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Regence MedAdvantage Rx Classic (PPO) andRegence MedAdvantage Basic (PPO)PPO PlanProvider DirectoryThis directory provides a list of Regence MedAdvantage Rx Classic and Regence MedAdvantage Basic’snetwork providers.This directory is for Clallam, Columbia, Cowlitz, Island, King, Kitsap, Klickitat, Lewis, Pierce, San Juan,Skagit, Skamania, Snohomish, Thurston, Wahiahum, Walla Walla, Whatcom, and Yakima counties inWashington.This directory is current as of July 29, 2013. Some network providers may have been added or removed fromour network after this directory was printed. We do not guarantee that each provider is still accepting newmembers. To get the most up-to-date information about Regence MedAdvantage Rx Classic and RegenceMedAdvantage Basic’s network providers in your area, you can visit www.regence.com/medicare or call ourCustomer Service Department at 1 (800) 541-8981, from 8:00 a.m. to 8:00 p.m., Monday through Friday. FromOctober 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., seven days a week. TTY usersshould call 711.Regence BlueShield is a PPO plan with a Medicare contract. Enrollment in Regence BlueShield depends oncontract renewal.This document is available electronically and may be available in alternate formats. Please call CustomerService at the telephone number listed above for more information.Regence BlueShield serves select counties in the state of Washington and is an Independent Licensee of theBlue Cross and Blue Shield Association.Y0062 2014PROVDIR PPO ACCEPTED
Section 1 – IntroductionThis directory provides a list of Regence MedAdvantage Rx Classic and Regence MedAdvantage Basic’snetwork providers. To get detailed information about your health care coverage, please see your Evidence ofCoverage.As a member of our plan you are not required to select a Primary Care Provider (PCP). Some services havelower cost-sharing when delivered by a PCP. Our plan considers the following providers to be PCPs: General PractitionerFamily PractitionerGeriatric PractitionerGynecologist, Obstetrician/GynecologistInternal Medicine PractitionerNurse PractitionerPediatricianPhysician’s AssistantThe “network providers” listed in this directory have agreed to provide you with your health care, vision, anddental coverage. You may go to any of our network providers listed in this directory. If you have been going toone network provider, you are not required to continue going to that same provider. In some cases, you may getcovered services from non-network providers.As a member of our plan, you may choose to receive care from out-of-network providers who participate inMedicare. Our plan covers services from both in-network and out-of-network providers, as long as the servicesare covered benefits and are medically necessary. If you use an out-of-network provider, your share of the costsfor your covered services may be higher, except when receiving emergency and urgent care services. Wecannot pay a provider who does not participate in Medicare.It is best to ask an out-of-network provider to bill the plan first. If you have already paid for the coveredservices, we will reimburse you for our share of the cost for covered services. If an out-of-network providersends you a bill that you think we should pay, you may send it to us for processing.In certain areas of the United States, there are Medicare Advantage PPO plans participating in the BlueCrossand BlueShield Association’s Blue Medicare Advantage PPO Network Sharing program. If you see one ofthese plan’s Medicare Advantage PPO network providers, you will pay in-network cost sharing. Please callCustomer Service to find out if there are participating plans where you will be traveling.Again, if you use an out-of-network provider, your share of the costs for your covered services may be higher,except when receiving emergency and urgent care services.What is the service area for Regence MedAdvantage Rx Classic (PPO) andRegence MedAdvantage Basic (PPO) Plans?The counties in our service area are listed below.Clallam, Columbia, Cowlitz, Island, King, Kitsap, Klickitat, Lewis, Pierce, San Juan, Skagit, Skamania,Snohomish, Thurston, Wahiahum, Walla Walla, Whatcom, and Yakima counties in Washington.1
How do you find Regence MedAdvantage Rx Classic (PPO) and RegenceMedAdvantage Basic (PPO) providers in your area?To find a provider near you, identify the type of provider type using the directory table of contents. Turn to thepage listed and search for providers by state, then city.Directory Table of Contents Doctors and Other Providers (includes dental and vision providers) – 33,722 total providersSorted by state, city, specialty, then name4 Hospitals – 48 total providersSorted by state, city, then name819 Durable Medical Equipment Suppliers - 155 total providersSorted by state, city, then name822 Laboratories – 87 total providersSorts by state, city, then name827 Skilled Nursing Facilities – 109 total providersSorted by state, city, then name830 Part B Pharmacies – 12 total providersSorted by state, city, specialty, then name835 Mental Health Providers – 1,956 total providersSorted by state, city, specialty, then name836 Other Facilities – 384 total providersSorted by state, city, specialty, then name886 Alphabetic Provider Index – Sorted by name902If you have questions about Regence MedAdvantage Rx Classic (PPO) and/or Regence MedAdvantage Basic(PPO), please call our Customer Service Department at 1 (800) 541-8981, from 8:00 a.m. to 8:00 p.m., Mondaythrough Friday. From October 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., sevendays a week. TTY users should call 711. Or, visit www.regence.com/medicare.2
Section 2 – List of Network Providers3
GEORGIAALPHARETTAPHYSICAL THERAPYDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameLAURENT, DEBRA JEAN ARNP1104 BASICH BLVD(360)532-2633ALPHARETTAMAIN, CAROLYN CHANDLERPHYSICAL THERAPYARNP1104 BASICH BLVDZIEVE, SANDIE G PT(360)532-26333440 PRESTON RIDGE ROAD STE250WEIK, ANNELIESE M ARNPPROVIDER SPEAKS:1104 BASICH BLVDPORTUGUESE, SPANISH(360)532-2633WESTOVER,JENNY H ARNPIDAHO1104 BASICH CTIC MEDICINEOLSEN, JOHN VESTER MD1104 BASICH BLVD(206)861-8550OPPENHEIM, GARY EVAN MD1104 BASICH BLVD(360)532-2633PROVIDER SPEAKS: FRENCH,SPANISHSPECK, SARAH MARSHALL MD1104 BASICH BLVD(360)532-2633SWAN, JIMMY Z MD1020 ANDERSON DR STE 205(866)805-5755ALLERGYPHYSICAL THERAPYPROVIDER SPEAKS: CHINESELIVINGSTONE, DONN ASHLEY WESTCOTT, ROGER JEFFREYRYAN, EDWIN E PTMD150 126TH STMD611 N F ST(208)476-71051104 BASICH BLVD(360)532-2882(360)532-2633OREGONYEOH, TIONG-KEAT MDCARDIOVASCULAR1104 BASICH BLVDCLATSKANIEDISEASES(360)532-2633BERSIN, ROBERT M MDDENTIST – PREVENTIVEPROVIDER SPEAKS: CANTONESE,1104 BASICH BLVDDENTAL CAREFRENCH, MANDARIN(360)532-2633ZIVIN, ADAM HENRY MDTYACK, JAMES HAL DMDPROVIDER SPEAKS: FRENCH1104 BASICH BLVD400 SW BELAIR DRBROUDY, DAVID R MD(360)532-2633(503)728-21141104 BASICH RELLA, PETER JOHNDENTIST – PREVENTIVEMDPANTHER, DAVID EUGENE PACDENTAL CARE1104 BASICH BLVD1104 BASICH BLVDLAMPEE, HEATH A DMD(360)532-2633(206)861-8550101 W 5TH STDEMOPULOS, PETER A MDCHIROPRACTIC MEDICINE(503)556-37441104 BASICH BLVDSORLIEN, ROBERT JAMES(360)532-2633BELL III, DONALD A DCDMD110 S PARK STENGLISH III, MILTON T MD205 W 2ND ST(360)533-66201104 BASICH BLVD(503)556-1566(360)532-2633CHANDLER, GARY DON DCVANBELLINGHEN, EDMOND1314 E WISHKAH STGHODS, MASSROOR MDARTHUR DDS(360)533-79601104 BASICH BLVD118 E A STPROVIDERSPEAKS: SPANISH(360)532-2633(503)556-6401PROVIDER SPEAKS: FARSIDOHRMANN, CYRUS P DC2321 SIMPSON BERDEENFAILOR, ROBERT R DC1020 ANDERSON DR STE 205(866)805-57551812 SUMNER AVE STE DADULT MEDICINE(360)533-0044KONN, DAVID ERIC MDGARDNER, POLLY ELIZABETH 1606 SIMPSON AVEFLOCH, THOMAS A DCARNP(360)352-20371314 E WISHKAH ST1104 BASICH BLVD(360)533-7960(360)532-2633GEORGIAJuly 29, 20134
WASHINGTONABERDEENCHIROPRACTIC MEDICINEDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameDONAHUE, JERI S ARNP954 ANDERSON DR STE 102(360)533-6906ABERDEEN (CONT'D)DRAPER, CHERYL A PACCHIROPRACTIC MEDICINE 954 ANDERSON DR STE 102(CONT'D)(360)533-6906HALLAK,LAURA MDHALE, ROBERT GEORGE DC1921SUMNERAVE2700 SIMPSON AVE STE 102(360)538-0135(360)533-8770PROVIDER SPEAKS: SPANISHPROVIDER SPEAKS: SPANISH,HERNANDEZ, OLGA E DOTAGALOG1020ANDERSON DR STE 203HENSLEY, BRADLEY ALAN DC(360)533-60631906 SUMNER AVEKATO, COLETTE M DO(360)532-02021220 BASICH BLVD STE AROSE, LINDA SUE DC(360)532-1800400 W WISHKAH STPROVIDERSPEAKS: SPANISH(360)533-6920PAULSEN, PATRICK M PACDERMATOLOGY915 ANDERSON DR(360)537-6113KOMOROUS, JAMES MICHAELMDPIERCE, JESSICA T MD1006 N H ST1006 N H ST(360)537-6392(360)537-6300SPARGUR, COLLEEN PACEAR NOSE THROAT1006N H ST STE 3OTOLARYNGOLOGY(360)533-2734LIVINGSTONE, DONN ASHLEYVANDEKIEFT, GREGG K MDMD954 ANDERSON DR STE 102611 N F ST(360)533-6906(360)532-2882WAITKEVICH, CHERYL J ARNPFAMILY PRACTICE954 ANDERSON DR STE 102(360)533-6906BAUM, CATHERINE MARIEWILLIAMS, ESTHER LEE ARNPARNP954 ANDERSON DR STE 101A1812 SUMNER AVE STE I(360)612-3069(360)532-0060WORCESTER, MARTHA LBAUSHER, JOHN C MDARNP1020 ANDERSON DR STE 203954 ANDERSON DR STE 102(360)533-5995(360)533-69061020 ANDERSON DR STE 205(360)533-6447GENERAL SURGERYBRANNON, DANA ANN ARNPPIERCE, DAMON S MD1020 ANDERSON DR STE 2031020 ANDERSON DR STE 205(360)533-6063(360)533-6447BRAY, HEIDI J ARNP954ANDERSON DR STE 108954 ANDERSON DR STE 102(360)532-1360(360)533-6906WASHINGTON (CONT'D)CLAYTON, MARY J ARNP954 ANDERSON DR STE 101A(360)612-3069GENETIC MEDICINEADAM, MARGARET P MD1100 BASICH BLVD(253)403-44375WASHINGTONABERDEENINTERNAL MEDICINEFICK, ROGER N CGC1100 BASICH BLVD(253)403-4437GLASS, IAN A MD1100 BASICH BLVD(253)403-4437RAFF, MICHAEL LEONARD MD1100 BASICH BLVD(253)403-4437WALLACE, STEPHANIE E MD1100 BASICH BLVD(253)403-4437YUEN, AMY L MD1100 BASICH BLVD(253)403-4437GERIATRIC MEDICINEBHAGIA, POONAM MD954 ANDERSON DR STE 102(360)533-6906HAND SURGERYMAY, GREGORY KENNETH MD1211 SKYVIEW DR(360)532-3808HEMATOLOGYWANG, HUI MD954 ANDERSON DR STE 102(360)533-6306PROVIDER SPEAKS: CHINESEINTERNAL MEDICINEBERSIN, ROBERT M MD1104 BASICH BLVD(360)532-2633PROVIDER SPEAKS: FRENCHBHAGIA, POONAM MD954 ANDERSON DR STE 102(360)533-6906BLITMAN, MAURY N MD954 ANDERSON DR STE 102(360)533-6906BUR, LANA K MD954 ANDERSON DR STE 102(360)533-6906CANFIELD, DANIEL JAY DO1020 ANDERSON DR STE 205(360)533-6038ENGLISH III, MILTON T MD1104 BASICH BLVD(360)532-2633July 29, 2013
WASHINGTONABERDEENINTERNAL MEDICINEWASHINGTON (CONT'D)ABERDEEN (CONT'D)INTERNAL MEDICINE(CONT'D)HARRIS, MICHAEL A MD954 ANDERSON DR STE 102(360)533-6906KENNEDY, RICHARD PIERCEMD1020 ANDERSON DR STE 205(866)805-5755KONN, DAVID ERIC MD1606 SIMPSON AVE(360)352-2037MERRIFIELD, SARAH B MD954 ANDERSON DR STE 102(360)533-6906MORRIS, RALPH LOUIS MD1020 ANDERSON DR STE 205(360)533-6446915 ANDERSON DR(360)532-5717PROVIDER SPEAKS: FRENCHOPPENHEIM, GARY EVAN MD1104 BASICH BLVD(360)532-2633PROVIDER SPEAKS: FRENCH,SPANISHSHUSTOV, ANDREI R MD954 ANDERSON DR STE 102(360)533-6906PROVIDER SPEAKS: GERMAN,RUSSIAN, UKRAINIANSUI, XINGWEI MD954 ANDERSON DR STE 102(360)754-3934PROVIDER SPEAKS: CHINESESWAN, JIMMY Z MD1020 ANDERSON DR STE 205(866)805-5755PROVIDER SPEAKS: CHINESETROEH, TIMOTHY HARRY MD1921 SUMNER AVE(360)538-0135WERNER, HALEIGH ANN MD1200 BASICH BLVD(360)537-8801July 29, 2013Doctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameWESTCOTT, ROGER JEFFREYMD1104 BASICH BLVD(360)532-2633WONG MAY, ANNE MARIE MD1006 N H ST STE 3(360)533-2734YEOH, TIONG-KEAT MD1104 BASICH BLVD(360)532-2633PROVIDER SPEAKS: CANTONESE,FRENCH, MANDARINZIVIN, ADAM HENRY MD1104 BASICH BLVD(360)532-2633NEUROLOGYMILLER, JOHN J MD105 S BROADWAY ST(360)537-7577RAZAVI, MEHRDAD MD954 ANDERSON DR STE 101A(360)612-3069PROVIDER SPEAKS: FARSI,GERMAN, PERSIANNURSE PRACTITIONERWESTOVER, JENNY H ARNP1104 BASICH BLVD(360)532-2633OCCUPATIONAL THERAPYCONNOLLY, LAURIE R OTR100 S I ST STE 205(360)532-1707TAYLOR, ELVINA I OT100 S I ST STE ON, PAULALEXANDER MD954 ANDERSON DR STE 102(360)533-6906PROVIDER SPEAKS: ITALIANSHUSTOV, ANDREI R MD954 ANDERSON DR STE 102(360)533-6906PROVIDER SPEAKS: GERMAN,RUSSIAN, UKRAINIANONCOLOGYDRAPER, CHERYL A PAC954 ANDERSON DR STE 102(360)533-6906HARRIS, MICHAEL A MD954 ANDERSON DR STE 102(360)533-6906SUI, XINGWEI MD954 ANDERSON DR STE 102(360)754-3934PROVIDER SPEAKS: CHINESESUNDARARAJAN, LAVANYAMD954 ANDERSON DR STE 102(360)533-6906PROVIDER SPEAKS: HINDI, TAMILWANG, HUI MD954 ANDERSON DR STE 102(360)533-6306PROVIDER SPEAKS: CHINESEOPHTHALMOLOGYESTALILLA, FRANCIS V MD1720 SUMNER AVE(360)532-1930PROVIDER SPEAKS: SPANISH,TAGALOGHOOT, GLENN PAUL MDONCOLOGIST/118 W 1ST STHEMATOLOGIST(360)533-5800BLITMAN, MAURY N MDPROVIDER SPEAKS: SPANISH954 ANDERSON DR STE 102RUYLE, SUSAN MD(360)533-6906207 S CHEHALIS STGRIFFITH III, HARRY STEVEN(360)533-2020MDPROVIDER SPEAKS: SPANISH954 ANDERSON DR STE 102OPTOMETRY(360)533-6906LECHNER, JAMES JOHN MDBERKEN, SCOTT T OD954 ANDERSON DR STE 102301 N BROADWAY ST(360)533-6906(360)533-18806
WASHINGTONABERDEENOPTOMETRYWASHINGTON (CONT'D)ABERDEEN (CONT'D)OPTOMETRY (CONT'D)BOGDANOVICH, GREGORY GOD500 W MARKET ST(360)532-3611CARR-YEATES, KIMBERLYANN OD107 W 4TH ST(360)532-4210LOEB, ANGELA C OD207 S CHEHALIS ST(360)533-2020MEHLHOFF, CRAIG D OD301 N BROADWAY ST(360)533-1880PROVIDER SPEAKS: SPANISHPRATT, JOSHUA D OD207 S CHEHALIS ST(360)533-2020WEYRICH, JAMES HENRY OD909 E WISHKAH ST(360)538-2724PROVIDER SPEAKS: SPANISHDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then namePEDIATRIC CARDIOLOGYPARK, MATTHEW V MD1100 BASICH BLVD(253)396-4868PROVIDER SPEAKS: SPANISHPEDIATRICSADAM, MARGARET P MD1100 BASICH BLVD(253)403-4437PARK, MATTHEW V MD1100 BASICH BLVD(253)396-4868PROVIDER SPEAKS: SPANISHYUEN, AMY L MD1100 BASICH BLVD(253)403-4437PHYSICAL THERAPYGOUDEY, SKY R PT320 W MARKET ST(360)533-2252PARRIS, TRINITY PT220 W 1ST ST(360)533-3853PAYNE, BRAD A PT220 W 1ST ST(360)533-3853ORTHOPEDIC SURGERYWILSON, JILL MARIE PTBERNEY, TIMOTHY GRANT MD 220 W 1ST ST1211 SKYVIEW DR(360)533-3853(360)532-3808WILSON, PATRICK R PTKAWASAKI, ERIN A DO220 W 1ST ST1211 SKYVIEW DR(360)533-3853(360)532-3808PLASTIC SURGERYMAY, GREGORY KENNETH MDREALICA, ROSS MAGLAQUE1211 SKYVIEW DRMD(360)532-38081006 N H STPERRY, RICHARD A F PAC(360)537-63911211 SKYVIEW DRPROVIDER SPEAKS: TAGALOG(360)532-3808ROBERSON, CHARLES A MDPODIATRY1211 SKYVIEW DRHOVANCSEK, ROBERT LOUIS(360)532-3808DPM2218 SIMPSON AVEOSTEOPATH(360)533-4344KATO, COLETTE M DOTRONVIG, WILLIAM JAMES1220 BASICH BLVD STE ADPM(360)532-18001220 BASICH BLVD STE CPROVIDER SPEAKS: SPANISH(360)533-73887WASHINGTONABERDEENVSP PROVIDERS – ROUTINEVISIONSLEEP DISORDER SERVICESRAZAVI, MEHRDAD MD954 ANDERSON DR STE 101A(360)612-3069PROVIDER SPEAKS: FARSI,GERMAN, PERSIANUROLOGYREZNICEK, STEPHEN B MD1006 N H ST(360)537-6470VASCULAR SURGERYPIERCE, DAMON S MD1020 ANDERSON DR STE 205(360)533-6447954 ANDERSON DR STE 108(360)532-1360ABERDEENVSP PROVIDERS – ROUTINEVISIONBERKEN, SCOTT T OD301 N BROADWAY ST(360)533-1880BOGDANOVICH, GREG G OD500 W MARKET ST(360)532-3611CARR YEATES, KIMBERLY AOD107 W 4TH ST(360)532-4210CARR, DALLAS R OD107 W 4TH ST(360)532-4210HOOT, GLENN P MD118 W 1ST ST(360)533-5800MEHLHOFF, CRAIG D OD301 N BROADWAY ST(360)533-1880PRATT, JOSHUA D OD207 S CHEHALIS ST(360)533-2020PROVIDER SPEAKS: SPANISHRUYLE, SUSAN MD207 S CHEHALIS ST(360)533-2020July 29, 2013
WASHINGTONABERDEENWOMEN S HEALTH SERVICESDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameHANNA, RAMY L MD2511 M AVE STE D(360)293-0308ABERDEENLANDRETH, DUNCAN THOMASMDWOMEN S HEALTH2511 M AVE STE DSERVICESMCREYNOLDS, BONNIE J ARNP LOHAVANICHBUTR, KAMOLMD954 ANDERSON DR STE 1022511 M AVE STE D(360)533-6906(360)293-0308ADNAPROVIDER SPEAKS: THAIMATISTA, JOHN F PACOCCUPATIONAL THERAPY 2511 M AVE STE DLOPEZ, SUZANNE P OTR(360)293-0308179 DIECKMAN RDPALIWAL, VIDHU S MD(360)219-31632511 M AVE STE D(360)293-0308ALLYNPROVIDER SPEAKS: HINDICHIROPRACTIC MEDICINE STEWART, ROBERT BRUCE MD2511 M AVE STE DNELSON, RONALD WILLARD(360)293-0308DC18325 E STATE ROUTE 3VADERAH, SANJEEV MD(360)275-06702511 M AVE STE DANACORTESCHIROPRACTIC MEDICINEWASHINGTONANACORTESEAR NOSE THROATOTOLARYNGOLOGYCOLLINS, UTE DDS1220 22ND ST STE C(360)424-5650COOLEY, TODD T DDS1220 22ND ST STE C(360)293-5311FELLER, SHARON PATRICIADDS712 COMMERCIAL AVE(360)293-3388GIFFORD, MATTHEWWILFORD DDS601 O AVE(360)293-8737HALGREN, KERI DDS1220 22ND ST STE C(360)293-5311HUNTSINGER, JOHN EUGENEDDS610 COMMERCIAL AVE(360)293-1800KUZMA, DAVID JEROME DDS3001 COMMERCIAL AVE(360)588-9216WILSON, NICHOLAS J DDSFROST, CHRISTOPHER MARK 901 8TH STADULT MEDICINEDC(360)293-8421DANA, SUSAN K ARNP1116 17TH ST2511 M AVE STE DDERMATOLOGY(360)293-6277(360)293-0308FOWLER, AMBER D MDHENNING, DEAN L DCMECKSTROTH, JOEL ANDRES 1017 7TH ST3110 COMMERCIAL AVE STE 105ARNP(360)293-9727(360)755-32532511 M AVE STE DHOUSTON, ROBERT BOYD DC GOULEY, AMY PA(360)293-03083110 COMMERCIAL AVE STE 1051017 7TH STRANUM, KARI K ARNP(360)755-3253(360)293-66112511 M AVE STE DJACOBSON,LAURIE G MDJENNINGS,BENLEEDC(360)293-03083110 COMMERCIAL AVE STE 1053218 R SWEISS, WOOD M DCEAR NOSE THROAT2320 COMMERCIAL AVEBRISENO JR, OSCAR J MDOTOLARYNGOLOGY(360)293-20112511 M AVE STE DBROWN, GARY L MD(360)293-0308DENTIST – PREVENTIVE1019 24TH ST STE BPROVIDER SPEAKS: SPANISHDENTAL CARE(360)558-8985FELD, JEFFREY E MDPROVIDERSPEAKS: SPANISHBETHARDS, BILL N DDS2511 M AVE STE DGRANT, JONATHAN R MD1019 24TH ST STE A(360)293-03081019 24TH ST STE B(360)293-4695GAUER, ELIZABETH A MD(360)558-8985COLLINS,RCHARLIEDDS2511 M AVE STE DHARRIS,KEVIN C MD122022NDSTSTEC(360)293-03081019 24TH ST STE B(360)293-5311(360)336-2178WASHINGTON (CONT'D)July 29, 20138
WASHINGTONANACORTESFACIAL PLASTIC SURGERYDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameWASHINGTONANACORTESINTERNAL MEDICINEJAMES, MICHAEL CLINTON2511 M AVE STE BMD(360)299-42112511 M AVE STE AANACORTES (CONT'D)SWEENEY, MARGARET ALICIA(360)293-9813MDJORDAN,SUSANMPAC2511 M AVE STE AFACIAL PLASTIC SURGERY1213 24TH ST STE 100(360)293-9813GRANT, JONATHAN R MD(360)293-3101PROVIDERSPEAKS: RUSSIAN1019 24TH ST STE B2511MAVESTEBTIVEL,JANETE ARNP(360)558-8985(360)299-42112511 M AVE STE AFAMILY PRACTICELAURSEN, SHAWNA LEA MD(360)293-9813121124THSTWILHELM,SUSANNE DOBACKMAN, MARK S MD(360)299-1300121324THSTSTE 1001213 24TH ST STE , COLLEEN V ARNPBJORSETH, FRANKLIN EVAN 2511 M AVE STE D(360)293-03081500 COMMERCIAL AVEMDMIZEN, CATHERINE(360)299-26502511 M AVE STE AMICHELLE ARNP(360)293-9813GENERAL SURGERYBLACKADAR, CHARLES S MD 1500 COMMERCIAL AVEMULCAHY, JOSEPH W MD(360)299-26502511 M AVE STE BMOREN, JAMES ARTHUR MD 1211 24TH ST(360)299-4211(360)299-4211BOLTON, KAREN MICHELE MD 715 SEAFARERS WAY STE 201BSCHMALTZ,KRISTINE ELLEN(360)588-14601220 22ND ST STE AMDPATTON, JONATHAN D PAC(360)588-93431211 24TH ST2511 M AVE STE BBURNETT, RENEE ARNP(360)299-4211(360)299-42111500 COMMERCIAL AVESIBLE, MICHAEL DEAN MDRIEGER, ERIN P ARNP(360)299-26501211 24TH ST1213 24TH ST STE 100CONWAY, C LES MD(360)299-4211(360)299-56121213 24TH ST STE 100RIEGER, ROBERT PAUL MD(360)293-3101GERIATRIC MEDICINE2511MAVESTEACOUSINS, JODY A MDGILBERT, KAREN A ARNP(360)293-98131213 24TH ST STE 1001211 24TH STROBBINS, BETTE L CLEMMENS(360)293-3101(360)299-4211ARNPDRAPER, MICHELLE RENELONERGAN, KIMBERLEE ANN1213 24TH ST STE 100ARNPARNP(360)293-31013110 COMMERCIAL AVE STE 1051110 22ND STROBBINS, JENNIFER C ARNP(360)755-3253(360)299-86762511 M AVE STE BFISHFADER, VICKI L PACINTERNAL MEDICINE(360)299-4211912 32ND ST STE AROWLAND, KATELYN A ARNP BRISENO JR, OSCAR J MD(360)293-43433110 COMMERCIAL AVE STE 105 2511 M AVE STE DFRANCIOSE, AZILE HANSEN(360)755-3253(360)293-0308ARNPPROVIDER SPEAKS: SPANISHSCHMIDT, GRANT C DO1213 24TH ST STE 1001211 24TH ST(360)293-3101BROWN, DAVID H MD(360)299-1300PROVIDER SPEAKS: SPANISH1211 24TH ST(360)299-1300HILL, SUSAN CARROLL ARNP SHICK, COURTNEY A PAC91232ND ST STE A1213 24TH ST STE 600912 32ND ST STE N, OLIVER LARS GAUER, ELIZABETH A MDHOGGE, JASON G MD2511 M AVE STE DMD1213 24TH ST STE 100(360)293-03081211 24TH ST(360)293-3101(360)299-1300WASHINGTON (CONT'D)9July 29, 2013
WASHINGTONANACORTESINTERNAL MEDICINEDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameWASHINGTONANACORTESORTHOPEDIC SURGERYCONNOR, RORY K MDONCOLOGY1213 24TH ST STE 100KIM, THEODORE Y DO(360)293-3101ANACORTES (CONT'D)1211 24TH STJONES, JOHNNY M PAC(360)299-4211INTERNAL MEDICINE715 SEAFARERS WAY STE KS:ARABICHORESH, ALLEN HARON MDBROWN, LINDA R MD1211 24TH ST1213 24TH ST STE 300NURSE PRACTITIONER(360)299-1300(360)293-2020DANA, SUSAN K ARNP912 32ND ST STE AELLIS, KENNETH R MD2511 M AVE STE D(360)293-43431213 24TH ST STE 300(360)293-0308KENDREGAN, BRIAN ALBERT MECKSTROTH, JOEL ANDRES(360)293-2020MDARNPOPTOMETRY1211 24TH ST2511 M AVE STE DFARNSWORTH, MEL OD(360)299-4211(360)293-03081610 COMMERCIAL AVE2511 M AVE STE D(360)293-2127(360)293-0308OBSTETRICS ANDGYNECOLOGYKOTAL, CHARLES VLADIMIRHUDDLESTON, JAY LEROY ODMD1110 12TH STGARDE, KATHLEEN A MD1211 24TH ST(360)293-93121213 24TH ST STE 100(360)299-1300PROVIDERSPEAKS: SPANISH(360)293-3101912 32ND ST STE APRINS, ROBERT PETER MDORTHOPEDIC SURGERY(360)293-43431213 24TH ST STE 100AGUERO, CARLOS PAPROVIDER SPEAKS: FRENCH(360)293-31012720 COMMERCIAL AVELLEWELLYN, NANCY HOOVER(360)424-2400OCCUPATIONAL THERAPYMDBALL,MATTHEW N PAC1211 24TH STDESCHENES, DAVID S OTR101720THST(360)299-13002720 COMMERCIAL AVE(360)424-7041912 32ND ST STE A(360)424-2400(360)293-4343GALLOWAY, MARK JOSEPHJONES, ASHLI R OTPACMATHIS, JOHN R MD2720 COMMERCIAL AVE1017 20TH ST1213 24TH ST STE 100(360)424-2400(360)424-7041(360)293-3101KIEL, STEPHANIE L OTRGERLACH,RICHARD LOUISMURRAY, BRYAN H MD2720 COMMERCIAL AVEPAC912 32ND ST STE A(360)424-2400(360)293-4343OCZKEWICZ, ROBYNN L OTR 1017 20TH ST(360)424-7041NIMMERRICHTER-BURGES,2720 COMMERCIAL AVEHANESWORTH, DANIELTRACY MD(360)424-24002511 M AVE STE BPRIMAVERA, THOMAS DAVID MATTHEW MD2720 COMMERCIAL AVE(360)299-4211OTR(360)424-2400STEWART, ROBERT BRUCE MD 1010 6TH STLYONS,PATRICK MICHAEL2511 M AVE STE D(360)293-1860MD(360)293-0308SMALLWOOD, BRIGITTE A OT1017 20TH STVERSACE, ENRICO J MD1017 20TH ST(360)424-70411211 24TH ST(360)424-7041(360)899-4600SPRINGMAN, TRACY EILEEN MOURNING, DAVID MICHAELMDOTRNEUROLOGY1017 20TH ST2720 COMMERCIAL AVEBRODERICK, MEREDITH J MD(360)424-7041(360)424-24001110 22ND STPROVIDER SPEAKS: FRENCH(360)299-8676WASHINGTON (CONT'D)July 29, 201310
WASHINGTONANACORTESORTHOPEDIC SURGERYDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameWASHINGTON (CONT'D)PHYSICAL MEDICINE ANDREHABILITATIONANACORTES (CONT'D)AMOS, DEBORAH ELLEN MDORTHOPEDIC SURGERY912 32ND ST STE B(360)293-5603(CONT'D)BILLOW, ROBERT G DOOATES, KENNETH MARSHALL 1017 20TH STMD(360)424-70411017 20TH STCUI, JIMMY Y MD(360)424-70412720 COMMERCIAL AVERODIN, CURTIS WAYNE MD(360)424-24002720 COMMERCIAL AVEPROVIDER SPEAKS: CANTONESE,(360)424-2400CHINESE, MANDARINROGERS, ROB J PACPHYSICAL THERAPY1017 20TH ST(360)424-7041ARMANTROUT, ELAINE A PTSHAFER, JONATHAN B MD1211 24TH ST2720 COMMERCIAL AVE(360)299-4211(360)424-2400DAWES, JENNIFER L PTSMITH, STACIA ANN MD1017 20TH ST1017 20TH ST(360)293-4585(360)424-7041DAWES, TODD W PTVOLLRATH, MARK STEPHEN 1017 20TH STPAC(360)293-45851017 20TH STFITZGERALD, PAUL E PT(360)424-70412720 COMMERCIAL AVEWILLIAMSON, RICHARD(360)424-2400VERNON MDFRITZ, GREGORY EUGEN PT2720 COMMERCIAL AVE3001 R AVE UNIT 110(360)424-2400(360)299-2781PROVIDERSPEAKS: SPANISHPEDIATRICSHANSON, JONATHAN H PTNAUGHTON, YVONNE C MD1813 O AVE912 32ND ST STE A(360)588-8075(360)293-4343JAMANTOC, MARK L PTOLMSTED, JEANNE BURGESS 2720 COMMERCIAL AVEMD(360)424-24001213 24TH ST STE 100PROVIDER SPEAKS: TAGALOG(360)293-3101MILLER, KIMBERLY K PTREYNA, ROBERT M MD1017 20TH ST1110 22ND ST(360)424-7041(360)299-8676SCHMITTEN, VIRAMARICHARDS, MARVIN LESTER ANNEGRET PTMD2720 COMMERCIAL AVE1213 24TH ST STE 100(360)299-4222(360)293-3101PROVIDER SPEAKS: FRENCH,GERMAN11WASHINGTONANACORTESUROLOGYSEVERSON, RAMONA J PT1218 29TH ST STE D(360)293-9255PROVIDER SPEAKS: FRENCH,JAPANESESHERMAN, PAUL THEODOREPT1813 O AVE(360)588-8075VANDECASTLE, ALISON B PT3001 R AVE UNIT 110(360)299-2781PODIATRYBULLOCK, CINDY E DPM1017 20TH ST(360)424-7041MESSMER, TIMOTHY ELLISDPM1017 20TH ST(360)424-7041PULMONARY DISEASESKENDREGAN, BRIAN ALBERTMD1211 24TH ST(360)299-42112511 M AVE STE D(360)293-0308RHEUMATOLOGYWELK, KEVIN D MD2511 M AVE STE D(360)293-0308SLEEP DISORDER SERVICESBRODERICK, MEREDITH J MD1110 22ND ST(360)299-8676MAZEIKA, GANDIS GEDIMINASMD1110 22ND ST(360)299-8676PROVIDER SPEAKS: GERMANREYNA, ROBERT M MD1110 22ND ST(360)299-8676UROLOGYCORNELIUS, DARRELL R MD1213 24TH ST STE 600(360)424-7991July 29, 2013
WASHINGTONANACORTESUROLOGYDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameGAY, SHAWN LEON DC20218 77TH AVE NE STE A(360)435-3900ANACORTES (CONT'D)GOODWIN, JAY FRANCIS DCUROLOGY (CONT'D)4113 172ND ST NE(360)653-4626JONES, WINSTON GILBERT MDPROVIDERSPEAKS: RUSSIAN,1213 24TH ST STE 600SPANISH(360)424-7991LEE, LAURENCE MARTYN MD GUTIERREZ III, ANTHONY DC3704 172ND ST NE STE N1213 24TH ST STE 600(360)658-3818(360)424-7991GUTIERREZ JR, ANTHONY DCANACORTES3704 172ND ST NE STE N(360)658-3818VSP PROVIDERS – ROUTINEPROVIDER SPEAKS: SPANISHVISIONGUTIERREZ, VERONICA DCFARNSWORTH, MELVIN L OD 3704 172ND ST NE STE N1610 COMMERCIAL AVE(360)658-3818(360)293-2127HEDLUND, CRAIG A DCHUDDLESTON, JAY L OD17432 SMOKEY POINT BLVD STE1110 12TH ST105(360)293-9312(360)653-2222ANDERSON ISLANDJOHNSTON, DAVID R DC3704 172ND ST NE STE NCHIROPRACTIC MEDICINE(360)658-3818WEST, EDWARD LEROY DCOOSTERWYK, JAMES DC10501 SEAVIEW DR113 W DIVISION ST(253)884-4438(360)435-5200PESEAU,RHONDA ROSE DCARLINGTON215 E 3RD STADULT MEDICINE(360)474-9900PESEAU,SCOTT WILLIAM DCLOWER, ANN LOUISE ARNP215E3RDST3823 172ND ST NE(360)474-9900(360)651-8365PROVIDER SPEAKS: SPANISHCARDIOVASCULARPETERSON, LESLIE V DCDISEASES415 N OLYMPIC AVEROSENBERG, YELENA K MD(360)435-92003823 172ND ST NERONNING, JEFFREY B DC(360)651-83653116 188TH ST NE STE APROVIDER SPEAKS: RUSSIAN(360)653-8307ROSEBROOK,STAN VERNONCHIROPRACTIC MEDICINEDCBATES, DONNE DC514 N WEST AVE13821 JORDAN RD(360)435-3052(360)691-7731SCHULTZ, RYAN T DCBOBER, MELANIE LYNETTE17432 SMOKEY POINT BLVD STEDC105415 N OLYMPIC AVE(360)653-2222(360)435-9200WASHINGTON (CONT'D)July 29, 201312WASHINGTONARLINGTONDENTIST – PREVENTIVEDENTAL CARESTIRTON JR, JAMES L DC20218 77TH AVE NE STE A(360)435-3900PROVIDER SPEAKS: SPANISHWELLY, LONALD A DC17432 SMOKEY POINT BLVD STE105(360)653-2222WOODALL, MARCUS W DC20218 77TH AVE NE STE A(360)435-3900DENTIST – PREVENTIVEDENTAL CAREABDO, DAVID JOHN DDS122 E MAPLE ST(360)435-8411ANWAR, TAMEEM DDS3704 172ND ST NE STE E(425)773-4909COOLEY, TODD T DDS17432 SMOKEY POINT BLVD STE101(360)659-8406DIMAYUGA, RAFAEL DINO DDS3533 172ND ST NE(360)658-3000DYKSTRA, JOHN THEODOREDDS520 N OLYMPIC AVE(360)435-4043ERICKSON, ALAN D DDS302 E DIVISION ST(860)435-3661HANSSEN, OTTO J DDS3533 172ND ST NE(360)658-3000HARRISON, KEVIN A DDS16410 SMOKEY POINT BLVD STE305(360)653-7654HSUE, HENRY S DMD3131 SMOKEY POINT DR STE 14A(360)658-3131KIM, DONALD DDS3533 172ND ST NE(360)658-3000PROVIDER SPEAKS: KOREANKIM, JINSOO DDS3704 172ND ST NE STE E(425)773-4909
WASHINGTONARLINGTONDENTIST – PREVENTIVEDENTAL CAREDoctors and Other Providers(includes dental and vision providers)Sorted by state, city, specialty, then nameWASHINGTONARLINGTONFAMILY PRACTICEBAUGHER, CRAIG L PACDERMATOLOGY16410 SMOKEY POINT BLVD STEBASSETT, KATRINA MD300ARLINGTON (CONT'D)16410 SMOKEY POINT BLVD STE(425)385-2009300DENTIST – PREVENTIVEBIEHL, LISA D ARNP(425)385-2009DENTAL CARE (CONT'D)875 WESLEY ST STE 250PROVIDER SPEAKS: SPANISH(360)435-2233KLINGONSMITH, SHANE DDS CHAE, KYUNG AI M MDBURT,JOYCE E ARNP4126 172ND ST NE16410 SMOKEY POINT BLVD STE 7530 204TH ST NE(360)657-3687300(360)435-8810LASHINSKY, KEVIN THOMAS(425)385-2009CARMICHAEL,KITTY L ARNPDDSPROVIDER SPEAKS: FRENCH,540NWESTAVE4126 172ND ST NEKOREAN(360)435-5365(360)657-3687SCHMIDT, DIETER K T MDMAYNARD, MATTHEW JAMES 16410 SMOKEY POINT BLVD STE CARMODY, SUSAN E ARNP3823 172ND ST NEDDS300(360)651-83653325 SMOKEY POINT DR STE 101 (425)385-2009CHAFFEE, CHARLES T MD(360)659-7633PROVIDER SPEAKS: FRENCH,7530 204TH ST NENGUYEN, THI T DMDGERMAN(360)435-88103704 172ND ST NE STE EWU, JOY C DOPROVIDERSPEAKS: SPANISH(425)773-490916410 SMOKEY POINT BLVD STECHEN, GRACE C PACPROVIDER SPEAKS: VIETNAMESE 300103 E 3RD STPHAM, THOMAS D DMD(425)385-2009(425)640-69763704 172ND ST NE STE EEARNOSETHROAT2021877TH AVE NE STE B(425)773-4909OTOLARYNGOLOGY(425)640-6976PRIBADI, BAKHTIAR A DDSCOLE-VADJIC, KELLI K PACBROWN, GARY L MD430 N WEST AVE STE 1330 S STILLAGUAMISH AVE20302 77TH AVE NE(360)474-9163(360)435-2133(360)435-6300SAUVAGE, PAUL RANDALLPROVIDERSPEAKS:SPANISHDUNNINGTON,DAVID A MDDDS16410SMOKEYPOINTBLVD STEGROSS,JAMESRICHARDMD3911 171ST ST 336-2178TERRY, WENDY DDSPROVIDERSPEAKS: GERMAN,HARRIS, KEVIN C MD3533 172ND ST NESPANISH20302 77TH AVE NE(360)658-3000ERICKSON, KEITH P PAC(360)435-6300THOMAS, STEVEN L DMD17432 SMOKEY POINT BLVD STE JOHNSON, GARY KENNETH MD 326 S STILLAGUAMISH AVE(360)435-214420302 77TH AVE NE101PROVIDERSPEAKS: KOREAN(360)435-6300(360)659-8406FAULKNER, PATRICIA A ARNPPROVIDER SPEAKS: SPANISHTRAN, JENNIFER DDS3823 172ND ST NERILEY, DAVID ALLEN MD3533
If you have questions about Regence MedAdvantage Rx Classic (PPO) and/or Regence MedAdvantage Basic (PPO), please call our Customer Service Department at 1 (800) 541-8981, from 8:00 a.m. to 8:00 p.m., Monday through Friday. From October 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., seven
