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NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasNetwork Services ContactsProvider Network Representatives are available to assist youMonday – Friday (8am-5pm)Fax: 1-866-290-7718PROVIDER NETWORK REPRESENTATIVE BY TYPE AND REGIONType - RegionMedical - Central A – E; ITUs/IHSCHRISTUS St. Vincent HospitalMedical - Central F – N; PHS,Desert States Physical TherapyNetworkMedical - Central O – Z; Dept ofHealth;NM Behavioral Health InstituteMedical – Southeast; CHSMedical - Southwest including CibolaCo.Medical – NorthMedical - UNM//Optum/HMESpecialistsLong Term CareEastern RegionSouthwest Region Alpha A-MBernalillo County: Alpha A-Eand S-ZValue Based Providers (LTC)Long Term CareNorthwest RegionSouthwest Region Alpha N-ZBernalillo County Alpha F-RBehavioral HealthNorthwest RegionValue Based Providers (BH)Behavioral HealthSouthwest RegionBernalillo County Alpha A-JBehavioral HealthEast RegionBernalillo County Alpha K-ZNamePhoneEmailCassandra Romero(505) 816-2223cassandra romero@bcbsnm.comTricia MacLaughlin(505) 816-4255tricia maclaughlin@bcbsnm.comLiz Cordova-Martinez(505) 816-2161liz cordova-martinez@bcbsnm.comJan Montoya(505) 816-2303jan montoya@bcbsnm.comJessica Taylor(505) 816-4042jessica x taylor@bcbsnm.comKaren Sierra(505) 816-4132karen sierra@bcbsnm.comJessica Maito(505) 816-5214jessica maito@bcbsnm.comDavid Hall(505) 962-7215david hall@bcbsnm.comNicole Wilson(505) 816-4275nicole wilson@bcbsnm.comLaura Nguyen(505) 816-2005laura nguyen@bcbsnm.comArmando Betancourt(505) 962-7389armando betancourt@bcbsnm.comOpenCounty-level maps of each region available at the end of this document.Please contact your regional representative to reach the contract management team.Rev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasSTATEWIDE REPRESENTATIVESProvider NetworkRepresentativeServiceAir Ambulance; Ambulatory Surgical Centers;Community Paramedicine;Ambulatory Surgical Center (Hospital/IPA); Audiology Providers/Hearing Aids; HomeHealth (Hospital/IPA); Imaging; Pathology; Radiology; Sleep Center Facility; SleepCenter Providers; Any Medical Provider Tied to a Hospital or IPAAgency Based Community Benefit (ABCB)*; Support Brokers; Nursing Facility; SkilledNursing Facility; Long Term Acute Care; Home Health; Hospice; Dialysis;DME/Prosthetics/Orthotics; Genetic Laboratory; Home Infusion; Reference Laboratory;Specialty Pharmacy;Indian Health Services (IHS), Tribes and Tribal Organizations, and Urban IndianOrganizations (ITU); CHRISTUS St. Vincent HospitalMedical RegionalRepresentativesLong Term Care RegionalRepresentativeCassandra Romero*ABCB services include Adult Day Health, Assisted Living, Behavior Support Consultation, Community Transition Services, Emergency Response, Employment Supports,Environmental Modifications, Home Health Aide, Nutritional Counseling, Personal Care – Consumer Directed/Consumer Delegated, Private Duty Nursing for Adults (PDN),Nursing Respite, Respite, Skilled Maintenance Therapy Services – Occupational Therapy for Adults, Physical Therapy for Adults, Speech Therapy for AdultsHOSPITALSProvider NetworkRepresentativeHospitalAlta Vista Regional Hospital; Animas Surgical Hospital; Cibola Gen Hosp; Guadalupe CountyHospital; Holy Cross Hospital; Los Alamos Med Center; Mercy Medical Center; Miners ColfaxMed Center; Rehoboth McKinley Hosp; San Juan Reg Med Center; Union County Gen HospArtesia General Hospital; Carlsbad Medical Center Llc; Covenant Medical Center Lakeside;Covenant Children’s Methodist; Eastern Nm Med Center; Gerald Champion Regional Med Ctr;Lea Regional Medical Center; Mountain View Regional Hosp; Nor LeaGen Hosp; RooseveltGeneral Hospital; Seminole Hospital District Dba Memorial Hospital;Jessica TaylorJan MontoyaUNM Hospital; UNM Sandoval Regional Medical CenterKaren SierraLovelace Med Ctr Downtown; Lovelace Regional Hospital Roswell; Lovelace WestsideHospital;Lovelace Women’s Hospital;Liz Cordova-MartinezCibola Gen Hospital; Gila Regional Med Center; Las Palmas Medical Center; MemorialMedical Center; Mimbres Memorial Hospital; Providence East; Providence Mem Hospital;Sierra Med Center; Sierra Vista HospitalOpenDan C Trigg Memorial Hosp; Espanola Hospital; Lincoln Co Med Ctr; Plains Reg Med CtrClovis; Presbyterian Hospital; Socorro General HospitalTricia MacLaughlinRev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasBEHAVIORAL HEALTH GROUPSCore Service Agencies GroupsProvider NetworkRepresentativeGuidance Center of Lea County, Mental Health Resources, New Mexico Solutions, OpenSkies Healthcare, St. Martins Hospitality Center, Inc, Youth Development Inc, La Casa DeBuena Salud IncArmando BetancourtAll Faiths Receiving Home, ChildHaven Inc., The Life LinkNicole WilsonHidalgo Medical Services, La Clinica De FamiliaLaura NguyenPresbyterian Medical Services; New Mexico Behavioral Health InstituteLiz Cordova-MartinezSupervisory Protocol Providers GroupsHigh Desert Family Services Inc, Inner Guidance LLC, La Familia Inc., Rio GrandeCounseling &Guidance Services Pa, Southwest Family Guidance Center LLC, SouthwestServices for The Deaf, Streetwise Inc, The Community Lighthouse, Amistad y Resolana, FullCircle Recovery LLC, Heart & Soul, Lancer Health Group, Matt 25 Inc, Noesis IntegrativeHealth, Oasis Therapy LLC, Odyssey Counseling, Pecos Valley Counseling, PerfectlyImperfect, Recovery Services of NM, Rogue Autism Rebels, Sage Neuroscience Center,Serenity Mesa, Sierra Blanca Counseling, State of the Heart Recovery, The CounselingCenter, Trail Ahead Therapy LLC, Turning Point Recovery Center, Umoja Behavioral Health,Walsh Counseling Services LLC, Williams Counseling LLC, Windmill FightersA New Day Youth and Family Services, Aliviar Counseling Services Inc, Bair Foundation,Cottonwood Clinical ServicesInc, Desert View Inc, Equest Counseling Center LLC, LasCumbres Community Services Inc, Los Alamos Family Council Inc, Rio Vista CounselingLLC, Santa Fe Recovery Center Rtc, Solace Crisis Treatment Center, Youth Shelters andFamily ServicesA New Awakening Counseling, Albuquerque Guidance Center, Albuquerque TreatmentServices, Amanecer Psychological Services, Children's Treatment Center, ChristianCounseling Prof Inc, Counseling and Psychotherapy, Crossroads for Women, EsperanzaGuidance Services, Family Works INC, Formation Counseling, Rio Valle Behavioral Health,SierraCommunity Counseling Center Inc, Trauma & Recovery Centers, Zia RecoveryNon-Independently Licensed Groups(BILS4NILS)Children in Need of Services, Healthy Families of ABQ, Small Steps Child CounselingA Child's Voice, Angel Peak Counseling, Awake and Aware, Be Me Better, Earth Spiritand Awakening, FourWinds Behavioral Health, Golden Willow Counseling, HerndonConsulting LLC, Horses for Healing, Hoy Recovery, New Mexico Treatment ServicesLLC, Pinwheel Healing, Re-Cycled Man LLC, Rio Grande Alcoholism Treatment Center,Santa Fe Dialectical Behavior Therapy, Santa Fe Mountain Center, Serna Solutions LLC,The Family Connection, The Savila Collaborative (Centro Savila), Trauma TreatmentCenter4 Directions Mental Health, Amistad Family Services Inc, Cornerstone Lifeworks,Courageous Transformations Inc, Dorcas F Brem Counseling Serv, Duke City Recovery ToolBox, Eating Disorders Treatment Center LLC, Evolution Group, Faith Grace TherapeuticServices, Family Workshop LLC, Haven Behavioral Health, High Desert Healing, JOURNEY TOWELLNESS COUNSELING LLC, Montanez Associates LLC, Serenity Counseling, Tafoya AndAssociates, The Recovery Management Center, TRAA Group LLC DBA Viibe WellnessCenter, Vaillancourt Associates LLC, Winborn Wellness and CounselingProvider NetworkRepresentativeArmando BetancourtNicole WilsonLaura NguyenProvider NetworkRepresentativeArmando BetancourtNicole WilsonLaura NguyenRev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasABA GroupsGuidance Center of Lea County Inc, Consultants for Children,Jumpstart, Mountain West Evaluation & Therapy Services, DBAMountain West Autism Services, Positive Behavior Support, PrismTherapeutic Services IncAutism Learning Partners, Autism Spectrum Therapies New Mexico, Behavior Services of theRockies, Behavioral Health Works, Bridges Inc, Center for Autism and Related Disorders, DianeThompson PHD, Meaningful Change Learning ServicesAprendamos, Autism Behavior Services, Behavior Change Institute LLC, CaminoBehavioral Health Services, Centria Healthcare LLC, Child Psychological Services ofNew Mexico LLC, Cross River Therapy LLC, Martin Greer, MECA LLC, MontanezAssociates LLCProvider NetworkRepresentativeArmando BetancourtNicole WilsonLaura NguyenRev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasRev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasNetwork Representative Regions – LTC/DMERev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
NETWORK SERVICES DEPARTMENTProvider Network RepresentativeRelated Service AreasRev 04/2022P.O. Box 27630 Albuquerque, New Mexico 87125-7630 1-800-567-8540 www.bcbsnm.comA Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association/2022
CHRISTUS St. Vincent Hospital Cassandra Romero (505) 816-2223 cassandra_romero@bcbsnm.com Medical - Central F - N; PHS, Desert States Physical Therapy Network Tricia MacLaughlin (505) 816-4255 tricia_maclaughlin@bcbsnm.com Medical - Central O - Z; Dept of Health; NM Behavioral Health Institute
