Provider Directory - takecareasia.com Directory.pdf · The true measure of any health care ... pe...
Transcript of Provider Directory - takecareasia.com Directory.pdf · The true measure of any health care ... pe...
TABLE OF CONTENTS
Introduction..........................................................................................................................................1
PARTICIPATING PROVIDERS
FHP Health Center...............................................................................................................................2
I. DOCTORSII. SPECIALISTSIII. MEDICAL SERVICESIV. DENTAL SERVICES
Provider Directory...........................................................................................................................3-12
I. PRIMARY CARE PROVIDERS........................................................................................3
II. PRIMARY CARE BY CLINIC..............................................................................................5
III. SPECIALISTS......................................................................................................................6
IV. MEDICAL SERVICES................................................................................................ ...........8
V. DENTAL SERVICES..............................................................................................................9
VI. OFF-ISLAND SERVICES...................................................................................................10
VII. OFF-ISLAND NETWORK................................................................................................11
VIII. VISITING OFF ISLAND PROVIDERS / SPECIALISTS.............................................12
TIC-PD092311
The true measure of any health careorganization is the quality of the care youreceive. And at the heart of this is yourrelationship with your participatingprovider. Your participating provider isessential in providing your day to dayhealth care needs as well as providing theavenue for health care alternatives such asspecialty care.
That’s why, at TakeCare, you have thefreedom to make the most importanthealth care decision of all - the choice ofyour participating provider. This providerdirectory serves as a helpful tool to select aparticipating provider.
HOW TO SELECT APARTICIPATING PROVIDER
Choose a Participating Provider (Medical
Group or Individual Physician) from this
directory. You and your enrolled dependents
may choose a different Participating
Provider. You may switch Participating
Providers as often as needed by simply
calling the TakeCare Customer Service
Department, Monday - Friday, 8 a.m. to 5
p.m. at (671) 647-3526 on Guam and
(670) 235-7687 in the CNMI and (680)
488-4715 in Palau. Your new selection
will be effective immediately. Services
received through providers not listed in
this Provider Directory may be covered at
a lesser coverage level. Please refer to your
Schedule of Benefits for specific Out-of-
Network Benefits.
HELPFUL INFORMATION
Who is a Participating Provider?
A participating provider is any individual
practice association, individual physician,
pharmacy, hospital or group of licensed
providers who have entered into a written
agreement with TakeCare to provide
medical or dental services to you and your
enrolled dependents.
How are Participating ProvidersCompensated (paid)?
TakeCare pays its Participating Providers
using various payment methods, including
per diem and fee-for-service arrangements. Per
diem means paying a fixed dollar amount
per day for all services rendered. Fee-for-
service means paying the provider’s usual,
customary and regular fee at a discount
for having a written agreement for
TakeCare members.
What is a Primary Care Providerand a Specialty Care Provider andhow many of each do you have inyour network of providers?
A Primary Care Provider is responsible
for providing or authorizing your medical
care services. A Primary Care Provider
may be physicians of Internal Medicine,
Pediatrics, Family Practice or General
Practice. A Specialty Care Provider is a
duly licensed physician, osteopath,
psychologist or other practitioner that
your Primary Care Provider may refer
you to. TakeCare has the largest on-island
contracted provider network with
over 100 Primary Care and Specialty
Care Providers.
When am I able to access aSpecialty Care Provider?
When you or your Primary Care Provider
feel you need more specialized treatment,
you may request for a referral to seek a
specialist for an office consultation.
However, before any treatment begins,
you may need to have prior authorization
from TakeCare’s Medical Management
Department. Once the request is reviewed
and approved, treatment can commence.
WHO TO CALL FOR HELP
If you have any questions, please feel free
to call the TakeCare Customer Service
Department, Monday - Friday, 8am - 5pm
at: Guam (671) 647-3526, CNMI (670)
235-7687 or Palau (680) 488-4715.
Provider Directory1
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
PARTICIPATING PROVIDERSIntroduction
Provider Directory
2
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
FHP Health CenterFHP Health Center (Guam)#548 South Marine Corps Drive,Tamuning, Guam 96913(671) 646-5825
MEDICAL
Urgent Care
Stanley, W. Ed, PA-C
Family Practice
Mariano, Maria Chela A., M.D.Meadows, Allison D., M.D.
Kaufman, Karyn, PA-CAmis, Douglas E., PA-C
Rozycki, Thomas, M.D.Stratton, Walter, PA-C
Internal MedicineDulay, Marylou, M.D.Martineau, Charles, M.D., Hospitalist
Obstetrics/Gynecology
Cole, Farrell, M.D.Bieling, Friedrich, M.D.
Leliukas, Alice, C.N.M.
PediatricsAlano, Maria Andrea, M.D.Leon Guerrero, Robert, M.D.Sarmiento, Dennis, M.D.Stadler, James, M.D.
DENTAL
General DentistryBero, David P., D.D.S.Johnson, Elwood, D.D.S.Kowal, Robert, D.D.S.Sullivan, John, D.D.S.
Endodontic DentistryBaugh, Dean, D.D.S.
HEALTH CENTER SERVICES
· Health Education· Home Health· Hospice· Laboratory· Mammography
· Optical· Oncology
· Pharmacy· Radiology· Surgi-Center
FHP VISION CENTER
McDonald, Jay, O.D.San Nicolas, Marlene, O.D.
OncologyWax, Arnold, M.D.
Provider Directory
3
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
PRIMARY CARE Providers
FAMILY PRACTICE
Mariano, Maria Chela A. , M.D.FHP Health CenterTamuning, 646-5824
Dombrowski, Chris, M.D.
PMC Isla Health SystemTamuning, 647-6201
Cruz, Luis, M.D.American Medical CenterUpper Tumon, 647-8262
Bryson, Julie H., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Ericson, Debra G., M.D.The Doctors’ ClinicTamuning, 649-5018/23
Flores, Lisa D., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Fahrbach, Donald, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Amin, Naushad, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Galgo, Geoffrey, M.D.Guam Medical Care ClinicUpper Tumon, 647-4174
Gerling, William L., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Inae, Paul, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Hawkins, Elizabeth, M.D.PMC Isla Health SystemTamuning, 647-6201
Kaufman, Karyn, PA-CFHP Health CenterTamuning, 646-5825
Lom, Jitka, M.D.Express CareHagatna, 477-2873
Lombard, Gabriel P.N., M.D.The Doctors’ ClinicTamuning, 649-5018/23
Lujan, Davina, M.D.PMC Isla Health SystemsTamuning, 647-6201
Meadows, Lee H., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Meadows, Allison D., M.D.FHP Health CenterTamuning, 646-5824
Martin, Clinton, PA-CExpress CareHagatna, 477-2873
McNabb, Amy, PA-CThe Doctor’s ClinicTamuning, 649-5018/23
Mercado, Gemma M., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Mercado, Michael G., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Minier, Veronica, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Morado, Felcar Luistro, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Namm, Julie, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Nguyen, Hoa Van, M.D.American Medical CenterUpper Tumon, 647-8262
Nozaki, James K., M.D.Seventh-Day Adventist ClinicTamuning,
Seventh-Day Adventist ClinicTamuning, 646-8881
646-8881
Nozaki, Joseph, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Parker, Erica M., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Perez, Walter Chris, M.D.The Doctors’ ClinicTamuning, 649-5018/23
Robinson, Michael J., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Rozycki, Thomas, M.D.FHP Health CenterTamuning, 646-5825
Santos, Patrick C., M.D.Tumon Medical OfficeUpper Tumon, 649-5052
Saguan, Dannette, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Schroeder, Fred, M.D.Pacific Medical GroupTamuning, 649-7232
Sheldon, Kim, PA-CExpress CareHagåtña, 477-2873
Silan, Rodolfo D., M.D.Guam Medical and Foot ClinicTamuning, 646-7678
Stratton, Walter, PA-CFHP Health CenterTamuning, 646-5825
Terlaje, Ricardo, M.D.PMC Isla Health SystemTamuning, 647-6201
Turon, John, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Ward, Jennifer Deanne, M.D.
INTERNAL MEDICINE
Bez, Ellen P., M.D.Marianas Physicians GroupTamuning, 647-1830
Alvez, Laura, M.D.Pacific Medical GroupTamuning, 647-1830
continued on next page
Adolphson, Arania, M.D.American Medical CenterUpper Tumon, 647-8262
Akimoto, Vincent, M.D.American Medical CenterUpper Tumon, 647-8262
Amby, Alexander S., M.D.American Medical CenterUpper Tumon, 647-8262
Amis, Douglas E., PA-CFHP Health CenterTamuning, 646-5825
Arguelles, Luis, M.D.ITC Medical CenterTamuning, 646-6354
Chaya, Craig J., M.D.
Tamuning,Seventh-Day Adventist Clinic
646-8881
Chang, Young, M.D.
Tamuning,Photo Town Plaza
646-2984
INTERNAL MEDICINE cont.
Martineau, Charles, M.D.FHP Health CenterTamuning, 646-5824
Nerves, Robert, M.D.Pacific Medical GroupTamuning, 649-7232
Ouhadi, Faraz, M.D.Pacific Medical GroupTamuning,649-7232
Preston, Donald C., M.D.Guam Adult Pediatric ClinicTamuning, 633-4272
Rubio, Joel M., M.D.Health Partners. LLCTamuning, 646-5227/8
Safabakhsh, Saied, M.D.Pacific Medical GroupTamuning, 649-7232
Samonte, Romeo, M.D.Pacific Health CareHarmon, 647-4533
Supit, Edwin J., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Taitano, John R., M.D.The Doctors’ ClinicTamuning, 649-5018/23
Villareal, Ronald, M.D.Pacific Medical GroupTamuning, 649-7232
Troxel, Tiffanny, PA-CPacific Medical GroupTamuning, 649-7232
Wilgus, Janna B., M.D.PMC Isla Health SystemsTamuning, 647-6201
PEDIATRICS
Alano, Maria Andrea R., M.D.FHP Health CenterTamuning, 646-5825
Blancaflor, Maria, M.D.MPG PediatricsTamuning, 648-5437
Carrera, Yolanda, M.D.Harmon PediatricsHarmon, 649-1058/9
Chen, Wen Yen, M.D.Central Medical ClinicDededo, 637-8112
Domalanta, Dina D., M.D.Pediatric and Adolescent ClinicTamuning, 647-7337/7336
Fojas, Milliecor, M.D.American Medical CenterUpper Tumon, 647-8262
Garrido, John, M.D.Isla PediatricsTamuning, 647-4466/8495
Leon Guerrero, Robert, M.D.FHP Health CenterTamuning, 646-5825
Linsangan, Gladys, M.D.Polymedic ClinicDededo,637-9661/646-2185
Manaloto, Ma. Cristina, M.D.American Pediatric ClinicTamuning, 647-2721
Santos, Edna, M.D.Tumon Medical OfficeUpper Tumon, 649-7337
Sarmiento, Dennis, M.D.FHP Health CenterTamuning, 646-5825
Thio, Kevin A., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Stadler, James, M.D.FHP Health CenterTamuning, 646-5825
Provider Directory
4
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
PRIMARY CARE Providers, cont.
Lizama, Florencio T., M.D.PMC Isla Health SystemTamuning, 647-6201
Madantschi, Mohammad H., M.D.Hafa Adai Specialist GroupTamuning, 647-4542
Magcalas, Edgar, M.D.Health Partners, LLCTamuning, 646-5 227/8
Lim, Johnny Jr., M.D.Adult Health Care Clinic2211 Army Drive, Suite 105Dededo, 647-5546
Lim, Doris, M.D.ITC Medical Clinic, Ste. 1266126 GITC Bldg. 590 S. Marine Dr.Tamuning, 646-8844/45
Kalligal, Sebastian, M.D.PMC Isla Health SystemsTamuning, 647-6201
Kallingal, Matilda, M.D.Kallingal’s Medical ClinicBarrigada, 632-9078
Choe, David P., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Chenet, Alix, M.D.Guam Adult Pediatric ClinicDededo, 633-4272
Duenas, Vincent A., M.D.The Doctors’ ClinicTamuning, 649-5018/23
Dulay, Marylou., M.D.FHP Health CenterTamuning, 646-5825
Geslani, Bevan, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Guzman, Pablo, M.D.St. Anthony’s ClinicTamuning, 646-5266/9696/5277
FHP HEALTH CENTER548 South Marine Corps DriveTamuning, 646-5825
AMERICAN MEDICAL CENTER1244 N. Marine Drive, Suite 101Upper Tumon, 647-8262
Family PracticeAdolphson, Arania, M.D.Akimoto, Vincent, M.D.Amby, Alexander S., M.D.Cruz, Luis, M.D.Nguyen, Hoa Van, M.D.
Internal MedicineLim, Johnny Jr., M.D.
PediatricsFojas, Milliecor, M.D.
CENTRAL MEDICAL CLINIC330 W. Marine DriveDededo, 637-8112Pediatrics
Chen, Wen Yen, M.D.
PediatricsManaloto, Ma. Cristina, M.D.
DEDEDO POLYMEDIC CLINIC172 East Buena Vista AvenueDededo, 637-9661/646-2185Pediatrics
Linsangan, Gladys, M.D.
THE DOCTORS’ CLINIC851 Carlos Camacho RoadTamuning, 649-5018/23Family Practice
Ericson, Debra G., M.D.Lombard, Gabriel, P.N., M.D.McNabb, Amy, PA-C.Perez, Walter Chris, M.D., F.A.A.F.P
Internal MedicineDuenas, Vincent A., M.D.Taitano, John R., M.D.
DR. CHANG’S CLINIC353 Chalan San Antonio #100Photo Town PlazaTamuning, 646-2984Internal Medicine
Chang, Young, M.D.
GUAM ADULT/PEDIATRIC CLINIC612 North Marine DriveDededo, 633-4272Internal Medicine
Chenet, Alix, M.D.Preston, Donald, M.D.
GUAM MEDICAL CARE CLINIC744 North Marine DriveUpper Tumon, 647-4174Family Practice
Galgo,Geoffrey, M.D.
GUAM MEDICAL & FOOT CLINICSONY Bldg., Ste. 104Tamuning, 647-2925Family Practice
Silan, Rodolfo D., M.D.
HAFA ADAI SPECIALIST GROUPSunflower VillaTamuning, 647-4542
General SurgeryLim, Reynald, M.D.
Internal MedicineMadantschi, Mohommad H., M.D.
Rahmani, Kia, M.D.
HEALTH PARTNERS, LLCSte 226, ITC Bldg, 590 S. MarineCorps Dr.Tamuning, 646-5227/8Internal Medicine
Magcalas, Edgar, M.D.Rubio, Joel M., M.D., FACE.
ISLA PEDIATRICSE. Espiritu St.Tamuning, 647-4466/8495Pediatrics
Garrido, John, M.D.
ITC MEDICAL CENTERGITC Building, Ste. 126Tamuning, 646-8844Family Practice
Arguelles, Luis, M.D.Internal Medicine
Lim, Doris, M.D.
KALLINGAL’S MEDICAL CLINICRoute 16Barrigada, 632-9078/7500Internal Medicine
Kallingal, Matilda, M.D.
MPG PEDIATRICS396 Chalan San Antonio, Ste. 103Tamuning, 648-5437Pediatrics
Blancaflor, Maria B., M.D.
PACIFIC HEALTH CAREGuam Business Center, Ste. 108Harmon, 647-4533
Internal MedicineSamonte, Romeo, M.D.
PACIFIC MEDICAL GROUP633 Gov. Carlos Camacho Rd.Ste. 205,Tamuning, 649-7232Family Practice
Schroeder, Fred, M.D.Internal Medicine
Nerves, Robert, M.D.Alvez, Laura, M.D.
Villareal, Ronald, M.D.
Ouhadi, Faraz, M.D.
Troxel, Tiffany, PA-CSafabakhsh, Saied, M.D.
PEDIATRIC & ADOLESCENT CLINIC472 Chalan San AntonioTamuning, 647-7337/7336
PediatricsDomalanta, Dina, M.D.
PMC ISLA HEALTH SYSTEM177-A Chalan Pasaheru, Suite FTamuning, 647-6201Family Practice
Dombrowski, Chris, M.D.Hawkins, Elizabeth, M.D.Lujan, Davina, M.D.
Internal Medicine
Lizama, Florencio T., M.D.Kallingal, Sebastian, M.D.
Wilgus, Janna B., M.D.
SEVENTH-DAY ADVENTIST CLINIC388 Ypao RoadTamuning, 646-8881
Family Practice
Flores, Lisa D., M.D.
Bryson, Julie H., M.D.Fahrbach, Donald, M.D.
Amin, Naushad, M.D.
Gerling, William L., M.D.Inae, Paul, M.D.Meadows, Lee H., M.D.Mercado, Gemma M., M.D.Mercado, Michael G., M.D.Minier, Veronica, M.D.Morado, Felcar Luistro, M.D.Namm, Julie, M.D.Nozaki, James K., M.D.Nozaki, Joseph, M.D.Parker, Erika, M., M.D.Robinson, Michael, M.D.Saguan, Dannette, A., M.D.Turon, John, M.D.Ward, Jennifer Deanne, M.D.
Internal Medicine
Geslani, Bevan, M.D.Choe, David P., M.D.Chaya, Craig J., M.D.
Supit, Edwin J., M.D.
PediatricsThio, Kevin A., M.D.
ST. ANTHONY’S CLINICTamuning, 646-9696/5277Internal Medicine
Guzman, Pablo, M.D.
TUMON MEDICAL OFFICEUpper Tumon, 649-5052/649-7337Family Practice
Santos, Patrick C., M.D.
Terlaje, Ricardo, M.D.
PediatricsSantos, Edna, M.D.
Primary Care Providers by CLINIC
Provider Directory
5
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
AMERICAN PEDIATRIC CLINICOka Bldg., Suite 106Tamuning, 647-2721
EXPRESS CAREAgana Shopping Center302 S.Rte 4 Ste. 207Hagatna, 477-2873Family Practice
Lom, Jitka, M.D.Martin, Clinton, PA-CSheldon, Kim, PA-C
MARIANAS PHYSICIANS GROUP472 Chalan San AntonioTamuning, 647-1830Internal Medicine
Bez, Ellen P., M.D.
Obstetrics/Gynecology
Cole, Farrell, M.D.Bieling, Friedrich, M.D.
Leliukas, Alice, C.N.M.
PediatricsAlano, Maria Andrea, M.D.Leon Guerrero, Robert, M.D.Sarmiento, Dennis, M.D.Stadler, James, M.D.
Urgent Care
Stanley, W. Ed, PA-C
ADULT HEALTH CARE CLINIC2211 Army Drive, Suite 105Dededo, 647-5546
Internal MedicineDulay, Marylou, M.D.Martineau, Charles, M.D.
HARMON PEDIATRICSHarmon, 649-1058/9Pediatrics
Carrera, Yolanda, M.D.
Family Practice
Kaufman, Karyn, PA-CAmis, Douglas E., PA-C
Meadows, Allison D., M.D.Mariano, Maria Chela, M.D.
Rozycki, Thomas, M.D.Stratton, Walter, PA-C
BEHAVIORAL HEALTH
Babauta, Tom, Q.C.S.W., M.S.W., IMFTSunflower Villa Ste. 205Tumon, 777-7732
Bellis, Kirk, D.O.Sunflower Villa Ste. 205Tumon, 646-4757/67
Camacho, Rosemarie, M.A., IMFT590 S. Marine Corps Dr., Ste. 219 GITCTamuning, 649-2081/2083
Cristobal, Hope, Psy.D. 590 S. Marine Corps Dr., Ste. 219 GITCTamuning, 649-2080/1
De Jesus, Ione J., M.D.Guam Psychiatric Services, LLCSuite 105 Oka Bldg.Tamuning, 649-7792
Blas, Florence Sgro, M.S.Health Services of the Pacific384 Governor Carlos Camacho RoadTamuning, 647-5357
Tanos, Jeanette, IMFTHealth Services of the Pacific384 Governor Carlos Camacho RoadTamuning, 647-5357
Fegurgur, Mary, L.C.S.W.-IMFTCenter Point Bldg., Ste. 104Tamuning, 649-5910
Ismael, Ariel, M.D.Guahan Behavioral Health Clinic
2nd Floor UIU Bldg.2D267 S. Marine Corp Drive
Tamuning, 646-7972
Guahan Behavioral Health Clinic
2nd Floor UIU Bldg.2D267 S. Marine Corp Drive
Tamuning, 646-7972
Kane, Stephen, Ph.D.PMB 130 1270 N Marine Corps DriveSuite 101, Tamuning, 789-0803
Kallingal, George K., Ph.D.Kallingal’s Medical ClinicBarrigada, 632-9078
Lizama, Tricia Atoigue, MSW, ACSWGCIC Building, Suite 501BHagatña, 488-5073
Natividad, Lisalinda, Ph.D., L.C.S.W.222 Chalan Sto. Papa Ste. 205Hagatña, 777-7285
Perez, Lilli Ann, Ph.D., LCSW, RPT-SFamily Pacific Behavioral Health ClinicDNA Building, Ste. 403-CHagatña, 477-4619
Guam Psychiatric Services, LLCSuite 105, Oka Bldg.Tamuning, 649-7792
Perez, Victor, M.D.Suite 403-C PDN BuildingHagatna, 477-4619
Rapadas, Juan, Ph.D.GCIC Building, Suite 500xHagatna, 988-4274/898-6744
Reyes, Valerie, M.A., C.S.A.C.
Taimanglo, Patricia, Ph.D.590 S. Marine Dr. Suite 219 GITCTamuning, 649-2080/2081
Sukola, Kelly, IMFT
Tolentino, Doris, MSW, MPH, IMFTGCIC Building, Suite 501BHagatña, 898-1853
Unpingco, Annie, L.C.S.W.-IMFTThera-Health ClinicSinajana, 475-8549
ANESTHESIOLOGY
DeGuzman, Fernan, M.D.Lim, Reynald, M.D.Hafa Adai Specialist GroupTamuning, 647-4542
Andreassen, Ross, M.D.Johnson, Barry, M.D.Lee, Hai Soon, M.D.Lopez, Gilbert, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
CARDIOLOGY
Kim, Byungsoo, M.D., F.A.C.C.PeMar Place, Ste. 103Tamuning, 646-3880
ENDOCRINOLOGY
Rubio, Joel M., M.D., FACEHealth Partners, LLCTamuning, 646-5227/8
GYNECOLOGY
Griley, Edmund, M.D.Pregnancy Control ClinicTamuning, 646-6111NEPHROLOGY
Philips, Sherif, M.D.
Upper Tumon, 646-3773
Nerves, Robert, M.D.Pacific Medical GroupTamuning, 649-7232
Villareal, Ronald, M.D.Pacific Medical GroupTamuning, 649-7232
Alvez, Laura, M.D.Pacific Medical GroupTamuning, 649-7232
Safabakhsh, Saied, M.D.Pacific Medical Group
Tumon Kidney Center
Guam Medical PlazaTamuning, 649-7232
NEUROLOGY
Barthlen, Gabriele M., M.D.Guam Sleep CenterTamuning, 647-6669
Carlos, Ramel, M.D.Neurology ClinicTamuning, 646-6463
Chen, Kwang-Ming, M.D.Guam Medical PlazaTamuning, 646-4263/6491
Bordallo, Annie U., M.D.Marianas Physician GroupTamuning,
Bieling, Friedrich, M.D.FHP Health CenterTamuning, 646-5825
647-1830
Cole, Farrell, M.D.FHP Health CenterTamuning, 646-5825
Ericson, Debra, M.D.The Doctor’s ClinicTamuning, 649-5018/23
Graybill, Cassandra N.K., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Hawkins, Elizabeth, M.D.PMC Isla Health SystemsTamuning, 649-7588
Leliukas, Alice, CNMFHP Health CenterTamuning, 646-5824
Ludders, Darrel, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Nerness, John, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Nightingale, Janet, CNMSeventh-Day Adventist ClinicTamuning, 646-8881
Saguan, Docile, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Park-Hwang, Esther M., M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Provider Directory
6
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
SPECIALISTS
DERMATOLOGY
Latour, Donn, M.D.
Hafa Adai Specialist GroupTamuning, 647-4542
Lovett, George, M.D.
Seventh-Day Adventist ClinicTamuning, 646-8881
OB/GYN
Bae, Soyoung, M.D.643 Chalan San Antonio, Ste. 108Tamuning, 648-2229
DeBenedictis, Marjorie, M.D.St. Lucy’s Eye ClinicGuam Medical Plaza, Ste. 103Tamuning, 647-5829
Giebel, Arthur, M.D.Seery, Loren, M.D.Suthar, Mukesh B., M.D.
Chaya, Craig J., M.D.
Wresch, Robert, M.D.Seventh Day Adventist ClinicTamuning, 646-8881
ONCOLOGY (Medical)
Wax, Arnold, M.D.FHP Health CenterTamuning, 646-5824
ONCOLOGY (Radiation)Pagliuca,, Theresa, M.D.Island Cancer CenterTamuning, 646-3363
OPHTHALMOLOGY
Jack, Robert S., M.D.Lombard, Peter N., M.D.
Burton, Gregory P., M.D.
Smith, Anthony J., M.D.Will, Daniel V., M.D.Island Eye CenterTamuning, 647-5381-4
Zvonik, Karen, M.D.Marianas Physicians GroupPeMar PlaceTamuning, 647-1830
Shieh, Thomas, M.D.643 Chalan San Antonio Ste. 108Tamuning, 648-2229
Velsmid, Stephanie, CNMMarianas Physicians GroupPeMar PlaceTamuning, 647-1830
Walker, Diane, CNMMarianas Physicians GroupPeMar PlaceTamuning, 647-1830
ORAL AND MAXILLOFACIAL SURGERY
Richardson, Darius, D.M.D., M.D.318 Father Duenas Dr.Tamuning, 647-0060/61
ORTHOPEDIC SURGEON
Bollinger, Jan, M.D.Guam Orthopedic AssociatesGuam Medical Plaza, Ste. 212Tamuning, 646-6356/6610/6491
Anderson, Terrence D., M.D.
Cunningham, Glenn, M.D.Little Palm OrthopaedicsGuam Medical Plaza, Suite 212Tamuning, 646-6356 / 6610 / 6491
OTOLARYNGOLOGY (ENT)
Fell, William, M.D.,Guam SurgicenterTamuning, 646-3855 x.157
McLarty, Justin, M.D.,
Hirata, Greigh, M.D.,Tamuning, 648-2229
Stewart, Thomas Allan, M.D.,
PHYSICAL THERAPY
Duenas, Julienne, P.T.S.O.A.R. Physical TherapyOka Building, Suite 201Tamuning, 647-0110/1
Kyle, Robert S., P.T.Hwang, Chan, M.D.
Lossev, Grace, M.P.T.Roa, Jessie P.T.Seventh-Day Adventist ClinicTamuning, 646-8881
PODIATRY
Damian, Teresa A., D.P.M.Sangalang, Maria Melinda , D.P.M.Marianas Footcare Clinic122 Tun Jose WayTamuning, 649-3338Hazen, Larry W., D.P.M.The Doctors’ ClinicTamuning, 649-5018/23
Silan, Noel, D.P.M.The Guam Foot Clinic136 Kayen Chando St.Dededo, 633-3668
RADIOLOGY
Berg, Nathaniel, M.D.Chen, Qi Xin, M.D.Poporich, Teppe, M.D.Spak, Eric, M.D.Guam Radiology ConsultantsTamuning, 649-1001
Lizama, Vincent, M.D.Mudd, Michael, M.D.
Schneider, Michael, M.D.Young, John, M.D.MDx Imaging CenterTamuning, 648-6390
Lizama, Vincent, M.D.Mudd, Michael, M.D.
Schneider, Michael, M.D.Pacific RadiologyTamuning, 649-2346
SURGERY (General)
Cruz, Michael, M.D., F.A.C.S.Eusebio, Ricardo, M.D., F.A.C.S.Island Surgical CenterGuam Medical PlazaTamuning, 646-0443/4
Bates, Brian E., M.D.Bray, Jerome L., M.D.Im, Sunggeun, M.D.Magliato, Kathy E., M.D.Mariano, Myron, M.D.Medina, Marcelino, M.D.McCanse, Webb R., M.D.Saw, Eng, M.D.Seventh-Day Adventist ClinicTamuning, 646-8881
Kobayashi, Ronald, M.D.Guam Surgical GroupITC Building, Ste. 211Tamuning, 649-7588
Rahmani, Kia, M.D.Hafa Adai Specialist GroupSunflower Villa, 280 Pale San VitoresTamuning, 647-4542/53
SURGERY (Reconstruction and Plastic)
Fegurgur, John, M.D.Hafa Adai Specialist GroupSunflower Villa, 280 Pale San VitoresTamuning, 647-4542
UROLOGY
Sheff, Conrad D., M.D.OP Plaza 285 Farenholt Ave., Ste. C1-301Tamuning, 649-9693
Provider Directory
7
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
SPECIALISTS, cont.
PERINATOLOGY
SURGERY (Hand)
Landstrom, Jerone T., M.D.Pacific Hand Surgery Center633 Governor Carlos Camacho Rd. Ste. 104Tamuning, 646-4263
646-8881
RHEUMATOLOGY
Langga-Sharifi, Euly, M.D.Seventh-Day Adventist ClinicTamuning,
SURGERY (Physician Assistant)
Sevilla, Audrey Camille, PA-C214 Condo Lane, Apt. 417Tamuning, 988-7187
Seventh-Day Adventist ClinicTamuning, 646-8881
Seventh-Day Adventist ClinicTamuning, 646-8881
ACUPUNCTUREPlease refer to your Schedule of Benefitsbrochure for specific information regard-ing your Acupuncture coverage
Yu, Jong Chin, Lic.Ac.
Chong, Chang Hun
Yu’s China Acupuncture Clinic263 Sanchez St. Harmon,
Chen, AlbertChen’s Happy Dragon646-8417
HME Oriental Medical Research Clinic206 Lotus Bldg., Ste. 1CHarmon, 637-4443
646-7565
BIRTHING CENTERS
Sagua ManaguPemar Place#472 Chalan San AntonioTamuning, 647-1417/1418
CHIROPRACTICPlease refer to your Schedule of Benefitsbrochure for specific information regardingyour Chiropractic coverage
Cogan, William, D.C.Arthur, Steve, D.C.
Samaniego, Maria Melissa, M.D.
Active Life Chiropractic306 E. Marine Corps Drive,Tamuning, 477-3472
Dimalanta, Albert J., D.C.Lohas Chiropractic Clinic782 South Marine Corp Drive, Ste. 101Tamuning, 649-4871
Gregory, Robert, D.C.Gregory, Barbara, D.C.
Pacific Life Chiropractic761 S. Marine Dr., Suite A-5BTamuning, 649-9355/2225
Klosinski, Thomas R., D.C.UIU Building, Room 2GTamuning, 649-0545
Larkin, Scott R., D.C.Larkin, Lani M., D.C.#330 West Marine Dr., Suite #4,Dededo 632-4262/633-2225
Martinez, Roger, D.C.A.D.I.O Chiropractic Clinic562 Harmon Loop Rd., Ste 129Compadres MallDededo, 637-8901
HEALTH IMPROVEMENT
FHP Health CenterHealth Education DepartmentTamuning, 646-5824/5By Appointment Only
HOME HEALTH
FHP Health CenterHome HealthTamuning, 646-5825
HOSPICE
Health Services of the Pacific384 Governor Carlos Camacho RoadTamuning, 647-5357
LABORATORY SERVICES
Diagnostic Laboratory Services, Inc. (DLS)Main Location:
G.I.T.C. Building Suite 124590 S. Marine DriveTamuning, 646-5770
Satellite Locations:
Dededo Polymedic Center172 East Buena Vista AvenueDededo, 632-0043
FHP Health Center#548 South Marine Corps. DriveTamuning, 646-5825
PeMar Place472 Chalan San AntonioTamuning, 649-5079
The Doctors’ Clinic#851 Carlos Camacho RoadTamuning, 649-5022 ext.136
OPTOMETRISTS
McDonald, Jay, O.D.San Nicolas, Marlene, O.D.FHP Health CenterAnnex II BuildingTamuning, 646-5825
Storey,Jeannette, O.D.Yang, Sheryl Jinyu, O.D.Seventh Day Adventist ClinicTamuning, 646-8881
PHARMACIES
FHP PharmacyTamuning, 646-5825Refill line: 646-5950
Community Pharmacy I177-C Chalan PasaheruTamuning, 646-6160
Community Pharmacy IIN. Marine DriveUpper Tumon, 646-6515
DPH Northern Region Com.520 W Santa Monica Dr.Dededo, 635-7418
Guam Medical PharmacyGuam Medical CenterUpper Tumon, 647-5572
Guam Rexall Drugs646 South Marine Dr.Tamuning, 646-4827
Harmon DrugsRoute 16, Harmon637-1473
ITC Pharmacy I1st Floor, GITC Bldg.Tamuning, 646-6395
ITC Pharmacy IIGood Samaritan ClinicTamuning, 649-1977
Kmart Pharmacy404 N. Marine DriveTamuning, 649-7843/44
Mega Drug ISuite 101, Oka Plaza Bldg.Tamuning, 646-5355
Mega Drug IISuite A-6, Daily Plaza Bldg.Dededo, 632-3385
Oka Pharmacy Inc.241 Farenholt Ave.,Tamuning, 647-1193
Pacific HealthCare PharmacyGuam Business Center Ste.108Harmon, 649-6831
Perezville PharmacyThe Doctors’ ClinicTamuning, 649-5018/23;649-9400 (direct line)
Polymedic Pharmacy172 Buena Vista Ave.Dededo, 637-9683
Sagan Amot Pharmacy875 N. Rt. 2Agat, 565-3043
Seventh Day Adventist388 Ypao RoadTamuning, 649-3856
Southern Region CommunityHealth CenterInarajan, 828-7547
Super Drugs Dededo214 W. Marine DriveDededo, 637-9793
Super Drugs Agana118 ASC Rt. 4Agana, 477-3627
Super Drugs Oka291 Farenholt Ave.Tamuning, 646-6183
SURGERY CENTERS
FHP Surgicenter#548 South Marine Corps. DriveTamuning, 646-5825
Guam Surgi Center, LLCGuam Medical Plaza Bldg., 633 Gov.Carlos Camacho Rd.Tamuning, 646-3855
IN AREA HOSPITAL
Guam Memorial Hospital850 Gov. Carlos G. Camacho RoadOka, Tamuning, 647-2555 thru 9
Provider Directory
8
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
MEDICAL Services
HEARING SERVICES
Ross Hearing Aids655 Harmon Loop Road,Suite 108-ADededo, 637-4327
PRIMARY CARE
CMI Family Medical CenterOld AirportTamuning, 645-8359/60
PHARMACIES con’t.
X-RAY
X-Ray ProOka BuildingTamuning, 647-9776
White, Roderick, D.C.Advanced Chiropractic Clinic2025 Army Drive, Suite 103Tamuning, 648-2225/6
Borja, Dennis, D.C.Isla ChiropracticTamuning, 649-6822
Miller, Gregory, D.C.Marianas Chiropractic2078 Route 16 Ste. CDededo, 637-7926/6683
Mitchell, Glenda B., D.C.A-One Building, #7Dededo, 637-8909
Isla Home Infusion Center202 Farenholt Ave.Suite 101-102Tamuning,646-1266
DME
Tumon Kidney Center1406 N. Marine Corps DriveUpper Tumon, 647-2029/646-3773
Guam Dialysis Center265 Chalan Santo PapaHagatna, 475-3600
DIALYSIS CENTERS
GENERAL DENTISTRY
FHP Health CenterAnnex BuildingTamuning, 646-5825
Bero, David P., D.D.S.Johnson, Elwood, D.D.S.Kowal, Robert, D.D.S.Sullivan, John, D.D.S.
Family Dental CenterGuam PolyclinicTamuning, 646-6510/646-6822
Malilay, Janice, D.D.S.Silos, Nerissa, D.M.D.
Fernandez Dental Office148 Loreta St. Ste. BDededo, 633-1995
Fernandez, Michael, D.D.S.
GCIC DentalGCIC Building, Suite 300Hagåtña, 472-2489/477-6779
Valles, Gerson S., D.D.S.
Gentle Care DentalHengi Plaza, Suite 102Tamuning, 646-8858/78
Sule, Hugh L., D.D.S.Ha, Joon Suk, D.D.S.
Guam Dental Arts140 Punzalan StreetTamuning, 646-8462/6689
Brady,Timothy P., D.D.S.Hartup, Jason, D.M.D.
Hafa Adai Family DentalITC Bldg, Suite 104Tamuning, 649-7851-2
Cheng, Victoria, D.M.D.Marutani, David, D.M.D.Takenaka, Yasunori, D.D.S.
Harmon Loop Dental Office505 Harmon Loop Rd., Ste. 300Dededo, 637-9696/9700
Alegria, Conrado V., D.D.S.Alegria, Corazon V., D.D.S.Hartup, Jason, D.M.DRapadas, Cristina, D.D.S.Sison,Suzanne, D.D.S.
Hightower Dental ClinicTamuning, 646-7281/84
Hightower, William, C., D.D.S.Hightower, William, C.II, D.D.S.
Isa DentalCentam Bldg. 1st FloorTamuning, 646-7982/5437
Johnson, Jeffrey, D.D.S.
Malabanan, Ben, Jr., D.D.S.2211 Army Dr., Suite 202Tamuning, 649-4446
Ordot Dental Clinic159 Judge Sabian St.Ordot, 477-8215, 472-8720
Eusebio, Andrew, D.D.S.Rapadas, Antonio, D.D.S.
Paradise Smiles226 Chalan San Antonio, Ste. BTamuning, 646-2010
Bourgeois, Kenny, D.D.S.
Reynolds, Bruce, D.D.S.Ives, Jeffrey, D.D.S.
Reflection Center Suite 304222 East Chalan Sto. PapaHagatna, 472-6824/25
Seventh-Day Adventist Clinic388 Ypao RoadTamuning, 646-8881, ext. 400
Matson, Debra, D.D.S.Onjukka, Tommy R., D.D.S.
Hwang, Pamela, D.D.S.
Ordelheide, Chad, D.D.S.Parker, Scott M., D.D.S.Visscher, Jonathan R., D.D.S.Ward, Wayne, D.D.S.
Veloria, Tom S., D.M.D.Baltej Pavilion, Suite 303-304Tamuning, 646-5146/649-9593
Yang, Robert J., D.M.D., P.C.744 N. Marine Dr., Ste. 107Tamuning, 647-8702/3
Yasuhiro, Stanley Y., D.D.S.667 N. Marine Drive, Ste. 204Tamuning, 646-2823/3679
FHP Health CenterBaugh, Dean P., D.D.S.Annex BuildingTamuning, 646-5825
ORAL AND MAXILLOFACIALSURGERY
Richardson, Darius, D.M.D., M.D.Father Duenas Dr.Tamuning, 647-0060/61
PEDIATRIC DENTISTRY
The Pediatric DentistryKo, Hee Soo, D.M.D.655 Harmon Loop Rd.Suite 108, Dededo, 637-8334
The Pediatric Dental Center222 Chalan Sto.Papa, Ste 301Hagatna, 477-6235
Romero, Francisco J, D.D.S., MSDSanNicolas,Francisco,“Koko”,D.D.S.,MSD
Isa DentalTerlaje, Rayner, D.D.SCentam Bldg. 1st FloorTamuning, 646-7982/5437
Harmon Loop Dental OfficeToerge, Sandra, D.M.D.Dededo, 637-9696/9700
PERIODONTICS
Gatewood, Robert R., D.D.S.Reflection Center, Ste. 303Hagåtña, 477-2379/2380
Provider Directory
9
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
DENTAL Services
ENDODONTICS
Hightower Dental ClinicHightower, William C., D.D.S.Center Point, Suite #301-304Tamuning, 646-7281/84
SAIPANSAIPAN PRIMARYCARE PROVIDERS &SUPPORT SERVICES
FAMILY / GENERALPRACTICE
Arafiles, Ruben, M.D.MH-II Bldg, Ste. 101 MarinaHghts, Bus Park,Saipan MP 96950(670)323-9000
FHP Health Center2nd Floor, TSL Plaza, Beach RoadGarapan, Saipan MP 96950
2nd Floor, TSL Plaza, Beach RoadGarapan, Saipan MP 96950
P.O. Box 500118San Jose, Saipan, Mp 96950(670) 235-0994, 235-0996
Lamar, Daniel, M.D.Sablan, Roca Q., CNM-NPSchraudenbach, Cooper C. M.D.Stephens, Lone, PA-CTan, Nathan, M.D.
Marianas Medical CenterSan Antonio Rd. Saipan(670) 234-3926/3925/3927
Modern Solutions, LLCLarry Hocog, M. D.Saipan, (670) 234-5302/3
Stearns, Anthony, M.D.Willis, Tiffany, M.D.
Medical Associates of thePacific, LLCSuite 101 MH II Bldg. MarinaHeights Business Park,Saipan, MP 96950(670) 323-9000
Camacho, Bertha, NP
Cornett, Edward L., D.C.Carpenter, Christopher, M.D.
Ada, Norma S., M.D.
Fergurgur, John, M.D.Hofschneider, James, M.D.Lovett, George, M.D.Lowe, Chad C., D.D.Sullivan, Stephen, M.D.
Pacific Medical Center(670) 233-1613/8100/8101
Al-Alou, Ahmad, M.D.Al-Alou, Fahd, M.D.DeGuzman, Gabriel, M.D.
BEHAVIORAL HEALTH
Brenn, Adrian, Ph.D., M.A.Erhard, Anne, Ph.D.Pacific Clinic & ConsultingSaipan , (670) 322-1925
Graf, Linda, N.C.C., LCP-PSaipan, (670) 322-4723
Murphy, Patty LMFTMarianas Business PlazaSaipan , (670) 287-1200
NEUROLOGY
Pacific Sleep CenterHutchinson, Kimberly, M.D.Saipan, (670) 322-6302
OPHTHALMOLOGY
Marianas Eye Institute
Khorram, David, M.D.Gilmer, William L., M.D.
Beach Road, GarapanSaipan, (670) 235-9090
OPTOMETRYHardt Eye Clinic
Beach Road,
Hardt, David, O.D.Hardt, Donald, O.D.
Garapan, Saipan 96950(670) 235-2030
Hardt Eye ClinicBeach Road,Garapan, Saipan 96950(670) 235-2030
Marianas Eye InstituteKhorram, David, M.D.Robertson, Mark, O.D.Beach Road, GarapanAcross 13 Fisherman MonumentSaipan, (670) 235-9090
PHARMACY
FHP Pharmacy
San Jose, CNMI, (670) 235-0994
CNMI DENTAL NETWORK
GENERAL DENTISTRY
Dental CareMiddle Road, GarapanSaipan 96950(670) 233-1100
Gogan, Fred, D.D.S.Reedstrom, Dean M., D.D.S.
New Wave Dental ClinicMiddle Road,Garapan, Saipan 96950(670) 233-3300
Hall, Michael E., D.D.S.
Saipan Adventist ClinicQuarter Master Road,Chalan Laulau, Saipan 96950(670) 234-6323
Pierson, Crystal, D.D.S.Pierson, Kenneth, D.D.S.Shearer, Sarah-Jane, D.D.S.Shearer, William J.B., D.D.S.Stafford, Michael, D.D.S.
Toothworks Dental Clinic,Kulot De Rosa St.Chalan Kiya, Saipan 96950(670) 234-3810Markoff, Alan, D.D.S.
PERIODONTICS
Saipan Adventist ClinicQuarter Master Road,Chalan Laulau, Saipan 96950(670) 234-6323
Gatewood, Robert, D.D.S., M.D.Ko, Hee Soo, D.M.D.
TINIANTINIAN HEALTH CENTER
Medical and Dental Clinic(670) 433-9233/9263/9333Rankin, Ricardo J., D.D.S.
POHNPEIGenesis Island FamilyClinic & Hospital(691) 320-8660
Berysins Community Health Center(691) 320-6115/7740
PALAUPRIMARY CARE ANDGENERAL SURGERY
Belau National HospitalP.O. Box 6027Koror, Republic Of Palau 96940(680) 488-2552/3
Roberts, Emais, M.D.Family Surgical ClinicP.O. Box 1652, Koror,Republic Of Palau(680) 488-6920/21/22
Yano, Victor M., M.D.Belau Medical ClinicP.O. Box 822Koror, Republic Of Palau(680) 488-2688/87
GENERAL DENTISTRY
Belau National HospitalP.O. Box 6027Koror, Republic Of Palau 96940(680) 488-2552/3
OPTOMETRYBelau National HospitalP.O. Box 6027Koror, Republic Of Palau 96940(680) 488-2552/3
Pacific Family Medical SuppliesP.O. Box 1523Koror, Republic Of Palau(680) 488-6655
PHARMACY & MEDICALSUPPLIESPacific Family Medical SuppliesP.O. Box 1523Koror, Republic Of Palau(680) 488-6655
Provider Directory
10
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
OFF-ISLAND Services
ORTHOPAEDICS
HOME HEALTH/OUTPATIENTPHYSICAL THERAPY
Saipan Plaza Bldg., Ste 7Saipan, (670) 233-4647
Marianas Health Services
Pale Arnold Road, Gualo RaiSaipan, (670) 235-2274
Diamond Home Health Care
Kim’s Bldg., Middle Road, Gualo RaiSaipan, (670) 323-7720
Marianas Visiting Nurses
Aquino, Rodolfo Jr., B.S.P.TDotimas, Carlo R., B.S.P.T.Saipan, (670) 323-6780
PT Rehab
ACUPUNCTUREJung Sang Park, A.C.
Saipan, (670) 234-7674Brothers Clinic
Provider Directory
11
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services areprovided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
TIC-PD092311
OFF-ISLAND Network
ASIA NETWORKPHILIPPINESCebu Doctor’s UniversityHospital, INC.Osmena Blvd., Capitol Cebu CityTel: (632) 253-7511
St. Luke’s Medical Center**279 E. Rodriguez Boulevard Sr.Quezon City, Philippines 1102Tel: (632) 726-5770
(632) 726-6937
32nd St. Bonifacio Global CityTaguig City, Philippines
((632)789-7700
The Medical City**Ortigas Avenue, Pasig CityTel: (632) 635-6789 or
(632) 631-8626
Please contact the TakeCareMedical Referral Office at:Room 718 North TowerCathedral Heights BuildingTel: (632) 726-5770
(632) 726-6937St.Luke’s Trunkline:(632)723-0101 Local 5718
THAILANDBumrungrad Hospital33 Sukhumvit SOI (Nana Nua)Klongtoey, Nua Sub District,Wattana District Bangkok,ThailandTel: (662) 677-1000
TAIWAN
Taiwan Adventist Hospital424 Pa Te Road, Section 2Taipei, TaiwanTel: (86) 2-27718151
SINGAPORERaffles Hospital585 North Bridge RoadRaffles Hospital, SingaporeTel: (65) 6311-1666
JAPANKameda Medical Center929 Higashi-choKamogawa City Chiba, JapanTel: 0470-92-2211
KOREASamsung Medical Center50 Irwon-don, Kangnam-Ku,Seoul, KoreaTel: 82(2) 3410-0200/022
MALAYSIASime Darby Healthcare1, Jalan SS 12/1A, 47500Subang Jaya, Selanger, MalaysiaTel: 8
*Asia Plan members do not have access to Hawaii or Mainland United States Network**Preferred Pathway Provider
HAWAII*
Gentle Dental Waianae Coast86-078 Farrington Hwy. Ste. 210Waianae, Hawaii 96792Tel:(808) 697-1310
Kapi‘olani Medical Center at PaliMomi98-1079 Moanalua RoadAiea, Hawaii 96701Tel:(808) 486-6000
Gentle Dental Aiea/Perlridge98-211 Pali Momi St., Ste. 715Aiea, Hawaii 96701Tel:(808) 488-8119
Gentle Dental Honolulu1136 Union Plaza Ste. 502Honolulu, Hawaii 96813Tel:(808) 536-3405
Gentle Dental Kona75-1028 Henry St., Ste. 203Kailua-Kona, Hawaii 96740Tel:(808) 329-4425
Gentle Dental Makakilo/Kapolei92-605 Makakilo Dr.Kapolei, Hawaii 96707Tel:(808) 672-0397
Gentle Dental Mililani95-1249 Meheula Pkwy. Ste. 115Mililani, Hawaii 96789Tel:(808) 623-2888
Kapi‘olani Medical Centerfor Women and Children1319 Punahou StreetHonolulu, Hawaii 96826Tel:(808) 983-6000
Straub Clinic and Hospital888 South King StreetHonolulu, Hawaii 96813Tel:(808) 522-4000
MAINLAND UNITED STATES*
TakeCare Participating Providers with Prior Authorization by Medical Management Department is Required
Anaheim Memorial Medical Center**111 W.La Palma Ave.Anaheim, CA 92801Tel:(714) 774-1451
Cedars-Sinai Medical Center8700 Beverly Blvd.Los Angeles, CA 90048Tel:(310) 423-3277
Good Samaritan Hospital**1225 Wilshire Blvd.Los Angeles, CA 90017Tel:(213) 977-2121
Long Beach Memorial Medical Center2801 Atlantic Ave.Long Beach, CA 90804Tel:(562) 933-2000
Miller Children’s Hospital2801 Atlantic Ave.Long Beach, CA 90806Tel:(562) 933-5437
MultiPlan, Inc.www.multiplan.comFor more information, contact TakeCare Customer Service at 1-671-647-3526.
UCLA Medical Center10920 Wilshire Blvd. Ste. 1800Los Angeles, CA 90024Tel:(310) 794-8759Santa Monica-UCLAMedical CenterTel:(310) 319-4000
Please contact Medical Managementor Customer Service for other available providers.* Asia Plan members do not have access to Hawaii or Mainland United States Network** Preferrred Provider:
***MedTral-International Patient Coordination and referral department for Mercy and Ascot Hospital Group
HAWAII* con’t. MAINLAND UNITED STATES* con’t.
NEW ZEALAND
Ascot Hospital (MedTral)***90 Greenlane Road EastRemuera, Auckland New ZealandTel: 1-866-206-3582+64-9-6236588
Mercy Hospital (MedTral)***
MedTral*** Tel: 1-866-206-3582 (toll free USA/Canada)or 1+64-9-632-6588
98 Mountain Road Epsom, Auckland New ZealandTel: 1-866-206-3582+64-9-6236588
A preferred provider is a participating provider that has entered into a written agreement with TakeCare to provide off-island care or treatment at a preferential or deeper discounted rate which allows TakeCare to provide greater coverage to you. The participating providers which are identified herein as preferred providers are subject to change from time-to-time depending on the terms and rates for services of the written agreements. Please be sure to check with TakeCare’s Medical Management Department to confirm the identity of preferred providers.
Name Specialty Clinic Name
Dam, Michael C., M.D. Internal Medicine& Cardiovascular Disease
Ho, Jason, M.D Internal Medicine Hematology& Medical Oncology
Ruggio, Joseph, M.D. Cardiologist Pacific Cardiovascular Associates
Pacific Cardiovascular Associates
Parks, David, M.D. Retinal Ophthalmologist Retina Vitreous Consultants
Pang, Pierre, M.D. Retinal Ophthalmologist Retina Center of Guam, LLC
Quiros, Juan Carlos, M.D. Cardiologist Pacific Cardiovascular Associates
Saw, Eng, M.D. General Surgeon
Seneviratne, Lasika, M.D. Hematology / Medical Oncolog L.A. Hematology and Oncology Medical Center
Tan, Christopher, M.D. Pediatric Cardiologist Pacific Cardiovascular Associates
Taniguchi, Raymond, M.D. Neurological Surgery FHP Health Center
Visiting OFF-ISLAND Providers/Specialist
TIC-PD092311Provider Directory
12