AlphaCare Medicare Advantage Provider Directory

610 Pages·2014·4.04 MB·English

2015
Provider
Directory
AlphaCare Renew (HMO)
AlphaCare Resilience (HMO SNP)
AlphaCare Total (HMO SNP)
This directory provides a list of AlphaCare’s network providers. This directory is for the Bronx, Kings,
New York & Queens Counties. This Directory is current as of 10/1/2014. For more information,
please contact AlphaCare’s Member Services number at 1-855-652-5742 (TTY users should call 711)
available 7 days a week from 8:00 AM – 8:00 PM or visit www.alphacare.com.
H9122_PROVDIRD102114 CMS Accepted 09/09/2014
Table of Contents
Introduction ......................................................................................................................1
Primary Care Physicians .................................................................................................5
Bronx County .......................................................................................................5
Kings County ......................................................................................................53
Nassau County .................................................................................................102
New York County .............................................................................................106
Oneida County .................................................................................................125
Queens County ................................................................................................125
Richmond County ............................................................................................141
Suffolk County .................................................................................................141
Westchester County ........................................................................................142
Specialists ....................................................................................................................143
ALL OTHER STATES County ..........................................................................143
Bronx County ...................................................................................................143
Kings County ....................................................................................................249
Nassau County .................................................................................................431
New York County .............................................................................................434
Queens County ................................................................................................482
Richmond County ............................................................................................533
Suffolk County .................................................................................................533
Westchester County ........................................................................................534
Ancillary Providers ......................................................................................................537
ALL OTHER STATES County ..........................................................................537
Bronx County ...................................................................................................537
Framingham County ........................................................................................540
Kings County ....................................................................................................540
Nassau County .................................................................................................545
New York County .............................................................................................547
Queens County ................................................................................................551
Richmond County ............................................................................................553
Rockland County .............................................................................................553
Table of Contents
Suffolk County .................................................................................................553
Westchester County ........................................................................................554
Alphabetical Index .......................................................................................................556
AlphaCare Renew (HMO), AlphaCare Resilience (HMO SNP) &
AlphaCare Total (HMO SNP) Plans Provider Directory
This directory provides a list of AlphaCare Renew, AlphaCare Resilience and AlphaCare Total’s
network providers.
This directory is for the service area that includes the follow counties:
(cid:114)(cid:2) Bronx
(cid:114)(cid:2) Kings (Brooklyn)
(cid:114)(cid:2) New York (Manhattan)
(cid:114)(cid:2) Queens
This directory is current as of October 1, 2014. Some network providers may have been added or
removed from our network after this directory was printed. We do not guarantee that each provider
is still accepting new members. To get the most up-to-date information about AlphaCare’s network
providers in your area, you can visit www.alphacare.com or call our Customer Services Department
at 1-855-OK-ALPHA (1-855-652-5742) for additional information. Hours are from 8:00 AM – 8:00
PM, 7 days a week. TTY users should call 711.
AlphaCare of New York is an HMO plan with a Medicare contract.
Enrollment in AlphaCare of New York depends on a contract renewal.
This information is available for free in other languages. Please call our customer service number at
1-855-OK-ALPHA (1-855-652-5742). TTY users should call 711, available 7 days a week from 8:00
AM – 8:00 PM.
This document may be available in an alternate formats such as braille and large print.
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H9122_PROVDIR123102114
Section 1 – Introduction
This directory provides a list of AlphaCare’s network providers. To get detailed information about
your health care coverage, please see your Evidence of Coverage.
You will have to choose one of our network providers who are listed in this directory to be your
Primary Care Provider (PCP). The term “PCP” will be used throughout this directory. Generally, you
must get your health care coverage from your PCP. Your PCP is the doctor or other provider you see
(cid:386)(cid:84)(cid:85)(cid:86)(cid:2)(cid:72)(cid:81)(cid:84)(cid:2)(cid:79)(cid:81)(cid:85)(cid:86)(cid:2)(cid:74)(cid:71)(cid:67)(cid:78)(cid:86)(cid:74)(cid:2)(cid:82)(cid:84)(cid:81)(cid:68)(cid:78)(cid:71)(cid:79)(cid:85)(cid:16)(cid:2)(cid:42)(cid:71)(cid:2)(cid:81)(cid:84)(cid:2)(cid:85)(cid:74)(cid:71)(cid:2)(cid:79)(cid:67)(cid:77)(cid:71)(cid:85)(cid:2)(cid:85)(cid:87)(cid:84)(cid:71)(cid:2)(cid:91)(cid:81)(cid:87)(cid:2)(cid:73)(cid:71)(cid:86)(cid:2)(cid:86)(cid:74)(cid:71)(cid:2)(cid:69)(cid:67)(cid:84)(cid:71)(cid:2)(cid:91)(cid:81)(cid:87)(cid:2)(cid:80)(cid:71)(cid:71)(cid:70)(cid:2)(cid:86)(cid:81)(cid:2)(cid:77)(cid:71)(cid:71)(cid:82)(cid:2)(cid:91)(cid:81)(cid:87)(cid:2)(cid:74)(cid:71)(cid:67)(cid:78)(cid:86)(cid:74)(cid:91)(cid:16)(cid:2)
He or she also may talk with other doctors and health care providers about your care and refer you
to them. You may self-refer to an obstetrical and gynecological (OB-GYN) specialist for a routine
Pap smear, pelvic exam and breast exam annually.
The “network providers” listed in this directory have agreed to provide you with your health care,
vision and dental coverage. You may go to any of our network providers listed in this directory;
however, some services may require a referral. If you have been going to one network provider,
you are not required to continue going to that same provider. In some cases, you may get covered
services from non-network providers.
If a non-network provider sends a bill directly to you, you should not pay the bill but submit it to
AlphaCare for processing and determination of any payment responsibility you may have.
Emergency care can always be obtained in or out of the service area from the nearest available
provider offering emergency services. When in the service area you must use plan providers for
urgent care. When out of the service area urgent care may be obtained from the nearest available
provider. In addition, when out of the service area you can obtain dialysis treatment from any
(cid:83)(cid:87)(cid:67)(cid:78)(cid:75)(cid:386)(cid:71)(cid:70)(cid:2)(cid:70)(cid:75)(cid:67)(cid:78)(cid:91)(cid:85)(cid:75)(cid:85)(cid:2)(cid:82)(cid:84)(cid:81)(cid:88)(cid:75)(cid:70)(cid:71)(cid:84)(cid:16)
You must use plan providers except in emergency or urgent care situations or for out-of-area renal
dialysis. If you obtain routine care from out-of-network providers neither Medicare nor
AlphaCare will be responsible for the costs
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What is the service area for AlphaCare Renew (HMO), AlphaCare
Resilience (HMO SNP) & AlphaCare Total (HMO SNP)?
The counties in our service area are listed below:
(cid:114)(cid:2) Bronx
(cid:114)(cid:2) Kings (Brooklyn)
(cid:114)(cid:2) New York (Manhattan)
(cid:114)(cid:2) Queens

(cid:42)(cid:81)(cid:89)(cid:2)(cid:70)(cid:81)(cid:2)(cid:91)(cid:81)(cid:87)(cid:2)(cid:386)(cid:80)(cid:70)(cid:2)(cid:35)(cid:78)(cid:82)(cid:74)(cid:67)(cid:37)(cid:67)(cid:84)(cid:71)(cid:2)Renew (HMO), AlphaCare Resilience (HMO
SNP) & AlphaCare Total (HMO SNP) providers in your area?
(cid:59)(cid:81)(cid:87)(cid:2)(cid:69)(cid:67)(cid:80)(cid:2)(cid:386)(cid:80)(cid:70)(cid:2)(cid:67)(cid:2)(cid:82)(cid:84)(cid:81)(cid:88)(cid:75)(cid:70)(cid:71)(cid:84)(cid:2)(cid:68)(cid:91)(cid:2)(cid:78)(cid:81)(cid:81)(cid:77)(cid:75)(cid:80)(cid:73)(cid:2)(cid:75)(cid:80)(cid:2)(cid:86)(cid:74)(cid:75)(cid:85)(cid:2)(cid:70)(cid:75)(cid:84)(cid:71)(cid:69)(cid:86)(cid:81)(cid:84)(cid:91)(cid:2)(cid:81)(cid:84)(cid:2)(cid:73)(cid:81)(cid:75)(cid:80)(cid:73)(cid:2)(cid:81)(cid:80)(cid:78)(cid:75)(cid:80)(cid:71)(cid:2)(cid:67)(cid:86)(cid:2)(cid:89)(cid:89)(cid:89)(cid:16)(cid:67)(cid:78)(cid:82)(cid:74)(cid:67)(cid:69)(cid:67)(cid:84)(cid:71)(cid:16)(cid:69)(cid:81)(cid:79)(cid:16)(cid:2)(cid:54)(cid:74)(cid:71)(cid:2)
(cid:82)(cid:84)(cid:81)(cid:88)(cid:75)(cid:70)(cid:71)(cid:84)(cid:85)(cid:2)(cid:75)(cid:80)(cid:2)(cid:86)(cid:74)(cid:75)(cid:85)(cid:2)(cid:70)(cid:75)(cid:84)(cid:71)(cid:69)(cid:86)(cid:81)(cid:84)(cid:91)(cid:2)(cid:74)(cid:67)(cid:88)(cid:71)(cid:2)(cid:68)(cid:71)(cid:71)(cid:80)(cid:2)(cid:78)(cid:75)(cid:85)(cid:86)(cid:71)(cid:70)(cid:2)(cid:68)(cid:91)(cid:2)(cid:69)(cid:81)(cid:87)(cid:80)(cid:86)(cid:91)(cid:2)(cid:72)(cid:81)(cid:84)(cid:2)(cid:91)(cid:81)(cid:87)(cid:84)(cid:2)(cid:69)(cid:81)(cid:80)(cid:88)(cid:71)(cid:80)(cid:75)(cid:71)(cid:80)(cid:69)(cid:71)(cid:16)(cid:2)(cid:54)(cid:81)(cid:2)(cid:386)(cid:80)(cid:70)(cid:2)(cid:67)(cid:2)(cid:82)(cid:84)(cid:81)(cid:88)(cid:75)(cid:70)(cid:71)(cid:84)(cid:2)(cid:75)(cid:80)(cid:2)
(cid:91)(cid:81)(cid:87)(cid:84)(cid:2)(cid:67)(cid:84)(cid:71)(cid:67)(cid:2)(cid:386)(cid:84)(cid:85)(cid:86)(cid:2)(cid:70)(cid:71)(cid:86)(cid:71)(cid:84)(cid:79)(cid:75)(cid:80)(cid:71)(cid:2)(cid:89)(cid:74)(cid:67)(cid:86)(cid:2)(cid:86)(cid:91)(cid:82)(cid:71)(cid:2)(cid:81)(cid:72)(cid:2)(cid:82)(cid:84)(cid:81)(cid:88)(cid:75)(cid:70)(cid:71)(cid:84)(cid:2)(cid:91)(cid:81)(cid:87)(cid:111)(cid:84)(cid:71)(cid:2)(cid:78)(cid:81)(cid:81)(cid:77)(cid:75)(cid:80)(cid:73)(cid:2)(cid:72)(cid:81)(cid:84)(cid:2)(cid:67)(cid:80)(cid:70)(cid:2)(cid:86)(cid:74)(cid:71)(cid:80)(cid:2)(cid:84)(cid:71)(cid:72)(cid:71)(cid:84)(cid:2)(cid:86)(cid:81)(cid:2)(cid:86)(cid:74)(cid:71)(cid:2)(cid:112)(cid:54)(cid:67)(cid:68)(cid:78)(cid:71)(cid:2)
of Contents” for the appropriate page to begin your search. All providers have been listed in
the County where they’re located and by zip code. Before selecting your provider, you may want
(cid:86)(cid:81)(cid:2)(cid:69)(cid:81)(cid:80)(cid:386)(cid:84)(cid:79)(cid:2)(cid:86)(cid:74)(cid:67)(cid:86)(cid:2)(cid:74)(cid:71)(cid:2)(cid:81)(cid:84)(cid:2)(cid:85)(cid:74)(cid:71)(cid:2)(cid:75)(cid:85)(cid:2)(cid:85)(cid:86)(cid:75)(cid:78)(cid:78)(cid:2)(cid:82)(cid:67)(cid:84)(cid:86)(cid:75)(cid:69)(cid:75)(cid:82)(cid:67)(cid:86)(cid:75)(cid:80)(cid:73)(cid:2)(cid:75)(cid:80)(cid:2)(cid:86)(cid:74)(cid:71)(cid:2)(cid:82)(cid:78)(cid:67)(cid:80)(cid:85)(cid:2)(cid:80)(cid:71)(cid:86)(cid:89)(cid:81)(cid:84)(cid:77)(cid:2)(cid:67)(cid:80)(cid:70)(cid:2)(cid:89)(cid:75)(cid:86)(cid:74)(cid:2)(cid:86)(cid:74)(cid:71)(cid:2)(cid:82)(cid:84)(cid:81)(cid:70)(cid:87)(cid:69)(cid:86)(cid:2)(cid:91)(cid:81)(cid:87)(cid:2)(cid:67)(cid:84)(cid:71)(cid:2)
covered by. You can do this by contacting the provider at the phone number listed in the directory.
If you have questions about AlphaCare Renew, AlphaCare Resilience or AlphaCare Total or require
assistance in selecting a PCP, please call our Member Services Department at 1-855-OK-ALPHA
(1-855-652-5742) for additional information. Hours are from 8:00 AM – 8:00 PM, 7 days a week.
TTY users should call 711. Or, visit www.alphacare.com.
3
Section 2 – List of Network Providers:
The Provider Network Listing is organized in the following format:
Type of Provider (Listed alphabetically)
County (Listed alphabetically)
Provider (Listed alphabetically)
(cid:12)(cid:50)(cid:84)(cid:81)(cid:88)(cid:75)(cid:70)(cid:71)(cid:84)(cid:85)(cid:2)(cid:75)(cid:70)(cid:71)(cid:80)(cid:86)(cid:75)(cid:386)(cid:71)(cid:70)(cid:2)(cid:89)(cid:75)(cid:86)(cid:74)(cid:2)(cid:67)(cid:80)(cid:2)(cid:67)(cid:85)(cid:86)(cid:71)(cid:84)(cid:75)(cid:85)(cid:77)(cid:2)(cid:67)(cid:78)(cid:85)(cid:81)(cid:2)(cid:67)(cid:69)(cid:69)(cid:71)(cid:82)(cid:86)(cid:2)(cid:47)(cid:71)(cid:70)(cid:75)(cid:69)(cid:67)(cid:75)(cid:70)(cid:16)
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Bronx Primary Care Physicians
The Alphacare network contains 2826 Primary Care Providers.
Bronx County ARIGANJOYE, RAFIU CHAN, TRICIA
— 10451 — BronxCare at Third BronxCare at Third
ADENIYI, AYOADE 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451
BronxCare at Third
[phone] [phone]
2739-45 Third Ave
Bronx, NY 10451
ATHERLEY-WARD, ALLISON CHEKURI, ANITA
[phone]
BronxCare at Third BronxCare at Third
ADEYEMO, ADENIKE A, MD 2739-45 Third Ave 2739-45 Third Ave
B
Bronx, NY 10451 Bronx, NY 10451
Language(s): YOR r
[phone] [phone] o
Soundhealth Medical PC
n
225A East 149th St
BERMUDEZ, RACHEL CINDRICH, RICHARD x
Bronx, NY 10451
BronxCare at Third BronxCare at Third
[phone]
2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451
AGGARWAL, NEENA
[phone] [phone]
BronxCare at Third
2739-45 Third Ave
BHATE, PRIYADARSHINI CRUZ, YVONNE
Bronx, NY 10451
BronxCare at Third BronxCare at Third
[phone]
2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451
AKELLA, SAI LAKSHMI
[phone] [phone]
BronxCare at Third
2739-45 Third Ave
CARNEVALE, CAROLINE DAPKINS, ISAAC
Bronx, NY 10451
BronxCare at Third BronxCare at Third
[phone]
2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451
ALVI, AFSHAN
[phone] [phone]
BronxCare at Third
2739-45 Third Ave
CELLINI, MELISSA DAS, ASHUTOSH
Bronx, NY 10451
BronxCare at Third BronxCare at Third
[phone]
2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451
AMANQUAH, LENA
[phone] [phone]
BronxCare at Third
2739-45 Third Ave
CHAMARTHY, SRI LAKSHMI DIANALAN, JOHAIRA
Bronx, NY 10451
BronxCare at Third BronxCare at Third
[phone]
2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451
[phone] [phone]
Accepts Medicaid Wheelchair Accessible
Page 5
Bronx Primary Care Physicians
DIAZ-FUENTES, GILDA GOTTESMAN, KENNETH JASTI, JYOTHI
BronxCare at Third BronxCare at Third BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
DUNCALF, RICHARD GUZMAN, RODOLFO JIMENEZ, LUIS
BronxCare at Third Language(s): SPA BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave
860 Grand concourse
Bronx, NY 10451 Bronx, NY 10451
Bronx, NY 10451
x [phone] [phone] [phone]
n
o
FAGBEMI, MORONKEJI HAMILTON, MONIQUE JOSEPH, GINA
r
B BronxCare at Third Southern Medical Group BronxCare at Third
2739-45 Third Ave 326 E 149th St 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
FUNDO, FIONA IMAM, ASIM KAMATH, AVIVA
BronxCare at Third BronxCare at Third BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
GANTI, VALLI IPPILI, RAKHEE KANTER, TIMOTHY
BronxCare at Third BronxCare at Third BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
GOMEZ-MARQUEZ, JOSE IRIGELA, MAHESWARA KHANDAVILLI, PRASANNA
BronxCare at Third BronxCare at Third BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
GONZALEZ, EFRAIN JAGARLAMUDI, PADMAVATHI KIN, LIN
BronxCare at Third BronxCare at Third BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
Accepts Medicaid Wheelchair Accessible
Page 6
Bronx Primary Care Physicians
KOIZUMI, CHRISTINA LVOVSKY, DMITRY MCNETT, MICHAEL
BronxCare at Third BronxCare at Third BronxCare at Third
2739-45 Third Ave 2739-45 Third Ave 2739-45 Third Ave
Bronx, NY 10451 Bronx, NY 10451 Bronx, NY 10451
[phone] [phone] [phone]
LABARBERA, JACLIN MACENAT, JEAN R MENON, ANUPAMA
BronxCare at Third Concourse Village Primary Care BronxCare at Third
2739-45 Third Ave PLLC 2739-45 Third Ave
Bronx, NY 10451 769 Concourse Village West Bronx, NY 10451
[phone] Bronx, NY 10451 [phone] B
[phone] r
o
LANDO, SISTER MELINDA MILLER, DANIEL
n
BronxCare at Third MAHBUBANI, SHALU BronxCare at Third x
2739-45 Third Ave BronxCare at Third 2739-45 Third Ave
Bronx, NY 10451 2739-45 Third Ave Bronx, NY 10451
[phone] Bronx, NY 10451 [phone]
[phone]
LARISH, LYVIA MOCHIZUKI -TAKAHASHI, MIKI
BronxCare at Third MAJEED, SOHAIB BronxCare at Third
2739-45 Third Ave BronxCare at Third 2739-45 Third Ave
Bronx, NY 10451 2739-45 Third Ave Bronx, NY 10451
[phone] Bronx, NY 10451 [phone]
[phone]
LATIKA, PRAJNA MUKALLA, SRILAKSHMI
BronxCare at Third MAKKALA, VENKATESHWARA BronxCare at Third
2739-45 Third Ave BronxCare at Third 2739-45 Third Ave
Bronx, NY 10451 2739-45 Third Ave Bronx, NY 10451
[phone] Bronx, NY 10451 [phone]
[phone]
LEE, JEE MUNIZ, ELISA
BronxCare at Third MANWANI, SAVITA BronxCare at Third
2739-45 Third Ave BronxCare at Third 2739-45 Third Ave
Bronx, NY 10451 2739-45 Third Ave Bronx, NY 10451
[phone] Bronx, NY 10451 [phone]
[phone]
LOGANATHAN, JAYANTHI NAQVI, ZEENAT
BronxCare at Third MCLEAN, BARBARA BronxCare at Third
2739-45 Third Ave BronxCare at Third 2739-45 Third Ave
Bronx, NY 10451 2739-45 Third Ave Bronx, NY 10451
[phone] Bronx, NY 10451 [phone]
[phone]
Accepts Medicaid Wheelchair Accessible
Page 7