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Provider DirectoryHealth Partnership PlanAndBehavioral Health2013 Plan Year(Updated June 15, 2013)County of VolusiaGroup No. 2081

Health Partnership PlanContact InformationCounty of Volusia(Group 2081)Claims Information & Plan InquiriesMedSave USA, Inc. (formerly FSAI)3035 Lakeland Hills BoulevardLakeland, FL 33805Claims Fax:(855) 224-5173(516) 622-1705(863) 291-5010Website: https://www.medsaveadmin.comProvider NetworkFor questions regarding physician providers you haveseveral networks at your disposal. Please call any of thenetworks listed below. Complete Health Network for Osceola,Lake, Seminole or OrangeCounties Only(800) 741-4869(407) 741-4869Website: http://www.fhhsonline.com- excluding chiropractic Personnel DivisionBenefits SectionVolusia Health Network(386) 425-4VHN (4846)Option 3 for Provider Relations Dept.Website: http://www.myvhn.com(386) 736-5951(386) 740-5137Website: http://volusia.org/personnel/benefits orhttp://enn.co.volusia.fl.us/Medical Pre-certification RequirementsFlorida Memorial Health Network(386) 231-4398(888) 839-7430Website: http://www.fmhn.org Insurance-Benefit Offices24-HOUR NURSE HELP LINE(877) 582-7061KePRO Pre-certification (888) 522-7742You must pre-certify with KePRO the followingprocedures before services are rendered by yourprovider in order to avoid a penalty.In-patient Hospital Stay – call 7 days prior to admission or the next working day after an emergency admission.Outpatient surgical and medical services whichrequire pre-certification(Refer to your insurance card or call KePRO 7days prior to date of service).Employee Assistance Program (EAP)Corporate Care Works {CCW}Stratose – Client #3893(800) 878-7896 Website--WalgreensHealth.com24/7 Helpline – (800) 327-9757No pre-cert, no co-pay for Short Term Counseling1-10 visits per issue per yearOnline services with videos, articles and onlinetraining courses Available to employees & family in householdChiropractic Network – DPSC Website: www.corporatecareworks.com Use Company Name: Volusia CountyPharmacy NetworkCatalyst Rx Customer Care Center (800) 207-2568Inquiry InformationAppointments & Referrals(386) 615-0801Dental InformationMaverest Dental Alliance, Inc.MedSave USA, Inc. Customer Service – Call:(855) 224-5173 or (516) 622-1705Claims Fax:(863) 291-5010Website: http:--www.maverest.com

PLEASE NOTE:The information contained in this Provider Directory is subjectto change, and the continuation of services provided by aphysician, hospital or other provider of services is notguaranteed. Please contact one of the network providers listedbelow before engaging services to verify providers are stillactive in a network, or for any other provider-related questionsyou may have.Florida Memorial Health Network, Provider Relations,386-231-4398888-839-7430Volusia Health Network386-425-4846, Option 3EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES ARE PROVIDED BY CORPORATE CARE WORKS, INC. THEY MAY BECONTACTED AT 800-327-9757 OR 904-296-9436.Please refer to page i of this Directory for more information.ii

HEALTH PARTNERSHIP PLAN DIRECTORYHOSPITALS. 1SPECIALTY HOSPITALS (PRE-CERT REQUIRED). 3REGIONAL REFERRAL HOSPITALS. 5AMBULATORY SURGERY CENTERS . 6AUDIOLOGY-REHABILITATION (PEDIATRIC) . 7CARDIAC DIAGNOSTIC TESTING . 8DIABETES EDUCATION. 9DIALYSIS . 10DME (DURABLE MEDICAL EQUIPMENT) (ALSO SEE ORTHO MEDICAL BELOW) . 11HOME HEALTH CARE . 13HOME HEALTH (PEDIATRIC). 14HOME INFUSION-IV MEDICATIONS . 15HOSPICE. 16LABORATORY. 17LABORATORY. 19LABORATORY-GENETIC TESTING ONLY. 20MENTAL & BEHAVIORAL . 21MENTAL HEALTH (EMPLOYEE ASSISTANCE COUNSELING - CCW). 21BEHAVIORAL HEALTH. 21ONCOLOGY . 22ORTHOPAEDIC MEDICAL EQUIPMENT . 23ORTHOTICS (PEDORTHIST). 24ORTHOTICS AND PROSTHETICS . 25OUTPATIENT SURGERY. 26PHYSICAL THERAPY (SEE REHABILITATION). 27PRIMARY CARE OFFICES WITH EXTENDED HOURS. 28PROSTHETICS (MASTECTOMY) . 29RADIOLOGY . 30REHABILITATION (PHYSICAL THERAPY) . 32SKILLED NURSING FACILITIES . 35SLEEP STUDY . 36SPECIALTY PHARMACY . 37URGENT CARE CENTER . 38VENTILATOR DEPENDENT FACILITY . 40WALK-IN FACILITIES . 41WOUND CARE . 42GLOSSARY OF PHYSICIANS BY SPECIALTY . 43ALLERGY & IMMUNOLOGY. 44CARDIOLOGY. 45CARDIOVASCULAR-THORACIC SURGERY. 50CHIROPRACTIC. 51COLON & RECTAL SURGERY . 54DERMATOLOGY. 55ENDOCRINOLOGY . 58FAMILY PRACTICE. 61GASTROENTEROLOGY. 77GENERAL PRACTICE . 81GENERAL SURGERY . 82GYNECOLOGY . 85HAND SURGERY . 88iii

HEAD AND NECK SURGERY . 89HEMATOLOGY . 90INFECTIOUS DISEASES . 93INTERNAL MEDICINE. 94MATERNAL-FETAL MEDICINE . 102NEONATAL – PERINATAL MEDICINE . 108NEPHROLOGY. 109NEUROLOGY . 111NEUROSURGERY . 115OB-GYN. 116ONCOLOGY, MEDICAL . 118ONCOLOGY-HEMATOLOGY . 120ONCOLOGY-RADIATION . 123OPHTHALMOLOGY. 126OPHTHALMOLOGY - VITREO RETINAL . 130OPTOMETRY . 132ORAL-MAXILLOFACIAL SURGERY . 135ORTHOPAEDICS . 136OTOLARYNGOLOGY . 141PAIN MANAGEMENT. 143PEDIATRIC ALLERGY & IMMUNOLOGY. 145PEDIATRIC CARDIOLOGY. 146PEDIATRIC GASTROENTEROLOGY. 147PEDIATRIC ORTHOPAEDICS . 148PEDIATRIC PULMONOLOGY. 149PEDIATRIC SLEEP STUDY . 150PEDIATRICS . 151PHYSICAL MEDICINE & REHAB. 156PLASTIC SURGERY . 158PODIATRY . 159PSYCHIATRY . 162PSYCHOLOGY. 164PULMONOLOGY. 166REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY . 169RHEUMATOLOGY . 170SLEEP MEDICINE . 171UROLOGY . 173VASCULAR SURGERY. 175iv

WELCOMETO THE HEALTH PARTNERSHIP PLANWelcome to the Health Partnership Plan (HPP). The HPP offers the highest quality networkof physicians, hospitals and other health care providers. Florida Memorial Health Network(FMHN) and Volusia Health Network (VHN) and Florida Health Care Plan (FHCP) are yournetwork providers. Participating in this coordinated self funded health care system providesyou with quality services that promotes, enhances and maintains cost effective care whileensuring the health of our community.Member ID CardIn order to expedite processing, we encourage you to carry your HPP ID card with you at alltimes. Present this card whenever you receive medical, dental or prescription services.This card contains important information, including addresses and phone numbers,necessary for discount claims payment, hospital admissions and pre-authorization ofcovered services.You have the option of using this directory to select and obtain direct access to a physicianof your choice. If you have questions regarding the status of any provider of healthcareservices listed in this directory, please call either FMHN or VHN. If you elect to call aphysician’s office directly to arrange an appointment, please identify yourself as a HPPparticipant. When you arrive at your appointment be sure to present your identification card.Depending on the service provided, you may be responsible for an office visit co-payment atthe time of service.What services need to be pre-certified?At least seven (7) days before an elective admission to the hospital, your physician must call“KePRO”Utilization Department. The telephone number is (888) 522-7742. The utilizationreview staff will evaluate your treatment plan to determine the medical necessity of youradmission. This process is called pre-certification. Please refer to Pre-certification of theHPP Summary Plan Description.Inpatient Services:All non-emergency, hospital inpatient services must be authorized prior to admission.Outpatient Procedures:Some surgical procedures must be performed on an outpatient basis to obtain coverage.Your physician must contact KePRO for pre-authorization of such procedures.Specialty RX Pharmacy Benefit with Catalyst Rx Customer Care Center: Certain medications used for treating complex health conditions must be Precertified, such as, Neulasta, Aranesp, Eloxatin, Taxol, Avastin, Zometa, Gemzar,Aloxi, Zofran, and Hylan, to name a few. Call KePRO at (888) 522-7742 for pre-certification for Specialty drugsv

To obtain the medication, call the Specialty Pharmacy at (888) 782-8443Access order forms at www.WalgreensHealth.com and just follow the SpecialtyPharmacy LinksOther ServicesHPP also requires pre-certification of certain outpatient tests. Review your Summary PlanDescription provided by the County for specific utilization review requirements. Yourphysician must also contact KePRO for pre-authorization of such services.vi

PARTICIPATING FACILITIESHOSPITALSBert Fish Medical Center, Inc.401 Palmetto St.New Smyrna Beach, FL 32170386-427-3401Florida Hospital Altamonte601 E. Altamonte Dr.Altamonte Springs, FL 32701407-303-2200Florida Hospital Apopka201 N. Park Ave.Apopka, FL 32703407-889-1000Florida Hospital Celebration Health400 Celebration Pl.Celebration, FL 34747407-303-4000Florida Hospital DeLand701 W. Plymouth Ave.DeLand, FL 32720386-943-4522Florida Hospital East Orlando7727 Lake Underhill Rd.Orlando, FL 32822407-303-8110Florida Hospital Fish Memorial1055 Saxon Blvd.Orange City, FL 32763386-917-5000Florida Hospital – Flagler60 Memorial Medical Pkwy.Palm Coast, FL 32164386-586-2000Florida Hospital Kissimmee2450 N. Orange Blossom TrialKissimmee, FL 34744407-846-4343Florida Hospital Memorial Medical Center301 Memorial Medical Pkwy.Daytona Beach, FL 32117386-231-6000Florida Hospital Orlando601 E. Rollins St.Orlando, FL 32803407-303-6611Florida Hospital Waterman1000 Waterman WayTravares, FL 32778352-253-33331

PARTICIPATING FACILITIESHalifax Medical Center303 N. Clyde Morris Blvd.Daytona Beach, FL 32114386-254-4000Halifax Hospital Port Orange1041 Dunlawton Ave.,Port Orange, FL 32127386-322-4700Putnam Community Medical Ctr.Highway 20 WestPalatka, FL 32177386-328-5711Winter Park Memorial Hospital200 N. Lakemont Ave.Winter Park, FL 32792407-646-70002

PARTICIPATING FACILITIESSPECIALTY HOSPITALS (Pre-Cert Required)H. Lee Moffitt Cancer Center & Research Institute12092 Magnolia DriveTampa, FL 33612888-663-3488Kindred Hospital North Florida801 Oak StreetGreen Cove Springs, FL 32043904-284-9230Mayo Clinic in Jacksonville4500 San Pablo Rd.Jacksonville, FL 32224904-953-2000Nemours Children's Clinic – Jacksonville807 Children's WayJacksonville, FL 32207904-390-3788Nemours Children's Clinic – Orlando83 W. Columbia St.Orlando, FL 32806407 650-7455ORH - Arnold Palmer Hospital92 West Miller St.Orlando, FL 32806407-649-9111ORH - Orlando Regional Lucerne Hospital318 Main Lane Orlando, FL 32801407-649-6111ORH - Orlando Regional Medical Center1414 S. Kuhl Ave.Orlando, FL 32806407-841-5111ORH - Sand Lake Hospital9400 Turkey Lake Rd.Orlando, FL 32819407-351-8500ORH - South Lake Hospital1099 Citrus Tower Blvd.Clermont, FL 34711352-394-4071ORH - South Seminole Hospital555 State Rd. 44Longwood, FL 32750407-767-1200ORH - St. Cloud Hospital2906 17th St.St. Cloud, FL 34769407-892-21353

PARTICIPATING FACILITIESShands Hospital1600 S. W. Archer Rd.Gainesville, FL 32610352-395-0111Wolfson Children’s Hospital800 Prudential Dr.Jacksonville, FL 32207904-202-80004

PARTICIPATING FACILITIESREGIONAL REFERRAL HOSPITALSEffective 1-1-12, Providers wishing to refer a patient should call 888-522-7742,KePRO. You will obtain a listing and precertification number.5

PARTICIPATING FACILITIESAMBULATORY SURGERY CENTERSBlue Springs Surgery Center1053 Medical Center Dr., Ste. 201Orange City, FL 32763386-878-8080Florida Hospital DeLand – Digestive Health Center(Gastroenterology Services Only)651 W. Plymouth AvenueDeLand, FL 32720386-822-9410Florida Hospital Flagler Town Center Surgery21 Hospital Drive, Suite 220Palm Coast, FL 32164386-586-4230Orange City Surgery Center975 Town Center Drive, Ste. 100Orange City, FL 32763386-456-5247Tomoka Surgery Center, L.L.C.345 Clyde Morris Blvd., Ste. 300Ormond Beach, FL 32174386-672-75756

PARTICIPATING FACILITIESAUDIOLOGY-REHABILITATION (Pediatric)Easter Seals Society of Volusia & Flagler1219 Dunn AvenueDaytona Beach, FL 321142219 S. Woodland Blvd.DeLand, FL 327207386-255-4568386-736-9849

PARTICIPATING FACILITIESCARDIAC DIAGNOSTIC TESTINGCardio Options, Inc.12627 San Jose Blvd., Ste. 205Jacksonville, FL 32223800-953-8460Life Watch Services, Inc.10255 W. Higgins Rd., Ste. 120R

Maverest Dental Alliance, Inc. MedSave USA, Inc. Customer Service – Call: (855) 224-5173 or (516) 622-1705 . Please contact one of the network providers listed below before engaging services to verify providers are still active in a network, or for any other provider-related questions