Provider Directory
for
HPN Rural Nevada Directory * |
HMO Providers
| HPN Northern Nevada - Rural | October 28, 2008 |
HEALTH PLAN OF NEVADA, INC. (HPN)
Selecting and Changing Your Primary Care Physician
To choose your Primary Care Physician (PCP), PLEASE NOTE the following steps:
Choose a specific Physician Code (the number listed next to the physician's name) from the list of physicians included in this brochure.
Place the Physician Code in the appropriate space on the enrollment form.
You may choose to have a different physician for each member of your family, but you must write the Physician Code by each family member's name on the enrollment form.
Female members, age 14 and over, must also select an obstetrical and gynecological (OB/GYN) provider from one of HPN's OB/GYN physicians.
Once you choose your PCP, you must seek all care from that physician. He/She will supervise all of your medical care.
If you wish to change your PCP, you must contact the Member Services Department at (702) 242-7300 or (800) 777-1840 (TDD/TTY at (702) 242-9214 or (800) 349-3538), Monday through Friday, 8 a.m. to 5 p.m. If you submit your change request by the 20th of the month, your change will be effective for treatment received by the new PCP the first day of the following month. If you submit your change after the 20th, you will not be effective with your new PCP until one full month after the following month.
It's important to know that when you enroll in an HPN plan, services are provided through HPN's delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. If you have questions regarding claims, please contact the phone number listed on the back of your insurance identification card.
If specialty care is needed, your PCP must refer you to a designated specialist. Failure to follow the requirements of this referral process will result in higher out-of-pocket costs to you. Visits to a specialist without the required referral will be denied by HPN, and you will be responsible for the costs.
Corporate Office 2720 N. Tenaya Way
P.O. Box 15645
Las Vegas, Nevada 89114-5645
(702) 242-7300 or (800) 777-1840
TDD (702) 242-9214 or TDD (800) 349-3538
Monday through Friday 8 a.m. to 5 p.m.
Senior Dimensions Members:
Coverage under the Senior Dimensions plan includes access to emergency services, urgently needed services, and out of area dialysis services. These services will be covered and can be obtained without a PCP referral or authorization. In the event of an Emergency Medical Condition, go to the closest emergency room, or where available, call 911 for assistance. Health Plan will cover Emergency Services whether you are in or out of the service area. You should have someone telephone Health Plan at the number listed on your membership card within 48 hours; or as soon as reasonably possible when an emergency occurs so that we can be involved in the management of your health care and transfer can be arranged when your medical condition is stable (depending on the distance involved).
Providers should submit bills to Health Plan directly for payment. However, if you paid for any Emergency Services, Urgently Needed Services, or out of area dialysis services obtained from Non-contracted Medical Providers, you should submit your itemized bills to Health Plan for payment. You should be prepared to assist Health Plan in obtaining all information necessary to properly process your request. Bills should be submitted to the following address:
Health Plan of Nevada, Inc.
Attn: Claims Administration
PO Box 15645
Las Vegas, NV 89114-5645Please refer to your Evidence of Coverage (EOC) for a full description of plan rules and requirements. If you have any questions (including how to submit a claim), please call us at (702) 242-7301 or (800) 650-6232 or for TDD (702) 242-9214 or TDD (800) 349-3538. Your personal assistant is available from 8 a.m. to 5 p.m., PST, Monday through Friday, and will be happy to assist you.
| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Allergy/Immunology 1 Ambulatory Surgery Center 1 Anesthesiology 1 Audiology 2 Cardiology 2 Cardiology-Pediatric 7 Cardiovascular/Thoracic Surgery 7 Chiropractic 7 Colon/Rectal Surgery 8 Dermatology 8 Dialysis 9 Durable Medical Equipment 9 Endocrinology 10 Endocrinology-Pediatric 10 Family Practice 10 Gastroenterology 15 General Practice 16 General Surgery 17 General Vascular Surgery 18 Gynecology 18 Hematology/Oncology 19 Hematology/Oncology-Pediatric 19 Home Health 19 Hospice Care 19 Hospital 19 Infectious Disease 20 Infusion Therapy 20 Internal Medicine 20 Laboratory 23 Mental Health/Sub Abuse Facility 23 Mental Health/Sub Abuse Prov 23 Neonatology 23 Nephrology 24 Neurology 24 Neurology-Pediatric 24 Neurosurgery 25 Nutritionist/Dietician 25 Ob/Gyn 26 Ophthalmology 26 Ophthalmology-Pediatric 27 Orthopedic Surgery 28 Orthotics/Prosthetics 30 Otolaryngology 31 Pain Management 31 Pediatrics 31 Perinatology 32 Physical Medicine/Rehab 32 Plastic Surgery 32 Podiatry 32 | Pulmonology 33 Pulmonology-Pediatric 34 Radiation Therapy 34 Radiology Facility 34 Rheumatology 35 Skilled Nursing Facility 35 Sleep Studies 35 Speech Pathology 35 Therapy-Occupational 36 Therapy-Physical 36 Urgent Care 37 |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Black, Donald M.D.* Carson Ambulatory Surgery | Northern Nevada Medical Anesthesia Care Consultants | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) Campbell, Nanci A.U.D. Anderson, Letitia M.D. | (cont) | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | Chavez, Joe M.D. | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | Grinsell, John M.D.* | Kelley, Francis M.D.* |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Mattioli, Sharon A.P.N. | (cont) | Pai, Rakesh M.D.* |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Seher, Richard M.D.* | (cont) | Tann, Stephen M.D.* |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) Acherman, Ruben M.D.* | (cont) Willenborg, Catherine P.A.C. Albretsen, Raymond D.C. | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Trujillo, David D.C. Kennedy, Harold M.D.* Ai, Julia M.D.* | (cont) | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | (cont) | Sierra Rose Dialysis Center Apria Healthcare |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Ebi Abbott, Lisa M.D.* | (cont) Eckert, Kathryn M.D.* Albitre, James P.A.C. | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | (cont) | Evans, John A.P.N. |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | (cont) | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | (cont) | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Read-Anderson, Carol A.P.N. | (cont) | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Walker, Brooke A.P.N. | Caves, Thomas M.D.* | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) | (cont) | Yamamoto, Dennis M.D.* Buster, David M.D. |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Christensen, George M.D. Arias, Faythe A.P.N. | (cont) | (cont) |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
Nachtsheim, Robert M.D. | (cont) Albright, Janet M.D.* | (cont) Brown, Keith D.O.* |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) Belding, Faith A.P.N. | (cont) Bernstein, Jonathan M.D. Barton Memorial Home Health | (cont) Barton Memorial Home Health Barton Memorial Hospital |
Participating providers and facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Health Plan of Nevada, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy. Updated on 05/20/2008. |
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| Health Plan of Nevada Providers for: | HPN Rural Nevada Directory |
(cont) Krasner, Charles M.D.* | (cont) Critical Care Systems Alegre, Elmer M.D.* |