Provider Directory - takecareasia.com Directory.pdf · The true measure of any health care ... pe...

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A guide to help you make the right choice. Provider Directory

Transcript of Provider Directory - takecareasia.com Directory.pdf · The true measure of any health care ... pe...

Aguide to help youmake the right choice.

Provider Directory

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

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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

www.takecareasia.com