ParPlan - BCBSTX
ParPlanTable of ContentsPAR ProvidersFacility-based PhysiciansIndex of ProvidersYou may not have coverage for services provided by certain provider types listed.Review your benefit booklet for the benefits covered under your plan.Product Type:Region:Last Updated:ParPlanNORTHEASTAugust 01, 2021A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,an Independent Licensee of the Blue Cross and Blue Shield Association216162080
August 01, 2021ADDISONParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISONALLERGY-IMMUNOLOGY/ ALERGIAINMUNOLOGÍADutta, Paritosh C, MD(972) 250-401616901 N Dallas PkwySte 206(972) 250-401616901 Dallas PkwySte 206AMBULATORYSURGICAL CENTER(ASC) / UNIDADESAMBULATORIAS DECIRUGÍAAmbulatory SurgicalInstitute(469) 916-052117051 Dallas ParkwaySte 100ANESTHESIOLOGY /ANESTESIOLOGÍADegironemo, Louis, MD(972) 380-000016633 Dallas Pkwy Ste 150Fubara, Deborah S, MD(469) 248-391617101 Dallas PkwyLedoux, Mark A, MD(214) 888-390017051 Dallas PkwySte 300Lee, Heidi J, MD(214) 370-353517051 Dallas PkwySte 400Lloyd, Aaron T, MD(972) 663-855217051 N Dallas PkwySte 440(972) 572-610117051 N Dallas PkwySte 440Racz, Tibor A, MD(972) 572-610117051 N Dallas PkwySte 440(972) 776-325017051 N Dallas ParkwaySte 310Wasserman, Jeffrey L, MD(972) 572-610117051 Dallas PkwySte 440Flores Bugarin, Sylvia,DC(972) 380-000016633 Dallas PkwySte 150McAnulty, Amy L, APN(972) 596-105917051 Dallas PkwyOdo, Annemarie O, APN(214) 293-6987ANP/CERT/CLNP /15080 E Beltwood PkwyFlores Bugarin, Sylvia,ENFERMERASSte 110APNTITULADAS(972) 380-0000Onime, Mildred, APNAdcock, Erica, APN16633 Dallas Pkwy(972) 661-2273(972) 661-2273Ste 15015301 Spectrum Dr15301 Spectrum DrSte 330Fuller, Michelle L, APNSte 330(214) 750-3646Osbun, Lisa L, APNAlexander, Trace L, APN17051 Dallas Pkwy(972) 661-2273(972) 394-8345Ste 35015301 Spectrum Dr16633 Dallas Ste 150Ste 330Grable, Alaena N, APNBrown, Gwendolyn C,(972) 380-0000Osimiri, Nicole, APNAPN16633 Dallas Pkwy(972) 661-2273(972) 572-6101Ste 15015301 Spectrum Dr17051 N Dallas PkwySte 330Hughes, Heather E, APNSte 440(972) 661-2273Pizana, Monica M, APN(972) 572-174015301 Spectrum Dr(972) 661-227317051 N Dallas PkwySte 33015301 Spectrum DrSte 440Ste 330Jacob, Latha, APNBrown, Brian, APN(800) 353-2708Rozell, Kathryn P, APN(972) 733-001414131 Midway Rd(469) 495-91264450 Sojourne DrSte 6204135 Belt Line RdSte 200Ste 124Jobe, Sigga, APNBrown, Rebecca E, APN(972) 661-2273Rubner, Cheryl M, APN(972) 572-610115301 Spectrum Dr Ste 330 (214) 750-364617051 N Dallas Pkwy17051 Dallas ParkwayKaur, Kashmir, APNSte 440Ste 350(469) 495-91264135BeltLineRdScott, Sheniqwa L, APNCaldwell, Brooke M, APNSte124(214) 363-2004(972) 661-22735290 Beltline Rd15301 Spectrum Dr Ste 330 Keller, Clay A, APNSte 134(972) 249-0200Cazares, Beatriz I, APN14131 Midway RdShafiei, Shiva, APN(972) 661-2273Ste 620(972) 661-227315301 Spectrum Dr15301 Spectrum DrSte 330Kinney, Dayna A, APNSte 330(469)484-4260Cracknell, Stephanie M,16479 Dallas PkwySheppard, Heather, APNAPNSte320(972) 991-1424(214) 750-36465290 Beltline Rd Ste 13417051 Dallas PkwyLee, Taryn, APNSte 350(972) 661-2273Sheridan, David W, APN15301 Spectrum Dr(214) 750-3646Dirks, Kristen A, APNSte33017051 Dallas Parkway(972) 572-6101Ste 35017051 N Dallas PkwyLuna, Leslie K, APNSte 440(800) 353-2708Shringer, Renuka J, APN14131MidwayRd(972) 733-3090Eleanya, Amarachi N, APN Ste 62017051 N Dallas Pkwy(972) 661-2273Ste 15015301 Spectrum DrMathews, Elizabeth N,Ste 330APNSimmons, Ebonyck, APN(972)661-2273(972) 572-6101Erwin, Brant T, APN15301 Spectrum Dr17051 Dallas Pwky(800) 353-2708Ste330Ste 44014131 Midway RdSte 620- Wheelchair Access2
ADDISONAugust 01, 2021ParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)ANP/CERT/CLNP /ENFERMERASTITULADAS (cont.)Strodtbeck, Frances, APN(972) 392-36464121 Rive LnSummers, Kevin M, APN(972) 661-227315301 Spectrum DrSte 330Thompson, Lori J, APN(972) 661-227315301 Spectrum DrSte 330Tyler, Kimberly M, APN(972) 661-227315301 Spectrum DrSte 330Walterscheid, Robin A,APN(800) 353-270814131 Midway RdSte 620Weaver, Tracy L, APN(972) 661-227315301 Spectrum DrSte 330Williams, Mary S, APN(972) 661-227315301 Spectrum DrSte 330Wright, Nannette M, APN(214) 750-364617051 Dallas Pkwy Ste 350Wright, Peggy S, APN(972) 572-610117051 N Dallas PkwySte 440Zachariah, Kristie A, APN(972) 661-227315301 Spectrum DrSte 330CHILD & ADOLESPSYCHIATRY /PSIQUIATRÍA PARANIÑOS YADOLESCENTESPole, Rekha, MD(214) 369-552216901 N Dallas PkwySte 106Quest Diagnostics(972) 247-117114280 Marsh LnCHIROPRACTIC /QUIROPRÁCTICA,(972) 989-468314677 Midway Rd #120,(800) 404-605016901 N Dallas PkwySte 250,(972) 417-999916633 N Dallas PkwySte 150,(972) 789-93334540 Belt Line RdAlexander, Trace L, DC(972) 899-979717051 N Dallas PkwySte 320Arredondo, Miguel A, DC(972) 385-040415080 Beltwood PkwySte 110Bynum, David G, DC(972) 733-10144833 Keller Springs RdClements, Roy, DC(800) 404-605016901 N Dallas PkwySte 250Johnston, Madeline C, DC(972) 789-93334540 Belt Line RdKnutson, Brandon, DC(972) 417-999916633 Dallas PkwySte 150(972) 417-999916633 N Dallas PkwySte 150DIAGNOSTICRADIOLOGY /RADIOLOGÍA DEDIAGNÓSTICOBlake, Kyle M, MD(972) 733-00144450 Sojourn Dr Ste 200Bradshaw, Stace T, MD(800) 841-423617101 Dallas PkwyCura, Marco A, MD(972) 733-00144450 Sojourn DrSte 200Moss, Jason T, MD(972) 733-00144450 Sojourne DrSte 200Nguyen, Huy M, MD(972) 733-00144450 Sojourn DrSte 200Patel, Jaynish B, MD(972) 733-00144450 Sojourn DrSte 200Rees, Chet R, MD(972) 733-00144450 Sojourne DrSte 200Shaw, Cathryn J, MD(972) 733-00144450 Sojourne DrSte 200Shurafa, Mahmud, MD(800) 841-423617101 Dallas PkwyHome Care Delivered Inc(800) 565-564415851 Dallas ParkwaySte 600Anla HealthcareCorporation(972) 690-46983704 Realty RdMobility MedicalEquipment Inc(972) 416-77744009 LindberghApnicure Inc(214) 561-860015851 Dallas PkwySte 600Star Medical Specialties(972) 380-20654386 Sunbelt DrEMERGENCY MEDICINE/ MEDICINA DEEMERGENCIAWang, Hao, MD(469) 248-390017101 N Dallas PkwyFAMILY PRACTICE /MEDICINA FAMILIAR,(972) 417-999916633 Dallas PkwySte 150Caro, Robert E, MD(972) 661-227315301 Spectrum DrSte 330Compton, Barrett W, DO(919) 425-155017101 Dallas PkwyDriggs, Shane C, MD(972) 661-2273DURABLE MEDICAL15301 Spectrum DrEQUIPMENT / EQUIPOSte 330MÉDICO DURADERODurani, Omar A, MDXmed Oxygen And(469) 374-2300Medical Equipment Inc4555 Excel Pkwy Ste 300(972) 416-5502Govindan, Archana, MD15230 Surveyor(469) 248-3900A To Z Medical Equipment 17101 Dallas PkwySuppliesHamill, Andrew, DO(214) 349-2869(469) 248-390015060 E Beltwood Pkw17101 Dallas PkwySte BManlongat, George G, MD(800) 353-270814131 Midway RdSte 620CLINICAL ANDANATOMICALLABORATORIES /LABORATORIOSQUÍMICOS YANATÓMICOSSupreme MedicalLaboratories Llc(469) 850-054816300 Addison RdSte 120Pruven Health Llc(469) 848-73764841 Keller Springs Rd- Wheelchair Access3
August 01, 2021ADDISONParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)FAMILY PRACTICE /MEDICINA FAMILIAR(cont.)McAuliff, Timothy M, MD(214) 712-243017101 Dallas PkwyNair, Revathy S, MD(469) 248-390017101 Dallas PkwyRashid, Mousumy K, MD(469) 248-390017101 Dallas PkwyReihsen, Julie L, MD(972) 248-202016901 N Dallas PkwySte 208Setoudeh Maram,Shahriar, MD(469) 248-390017101 Dallas PkwySiddiqui, Nadia N, MD(800) 353-270814131 Midway RdSte 620Wu, Yiqun, MD(469) 248-390017101 Dallas PkwyGASTROENTEROLOGY /GASTROENTEROLOGÍAAwasum, Serge Alain B,MD(936) 760-19004560 Belt Line RdSte 450Kelly, Stephen M, MD(936) 760-19004560 Belt Line RdKvapil, Peter R, MD(936) 760-19004560 Belt Line RdPearce, Ralph P, MD(936) 760-19004560 Belt Line RdGENERAL ACUTE CAREHOSPITAL / HOSPITALGENERAL DECUIDADOS GRAVESMethodist Hospital ForSurgery(469) 248-390017101 Dallas ParkwayBouajram, Rami, MD(469) 248-390017101 Dallas PkwyBrochu, Joanna G, DO(972) 249-020014131 Midway RdSte 620Chintala, Deepa, MD(800) 353-270814131 Midway RdSte 620Elshatory, Kareem M, MD(469) 248-390017101 Dallas PkwyFischer, Robert P, MD(469) 248-390017101 Dallas PkwyFischer, Robert A, MD(919) 425-155017101 Dallas PkwyFojtasek, Marvin F, MD(972) 661-227315301 Spectrum DrSte 330Fry, Liam C, MD(972) 249-020014131 Midway RdSte 620Huddleston, Ashley M,MD(469) 248-390017051 N Dallas ParkwaySte 250Hughes, Michael S, MD(972) 249-020014131 Midway RdSte 620Kankanala, Suresh B, MD(800) 353-270814131 Midway RdSte 620Kavikondala, Vijaya, MD(972) 249-020014131 Midway RdSte 620Khan, Shabaz A, MD(972) 249-020014131 Midway RdSte 620Kim, Leroy K, MD(972) 249-020014131 Midway RdSte 620Kumar, Ashok, MD(214) 712-260517101 Dallas PkwyGENERAL PRACTICE /MEDICINA GENERALReyes Pescador, Carlos,MD(972) 661-227315800 Dooley RdSte 185HOME HEALTH /SERVICIOS DELCUIDADO DE LA SALUDA DOMOCILIOMga Healthcare Texas Llc(214) 292-990015601 Dallas PkwySte 100Theracare Home Health(972) 434-940016750 Westgrove DrSte 300Kidscare Therapy Inc(214) 575-299915820 Addison RdHOME INFUSIONTHERAPY / TERAPIA DEINFUSIÓNHome Infusion ServicesLlc(972) 661-227315301 Spectrum DrSte 150HOSPICE / HOSPICIOSliverado Hospice DallasFt Worth(877) 831-82804500 Beltway DrIMAGING CENTER /CENTRO DEIMÁGENOLOGÍADiagnostic HealthServices(214) 242-85005055 Keller SpringsRd Ste 130INTERNAL MEDICINE /MEDICINA INTERNAArikati, Chythanya K, MD(800) 353-270814131 Midway RdSte 620Bista, Dipesh R, MD(800) 353-270814131 Midway RdSte 620Kvapil, Peter R, MD(936) 760-19004560 Belt Line RdMian, Abbas R, MD(919) 425-155017101 Dallas PkwyMohammed, Shafraz J,MD(800) 353-270814131 Midway Rd Ste 620(800) 353-270814131 Midway RdSte 620Murphy, Joseph S, MD(972) 733-309017051 Dallas PkwySte 150Nguyen, Andy T, MD(800) 353-270814131 Midway RdSte 620Nguyen, Tri T, MD(972) 733-309017051 Dallas PkwySte 150Pearce, Ralph P, MD(936) 760-19004560 Belt Line RdPham, Thuha, MD(972) 380-000016633 Dallas PkwySte 150Risam, Satbirsingh M, MD(972) 249-020014131 Midway RdSte 620Sadiq, Raheela, MD(469) 248-390017101 Dallas PkwyTon That, Quynh A, MD(972) 733-309017051 Dallas PkwySte 150Tran, Phuong H, MD(972) 733-309017051 N Dallas PkwySte 150Tran, Alexander H, MD(972) 249-020014131 Midway RdSte 620Treadwell, Robert C, DO(972) 249-020014131 Midway RdSte 620- Wheelchair Access4
ADDISONAugust 01, 2021ParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)INTERNAL MEDICINE /MEDICINA INTERNA (cont.)Usman, Asim R, MD(469) 248-390017101 Dallas PkwyMIXED SPECIALTIESCLINIC / CLINICA DEESPECIALIDADESMIXTAS,(469) 248-390017101 Dallas Pkwy,(214) 293-698715080 E Beltwood PkwySte 110,(469) 484-426416479 Dallas PkwySte 320,(936) 760-19004560 Belt Line Rd,(972) 394-834516633 Dallas PkwySte 150,(972) 733-309017051 N Dallas PkwySte 150,(972) 997-576614673 Midway RdSte 110,(972) 386-070115046 Beltway Dr,(972) 249-020014131 Midway RdSte 620,(469) 665-944514275 Midway RdSte 260,(888) 997-26695080 Spectrum DrSte 1200w(888) 997-266915810 Midway Rd,(469) 620-686016415 Addison RdSte 305,(214) 202-468714673 Midway Rd Ste 115,(972) 446-494914679 Midway RdSte 224,(214) 206-338016479 Dallas PkwySte 475,(972) 733-10144833 Keller Springs Rd,(972) 674-916615851 Dallas Pkwy Ste 600,(214) 483-317014683 Midway RdSte 160,(469) 484-426016479 Dallas PkwySte 320,(214) 505-29634530 Beltway Dr,(469) 200-283217051 N Dallas PkwySte 320,(972) 979-657717051 Dallas PkwySte 450,(214) 369-552216901 N Dallas PkwySte 106,(972) 661-227315800 Dooley RdSte 170,(214) 888-390017051 Dallas PkwySte 300,(972) 248-202016901 N Dallas PkwySte 208,(214) 370-353517051 Dallas PkwySte 400,(469) 573-184816415 Addison RdSte 305NEUROLOGICALSURGERY / CIRUGÍANEUROLÓGICABarnett, David W, MD(241) 823-205217051 Dallas PkwySte 370Bidiwala, Shaad B, MD(214) 823-205217051 Dallas PkwySte 370Denning, Jeremy W, MD(972) 665-481017051 Dallas ArkwaySte 350Desaloms, John M, MD(214) 750-364617051 Dallas Pkwy Ste 350Hutchison, Gary C, MD(214) 750-364617051 Dallas Pkwy Ste 350Jackson, Richard H, MD(214) 750-364617051 Dallas Pkwy Ste 350Krumerman, Jon A, MD(972) 665-481017051 Dallas PkwySte 350Michael, Christopher B,MD(214) 823-205217051 Dallas PkwySte 370Satyan, Krishna B, MD(214) 750-364617051 Dallas ParkwaySte 350Taub, Jason S, MD(214) 750-364617051 Dallas ParkwaySte 350Weiner, Richard L, MD(214) 750-364617051 Dallas ParkwaySte 350NEUROLOGY /NEUROLOGÍAFrancesconi, James E,MD(972) 661-227315301 Spectrum DrSte 330Jenevein, Nolan B, MD(214) 827-361017051 N Dallas PkwySte 370NEURORADIOLOGY /NEURORADIOLOGÍAKilgore, David P, MD(469) 248-390017101 Dallas PkwyReilly, Conor B, MD(972) 239-890214679 Midway Rd Ste 206Robertson, Ellis F, MD(972) 239-890214679 Midway Rd Ste 206Walkiewicz, Thomas W,MD(469) 248-390017101 Dallas PkwyWhitlow, Warren D, MD(469) 248-390017101 Dallas PkwyNURSE ANESTHETIST /ENFERMERA DEANESTESIA,(972) 380-000016633 Dallas Pkwy Ste 150Delsignore, Nicholas J,CRNA(972) 380-000016633 Dallas Pkwy Ste 150Robbins, Amy, CRNA(972) 380-000016633 Dallas Pkwy Ste 150Simpson, Jimmie W,CRNA(972) 715-500017051 Dallas Pkwy Ste 100Vazquez, Tonja A, CRNA(972) 380-000016633 Dallas Pkwy Ste 150- Wheelchair Access5
August 01, 2021ADDISONParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)NUTRITION & DIETETICS/ NUTRICIÓN Y DIETABloom, Melissa, RD(469) 294-907515851 Dallas PkwySte 600Sanders, Hayley, RD(469) 294-907515851 Dallas PkwySte 600Sumpter, Liesel, RD(469) 294-907515851 Dallas PkwySte 600OCCUPATIONALTHERAPY / TERAPIAOCUPACIONALAlfino, Diane R, OT(888) 997-266915810 Midway RdFischer, Marie T, OT(817) 433-071017480 N Dallas PkwySte 221James, Melissa B, OT(888) 997-266915810 Midway RdKaplan, Alan N, OT(888) 997-266915810 Midway RdMcCoy, Kelly M, OT(888) 997-266915810 Midway RdNabors, Heather, OT(888) 997-266915810 Midway RdSalam, Dinah J, OT(214) 483-317014683 Midway RdSte 160Seward, Rudy A, OT(214) 483-317014683 Midway RdSte 160Steinbauer, Lisa D, OT(888) 997-266915810 Midway RdOPTOMETRY /OPTOMETRÍAAllen, Karen E, OD(214) 206-338016479 Dallas PkwySte 120Kurtin, Steven C, OD(972) 908-999917051 N Dallas PkwySte 175(972) 663-855217051 N Dallas PkwySte 440Racz, Tibor A, MD(972) 776-325017051 N Dallas ParkwaySte 310Wasserman, Jeffrey L, MD(972) 572-610117051 Dallas PkwySte 440ORTHOPEDIC SURGERY/ CIRUGÍA ORTOPEDICACallewart, Craig C, MD(214) 271-458517051 N Dallas PkwySte 420Donnally, Chester J, MD(214) 370-353517051 Dallas PkwySte 400Hennessy, Michael W, MD(214) 370-353517051 Dallas PkwySte 400Park, Andrew E, MD(214) 370-353517051 Dallas PkwySte 400Tucker, William F, MD(214) 265-505017051 N Dallas PkwySte 420Viere, Robert G, MD(214) 370-353517051 Dallas PkwySte 400PATHOLOGY /PATOLOGÍABuck, John G, MD(214) 932-802914275 Midway RdSte 400Hinson, Stacy A, MD(214) 932-802914275 Midway RdSte 400Tomi Olugbodi, Adeola O,MD(214) 932-802914275 Midway RdSte 400PEDIATRICS /PEDIATRÍAAdkins Fletcher, Larissa,MD(214) 750-364617051 Dallas PkwySte 350Sanders Banuelas,Angela, PA(214) 983-03035040 Addison Cir Ste 400PAIN MANAGEMENT /CLÍNICA DEL DOLOREast, John W, DO(972) 380-000016633 Dallas PkwySte 150Frazier, Meriwether L, MD(972) 596-105917051 Dallas PkwySte 320Ledoux, Mark A, MD(214) 888-390017051 Dallas PkwySte 300Lloyd, Aaron T, MD(972) 572-610117051 N Dallas PkwySte 440PHYSICAL MEDICINE &REHABILITATION /MEDICINA FÍSICA Y DEREHABILITACIÓNCubitt, Bradley, MD(972) 380-000016633 Dallas PkwySte 150East, John W, DO(972) 380-000016633 Dallas PkwySte 150Frazier, Meriwether L, MD(972) 596-105917051 Dallas PkwySte 320Lin, Chun M, MD(214) 370-353517051 Dallas PkwySte 400Ozarkar, Tejas, MD(972) 596-105917051 N Dallas PkwySte 320Pravat, Nara P, DO(972) 380-000016633 Dallas Pkwy Ste 150Zeballos, Pablo P, DO(214) 888-390017051 Dallas PkwySte 300PHYSICAL THERAPY /TERAPIA FÍSICAAdams, Thomas A, LPT(972) 979-657717051 Dallas PkwySte 450Ajayi, Tolulope O, LPT(214) 983-03035040 Addison CirSte 400Anderson, Sarah F, LPT(915) 593-18625080 Spectrum DrSte 1200wAndrews, Daniel A, LPT(888) 997-266915810 Midway RdArdeshna, Nidhi R, LPT(888) 997-266915810 Midway RdAskew, Victoria M, LPT(888) 997-266915810 Midway RdAton, Alexis L, LPT(888) 997-266915810 Midway RdBall, Jane B, LPT(888) 997-226915810 Midway RdBarker, Brandon L, LPT(888) 997-266915810 Midway RdBelan, Derrick J, LPT(888) 997-226915810 Midway RdBentley, Adam, LPT(888) 997-266915810 Midway Rd- Wheelchair Access6
ADDISONAugust 01, 2021ParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)PHYSICAL THERAPY /TERAPIA FÍSICA (cont.)Bertran, Alison H, LPT(469) 416-525017051 N Dallas PkwySte 450Boyer, Andrea L, LPT(888) 997-266915810 Midway RdBrown, Danielle T, LPT(972) 386-070115046 Beltway DrCloete, Nicole, LPT(214) 272-856117051 N Dallas PkwySte 450Cobb, Kenyatta, LPT(972) 448-891615810 Midway RdCohen, Beau A, LPT(972) 979-657717051 N Dallas PkwySte 450Couch, Megan C, LPT(214) 272-856117051 N Dallas PkwySte 450Daniel, Johan, LPT(972) 979-657717051 N Dallas PkwySte 450De Jesus, Ferdinand C,LPT(214) 483-317014683 Midway RdSte 160Dyl, Janusz, LPT(972) 458-811115810 Midway RdEastham, Mark L, LPT(888) 997-266915810 Midway RdEngle, Justin, LPT(888) 997-266915810 Midway RdEnwere, Yelena, LPT(469) 415-525017051 N Dallas PkwySte 450Flores, Jaime I, LPT(888) 997-266915810 Midway RdGalvez Uribe, Silvia P, LPT(972) 979-657717051 N Dallas PkwySte 450Garcia, Lorena, LPT(972) 979-657717051 Dallas PkwySte 450Gibson, Bruce G, LPT(888) 997-266915810 Midway RdGirlinghouse, Jacob R,LPT(888) 997-266915810 Midway RdGuzman, Richard J, LPT(972) 458-777615810 Midway RdHaith, Kimberly M, LPT(888) 997-266915810 Midway RdHarris, Jordan, LPT(888) 997-266915810 Midway RdHess, Michael, LPT(972) 979-657717051 N Dallas PkwySte 450Hozhabri, Siamack, LPT(214) 272-856117051 N Dallas Pkwy Ste450Hu, Si H, LPT(888) 997-266915810 Midway RdJackson, Stacy, LPT(972) 386-070115046 Beltway DrJohnson, Tavion, LPT(888) 997-266915810 Midway RdJohnson, Kenneth R, LPT(888) 997-266915810 Midway RdJones, Lance, LPT(888) 997-266915810 Midway RdKabbani, Liana, LPT(888) 997-266915810 Midway RdLandicho, Estela G, LPT(888) 997-266915810 Midway RdLin, Andy Q, LPT(972) 979-657717051 Dallas PkwySte 450Longendyke, Nicholas M,LPT(972) 979-657717051 N Dallas PkwySte 450McNab, Laura A, LPT(888) 997-266915810 Midway RdMihal, Victoria, LPT(972) 979-657717051 N Dallas PkwySte 450Miller, Orson A, LPT(281) 873-01115080 Spectrum DrSte 1200wMiller, Grace G, LPT(888) 997-266915810 Midway RdMoslemi, Shayan, LPT(214) 272-856117051 N Dallas PkwySte 450Newman, Christina E, LPT(214) 272-856117051 Dallas Pkwy Ste 450(972) 979-657717051 N Dallas PkwySte 450Nordin, Jenny M, LPT(888) 997-266915810 Midway RdOsteen, Erin A, LPT(972) 979-657717051 Dallas PkwySte 450Pehr, Adam J, LPT(888) 997-266915810 Midway RdPurser, Shane, LPT(888) 997-266915810 Midway RdRajabali, Alam A, LPT(214) 483-317014683 Midway RdSte 160Randle, Kaitlin, LPT(972) 979-657717051 Dallas PkwySte 450Redding, Stuart R, LPT(972) 979-657717051 Dallas PkwySte 450Sandoval, Myles, LPT(214) 483-317014683 Midway RdSte 160Sankaran,Sivachidambaram, LPT(972) 979-657717051 Dallas PkwySte 450Santos Cabane, MaAgnes, LPT(888) 997-266915810 Midway RdSchwartz, Michelle E, LPT(972) 979-657717051 N Dallas PkwySte 450Seliga, Matthew T, LPT(888) 997-266915810 Midway RdSmith, Ryan C, LPT(888) 997-266915810 Midway RdSoldevilla, Edward T, LPT(972) 979-657717051 Dallas PkwySte 450Stapp, Michael R, LPT(972) 458-811115810 Midway RdStone, Kyle M, LPT(888) 997-266915810 Midway RdTarighi, Mealad, LPT(214) 272-856117051 N Dallas PkwySte 450Taylor, Pia, LPT(972) 979-657717051 Dallas PkwySte 450Terrell, Kollin, LPT(888) 997-266915810 Midway RdThomas, Benita, LPT(972) 979-657717051 Dallas PkwySte 450Thompson Newman,Shannon L, LPT(888) 997-226915810 Midway Rd- Wheelchair Access7
August 01, 2021ADDISONParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)PHYSICAL THERAPY /TERAPIA FÍSICA (cont.)Wallace Garcia, ElizabethA, LPT(972) 386-070115048 Beltway DrWelch, Amy N, LPT(888) 997-266915810 Midway RdWillard, Taylor, LPT(817) 433-071017480 N Dallas PkwySte 221Yeatts, Peter E, LPT(888) 997-266915810 Midway RdPHYSICIAN ASSISTANT /ASISTENTE DE MÉDICOBeheshti, Annahita, PA(469) 495-91264135 Belt Line RdSte 124Black, Ryan T, PA(214) 983-03035040 Addison CirSte 400Boettger, Jon, PA(972) 733-00144450 Sojourn DrSte 200Chapman, Morgan, PA(214) 750-364617051 Dallas Pkwy Ste 350Craig, Yingrao, PA(214) 750-364617051 Dallas PkwySte 350Farrer, Randall K, PA(214) 370-353517051 Dallas PkwySte 400Faught, Aubrey L, PA(214) 370-353517051 Dallas PkwySte 400Harms, Christine, PA(972) 661-227315301 Spectrum DrSte 330Hays, Stephanie C, PA(214) 750-364617051 Dallas Pkwy Ste 350Jackson, Linda S, PA(214) 370-353517051 Dallas ParkwaySte 400Kreck, Jake H, PA(214) 370-353517051 Dallas PkwySte 400Nguyen, Uyen, PA(972) 733-309017051 N DallasPkwy Ste 150Osteen, Mary E, PA(214) 370-353517051 Dallas PkwySte 400So, Sonyta, PA(972) 733-309017051 N Dallas PkwySte 150 And 310Stark, James D, PA(800) 353-270814131 Midway RdSte 620Thomas, Kimberly J, PA(972) 733-00144450 Sojourne DrSte 200Blake, Kyle M, MD(972) 733-00144450 Sojourn Dr Ste 200Blanchard, Adam J, MD(800) 841-423617101 Dallas PkwyBradshaw, Stace T, MD(800) 841-423617101 Dallas PkwyBurman, Sudeep, MD(469) 248-390017101 Dallas PkwyChan, Danny, MD(469) 317-990014679 Midway Rd Ste 206Chhaya, Samir A, MD(972) 239-890214679 Midway Rd Ste 206Coben, Marcie L, MD(972) 239-890214679 Midway Rd Ste 206Cornell, Thomas J, MD(614) 396-475014679 Midway RdSte 206Cox, Mougnyan, MD(800) 841-423617101 Dallas PkwyCura, Marco A, MD(972) 733-00144450 Sojourn DrSte 200Fuller, Dana A, MD(972) 239-890214679 Midway Rd Ste 206Gordon, Murray J, MD(972) 239-890214679 Midway Rd Ste 206Heasley, David C, MD(469) 248-390017101 Dallas PkwyHostetter, Susan Marie N,MD(614) 396-473914679 Midway RdSte 206Hyde, Matthew R, MD(469) 248-390017101 Dallas PkwyKanamalla, Uday S, MD(972) 239-890214679 Midway Rd Ste 206Kilgore, David P, MD(469) 248-390017101 Dallas PkwyPODIATRY / PODIATRÍAHarris, Tommie T, DPM(972) 596-105917051 N Dallas PkwySte 320PROSTHESES,ORTHOTICS &PEDORTHISTS /PRÓTESIS, APARATOSORTOPÉDICOS YPEDORTHISTSLevel Four OrthoticsProsthetics(972) 980-966015301 Spectrum DrSte 175RADIOLOGY /RADIOLOGÍA,(469) 317-990214679 Midway RdSte 206Aznavorian Bentley, GailE, MD(972) 239-890214679 Midway RdBldg 4 Ste 206Kraft, David C, MD(800) 841-423617101 Dallas PkwyLam, Khoa V, MD(800) 841-423617101 Dallas PkwyLin, Scott F, MD(972) 239-890214679 Midway Rd Ste 206Liu, Kevin X, MD(972) 733-00144450 Sojourn DrSte 200Monga, Ashish G, MD(972) 239-890214679 Midway Rd Ste 206Naugher, Gregory R, MD(972) 239-890214679 Midway Rd Ste 206Nguyen, Huy M, MD(972) 733-00144450 Sojourn DrSte 200Palumbo, Alison, MD(800) 841-423617101 Dallas PkwyPatel, Jaynish B, MD(972) 733-00144450 Sojourn DrSte 200Patel, Mital, DO(972) 239-890214679 Midway Rd Ste 206Pudu, Sridhar, MD(972) 239-890214679 Midway Rd Ste 206Ramakrishna, Kalpana,MD(972) 239-890214679 Midway Rd Ste 206Rees, Chet R, MD(972) 733-00144450 Sojourne DrSte 200Reilly, Conor B, MD(972) 239-890214679 Midway Rd Ste 206Robertson, Ellis F, MD(972) 239-890214679 Midway Rd Ste 206Shah, Dimple, MD(800) 841-423617101 Dallas Pkwy- Wheelchair Access8
ADDISONAugust 01, 2021ParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ADDISON (cont.)SPEECH PATHOLOGY /PATOLOGÍA DEL HABLARADIOLOGY /Ash, Kelli A, SLPRADIOLOGÍA (cont.)(214) 483-317014683 Midway RdSharma, Nidhi, MDSte 160(800) 841-423617101 Dallas PkwyBailey, Linda, SLP(817) 433-0710Shaw, Cathryn J, MD17480 N Dallas Pkwy(972) 733-0014Ste 2214450 Sojourne DrSte 200Brewington, Kathlyn, LPT(214) 483-3170Shurafa, Mahmud, MD14683 Midway Rd(800) 841-4236Ste 16017101 Dallas PkwyMutschler, Jamie M, SLPSingh, Ramandeep, MD(817) 433-0710(972) 239-890217480 N Dallas Pkwy14679 Midway Rd Ste 206Ste 221Smith, Jennifer D, MDSchniepp, Sandra C, SLP(972) 239-8902(214) 483-317014679 Midway Rd Ste 20614683 Midway RdSory, William C, MDSte 160(972) 239-890214679 Midway Rd Ste 206 Waldrip Miranda, Amy J,SPStephens, Nicholas R, MD (214) 483-3170(800) 841-423614683 Midway Rd17101 Dallas PkwySte 160Walkiewicz, Thomas W,SUBSTANCE ABUSEMDFACILITY / UNIDAD DEL(469) 248-3900ABUSO DE17101 Dallas PkwySUBSTANCIASWeissenborn, Matthew R,Mem Hermann PrevMDRecovery Center(972) 733-0014(214) 272-93874450 Sojourn Dr4950 Keller SpringsSte 200Ste 130Whitlow, Warren D, MD(469) 248-3900URGENT CARE CENTER17101 Dallas Pkwy/ UNIDADES DECUIDADOS URGENTESWoods, Carolyn J, MD(469) 248-3900Texas Health Breeze17101 Dallas PkwyUrgent Care(469) 495-9126REG NURSE FIRST4135 Belt Line RdASSIST / PRIMERSte 124ASISTENTE DEConcentra Urgent CareENFERMEDA TITULADA(866) 944-6046Coleman, Tina F, APN15810 Midway Rd(214) 750-364617051 Dallas PkwyTexas Health BreezeSte 350Urgent Care(469) 495-91264135 Belt Line RdSte 124URGENT CAREPROVIDER /PROVEEDOR DECUIDADOS URGENTESNiemirowski, George J,MD(866) 944-604615810 Midway RdScott, Matthew E, MD(866) 944-604615810 Midway Rd,(817) 441-2266311 S Fm 1187Ste 300,(682) 214-0408601 N Fm 1187Ste 5,(817) 594-85851304 Saratoga CtVASCULAR & INTERVENRADIOLOGY /RADIOLOGÍAVASCULAR EINTERVENTIVALiu, Kevin X, MD(972) 733-00144450 Sojourn DrSte 200Weissenborn, Matthew R,MD(972) 733-00144450 Sojourn DrSte 200OPTOMETRY /OPTOMETRÍA,(817) 441-0010119 S Ranch House Rd 200ALEDOFAMILY PRACTICE /MEDICINA FAMILIARSingh, Lakheram, MD(817) 594-82201304 Saratoga CtHOME INFUSIONTHERAPY / TERAPIA DEINFUSIÓNAledo Medicine Store Inc(817) 441-2702621 N Fm 1187INTERNAL MEDICINE /MEDICINA INTERNAGeorge, Betsy A, MD(817) 441-5990311 S Fm 1187Ste DMIXED SPECIALTIESCLINIC / CLINICA DEESPECIALIDADESMIXTAS,(817) 851-2042104 Maverick StPEDIATRICS /PEDIATRÍAFowler, Gina M, DO(817) 441-2266311 S Fm 1187Ste 300PHYSICAL THERAPY /TERAPIA FÍSICA,(682) 235-3816203 E Oak StBall, Allison E, LPT(682) 235-3816203 E Oak StBerry, Tonda K, LPT(682) 235-3816203 E Oak StBlackburn, Robert M, LPT(817) 441-5500519 Pine St Ste 103Brown, John D, LPT(817) 441-5500519 Pine St Ste 103Connelly, Dennis G, LPT(817) 441-5500519 Pine St Ste 103Horstman, Daniel E, LPT(817) 441-5500519 Pine St Ste 103Ragle, Tracy L, LPT(817) 441-5500519 Pine St Ste 103Shashack, Kristi L, LPT(817) 441-5500519 Pine St- Wheelchair Access9
August 01, 2021ALEDOParPlan Providers/Proveedores de ParPlanYou may not have coverage for services provided by certain provider types listed. Review your benefit booklet for thebenefits covered under your plan.ALEDO (cont.)PHYSICAL THERAPY /TERAPIA FÍSICA (cont.)Woerner, Marie B, LPT(682) 235-3816203 E Oak StPHYSICIAN ASSISTANT /ASISTENTE DE MÉDICOKaldenbach, Kelly J, PA(817) 489-73005700 E I 20 SSte 200Meador, Michael G, PA(817) 489-7300200 Bailey Rd #102RADIOLOGY /RADIOLOGÍAPerez Young, Irene V, MD(303) 933-8270216 Bearclaw CircleREG NURSE FIRSTASSIST / PRIMERASISTENTE DEENFERMEDA TITULADAHutchinson, Donna I,RNFA(817) 294-7444127 Ranch Meadow CtALLENALLERGY-IMMUNOLOGY/ ALERGIAINMUNOLOGÍA,(972) 747-7007977 Raintree CirSte 100Reddy, Hari, DO(972) 747-7007977 Raintree Cir Ste 100Santilli, Gregg M, MD(469) 656-10571101 Raintree CircleSte 200Van Wagoner, John A, MD(469) 656-10571101 Raintree CircleSte 200AMBULATORYSURGICAL CENTER(ASC) / UNIDADESAMBULATORIAS DECIRUGÍATexas Health SpineSurgery Center(682) 651-19081120 Raintree CircleSte 100Pain Care Of North TexasLlc(214) 509-95301111 Raintree CirSte 190Methodist Allen SurgeryCenter(972) 569-45001125 Raintree CircleSte 200ANATOMIC & CLNPATHOLOGY /PATOLOGÍA ANATÓMICACLÍNICANichols, Alexandra R, MD(972) 747-10001105 N Central ExpwyANESTHESIOLOGY /ANESTESIOLOGÍA,(972) 747-5840906 W McDermott DrSte 116 371Baidwain, Rajvinder S,MD(972) 747-58301105 Central Expw NSte 210Berg, Eric C, MD(972) 747-58401105 N Central Expwy 375(972) 747-58301105 Central Expw NSte 210Berk, Alan M, MD(972) 747-58301105 Central Expw NSte 210Botts, John T, MD(972) 747-58401105 Central Expwy NSte 210Clark, Priscilla D, MD(972) 747-58301105 Central Expw NSte 210Dandona, Neal R, MD(972) 747-58401105 N Central Expwy 375(972) 747-58301105 Central Expw NSte 210Ekanayake, Irani S, MD(214) 257-76881314 W McDermott DrSte 106 And Ste 809Embabi, Ahmed S, MD(469) 831-88641803 Longwood CtFairchild, Chad D, MD(972) 747-58411105 N. Central ExpwySte 210Fairchild, Tammy L, MD(972) 747-58401105 N. Central ExpwySte 210Faulkner, David A, MD(972) 747-58301105 Central Expw NSte 210Fu, Hubert, MD(972) 747-58401105 N. Central ExpwySte 210Gibelyou, Richard L, MD(972) 747-58401105 Central Expwy NSte 210Gonzalez, Justo J, MD(972) 747-58401105 N Central Expwy 375(972) 747-58301105 Central Expw NSte 210Harpavat, Ajay, MD(972) 747-58421105 N Central ExpwySte 210(972) 747-58421105 Central Expw NSte 210Havemann, Eric C, MD(972) 747-58301105 Central Expw NSte 210Herbert, Michael E, MD(972) 747-58301105 Central Expw NSte 210(972) 747-58401105 N Central Expwy 375Holubec, Jerry T, DO(214) 509-96911111 Raintree Cir Ste 170Holubec, Deborah M, MD(940) 455-21221111 Raintree CirSte 170Huffman, Richard M, MD(972) 747-58301105 Central Expw NSte 210Jetti, Vamseen, MD(972) 747-58301105 Central Expw NSte 210Jones, George F, MD(972) 747-58301105 Central Expw NSte 210Kikkeri,
Kidscare Therapy Inc (214) 575-2999 15820 Addison Rd HOME INFUSION THERAPY / TERAPIA DE INFUSIÓN Home Infusion Services Llc (972) 661-2273 15301 Spectrum Dr Ste 150 HOSPICE / HOSPICIO Sliverado Hospice Dallas Ft Worth (877) 831-8280 4500 Beltway Dr IMAGING CENTER / CENT
Rides through the BCBSTX VAS program are for Non ‑Emergency Medical Transportation (NEMT). This VAS is for BCBSTX CHIP and CHIP Perinate members who have no other way to get to their health care appointments or BCBSTX member events. BCBSTX works with LogistiCare, our VAS transportation provider, to provide your free VAS transportation .
through the Texas Health Insurance Marketplace. 3 If you are Native American, the cost-sharing amounts and income levels may be different. Please call 800-531-4456 or contact an independent, authorized BCBSTX agent for details. How can you sign up? Start at bcbstx.com. You can compare your options, see different benefit levels and get an online .
1-800-964-2777 * TTY lines are only for members with hearing or speech loss. Part 1 Phone Numbers and Information 2 If you have questions, please call BCBSTX Customer Service a
Chart All plans from Blue Cross and Blue Shield of Texas (BCBSTX), a Division of Health Care Service Corporation, provide coverage for preventive services and maternity care. Please see your Summary of Benefits and Coverage or visitbcbstx.com for more specific information.
Anesthesia Clinical Payment and Coding Information Policy Number: CPCP010 Version: 2.0 Enterprise Clinical Payment and Coding Policy Committee Approval Date: April 3, 2020 Plan Effective Date: July 20, 2020 (Blue Cross and Blue Shield of Texas Only) This Clinical Payment and Coding policy was created to serve as a general reference guide for
Outpatient Lab 20% Coinsurance after Deductible . . Bone mass measurement for osteoporosis No Copay . Well-woman exam, once every twelve months, includes, but not . Breastfeeding Support, Counseling and Supplies Electric breast pumps limited to one (1) per Calendar Year
Demographic Change Form User Guide . Version 1.0 TX . 10/01/2020. 6. * Type of Provider (Note: Form needs to be completed and submitted for each applicable provider and/or group provider record ID#) A. Individual Provider is a provider who will not be employing another professional provider a.
2 CHAPTER1. INTRODUCTION 1.1.3 Differences between financial ac-countancy and management ac-counting Management accounting information differs from
