McLaren Health Plan
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Transcript of McLaren Health Plan
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McL
aren
Hea
lth P
lan
Mem
ber
Prov
ider
Dir
ecto
ry
Provider Directory
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McLaren Health Plan Provider Directory
1-888-327-0671www.mclarenhealthplan.org
Welcome to McLaren Health Plan! This directory lists all participating hospitals, doctors, and ancillary healthcare providers. Each family member must select a Primary Care Provider (PCP) for each family member.Primary Care Providers are defined as Family or General Practitioners, Pediatricians, Internists, NursePractitioners, and Physician Assistants. Your PCP will help to coordinate all your health care needs. Thisdirectory lists whether the PCP is taking new patients, their office practice hours, and if the doctor speaks alanguage other than English.
Primary Care Providers (PCPs)Each family member should choose a doctor. McLaren Health Plan can help you choose a PCP by calling aMember Service Representative at 1(888) 327-0671.
Specialty Care ProvidersWhen your PCP needs to send you to a specialty care provider, they can select one from this directory and notifyMcLaren Health Plan that they are referring you. You do not need to wait for approval for most services.
If you have any questions, please call McLaren Health Plan at 1(888) 327-0671You can also access our website at www.mclarenhealthplan.org
Please use this directory as a reference when you need to refer your patients for care, or visit our website atwww.mclarenhealthplan.org.
McLaren Health Plan can assist you and your office staff in caring for your McLaren Health Plan patients. Pleasecall our toll free number at 1(888) 327-0671 to reach:
Member Services Eligibility, PCP verification, and provider inquiry Utilization and Case Management Authorizations; referrals and community support services Provider Services Contracting, office orientations, and education
Claims InformationMcLaren Health Plan accepts both paper and electronically billed (EDI) claims. If billing paper claims, followthe CMS requirements for using the CMS 1500 and UB-92 claim forms and mail to:
McLaren Health PlanP.O. Box 1511
Flint, MI 48501-1511
For EDI Claims, McLaren Health Plan utilizes Netwerkes clearing houses. If you do not currently utilizeNetwerkes for electronic submission of claims, contact them at:
McLaren Health Plans transaction or payer ID number is 38338
Netwerkes(262) 523-3600
http://www.netwerkes.com
Provider Information
Member Information
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TABLE OF CONTENTS
PRIMARY CARE PROVIDERSALLEGAN..........................................................................................................................................................................................................................................................................................................6
ANTRIM.............................................................................................................................................................................................................................................................................................................6
ARENAC............................................................................................................................................................................................................................................................................................................6
BAY...................................................................................................................................................................................................................................................................................................................7
CALHOUN.........................................................................................................................................................................................................................................................................................................8
CASS.................................................................................................................................................................................................................................................................................................................8
CHARLEVOIX...................................................................................................................................................................................................................................................................................................9
CHEBOYGAN....................................................................................................................................................................................................................................................................................................9
CLARE............................................................................................................................................................................................................................................................................................................10
CLINTON.........................................................................................................................................................................................................................................................................................................10
EATON............................................................................................................................................................................................................................................................................................................11
EMMET............................................................................................................................................................................................................................................................................................................12
GENESEE.......................................................................................................................................................................................................................................................................................................13
GLADWIN........................................................................................................................................................................................................................................................................................................17
GRATIOT.........................................................................................................................................................................................................................................................................................................18
HURON...........................................................................................................................................................................................................................................................................................................18
INGHAM..........................................................................................................................................................................................................................................................................................................19
IONIA...............................................................................................................................................................................................................................................................................................................28
IOSCO.............................................................................................................................................................................................................................................................................................................29
ISABELLA........................................................................................................................................................................................................................................................................................................29
JACKSON........................................................................................................................................................................................................................................................................................................31
KALAMAZOO..................................................................................................................................................................................................................................................................................................31
KALKASKA......................................................................................................................................................................................................................................................................................................33
KENT...............................................................................................................................................................................................................................................................................................................33
LAPEER..........................................................................................................................................................................................................................................................................................................34
LIVINGSTON...................................................................................................................................................................................................................................................................................................35
MACOMB........................................................................................................................................................................................................................................................................................................35
MASON...........................................................................................................................................................................................................................................................................................................41
MIDLAND........................................................................................................................................................................................................................................................................................................41
MONTCALM....................................................................................................................................................................................................................................................................................................41
OAKLAND.......................................................................................................................................................................................................................................................................................................42
OGEMAW........................................................................................................................................................................................................................................................................................................53
OSCODA.........................................................................................................................................................................................................................................................................................................54
PRESQUE ISLE..............................................................................................................................................................................................................................................................................................54
ROSCOMMON................................................................................................................................................................................................................................................................................................55
SAGINAW........................................................................................................................................................................................................................................................................................................55
SAINT CLAIR..................................................................................................................................................................................................................................................................................................56
SAINT JOSEPH...............................................................................................................................................................................................................................................................................................57
SANILAC.........................................................................................................................................................................................................................................................................................................58
SHIAWASSEE.................................................................................................................................................................................................................................................................................................58
TUSCOLA........................................................................................................................................................................................................................................................................................................59
VAN BUREN....................................................................................................................................................................................................................................................................................................60
WAYNE...........................................................................................................................................................................................................................................................................................................61
BI-LINGUAL PRIMARY CARE PHYSICIANSARABIC...........................................................................................................................................................................................................................................................................................................65
ARMENIAN......................................................................................................................................................................................................................................................................................................65
ENGLISH.........................................................................................................................................................................................................................................................................................................65
FRENCH..........................................................................................................................................................................................................................................................................................................65
GERMAN.........................................................................................................................................................................................................................................................................................................66
GUJARATI.......................................................................................................................................................................................................................................................................................................66
McLaren Health Plan CommercialDecember 05, 2011
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TABLE OF CONTENTS
BI-LINGUAL PRIMARY CARE PHYSICIANS (CONTINUED)BI-LINGUAL PRIMARY CARE PHYSICIANSHEBREW.........................................................................................................................................................................................................................................................................................................66
HINDI...............................................................................................................................................................................................................................................................................................................66
KANNADA.......................................................................................................................................................................................................................................................................................................67
KOREAN.........................................................................................................................................................................................................................................................................................................67
MALAYALAM...................................................................................................................................................................................................................................................................................................67
POLISH...........................................................................................................................................................................................................................................................................................................67
RUSSIAN.........................................................................................................................................................................................................................................................................................................67
SERBIAN.........................................................................................................................................................................................................................................................................................................67
SINDHI............................................................................................................................................................................................................................................................................................................67
SPANISH.........................................................................................................................................................................................................................................................................................................67
SWAHILI..........................................................................................................................................................................................................................................................................................................68
TAGALOG.......................................................................................................................................................................................................................................................................................................68
TAMIL..............................................................................................................................................................................................................................................................................................................68
TELUGU..........................................................................................................................................................................................................................................................................................................68
TURKISH.........................................................................................................................................................................................................................................................................................................69
URDU..............................................................................................................................................................................................................................................................................................................69
SPECIALTY CARE PROVIDERSALCONA..........................................................................................................................................................................................................................................................................................................70
ALLEGAN........................................................................................................................................................................................................................................................................................................70
ALPENA..........................................................................................................................................................................................................................................................................................................71
ARENAC..........................................................................................................................................................................................................................................................................................................71
BARRY............................................................................................................................................................................................................................................................................................................72
BAY.................................................................................................................................................................................................................................................................................................................72
BENZIE...........................................................................................................................................................................................................................................................................................................77
BERRIEN.........................................................................................................................................................................................................................................................................................................77
BRANCH.........................................................................................................................................................................................................................................................................................................78
CALHOUN.......................................................................................................................................................................................................................................................................................................78
CASS...............................................................................................................................................................................................................................................................................................................80
CHARLEVOIX.................................................................................................................................................................................................................................................................................................80
CHEBOYGAN..................................................................................................................................................................................................................................................................................................81
CHIPPEWA.....................................................................................................................................................................................................................................................................................................82
CLARE............................................................................................................................................................................................................................................................................................................82
CLINTON.........................................................................................................................................................................................................................................................................................................82
CRAWFORD....................................................................................................................................................................................................................................................................................................84
DELTA.............................................................................................................................................................................................................................................................................................................84
DICKINSON.....................................................................................................................................................................................................................................................................................................85
EATON............................................................................................................................................................................................................................................................................................................85
EMMET............................................................................................................................................................................................................................................................................................................87
GENESEE.......................................................................................................................................................................................................................................................................................................89
GLADWIN......................................................................................................................................................................................................................................................................................................108
GRAND TRAVERSE......................................................................................................................................................................................................................................................................................108
GRATIOT.......................................................................................................................................................................................................................................................................................................109
HILLSDALE...................................................................................................................................................................................................................................................................................................111
HOUGHTON..................................................................................................................................................................................................................................................................................................111
HURON.........................................................................................................................................................................................................................................................................................................111
INGHAM........................................................................................................................................................................................................................................................................................................112
IONIA.............................................................................................................................................................................................................................................................................................................135
IOSCO...........................................................................................................................................................................................................................................................................................................137
ISABELLA......................................................................................................................................................................................................................................................................................................138
JACKSON......................................................................................................................................................................................................................................................................................................141
McLaren Health Plan CommercialDecember 05, 2011
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TABLE OF CONTENTS
SPECIALTY CARE PROVIDERS (CONTINUED)SPECIALTY CARE PROVIDERSKALAMAZOO................................................................................................................................................................................................................................................................................................143
KALKASKA....................................................................................................................................................................................................................................................................................................149
KENT.............................................................................................................................................................................................................................................................................................................149
LAPEER........................................................................................................................................................................................................................................................................................................152
LEELANAU....................................................................................................................................................................................................................................................................................................156
LENAWEE.....................................................................................................................................................................................................................................................................................................156
LIVINGSTON.................................................................................................................................................................................................................................................................................................156
MACKINAC....................................................................................................................................................................................................................................................................................................158
MACOMB......................................................................................................................................................................................................................................................................................................158
MANISTEE....................................................................................................................................................................................................................................................................................................184
MARQUETTE................................................................................................................................................................................................................................................................................................184
MASON.........................................................................................................................................................................................................................................................................................................185
MECOSTA.....................................................................................................................................................................................................................................................................................................185
MENOMINEE.................................................................................................................................................................................................................................................................................................185
MIDLAND......................................................................................................................................................................................................................................................................................................186
MONROE......................................................................................................................................................................................................................................................................................................187
MONTCALM..................................................................................................................................................................................................................................................................................................188
MUSKEGON..................................................................................................................................................................................................................................................................................................190
NEWAYGO....................................................................................................................................................................................................................................................................................................190
OAKLAND.....................................................................................................................................................................................................................................................................................................190
OCEANA.......................................................................................................................................................................................................................................................................................................257
OGEMAW......................................................................................................................................................................................................................................................................................................257
OSCEOLA.....................................................................................................................................................................................................................................................................................................259
OSCODA.......................................................................................................................................................................................................................................................................................................259
OTSEGO.......................................................................................................................................................................................................................................................................................................259
OTTAWA.......................................................................................................................................................................................................................................................................................................260
PRESQUE ISLE............................................................................................................................................................................................................................................................................................261
ROSCOMMON..............................................................................................................................................................................................................................................................................................261
SAGINAW......................................................................................................................................................................................................................................................................................................261
SAINT CLAIR................................................................................................................................................................................................................................................................................................268
SAINT JOSEPH.............................................................................................................................................................................................................................................................................................270
SANILAC.......................................................................................................................................................................................................................................................................................................271
SHIAWASSEE...............................................................................................................................................................................................................................................................................................272
TUSCOLA......................................................................................................................................................................................................................................................................................................275
VAN BUREN..................................................................................................................................................................................................................................................................................................276
WASHTENAW...............................................................................................................................................................................................................................................................................................277
WAYNE.........................................................................................................................................................................................................................................................................................................278
WEXFORD....................................................................................................................................................................................................................................................................................................306
HOSPITALSALLEGAN......................................................................................................................................................................................................................................................................................................307
ARENAC........................................................................................................................................................................................................................................................................................................307
BAY...............................................................................................................................................................................................................................................................................................................307
CASS.............................................................................................................................................................................................................................................................................................................307
CHARLEVOIX...............................................................................................................................................................................................................................................................................................307
CHEBOYGAN................................................................................................................................................................................................................................................................................................307
CLINTON.......................................................................................................................................................................................................................................................................................................307
EATON..........................................................................................................................................................................................................................................................................................................307
EMMET..........................................................................................................................................................................................................................................................................................................307
GENESEE.....................................................................................................................................................................................................................................................................................................307
HURON.........................................................................................................................................................................................................................................................................................................307
McLaren Health Plan CommercialDecember 05, 2011
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TABLE OF CONTENTS
HOSPITALS (CONTINUED)HOSPITALSINGHAM........................................................................................................................................................................................................................................................................................................307
IONIA.............................................................................................................................................................................................................................................................................................................307
IOSCO...........................................................................................................................................................................................................................................................................................................307
ISABELLA......................................................................................................................................................................................................................................................................................................308
KALAMAZOO................................................................................................................................................................................................................................................................................................308
LAPEER........................................................................................................................................................................................................................................................................................................308
LIVINGSTON.................................................................................................................................................................................................................................................................................................308
MACOMB......................................................................................................................................................................................................................................................................................................308
MONTCALM..................................................................................................................................................................................................................................................................................................308
OAKLAND.....................................................................................................................................................................................................................................................................................................308
OGEMAW......................................................................................................................................................................................................................................................................................................308
SAGINAW......................................................................................................................................................................................................................................................................................................308
SAINT CLAIR................................................................................................................................................................................................................................................................................................308
SANILAC.......................................................................................................................................................................................................................................................................................................309
SHIAWASSEE...............................................................................................................................................................................................................................................................................................309
TUSCOLA......................................................................................................................................................................................................................................................................................................309
WAYNE.........................................................................................................................................................................................................................................................................................................309
AMBULATORY SURGERYGENESEE.....................................................................................................................................................................................................................................................................................................310
INGHAM........................................................................................................................................................................................................................................................................................................310
KENT.............................................................................................................................................................................................................................................................................................................310
LAPEER........................................................................................................................................................................................................................................................................................................310
MACOMB......................................................................................................................................................................................................................................................................................................310
OAKLAND.....................................................................................................................................................................................................................................................................................................310
CHIROPRACTORS * PLEASE CALL 888-327-0671 TO VERIFY YOUR CHIROPRACTIC BENEFITSALLEGAN......................................................................................................................................................................................................................................................................................................311
ARENAC........................................................................................................................................................................................................................................................................................................311
BARRY..........................................................................................................................................................................................................................................................................................................311
BAY...............................................................................................................................................................................................................................................................................................................311
CALHOUN.....................................................................................................................................................................................................................................................................................................311
CHARLEVOIX...............................................................................................................................................................................................................................................................................................311
CHEBOYGAN................................................................................................................................................................................................................................................................................................311
CLARE..........................................................................................................................................................................................................................................................................................................311
CLINTON.......................................................................................................................................................................................................................................................................................................312
CRAWFORD..................................................................................................................................................................................................................................................................................................312
EATON..........................................................................................................................................................................................................................................................................................................312
EMMET..........................................................................................................................................................................................................................................................................................................313
GENESEE.....................................................................................................................................................................................................................................................................................................313
GLADWIN......................................................................................................................................................................................................................................................................................................314
HURON.........................................................................................................................................................................................................................................................................................................314
INGHAM........................................................................................................................................................................................................................................................................................................314
IONIA.............................................................................................................................................................................................................................................................................................................315
IOSCO...........................................................................................................................................................................................................................................................................................................315
ISABELLA......................................................................................................................................................................................................................................................................................................316
JACKSON......................................................................................................................................................................................................................................................................................................316
KALAMAZOO................................................................................................................................................................................................................................................................................................316
LAPEER........................................................................................................................................................................................................................................................................................................316
LIVINGSTON.................................................................................................................................................................................................................................................................................................316
MACOMB......................................................................................................................................................................................................................................................................................................316
McLaren Health Plan CommercialDecember 05, 2011
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TABLE OF CONTENTS
CHIROPRACTORS (CONTINUED)CHIROPRACTORSMIDLAND......................................................................................................................................................................................................................................................................................................318
MONTCALM..................................................................................................................................................................................................................................................................................................318
OAKLAND.....................................................................................................................................................................................................................................................................................................318
OGEMAW......................................................................................................................................................................................................................................................................................................320
OSCODA.......................................................................................................................................................................................................................................................................................................320
OTSEGO.......................................................................................................................................................................................................................................................................................................320
PRESQUE ISLE............................................................................................................................................................................................................................................................................................320
SAGINAW......................................................................................................................................................................................................................................................................................................320
SAINT CLAIR................................................................................................................................................................................................................................................................................................320
SANILAC.......................................................................................................................................................................................................................................................................................................321
SHIAWASSEE...............................................................................................................................................................................................................................................................................................321
TUSCOLA......................................................................................................................................................................................................................................................................................................321
WASHTENAW...............................................................................................................................................................................................................................................................................................321
WAYNE.........................................................................................................................................................................................................................................................................................................321
PHYSICAL AND OCCUPATIONAL THERAPYALLEGAN......................................................................................................................................................................................................................................................................................................323
ARENAC........................................................................................................................................................................................................................................................................................................323
BAY...............................................................................................................................................................................................................................................................................................................323
CALHOUN.....................................................................................................................................................................................................................................................................................................323
CHARLEVOIX...............................................................................................................................................................................................................................................................................................323
CHEBOYGAN................................................................................................................................................................................................................................................................................................323
CLARE..........................................................................................................................................................................................................................................................................................................323
CLINTON.......................................................................................................................................................................................................................................................................................................323
EATON..........................................................................................................................................................................................................................................................................................................324
GENESEE.....................................................................................................................................................................................................................................................................................................324
GLADWIN......................................................................................................................................................................................................................................................................................................325
GRATIOT.......................................................................................................................................................................................................................................................................................................325
HILLSDALE...................................................................................................................................................................................................................................................................................................325
INGHAM........................................................................................................................................................................................................................................................................................................325
IONIA.............................................................................................................................................................................................................................................................................................................326
IOSCO...........................................................................................................................................................................................................................................................................................................326
ISABELLA......................................................................................................................................................................................................................................................................................................326
JACKSON......................................................................................................................................................................................................................................................................................................326
KALAMAZOO................................................................................................................................................................................................................................................................................................326
KENT.............................................................................................................................................................................................................................................................................................................326
LAPEER........................................................................................................................................................................................................................................................................................................327
LENAWEE.....................................................................................................................................................................................................................................................................................................327
LIVINGSTON.................................................................................................................................................................................................................................................................................................327
MACOMB......................................................................................................................................................................................................................................................................................................327
MASON.........................................................................................................................................................................................................................................................................................................328
MECOSTA.....................................................................................................................................................................................................................................................................................................328
MIDLAND......................................................................................................................................................................................................................................................................................................328
MISSAUKEE..................................................................................................................................................................................................................................................................................................329
MONROE......................................................................................................................................................................................................................................................................................................329
MONTCALM..................................................................................................................................................................................................................................................................................................329
MUSKEGON..................................................................................................................................................................................................................................................................................................329
NEWAYGO....................................................................................................................................................................................................................................................................................................329
OAKLAND.....................................................................................................................................................................................................................................................................................................329
OGEMAW......................................................................................................................................................................................................................................................................................................331
OSCEOLA.....................................................................................................................................................................................................................................................................................................331
McLaren Health Plan CommercialDecember 05, 2011
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TABLE OF CONTENTS
PHYSICAL AND OCCUPATIONAL THERAPY (CONTINUED)PHYSICAL AND OCCUPATIONAL THERAPYOSCODA.......................................................................................................................................................................................................................................................................................................331
OTSEGO.......................................................................................................................................................................................................................................................................................................331
OTTAWA.......................................................................................................................................................................................................................................................................................................331
SAGINAW......................................................................................................................................................................................................................................................................................................331
SAINT CLAIR................................................................................................................................................................................................................................................................................................332
SANILAC.......................................................................................................................................................................................................................................................................................................332
SHIAWASSEE...............................................................................................................................................................................................................................................................................................332
WASHTENAW...............................................................................................................................................................................................................................................................................................332
WAYNE.........................................................................................................................................................................................................................................................................................................332
WEXFORD....................................................................................................................................................................................................................................................................................................333
MENTAL HEALTHALCONA........................................................................................................................................................................................................................................................................................................334
ALLEGAN......................................................................................................................................................................................................................................................................................................334
ALPENA........................................................................................................................................................................................................................................................................................................334
ANTRIM.........................................................................................................................................................................................................................................................................................................334
BAY...............................................................................................................................................................................................................................................................................................................334
BENZIE.........................................................................................................................................................................................................................................................................................................336
BRANCH.......................................................................................................................................................................................................................................................................................................336
CALHOUN.....................................................................................................................................................................................................................................................................................................336
CASS.............................................................................................................................................................................................................................................................................................................336
CHARLEVOIX...............................................................................................................................................................................................................................................................................................336
CHEBOYGAN................................................................................................................................................................................................................................................................................................336
CLARE..........................................................................................................................................................................................................................................................................................................336
CLINTON.......................................................................................................................................................................................................................................................................................................337
CRAWFORD..................................................................................................................................................................................................................................................................................................337
EATON..........................................................................................................................................................................................................................................................................................................337
EMMET..........................................................................................................................................................................................................................................................................................................339
GENESEE.....................................................................................................................................................................................................................................................................................................339
GLADWIN......................................................................................................................................................................................................................................................................................................345
GRAND TRAVERSE......................................................................................................................................................................................................................................................................................345
GRATIOT.......................................................................................................................................................................................................................................................................................................345
HILLSDALE...................................................................................................................................................................................................................................................................................................346
HURON.........................................................................................................................................................................................................................................................................................................347
INGHAM.....................................................................................................................................................................................................................................................................................................