kingman, AZ 86401(928) 681-8530Medical Group: OptumcareNevadaProvider #: 00040007554Hospital Affiliations: CentennialHills Hosp Med Ctr, DesertSprings Hospital, MountainviewHospital, St Rose DominicanHosp Delima Campus, UniversityMed Ctr Of Southern Nevada4995 W Highway 68 Ste 1Golden Valley, AZ 86413(928) 681-8500Medical Group: OptumcareNevadaProvider #: 00040007554Hospital Affiliations: CentennialHills Hosp Med Ctr, DesertSprings Hospital, MountainviewHospital, St Rose DominicanHosp Delima Campus, UniversityMed Ctr Of Southern NevadaJoe, Sungnam, MD 3 4 8 MNPI: 13765383892226 Hualapai Mountain Rd #101Kingman, AZ 86401(928) 681-8530Medical Group: OptumcareNevadaProvider #: 00040005942Hospital Affiliations: KingmanRegional Medical Center* Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 EssentialCommunity Provider.Please call the providers office to confirm the provider's enrollment availability and participation in theMedicaid program. For more information about behavioral/mental health benefits, see "Accessing yourbehavioral/mental health benefits" in the Introduction section of this directory.Primary Care ProvidersMohave
8MohaveMalik, Javed A, MD 3 8 9 MNPI: 14876523503015 Highway 95 Ste 105Bullhead City, AZ 86442(928) 763-2001Medical Group: OptumcareNevadaProvider #: 00010011512Hospital Affiliations: WesternArizona Regional MedicalHours: M-F 8:00AM-5:00PMMercedes Germosen, AnaCristina, MD 3 8 FNPI: 12657453431739 E Beverly Ave Ste 217Kingman, AZ 86409(928) 681-8724Medical Group: OptumcareNevadaProvider #: 00040005962Hospital Affiliations: KingmanRegional Medical Center3269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00040005962Hospital Affiliations: KingmanRegional Medical CenterPrimary Care ProvidersZehri, Waheed H, MD 3 4 8 MNPI: 17907241851225 Hancock Rd Ste CBullhead City, AZ 86442(928) 758-0121Medical Group: OptumcareNevadaProvider #: 00040005874Hospital Affiliations: Valley ViewMedical Center, Western ArizonaRegional MedicalHours: M-F 8:00AM-5:00PMInternal Medicine SpecialistJackson, Kenneth D, MD 8 MNPI: 10735104911739 E Beverly Ave Ste 200Kingman, AZ 86409(928) 681-8705Medical Group: OptumcareNevadaProvider #: 00010011487Hospital Affiliations: KingmanRegional Medical Center3269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00010011487Hospital Affiliations: KingmanZegarra, Guillermo G, MD 4 8 M Regional Medical CenterNPI: 15684784932182 Highway 95Bullhead City, AZ 86442(928) 758-6420Medical Group: OptumcareNevadaProvider #: 00040005873Hospital Affiliations: Valley ViewMedical Center, Western ArizonaRegional MedicalSpencer, James C, MD 2 3 4 8 MNPI: 15785531453269 N Stockton Hill RdKingman, AZ 86409(928) 681-8577Medical Group: OptumcareNevadaProvider #: 00040005854Hospital Affiliations: KingmanRegional Medical CenterSubhan, Mohammad A, MD 3 8MNPI: 13068198832202 N Stockton Hill Rd Ste 101Kingman, AZ 86401(928) 684-8701Medical Group: OptumcareNevadaProvider #: 00010011328Hospital Affiliations: KingmanRegional Medical Center3269 N Stockton Hill RdKingman, AZ 86409(928) 684-8577Medical Group: OptumcareNevadaProvider #: 00010011328Hospital Affiliations: KingmanRegional Medical Center* Accepts Medicaid. 1 Closed to new enrollment. 2 Accepting existing patients only. 3 Board Certified.4 Practice Limitations. 8 Handicap Accessible. 9 Cultural Competency Training. 10 EssentialCommunity Provider.Please call the providers office to confirm the provider's enrollment availability and participation in theMedicaid program. For more information about behavioral/mental health benefits, see "Accessing yourbehavioral/mental health benefits" in the Introduction section of this directory.
9Nurse PractitionerCarlile, Maranda Star, NP 8 FNPI: 13760781963272 E Rio Virgin RdLittlefield, AZ 86432(928) 347-5971Medical Group: OptumcareNevadaProvider #: 00010011408Hospital Affiliations: Dignity StRose-Blue Diamond, North VistaHospital, Southern Hills MedicalCenter, St Rose Dominican HospSan Martin Campus, St RoseDominican Hospital SieLawson, Tonye Daa, NP 8 FNPI: 12357798283801 Santa Rosa Dr Ste 400Kingman, AZ 86401(928) 681-8750Medical Group: OptumcareNevadaProvider #: 00010011502Hospital Affiliations: Dignity StRose-Blue Diamond,Mountainview Hospital, NorthVista Hospital, Southern HillsMedical Center, St RoseDominican Hospital Sie3735 Highway 95Bullhead City, AZ 86442(928) 444-1444Medical Group: OptumcareNevadaProvider #: 00010011789Hospital Affiliations: CentennialHills Hosp Med Ctr, Desert ViewHospital, Dignity St Rose - CraigRanch, Dignity St Rose - Sahara,Dignity St Rose-Blue Diamond5263 Highway 95Fort Mohave, AZ 86426(928) 704-6400Lipinski, Angela Marie, FNP, NP Medical Group: OptumcareNevada2 8 FProvider #: 00010011789NPI: 1275911521Celani, Lacey B, NP 8 FHospital Affiliations: Centennial2020 Silver Creek Rd Bldg ANPI: 1972951119Hills Hosp Med Ctr, Desert ViewBullhead City, AZ 864423272 E Rio Virgin RdHospital, Dignity St Rose - Craig(928) 704-4712Ranch, Dignity St Rose - Sahara,Littlefield, AZ 86432Medical Group: OptumcareDignity St Rose-Blue Diamond(928) 347-5971NevadaMedical Group: OptumcareProvider #: 00010011789NevadaLoucas, Amina Rachel, FNP, NPHospital Affiliations: CentennialProvider #: 00010011784Hills Hosp Med Ctr, Desert View 8 FHospital Affiliations: North VistaHospital, Dignity St Rose - Craig NPI: 1407248461Hospital, University Med Ctr OfRanch, Dignity St Rose - Sahara, 3801 Santa Rosa Dr Ste 400Southern Nevada, Valley Hospital Dignity St Rose-Blue Diamond
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.
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