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Provider / Pharmacy Directory Directorio de Proveedores y Farmacias 2018 MIAMI-DADE / BROWARD / PALM BEACH

Member Services Department Departamento de Servicios al Afiliado 1-877-577-0115 / TTY: 711 mysimplymedicare.com

This provider/pharmacy directory was updated on 11/2018. For more recent information or otherquestions, please contact Simply Healthcare Plans Member Services, at 1-877-577-0115 or, for TTY users,711, from October 1 to February 14, we are open 7 days a week from 8 a.m. - 8 p.m., EST. BeginningFebruary 15 until September 30, we are open Monday through Friday, 8 a.m. - 8 p.m., EST., or visit www.mysimplymedicare.com. Changes to our provider/pharmacy network may occur during the benefit year. An updatedProvider/Pharmacy Directory is located on our website at www.mysimplymedicare.com. You may also call Member Services for updated provider information. Este directorio de proveedores y farmacias fue actualizado en 11/2018. Para obtener informacin msreciente o para otras preguntas, por favor llame a Simply Healthcare Plans Servicios al Afiliado, al1-877-577-0115 o, para usuarios de TTY 711, desde el 1 de octubre al 14 de febrero atendemos los 7 das de la semana de 8 a.m. a 8 p.m., hora del Este. A partir del 15 de febrero hasta el 30 de septiembreatendemos de lunes a viernes de 8 a.m. a 8 p.m., hora del Este, o visite www.mysimplymedicare.com. Cambios en nuestra red de proveedores y farmacias pueden ocurrir durante el ao de beneficios. UnDirectorio de Proveedores y Farmacias actualizado se encuentra en nuestra pgina web enwww.mysimplymedicare.com. Tambin puede llamar a Servicios al Afiliado para un listado deproveedores actualizado. 67783FLSENSHP_001 Y0114_18_31942_X_001_NM
http://www.mysimplymedicare.comhttp://www.mysimplymedicare.comhttp://www.mysimplymedicare.comhttp://www.mysimplymedicare.comhttp://mysimplymedicare.com

Provider/Pharmacy Directory

This directory is current as of November 2018.

This directory provides a list of Simply Healthcare Plans, Inc. (Simply Healthcare) current network providers and pharmacies.

This directory is for Miami-Dade/Broward/Palm Beach.

To access Simply Healthcares online provider/pharmacy directory, you can visit www.mysimplymedicare.com. For any questions about the information contained in this directory (hardcopy or online), please call our Member Services Department at 1-877-577-0115. From October 1 to February 14, we are open 7 days a week from 8 a.m. 8 p.m. EST. From February 15 to September 30, we are open Monday through Friday, 8 a.m. 8 p.m. EST. TTY users should call 711.

The pharmacy network and/or provider network may change at any time. You will receive notice when necessary.

We do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability in our health programs and activities. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-877-577-0115 / TTY: 711.

ATANSYON: Si w pale Kreyl Ayisyen, gen svis d pou lang ki disponib gratis pou ou. Rele 1-877-577-0115 / TTY: 711.
http://www.mysimplymedicare.com

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Miami-Dade/Broward/Palm Beach Simply Healthcare Medicare Provider/Pharmacy Directory

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Table of Contents/Contenido Introduction 6 Introduccin 13

Choosing your Primary Care Provider (PCP) 6 Escogiendo su Mdico de Cabecera (PCP) 13

Referrals 7 Referidos 14

What if you use an out-of-network provider to get covered services? 7 Qu sucede si recurro a proveedores fuera de la red para obtener servicios cubiertos? 14

What should you do if you have bills from an out-of network provider that you think should be paid by Simply Healthcare? 7 Qu debe hacer si recibe facturas de un proveedor fuera de la red y considera que deberan ser pagadas por Simply Healthcare? 15

Getting care if you have a medical emergency or an urgent need for care 7 Como obtener atencin mdica en caso de emergencia o en caso que necesite atencin de urgencia 15

What is a medical emergency? 7 Qu es una emergencia mdica? 15

What should you do if you have a medical emergency? 8 Qu debe hacer si tiene una emergencia mdica? 15

Your PCP and Simply Healthcare will help you manage and follow-up on your emergency care 8 Su PCP y Simply Healthcare le ayudarn a coordinar y a dar seguimiento a su atencin mdica de emergencia 15

What is covered if you have a medical emergency? 8 Qu est cubierto si tiene una emergencia mdica? 16

What if it wasnt really a medical emergency? 9 Qu sucede si no se trataba realmente de una emergencia mdica? 16

What is urgently needed care? (this is different from a medical emergency.) 9 Qu es atencin de urgencia? (Esta situacin es diferente de la emergencia mdica.) 16

What is the difference between a medical emergency and urgently needed care? 9 Qu diferencia hay entre emergencia mdica y atencin de urgencia? 17

Simply Healthcare Medicare Provider/Pharmacy Directory Miami-Dade/Broward/Palm Beach

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Getting urgently needed care when you are in the plans service area 9 Como obtener atencin de urgencia cuando usted se encuentra en el rea de servicio del plan 17

Getting urgently needed care when you are outside the plans service area 9 Como obtener atencin de urgencia cuando usted se encuentra fuera del rea de servicio del plan 17

What is the service area for Simply Healthcare? 10 Cul es el rea de servicio de Simply Healthcare? 17

How do you find Simply Healthcare Plan Providers in your area? 10 Cmo puede encontrar proveedores de Simply Healthcare en su rea? 17

Introduction to Pharmacy Information 10 Introduccin a la Informacin sobre Farmacias 18

Mail-Order availability in your plan 10 La disponibilidad de Servicio de Farmacia por Correo en su plan 18

How do I get my prescriptions filled if I am a resident of a Long Term Facility? 11 Cmo hago para que me surtan un medicamento recetado siendo residente de un Establecimiento de Atencin Mdica Prolongada (LTC)? 18

How are Home Infusion drugs covered? 11 Cmo cubrimos los medicamentos de Terapia de Infusin en el Hogar? 18

Primary Care Physicians/Mdico de Cabecera Miami-Dade 20 Broward 239 Palm Beach 381

Specialists/Especialistas Miami-Dade 87 Broward 266 Palm Beach 392

Ancillary/Ancilarios Miami-Dade 190 Broward 350 Palm Beach 437


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Dentists/Dentistas Miami-Dade 202 Broward 358 Palm Beach 441

Hospitals/Hospitales Miami-Dade 217 Broward 363 Palm Beach 457

Skilled Nursing Facilities (SNF)/Centros de enfermera especializada (SNF) Miami-Dade 219 Broward 364 Palm Beach 458

Retail Pharmacies/Farmacias Minoristas Miami-Dade 221 Broward 365 Palm Beach 459

Chain Pharmacies/Cadena de Farmacias Miami-Dade 234 Broward 376 Palm Beach 464

Mail Order Pharmacy/Farmacias con Servicio de Pedidos por Correo Miami-Dade 236 Broward 378 Palm Beach 465

Home Infusion Pharmacies/Farmacias Especializadas en Terapia de Infusin en el Hogar Miami-Dade 237 Broward 379 Palm Beach 466

Long-Term Care Pharmacies/Farmacias Especializadas en Atencin a Largo Plazo Miami-Dade 238 Broward 380 Palm Beach 467

Index/Indice 468

Zip Code Index/Indice de Cdigo Postal 510


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Section 1 Introduction This directory provides a list of Simply Healthcares 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 listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP.

Choosing your Primary Care Provider (PCP)

What is a PCP?

Your PCP is a physician who meets state requirements and is trained to give you basic medical care. You will receive routine or basic medical care from your PCP. Your PCP can also coordinate the rest of the covered services you need. In most cases, you must see your PCP to get a referral before you see any other healthcare provider.

How do you choose a PCP?

You are able to select a PCP at the time of enrollment. Review the Provider/Pharmacy Directory to select the PCP of your choice and indicate the selection on your enrollment form. If you need help selecting a PCP, you may visit www.mysimplymedicare.com or call Member Services (phone numbers are printed on the back and front cover of this booklet).

You are able to change your PCP at any time. If there is a particular Plan specialist or hospital you would like to use, please check with your PCP first to request a referral to that specialist or ensure your PCP uses that Hospital. The name and office telephone number of your PCP is printed on your membership card.

Your PCP can also help you arrange or coordinate your covered services. This includes x-rays, laboratory tests, therapies, specialists, hospital admissions, and follow-up care. Your PCP also contacts other Plan providers for updates about your care and/or treatment. If you need certain types of covered services or supplies, your PCP

Miami-Dade/Broward/Palm Beach

must give approval ahead of time. Your PCP must give you a referral to see a specialist. In some cases, your PCP will also need to get prior authorization (prior approval). Since your PCP will provide and coordinate your health care, you should have all your past medical records sent to your new PCPs office. The law requires us to protect your privacy of medical records and personal health information.

How do you change your PCP?

You may change your PCP for any reason at any time. Please note: change requests received by the 15th day of the month will be effective as of the 1st of the following month.

To change your PCP, please call Member Services (phone numbers are printed on the back and front cover of this booklet). When you call, be sure to tell the Member Services Representative if you are seeing specialists or getting other covered services that require your PCPs approval (such as home health services and durable medical equipment). Member Services will help make sure you can continue with the specialty care and other services you have been getting. They will also check that the PCP you wish to switch to is accepting new patients.

Member Services will change your membership record to show the name of your new PCP, and will tell you when the change to your new PCP will take effect. They will also send you a new membership card that shows the name and phone number of your new PCP.

The network providers listed in this directory have agreed to provide you with your health care services. 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 to go to that same provider. In some cases, you may get covered services from non-network providers.

Simply Healthcare Medicare Provider/Pharmacy Directory

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Referrals

You will receive most of your routine or basic care from your PCP. However, when a PCP thinks you need specialized treatment, you will be given a referral to receive these services.

It is important to get a referral from your PCP before you see a plan specialist. Should you require repeated follow-up with the specialist, please ensure the referral specifies the need for follow-up. If you do not have a referral before you receive services from a specialist, you may be required to pay for the services.

There are certain services that do not require a referral (only if services are obtained from a network provider). If you go to an out-of-network provider you may be required to pay for the services.

The following services do not require a referral:

Routine womens health care, which includes breast exams, screening mammograms (X-rays of the breast), Pap tests and pelvic exams

Flu shots and pneumonia vaccinations Emergency services from network providers or

from out-of-network providers. Urgently needed services from network providers

or from out-of-network providers when network providers are temporarily unavailable or inaccessible, e.g., when you are temporarily outside of the plans service area.

Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are temporarily outside the plans service area. If possible, please call Member Services before you leave the service area so we can help arrange for you to have maintenance dialysis while you are away.

You may self-refer to a network specialist for Medicare covered chiropractic and podiatry services.

You may self-refer to plan providers for certain screening exams and mandatory supplemental benefits

Please refer to your Evidence of Coverage for additional information.

What if you use an out-of-network provider to get covered services?

Out-of-Network providers are providers not contracted with Simply Healthcare. If you use out-of-network providers, you may have to pay more.

You must use plan providers except in emergency or urgent care situations, (including maintenance and post-stabilization care), ambulance services, renal dialysis (kidney), and any other services with approval through an appeals process. This includes, getting care when traveling or away from the Plans service area (out-ofnetwork).

If you obtain routine care from out-of-network providers, neither Medicare nor Simply Healthcare will be responsible for the costs.

What should you do if you have bills from an out-of network provider that you think should be paid by Simply Healthcare?

We cover certain health care services that you get from an out-of-network provider. These include care for a medical emergency, urgently needed care, renal dialysis (kidney) that you get when you are outside the plans service area, care that has been approved in advance by Simply Healthcare and any services approved through an appeals process. If an out-of-network provider asks you to pay for covered services you get in these situations, please call Member Services (phone numbers are printed on the back and front cover of this booklet).

Simply Healthcare will pay your out-of network provider for the covered services and will let you know if there is anything you will need to pay.

Getting care if you have a medical emergency or an urgent need for care

What is a medical emergency?

A medical emergency is when you, or any other prudent layperson with an average knowledge of health and medicine, believe that you have medical symptoms that require immediate medical attention


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to prevent loss of life, loss of a limb or loss of function of a limb. The medical symptoms may be an illness, injury, severe pain or a medical condition that is quickly getting worse.

What should you do if you have a medical emergency?

If you have a medical emergency:

Get medical help as quickly as possible. Call 911 for help or go to the nearest emergency room, or hospital. You do not need to get approval or a referral first from your PCP.

Your PCP should be notified as soon as possible of the emergency because he/she will need to provide follow-up care. Your PCPs information is on your member ID card.

Your PCP and Simply Healthcare will help you manage and follow-up on your emergency care

It is important to know that every medical emergency has two stages.

The first stage begins when the medical emergency occurs and ends when the doctor(s) or hospital that provides the emergency care considers your condition stable. However, after your condition is stabilized, you are still considered in an emergency situation and Simply Healthcare must still pay for the post-stabilization treatment provided by the hospital (whether or not this hospital is a plan provider).

The second stage of the emergency, after your condition is stabilized is called post-stabilization. Generally, the hospital or doctors providing emergency care will consult with your PCP. This helps the plan to arrange for plan providers to take over your care as soon as your condition and circumstances get better. Once your PCP takes over your care or agrees with the attending hospitalist on an appropriate course of action (or once you are discharged if you are fully recovered), you are no longer in an emergency or post-stabilization situation.

Although you are past the emergency and post-stabilization stage, you may still require follow-up care. Your plan will only pay for follow-up care after the emergency and post-stabilization if you follow the plan rules. You will need to use plan providers to get referrals.

What is covered if you have a medical emergency?

You can receive covered emergency medical care whenever you need it, anywhere in the United States.

Ambulance services are covered in situations where other means of transportation would endanger your health.

If a member visits a nonparticipating pharmacy provider, for example in an emergency situation outside the service area, he or she may be asked to pay for covered services rendered at the time or may be billed directly for services received. In these instances, you can ask us to pay you back for our share of the costs.

Send us your request for payment, along with your bill and documentation of any payment you have made. Ensure you include your medical records of the emergency treatment. Foreign language records must be translated into English. Its a good idea to make a copy of your bill and receipts for your records.

Member reimbursement requests for medical services must be submitted no more than six months from the date of service. If your reimbursement request is for prescription drugs, you have 36 months from the date the prescription was filled to file a paper claim.

Mail your request for payment together with any bills or receipts to us at the following address:

Simply Healthcare Plans, Inc. Attention: Member Services Department 9250 W. Flagler Street Suite 600 Miami, FL 33174-3460


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Contact Member Services if you have any questions (phone numbers are printed on the front and back cover of this booklet).

What if it wasnt really a medical emergency?

To have your plan pay for your emergency care, you do not have to be certain that it is an emergency. For example, you might go in for emergency care thinking that your health is in serious danger but the doctor(s) may disagree and not consider this a medical emergency. If this happens, you are still covered for the diagnostic treatment and care you received to determine what was wrong (provided you thought your health was in serious danger, as explained in the section What is a medical emergency? above). However, please note that:

If you get any extra care after the doctor says it was not a medical emergency, we will pay for the extra care only if you receive this care from a network provider.

If you get any extra care from an out-of-network provider after the doctor says it was not a medical emergency, your plan will still pay for it as urgently needed care even though you got this care outside the service area. Please read below to know how urgently needed care is defined.

However, if you get any extra care from an out-ofnetwork provider that is not an emergency or urgently needed care, then you must pay for this care yourself, as the plan will not pay for this type of care.

What is urgently needed care? (this is different from a medical emergency.)

Urgently needed care is a non-emergency situation where you need medical attention right away for an unforeseen injury or illness.

What is the difference between a medical emergency and urgently needed care?

The main difference between a medical emergency and urgently needed care is the seriousness of the condition and/or the perceived endangerment of your health.

A medical emergency is when you believe that your health is in serious danger. Urgently needed care is care that you get for an unforeseen injury or illness but your health is not considered to be in serious danger.

Most urgent care may be handled by your PCP. However, if you are out of the service area and require urgently needed care, Simply Healthcare will pay for the services.

Getting urgently needed care when you are in the plans service area

If you have a sudden illness or injury that is not a medical emergency and you are in the Plans service area, please contact your PCP. If your PCPs office is closed, please contact the PCPs after-hour service. If you require TTY access to your PCP, call the Florida Relay Service 711. If you feel you need immediate medical attention, please go to the nearest Urgent Care Center or Emergency Room. Please keep in mind that if you have an urgent need for care while you are in the Plans service area, you should get this care from network providers. In most cases, the Plan will not pay for urgently needed care that you get from an out-of-network provider while you are in the plans service area.

Getting urgently needed care when you are outside the plans service area

Simply Healthcare covers urgently needed care that you get from out-of-network providers when you are outside the Plans service area. If you need urgent care while you are outside the plans service area, you should call your PCP. If you are treated for an urgent condition while out of the service area, we prefer you return to the service area to get follow-up care through your PCP. However, we will cover follow-up care that you get from out-of-network providers outside the Plans service area as long as the care you are getting still meets the urgently needed care definition. We also cover renal dialysis (kidney) services that you get when you are outside the plans service area.

You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-


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network providers neither Medicare nor Simply Healthcare will be responsible for the costs.

What is the service area for Simply Healthcare?

The counties in our service area are listed below: Miami-Dade/Broward/Palm Beach

How do you find Simply Healthcare Providers in your area?

The Provider Directory lists participating providers in the service area.

Use the index at the back of the directory to locate by provider name or zip code. Beginning on page 468.

If you have questions about Simply Healthcare Plans, or require assistance in selecting a PCP, Please call our Member Services Department toll free at 1-877-577-0115 From October 1 to February 14, we are open 7 days a week from 8 a.m. 8 p.m. EST. From February 15 to September 30, we are open Monday through Friday, from 8 a.m. 8 p.m. EST. TTY users should call 711. You can also visit www.mysimplymedicare.com.

Introduction to Pharmacy Information This booklet provides a list of Simply Healthcare Plans, Inc. (Simply Healthcare) network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Simply Healthcare Plans Formulary.

We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Simply Healthcare only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed.

This list is current as of November 2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website www.mysimplymedicare.com. You may also call Member Services for updated information.

Mail-Order availability in your plan

You can get prescription drugs shipped to your home through our network mail order delivery program. For more

http://www.mysimplymedicare.comhttp://www.mysimplymedicare.com

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information, please contact us or see the mail order section of this pharmacy directory.

Mail-Order is not available for all plans.

How do I get my prescriptions filled if I am a resident of a Long Term Facility?

Residents of a long-term care facility may access their prescription drugs covered under Simply Healthcare through the facilitys long-term care pharmacy or another network long-term care pharmacy. To get additional information on long-term care pharmacy services, please call Member Services toll-free (phone numbers are printed on the back and front cover of this booklet)

How are Home Infusion drugs covered?

Simply Healthcare will cover home infusion therapy if:

Your prescription drug is on our formulary or you have a formulary exception;

Simply Healthcare Plans has approved your prescription drug for home infusion therapy; and

Your prescription is written by an authorized prescriber.

If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please call Member Services (phone numbers are printed on the back and front cover of this booklet).

Section 2 List of Network Providers and Pharmacies The Provider/Pharmacy Directory is organized in the following order: Primary Care Physicians, Specialists, Ancillaries, Dentists, Hospitals, Skilled Nursing Facilities (SNF), and Pharmacies. Network providers are sorted by county and listed in alphabetical order under their respective medical specialty. If you have questions about Simply Healthcare, require assistance in selecting a PCP or dont have a Provider/Pharmacy Directory, please call Member Services (phone numbers are printed on the back and front cover of this booklet).

Type of Provider Total Primary Care Physicians 960

Specialists 2414

Ancillaries 294

Dentists 334

Hospitals 30

Skilled Nursing Facilities (SNF) 88

Pharmacies 365


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Directorio de Proveedores y Farmacias

Este directorio fue actualizado noviembre 2018.

Este directorio ofrece una lista de los proveedores y farmacias de la red de Simply Healthcare Plans, Inc. (Simply Healthcare).

Este directorio es para el rea de servicio de los Condados Miami-Dade/Broward/Palm Beach.

Para acceder al directorio de proveedores y farmacias de Simply Healthcare en lnea puede visitar www.mysimplymedicare.com. Si tiene preguntas acerca de la informacin que aparece en este directorio (versin impresa o en lnea) por favor llame a nuestro Departamento de Servicios al Afiliado al 1-877-577-0115. Desde el 1ro de octubre al 14 de febrero, atendemos 7 das a la semana de 8 a.m. a 8 p.m. A partir del 15 de febrero al 30 de septiembre, atendemos de lunes a viernes de 8 a.m. a 8 p.m. Los usuarios de TTY/TDD deben llamar al 711.

La red de farmacias y/o proveedores puede cambiar en cualquier momento. Usted recibir una notificacin cuando sea necesario.

No discriminamos, excluimos, ni tratamos a las personas de forma diferente en base a raza, color, nacionalidad, sexo, edad o discapacidad para nuestros programas de salud y actividades.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877-577-0115 / TTY: 711

ATANSYON: Si w pale Kreyl Ayisyen, gen svis d pou lang ki disponib gratis pou ou. Rele 1-877-577-0115 / TTY: 711.


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Seccin 1 - Introduccin Este directorio ofrece una lista de los proveedores de la red de Simply Healthcare. Para obtener informacin detallada sobre su cobertura de atencin mdica, consulte su Evidencia de Cobertura.

Deber escoger uno de los proveedores de nuestra red incluido en este directorio como su Mdico de Cabecera (PCP, Primary Care Provider). Por lo general, usted debe obtener su cobertura de atencin mdica de su PCP.

Escogiendo a su Mdico de Cabecera (PCP)

Qu es un Mdico de Cabecera? (PCP)

Su PCP cumple con los requisitos estatales y est capacitado para proveer atencin mdica bsica. Toda la atencin mdica bsica o de rutina la obtendr de su PCP. Su PCP tambin puede coordinar el resto de los servicios cubiertos que necesite. En la mayora de los casos, deber consultar a su PCP para obtener un referido antes de poder ver a otro proveedor de atencin mdica.

Cmo se selecciona a un PCP?

Usted puede seleccionar a un PCP al momento de afiliarse. Consulte el Directorio de Proveedores y Farmacias para seleccionar a un PCP de su preferencia e indique la seleccin en su solicitud de afiliacin. Si necesita ayuda para seleccionar a un PCP, puede visitar www.mysimplymedicare.com o comunicarse con nuestro Departamento de Servicios al Afiliado (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Usted puede cambiar a su PCP en cualquier momento. Si hay un especialista u hospital del Plan que desee ver en especial, verifique primero con su PCP para solicitar un referido a dicho especialista o asegrese que su PCP use dicho hospital. El nombre y el nmero telefnico de su PCP estn impresos en su tarjeta de afiliacin.

Su PCP tambin puede ayudarle a organizar o coordinar sus servicios cubiertos. Esto incluye las radiografas, los

anlisis de laboratorio, las terapias, la atencin de mdicos especialistas, las admisiones hospitalarias y la atencin mdica de seguimiento. Su PCP tambin est en contacto con otros proveedores del Plan para mantenerse actualizado sobre su atencin mdica o tratamiento. Su PCP debe dar aprobacin anticipadamente si usted necesita ciertos tipos de suministros o servicios cubiertos. Su PCP debe darle un referido para ver a un especialista. En algunos casos, su PCP tambin necesitar obtener una autorizacin previa (o aprobacin por anticipado). Dado que su Mdico de Cabecera proveer y coordinar su atencin mdica, usted deber enviar su expediente mdico anterior y dems registros al consultorio de su nuevo PCP. La ley nos exige proteger la privacidad de su expediente mdico y su informacin personal de salud.

Cmo cambiar a su PCP?

Usted puede cambiar de PCP por cualquier razn y en cualquier momento. Por favor tenga en cuenta que las solicitudes de cambio que lleguen a partir del 15 del mes entrarn en vigor el primer da del mes siguiente.

Para cambiar su PCP, comunquese con nuestro departamento de Servicios al Afiliado (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Cuando llame, asegrese de informar al representante del Departamento de Servicios para Afiliados si est consultando algn especialista o si est recibiendo servicios cubiertos que requieran aprobacin de su PCP, (tales como, servicios de atencin mdica en el hogar y suministro de equipo mdico duradero). El Departamento de Servicios para Afiliados le ayudar a garantizar que siga obteniendo la misma atencin mdica especializada y otros servicios que est recibiendo en el momento. Tambin verificar si el Mdico de Cabecera al que desea cambiar est aceptando nuevos pacientes.

El Departamento de Servicios para Afiliados modificar su registro de afiliacin para que incluya el nombre de su nuevo mdico y le dir en que momento entrar en vigor el cambio. Tambin le enviar una nueva tarjeta de


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afiliacin con el nombre y el nmero telefnico de su nuevo PCP.

Los proveedores del plan en este directorio han acordado suministrar cobertura de atencin mdica a los afiliados. Usted puede consultar a cualquiera de nuestros proveedores de la red incluidos en este directorio. Sin embargo, es posible que algunos servicios requieran de un referido. Si ha estado recibiendo atencin mdica de un proveedor de la red, usted no tiene obligacin de seguir consultando al mismo proveedor. En algunos casos, puede obtener servicios cubiertos de proveedores fuera de nuestra red.

Referidos

La mayor parte de la atencin mdica bsica o de rutina la obtendr de su Mdico de Cabecera. Sin embargo, cuando un PCP considera que un afiliado necesita tratamiento especializado, le dar un referido para recibir dichos servicios.

Es importante obtener un referido de su PCP antes de consultar a un especialista del plan. Si requiere seguimiento continuo con el especialista, asegrese de que el referido especifique la necesidad de dicho seguimiento. Si no tiene un referido antes de recibir servicios de un especialista, es posible que usted tenga que pagar dichos servicios.

Hay algunos servicios que no requieren un referido (solo si los servicios se obtienen de un proveedor de la red). Si usted va con un proveedor fuera de la red, es posible que tenga que pagar esos servicios.

Los siguientes servicios no requieren un referido.

Exmenes de rutina para el bienestar de la mujer que incluye exmenes de senos, pruebas de mamografa (radiografas de los senos), pruebas de Papanicolaou y exmenes plvicos.

Vacunas contra el flu y la neumona. Servicios de emergencia que reciba dentro o

fuera de la red del plan. Atencin de urgencia, que reciba dentro de la red

de plan o fuera de la red cuando proveedores de

la red no estn disponible, por ejemplo cuando usted se encuentre fuera del rea de servicio.

Servicios de dilisis renal que recibe de una institucin de dilisis certificada por Medicare cuando se encuentre temporalmente fuera del rea de servicio del plan. Si es posible, por favor comunquese con nuestro departamento de servicio al afiliado antes de viajar fuera del rea de servicio del plan para ayudarle a coordinar dilisis de mantenimiento mientras est fuera del rea de servicio del plan.

Puede auto-referirse a especialistas de la red para servicios de quiroprctica y podologa cubiertos por Medicare.

Puede auto-referirse a un proveedor del plan para ciertas pruebas y beneficios suplemntales requeridos.

Por favor vea su Evidencia de Cobertura para ms informacin.

Qu sucede si recurro a proveedores fuera de la red para obtener servicios cubiertos?

Los proveedores fuera de la red no tienen contrato con Simply Healthcare. Si usa un proveedor fuera de la red, es posible que tenga que pagar ms.

Debe usar los proveedores del plan excepto en situaciones de emergencia o de atencin de urgencia (incluyendo el cuidado de mantenimiento y la atencin mdica posterior a la estabilizacin), servicios de ambulancia, dilisis renal y cualquier otro servicio que haya sido aprobado mediante un proceso de apelacin. Esto incluye recibir atencin cuando viaje o est fuera del rea de servicio del Plan (fuera de la red).

Si obtiene atencin de rutina de proveedores fuera de la red, ni Medicare ni Simply Healthcare se responsabilizarn de los costos.


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Qu debe hacer si recibe facturas de un proveedor fuera de la red y considera que deberan ser pagadas por Simply Healthcare?

Nosotros cubrimos algunos servicios de atencin mdica que usted obtiene de proveedores fuera de la red del plan. Estos servicios incluyen atencin mdica de emergencia, atencin de urgencia, dilisis renal que se obtiene al estar fuera del rea de servicio del plan, la atencin mdica que Simply Healthcare haya aprobado previamente, y los servicios aprobados mediante un proceso de apelacin. Si un proveedor fuera de la red del plan le pide pagar los servicios cubiertos obtenidos en estas situaciones, comunquese con nosotros llamando al Departamento de Servicios al Afiliado (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Simply Healthcare pagar los servicios cubiertos a su proveedor fuera de la red y le har saber si usted debe pagar algn saldo.

Como obtener atencin mdica en caso de emergencia o en caso que necesite atencin de urgencia

Qu es una emergencia mdica?

Una "emergencia mdica" es cuando usted, o cualquier otro prudente con un conocimiento promedio de salud y medicina, cree que usted tiene sntomas mdicos que requieren atencin mdica inmediata para evitar la prdida de la vida, la prdida de una extremidad o la prdida de la funcin de una extremidad. Los sntomas mdicos pueden ser una enfermedad, una lesin, dolor intenso o una condicin mdica que empeora rpidamente.

Qu debe hacer si tiene una emergencia mdica?

Si tiene una emergencia mdica:

Busque ayuda mdica tan pronto como le sea posible. Llame al 911 para solicitar asistencia o vaya a una sala de emergencias u hospital ms cercano. No necesita autorizacin por adelantado ni un referido de su PCP.

Su PCP debe ser notificado cuanto antes de la emergencia para que l/ella pueda proporcionar la atencin mdica de seguimiento. La informacin de su PCP est en su tarjeta de identificacin del afiliado.

Su PCP y Simply Healthcare le ayudarn a coordinar y a dar seguimiento a su atencin mdica de emergencia

Es importante saber que cada caso de emergencia mdica tiene dos etapas.

La primera etapa inicia cuando surge la emergencia mdica y termina cuando los mdicos u hospitales que proporcionan la atencin mdica deciden que su estado de salud es estable. No obstante, despus de estabilizar su estado de salud, an se considera que usted est en una situacin de emergencia y Simply Healthcare debe seguir cubriendo el tratamiento posterior a la estabilizacin que suministre el hospital (sin importar si dicho hospital es proveedor del plan o no).

La segunda etapa de la emergencia mdica, que corresponde a la estabilizacin de su estado de salud, recibe el nombre de pos estabilizacin. Generalmente, los hospitales o mdicos que ofrecen la atencin mdica de emergencia consultarn con su PCP. Esto ayudar a que el plan pueda organizar a los proveedores del plan que se encargarn de su atencin mdica tan pronto como su estado de salud y las circunstancias mejoren. Una vez que su Mdico de Cabecera se haga cargo de su atencin mdica o est de acuerdo con el internista tratante sobre el curso apropiado de tratamiento (o cuando se le d el alta si se ha recuperado por completo), usted ya no estar en una situacin de emergencia ni de pos-estabilizacin.

Aunque ya haya superado la emergencia y la etapa de pos-estabilizacin, es posible que an requiera atencin mdica de seguimiento. Su plan solo pagar la atencin mdica de seguimiento despus de una emergencia mdica y la pos-estabilizacin si usted sigue las reglas del plan. Deber recurrir a los proveedores del plan para obtener los referidos que sean necesarios.


16

Qu est cubierto si tiene una emergencia mdica?

Usted puede recibir atencin mdica de emergencia cubierta en cualquier momento que lo necesite y en cualquier parte de Estados Unidos.

Los servicios de ambulancia estn cubiertos en situaciones donde otros medios de transporte puedan poner en riesgo su salud.

Si un afiliado visita una farmacia no participante, por ejemplo, en una situacin de emergencia fuera del rea de servicio, l o ella puede ser que tenga que pagar por los servicios prestados, o puede ser facturado directamente por los servicios que reciba. En estos casos puede solicitarnos que le reembolsemos la parte del costo que nos corresponde.

Envenos su solicitud de pago, junto con su factura y la documentacin de cualquier pago que haya realizado. Asegrese de incluir expedientes mdicos del tratamiento de emergencia. Los documentos deben estar traducidos al ingls. Es recomendable que saque copias de la factura y los recibos para sus archivos.

Solicitudes de reembolso a los miembros por servicios mdicos deben presentarse a ms tardar seis meses a partir de la fecha de servicio. Si su solicitud de reembolso es por medicamentos recetados, tiene 36 meses a partir de la fecha en que la receta fue llenada para presentar un reclamo.

Enve su solicitud por correo junto con cualquier factura o recibo a la siguiente direccin:

Simply Healthcare Plans, Inc. Attention: Member Services Department 9250 W. Flagler Street Suite 600 Miami, FL 33174-3460

Pngase en contacto con nuestro departamento de Servicios al Afiliado si tiene alguna pregunta (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Qu sucede si no se trataba realmente de una emergencia mdica?

Para que su plan cubra una emergencia mdica, usted no necesita saber con certeza que se trata realmente de una emergencia. Por ejemplo, es posible que usted vaya a una sala de emergencias pensando que su salud est en grave peligro pero los mdicos no estn de acuerdo y consideran que no se trata de una emergencia mdica. Si esto llega a suceder, usted seguir teniendo cobertura por el diagnstico, el tratamiento y la atencin mdica recibida para determinar cul era el problema (siempre y cuando usted haya considerado que su salud corra grave peligro como se explica en la seccin anterior Qu es una emergencia mdica?)

Sin embargo, tenga en cuenta lo siguiente:

Si obtiene atencin mdica adicional despus de que el mdico haya determinado que no se trataba de una emergencia mdica, nosotros pagaremos dicha atencin solamente si la recibe de un proveedor de la red.

Si obtiene atencin mdica adicional de un proveedor fuera de la red despus de que el mdico haya dicho que no se trataba de una emergencia mdica, su plan seguir pagando los servicios como atencin de urgencia aunque usted los haya recibido fuera del rea de servicio. Lea la seccin que sigue para saber cmo se define la atencin de urgencia.

No obstante, si obtiene atencin mdica adicional de un proveedor fuera de la red y no se trata de una emergencia mdica ni de atencin de urgencia, usted deber pagar los servicios ofrecidos porque el plan no dar cobertura a este tipo de atencin.

Qu es atencin de urgencia? (Esta situacin es diferente a la emergencia mdica.)

La atencin de urgencia es una situacin que no es de emergencia en la que usted necesita pronta atencin mdica por una enfermedad o lesin imprevista.


17

Qu diferencia hay entre emergencia mdica y atencin de urgencia?

La diferencia principal entre la emergencia mdica y la atencin de urgencia es la gravedad de la situacin o la percepcin del peligro que corre su salud.

Una emergencia mdica surge cuando usted considera que su salud est en grave peligro. La atencin de urgencia es el cuidado que recibe por una enfermedad o lesin imprevista pero no se considera que su salud est en grave peligro.

Su PCP puede tratar la mayora de casos de atencin de urgencia. No obstante, si est fuera del rea de servicio y requiere atencin de urgencia; Simply Healthcare pagar los servicios.

Como obtener atencin de urgencia cuando usted se encuentra en el rea de servicio del plan

Si tiene una enfermedad o lesin repentina, que no se trata de una emergencia mdica y est dentro del rea de servicio del Plan, por favor comunquese con su PCP. Si el consultorio de su PCP est cerrado, comunquese con el servicio de atencin fuera del horario de trabajo de su PCP. Si usted requiere acceso a TTY para comunicarse con su PCP, marque 711, el servicio de Florida Relay. Si cree que necesita atencin mdica inmediata, vaya al Centro de Atencin de Urgencia o Sala de Emergencia ms cercana. Tenga presente que si necesita atencin mdica con urgencia mientras est en el rea de servicio del Plan, deber obtener dicha atencin de proveedores del plan. En la mayora de casos el Plan no pagar la atencin mdica de urgencia que obtenga de un proveedor fuera de la red si se encuentra dentro del rea de servicio del plan.

Como obtener atencin de urgencia cuando usted se encuentra fuera del rea de servicio del plan

Simply Healthcare cubre atencin de urgencia que reciba de proveedores fuera de la red cuando se encuentre fuera del rea de servicio del Plan. Si necesita atencin mdica de urgencia cuando est fuera del rea de servicio del plan, deber comunicarse con su PCP. Si recibe

tratamiento por una condicin mdica que requiera atencin de urgencia mientras est fuera del rea de servicio, preferiramos que regrese al rea de servicio para que reciba la atencin mdica de seguimiento de su PCP. No obstante, cubriremos la atencin mdica de seguimiento que reciba de proveedores no participantes mientras est fuera del rea de servicio del Plan siempre y cuando la atencin que est recibiendo siga estando acorde con la definicin de atencin de urgencia. Tambin cubriremos los servicios de dilisis renal (rin) que reciba cuando se encuentre fuera del rea de servicio del plan.

Usted debe usar los proveedores de la red del plan, excepto en el caso de necesitar atencin mdica de emergencia o de urgencia, o servicios de dilisis renal u otros servicios fuera del rea de cobertura. Si obtiene atencin de rutina de proveedores fuera de la red, ni Medicare ni Simply Healthcare se responsabilizarn de los costos.

Cul es el rea de servicio de Simply Healthcare?

A continuacin se indica(n) el/los condado(s) incluido(s) en nuestra rea de servicio:

Miami-Dade/Broward/Palm Beach.

Cmo puede encontrar proveedores de Simply Healthcare en su rea?

El Directorio de Proveedores contiene a los proveedores participantes en el rea de servicio.

Use el ndice al final del directorio para localizar proveedores por nombre o cdigo postal. Comienza en la pgina 468.

Si tiene preguntas sobre Simply Healthcare Plans, o necesita ayuda para seleccionar un PCP, llame a nuestro Departamento de Servicios al Afiliado sin cargo al 1-877577-0115 (TTY 711). Desde el 1ro de octubre al 14 de febrero, atendemos 7 das a la semana de 8 a.m. a 8 p.m. A partir del 15 de febrero al 30 de septiembre, atendemos de lunes a viernes de 8 a.m. a 8 p.m. Los usuarios de TTY/TDD deben llamar al 711. Tambin puede visitar www.mysimplymedicare.com.


18

Introduccin a la Informacin sobre Farmacias Este directorio ofrece una lista de las farmacias de la red de Simply Healthcare Plans, Inc. (Simply Healthcare). Si desea conocer la descripcin completa sobre su cobertura de medicamentos recetados y qu hacer para que le surtan sus recetas, consulte la Evidencia de Cobertura y el Formulario de Simply Healthcare.

Hemos nombrado a las farmacias en esta lista farmacias de la red por las negociaciones hechas con ellas para que suministren medicamentos recetados a los afiliados del Plan. En la mayora de casos, sus medicamentos recetados estn cubiertos por Simply Healthcare Plans nicamente si han sido surtidos por una farmacia de la red o a travs de nuestro servicio de farmacia por correo. Una vez que vaya a una farmacia, usted no est obligado a seguir yendo a esa misma farmacia para que le surtan sus medicamentos recetados. Puede ir a cualquiera de las farmacias de nuestra red. Nosotros surtiremos los medicamentos recetados en farmacias fuera de la red bajo ciertas circunstancias, como se describe en su Evidencia de Cobertura.

Es posible que este directorio no incluya todas las farmacias dentro de la red. Puede que se hayan aadido o eliminado farmacias de la lista desde la publicacin de este directorio. Esto significa que es posible que las farmacias aqu listadas ya no estn en nuestra red o puede que se hayan aadido farmacias que no aparezcan listadas.

Este listado fue actualizado noviembre 2018. Para obtener un listado ms actualizado, comunquese con nosotros. Nuestra informacin de contacto aparece en la portada y contraportada de este folleto.

Cambios a nuestra red de farmacias puede ocurrir durante el periodo de beneficio. Puede acceder un directorio actualizado en nuestro sitio web www.mysimplymedicare.com Tambin puede llamar a nuestro Departamento de Servicios al Afiliado para informacin actualizada.

La disponibilidad de Servicio de Farmacia por Correo de su Plan

Sus recetas pueden ser enviadas a su hogar mediante el programa de Servicio de Farmacia por Correo. Para ms informacin pngase en contacto con nosotros o vea la seccin de Servicio de Farmacia por Correo de este directorio.

El Servicio de Farmacia por Correo no est disponible en todos los planes.

Cmo hago para que me surtan un medicamentorecetado siendo residente de un Establecimiento de Atencin Mdica Prolongada (LTC)?

Los residentes en establecimientos de atencin mdica prolongada pueden obtener sus medicamentos recetados cubiertos por Simply Healthcare Plans en la farmacia especializada en atencin a largo plazo de dicho establecimiento o en otra farmacia especializada en atencin a largo plazo de la red. Para obtener informacin adicional sobre las farmacias especializadas en atencin a largo plazo, comunquese con nuestro Departamento de Servicios al Afiliado sin cargo (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Cmo cubrimos los medicamentos de Terapia de Infusin en el Hogar?

Simply Healthcare cubrir la terapia de infusin en el hogar en estos casos:

Su medicamento recetado est en nuestro formulario o usted tiene una excepcin al formulario

Simply Healthcare Plans ha aprobado su medicamento recetado para la terapia de infusin en el hogar, y

Su medicamento ha sido recetado por un mdico certificado.

Si tiene preguntas acerca de los servicios descritos anteriormente, incluyendo instrucciones de como someter


19

reclamos por recetas que usted tuvo que llenar en una farmacia fuera de la red, comunquese con nuestro Departamento de Servicios al Afiliado (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Seccin 2 Listado de Proveedores y Farmacias de la Red El Directorio de Proveedores y Farmacias est organizado en el siguiente orden: Mdicos de Cabecera (PCP), Especialistas, Ancilarios, Dentistas, Hospitales, Centros de enfermera especializada (SNF), y farmacias. Los proveedores de la red estn ordenados por condado y aparecen en orden alfabtico bajo su especialidad mdica respectiva. Si usted tiene preguntas acerca de Simply Healthcare, necesita ayuda para seleccionar un PCP o no tiene un Directorio de Proveedores y Farmacias, por favor llame a nuestro Departamento de Servicios al Afiliado (Los nmeros de telfono estn impresos en la portada y contraportada de este folleto).

Tipo de Proveedor Total Mdico de Cabecera (PCP) 960

Especialistas 2414

Ancilarios 294

Dentistas 334

Hospitales 30 Centros de enfermera especializada(SNF)

88

Farmacias 365


20 Primary Care Physicians/Medicos de Atencin Primaria - Miami-Dade

Family Practice/Medicina Familiar

Abreu, Rafael MDRafael Abreu MD PA 700 E 25th St Hialeah, FL 33013Office Phone: (305) 392-0380P01716824 - P01840401 Accepting New Members: YTermination Date:

Acebo, Waldo MDWaldo Acebo MD PA 9851 NW 58th St Unit 125 Doral, FL 33178Office Phone: (305) 403-1035P01733518 - P01843935 Accepting New Members: YTermination Date:

Acosta, Ileana MDCano Health LLC 6801 SW 8th St Miami, FL 33144Office Phone: (786) 871-7171P01795459 - P01829029 Accepting New Members: YTermination Date:

Albites, Francisco MDPrimenet Medical Management Inc9000 SW 137th Ave Ste 115 Miami, FL 33186Office Phone: (305) 387-1981P01712086 - P01712093 Accepting New Members: YTermination Date:

Alonso Barrueco, Emma R MDClinical Care Network Inc 3091 Coral WayCoral Gables, FL 33145Office Phone: (305) 649-6077P01729684 - P01724523 Accepting New Members: YTermination Date:

4765 W 8th Ave 2nd Fl Hialeah, FL 33012Office Phone: (305) 556-0789P01729684 - P01802944 Accepting New Members: YTermination Date:

Alvarez-Rohena, Mariali MDMiami Beach Medical Consultants LLC 1200 Alton Rd Miami Beach, FL 33139Office Phone: (305) 534-0076P01787360 - P01787105 Accepting New Members: YTermination Date:

12550 Biscayne Blvd Ste 100North Miami, FL 33181Office Phone: (305) 899-7090P01787360 - P01844999 Accepting New Members: YTermination Date:

151 NW 11th St Ste E102 Homestead, FL 33030Office Phone: (305) 248-4877P01787360 - P01787347 Accepting New Members: YTermination Date:

551 E 49th St Ste 1-8 Hialeah, FL 33013Office Phone: (305) 534-0076P01787360 - P01787348 Accepting New Members: YTermination Date:

7500 SW 8th St Ste 101-104 Miami, FL 33144Office Phone: (305) 534-0076P01787360 - P01787349 Accepting New Members: YTermination Date:

Anderson-Worts, Paula DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P0000551 - P01762318 Accepting New Members: YTermination Date:

Arce-Nunez, Esperanza MDGlez and Glez Medical Center 3804 NW 167th St Miami Gardens, FL 33054Office Phone: (305) 624-2700P0000226 - P01712987 Accepting New Members: YTermination Date: Kendall South Medical Center Inc 14740 SW 26th St Miami, FL 33185Office Phone: (305) 388-1118P0000226 - P01822214 Accepting New Members: YTermination Date: Universal Medical Group of North Miami Beach Inc 17064 W Dixie HwyNorth Miami Beach, FL 33160Office Phone: (305) 650-1942P0000226 - P01789005 Accepting New Members: NTermination Date:

Arteaga, Juan F MDMedical Consultants of Florida LLC 21110 Biscayne Blvd Ste 203Miami, FL 33180Office Phone: (305) 948-9595P0001365 - P01842394 Accepting New Members: YTermination Date:

Also accepts Medicaid/Tambin acepta Medicaid Specializes in Simply Care/ComfortSe especializa en Simply Care/Comfort

Simply Healthcare Medicare Provider/Pharmacy Directory Broward/Miami-Dade/Palm Beach


Family Practice/Medicina Familiar(continued)

Augustin, Jean M MDDixie Medical Center Inc 12429 W Dixie HwyNorth Miami, FL 33161Office Phone: (305) 981-7657P01702869 - P01758049 Accepting New Members: YTermination Date:

Baker, Jeffrey T DOSPP Rehabilitation Inc 1408 NE 1st Ave Homestead, FL 33030Office Phone: (305) 242-1399P01790228 - P01822735 Accepting New Members: YTermination Date:

Baksh-Deen, Fareeda S MDNova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01829606 - P01762318 Accepting New Members: YTermination Date:

Barber, Tye DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P0000806 - P0002237 Accepting New Members: YTermination Date:

Bardinas, Rogelio O MDCano Health LLC 311 NE 8th St Ste 101 Homestead, FL 33030Office Phone: (305) 441-9700P01714272 - P01843986 Accepting New Members: YTermination Date:

6801 SW 8th St Miami, FL 33144Office Phone: (786) 871-7171P01714272 - P01829029 Accepting New Members: YTermination Date:

Bardisa, Roselind DOPrimehealth Physicians LLC7374 SW 93rd Ave Miami, FL 33173Office Phone: (305) 661-2002P01723596 - P01801391 Accepting New Members: YTermination Date:

Barrocas, Ana M MDNew Life Medical Institute 861 SW 8th St Miami, FL 33130Office Phone: (305) 857-9800P01718193 - P01821484 Accepting New Members: YTermination Date:

Bencomo, Rosabel M MDRosabel M Bencomo MD PA 6020 Bird Rd Miami, FL 33155Office Phone: (786) 222-8807P01764621 - P01791740 Accepting New Members: YTermination Date:

Benitez, Wilfrido MDFlorida Physicians Group Inc686 E 49th St Hialeah, FL 33013Office Phone: (305) 824-8582P01705155 - P01705152 Accepting New Members: YTermination Date:

Benoit, Joachim J MDSunrise Medical Center PA 5211 NE 2nd Ave Miami, FL 33137Office Phone: (305) 751-1293P01712790 - P01850220 Accepting New Members: YTermination Date:

Berio, Angel F MDAngel F Berio MD PA782 NW 42nd Ave Ste 340 Doral, FL 33126Office Phone: (305) 461-4559P0001337 - P01720552 Accepting New Members: YTermination Date:

Bermudez, Lidia R MDBermudez Medical Center Corp7376 NW 35th Ter Miami, FL 33122Office Phone: (305) 805-6903P01776333 - P01810406 Accepting New Members: YTermination Date:

Bermudez, Roberto MDRoberto Bermudez MD PA 27104 S Dixie HwyNaranja, FL 33032Office Phone: (305) 247-0018P01704867 - P01830108 Accepting New Members: YTermination Date:

Bien-Aime, Tony MDAcadia Medical Center PA 19503 NW 57th Ave Miami Gardens, FL 33055Office Phone: (305) 621-8080P01825264 - P01837598 Accepting New Members: YTermination Date:

Also accepts Medicaid/Tambin acepta Medicaid






Bosa Osorio, Edwin MDCommunity Health of South FloridaInc 10300 SW 216th St Miami, FL 33190Office Phone: (305) 252-4880P01722005 - P0002260 Accepting New Members: NTermination Date:

13540 SW 135th Ave Miami, FL 33186Office Phone: (305) 253-5100P01722005 - P01784568 Accepting New Members: NTermination Date:

13600 SW 312th St Homestead, FL 33090Office Phone: (305) 242-6069P01722005 - P01718104 Accepting New Members: NTermination Date:

13805 SW 264th St Naranja, FL 33030Office Phone: (305) 253-5100P01722005 - P01718100 Accepting New Members: NTermination Date:

18255 Homestead Ave Miami, FL 33157Office Phone: (305) 234-7676P01722005 - P0002472 Accepting New Members: NTermination Date:

19300 SW 376th St Florida City, FL 33030Office Phone: (305) 246-4607P01722005 - P01718101 Accepting New Members: NTermination Date:

3831 Grand Ave Coconut Grove, FL 33133Office Phone: (786) 245-2700P01722005 - P01734251 Accepting New Members: YTermination Date:

6350 Sunset Dr Coral Gables, FL 33143Office Phone: (786) 293-5500P01722005 - P01759354 Accepting New Members: NTermination Date:

810 W Mowry DrHomestead, FL 33030Office Phone: (305) 248-4334P01722005 - P0002208 Accepting New Members: NTermination Date:

Braceras, Ines M MDInteramerican Medical Center Group LLC 4155 SW 130th Ave Miami, FL 33175Office Phone: (305) 455-3500P01711976 - P01711328 Accepting New Members: YTermination Date:

Brito, Hilda M MDHilda M Brito MD PA 14285 SW 42nd St Ste 209 Miami, FL 33175Office Phone: (305) 220-6917P01741771 - P01847797 Accepting New Members: YTermination Date:

Brito, Juan L MDCano Health LLC 311 NE 8th St Ste 101 Homestead, FL 33030Office Phone: (305) 441-9700P01849640 - P01843986 Accepting New Members: YTermination Date:

Brown, Thomas P DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01790656 - P01762318 Accepting New Members: YTermination Date:

Bryan, Anique MDMiami International Cardiology Consultants Inc 3801 Biscayne Blvd Ste 300Miami, FL 33137Office Phone: (305) 571-0620P01729117 - P01813074 Accepting New Members: YTermination Date:

Cantave, Hubert MDF & N Provider Services Inc 843 NW 119th St Miami, FL 33168Office Phone: (305) 846-9789P01717307 - P01758679 Accepting New Members: YTermination Date:

Cardenas, Jose J MDUniversity Health Care Flagler Inc8420 W Flagler St Ste 120Miami, FL 33144Office Phone: (305) 207-4443P01778475 - P01711265 Accepting New Members: YTermination Date: University Health Care Hialeah Inc1700 W 68th St Hialeah, FL 33014Office Phone: (305) 556-6459P01778475 - P01810278 Accepting New Members: YTermination Date: University Health Care North Shore Inc 1210 NW 95th St Miami, FL 33147Office Phone: (305) 691-1820P01778475 - P01841402 Accepting New Members: YTermination Date:

Specializes in Simply Care/Comfort Also accepts Medicaid/Tambin acepta Medicaid Se especializa en Simply Care/Comfort Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare Provider/Pharmacy Directory



Cardenas, Jose J MD (continued) University Health Care WestchesterInc 1695 SW 107th Ave Miami, FL 33165Office Phone: (305) 207-4443P01778475 - P01713435 Accepting New Members: YTermination Date:

Carpio, Maria E MDInteramerican Medical Center Group LLC 4155 SW 130th Ave Miami, FL 33175Office Phone: (305) 455-3500P01846672 - P01711328 Accepting New Members: YTermination Date:

Carrasquilla, Ivan G MDPrimehealth Physicians LLC370 Minorca Ave 2nd Fl Coral Gables, FL 33134Office Phone: (305) 443-3001P01737926 - P01772767 Accepting New Members: YTermination Date:

Carrodeguas, Lester MDFlorida International University800 SW 108th Ave Ste 100 Miami, FL 33174Office Phone: (305) 348-3627P01733045 - P01797379 Accepting New Members: YTermination Date:

Castano, Luis MDDoctors Medical Center Inc 1272 NW 119th St Miami, FL 33167Office Phone: (305) 685-5688P0000593 - P0002239 Accepting New Members: YTermination Date:

20215 NW 2nd Ave Ste 1 Miami, FL 33169Office Phone: (305) 652-4542P0000593 - P0002265 Accepting New Members: YTermination Date:

7900 NW 27th Ave Ste 150 Miami, FL 33147Office Phone: (305) 685-5688P0000593 - P0002224 Accepting New Members: YTermination Date:

Cespedes, Juan MDStylet Healthcare PA1380 NE Miami Gardens Dr Ste 132 Miami, FL 33179Office Phone: (305) 956-7755P01714043 - P01842858 Accepting New Members: YTermination Date:

Cherner, Rebeca M DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P0000965 - P0002237 Accepting New Members: YTermination Date:

Clarke, Dayna MDDonovan D Taylor MD LLC250 NW 183rd St Miami Gardens, FL 33169Office Phone: (305) 655-0702P01727968 - P01827987 Accepting New Members: YTermination Date:

Cohen, Darren J DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01713605 - P0002237 Accepting New Members: YTermination Date:

Coke, Timothy J MDUnited Medcare LLC 1651 W 37th St Hialeah, FL 33012Office Phone: (786) 615-6778P01762250 - P01823231 Accepting New Members: YTermination Date:

Cosby, John L DOGeneral Care Center Inc 7805 Coral Way Ste 101Miami, FL 33155Office Phone: (305) 229-0736P01795043 - P01769596 Accepting New Members: YTermination Date:

Dally, Alfredo MDD & D Medical Group LLC7650 W Flagler StMiami, FL 33144Office Phone: (305) 269-8099P0001321 - P01727223 Accepting New Members: YTermination Date:

De Armas Palomera, Ricardo MDDoctors Medical Center Inc 4580 SW 8th St Coral Gables, FL 33134Office Phone: (305) 441-8191P0001345 - P01796402 Accepting New Members: YTermination Date:

777 E 25th St Ste 118 Hialeah, FL 33013Office Phone: (305) 819-6666P0001345 - P01772659 Accepting New Members: YTermination Date:




De La Cruz, Fernando MDFernando De La Cruz MD 1435 W 49th Pl Ste 406 Hialeah, FL 33012Office Phone: (305) 557-7366P01763468 - P01808462 Accepting New Members: YTermination Date:

De Leon, Lester M MDLester De Leon MD PA 10260 SW 56th St Ste 103 Miami, FL 33165Office Phone: (786) 360-4425P01787409 - P01840311 Accepting New Members: YTermination Date:

Del Pino, Virgilio MDVirgilio Del Pino MD PA351 NW 42nd Ave Ste 105 Miami, FL 33126Office Phone: (786) 235-1031P01714533 - P01714531 Accepting New Members: YTermination Date:

Derenoncourt, Vladimir DOMiami Beach Community HealthCenter Inc 710 Alton Rd Miami Beach, FL 33139Office Phone: (305) 538-8835P0001465 - P01727953 Accepting New Members: YTermination Date:

Diaz Nunez, Lazaro R MDSan Lazaro Medical Group Inc1800 SW 1st St Ste 102 Miami, FL 33135Office Phone: (786) 294-0442P01802742 - P01810589 Accepting New Members: YTermination Date:

Diaz Salazar, Martha MDAccess Medical Group of Florida CityInc 751 W Palm Dr Florida City, FL 33034Office Phone: (786) 377-0120P01834993 - P01714257 Accepting New Members: YTermination Date: Access Medical Group of Opa Locka Inc 321 Opa Locka Blvd Ste 100Opa Locka, FL 33054Office Phone: (786) 476-3333P01834993 - P01726648 Accepting New Members: NTermination Date:

Diaz, Ernesto MDClinical Care Network Inc 3091 Coral WayCoral Gables, FL 33145Office Phone: (305) 649-6077P01712734 - P01724523 Accepting New Members: YTermination Date:

Diaz, Magdiel MDD & D Medical Group LLC7650 W Flagler StMiami, FL 33144Office Phone: (305) 269-8099P0001550 - P01727223 Accepting New Members: YTermination Date:

Eisenberg, Traci-Lyn DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01792417 - P0002237 Accepting New Members: YTermination Date:

Elberg, Stella DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01791777 - P01762318 Accepting New Members: YTermination Date:

Elisee, Sabine D DODoctors Health Group of SouthFlorida Inc 18921 NW 2nd Ave Ste C North Miami, FL 33169Office Phone: (305) 652-7824P01817844 - P01741729 Accepting New Members: YTermination Date:

Elozegui, Wanda MDSan Lazaro Medical Group Inc1800 SW 1st St Ste 102 Miami, FL 33135Office Phone: (786) 294-0442P01713408 - P01810589 Accepting New Members: YTermination Date:

English, Scott R MDPractical Management Inc16470 NE 10th Ave North Miami Beach, FL 33162Office Phone: (305) 651-9988P01729104 - P01799835 Accepting New Members: YTermination Date:

Estrada, Valentin MDValentin Estrada MD PA 12260 SW 8th St Ste 120 Miami, FL 33184Office Phone: (786) 360-6057P01713479 - P01716352 Accepting New Members: YTermination Date:

Also accepts Medicaid/Tambin acepta Medicaid Specializes in Simply Care/ComfortSe especializa en Simply Care/Comfort



Fajardo, Natasha A MDNatasha Fajardo MD Lld5975 Sunset Dr Ste 804 South Miami, FL 33143Office Phone: (305) 665-6926P01728083 - P01804228 Accepting New Members: YTermination Date:

Felipe, Luis F MDFelix Varela Medical Clinic Inc 3335 W 4th Ave Hialeah, FL 33012Office Phone: (786) 899-0092P01734322 - P01781487 Accepting New Members: YTermination Date:

Fernandez, Hugo MDPrimenet Medical Management Inc9000 SW 137th Ave Ste 115 Miami, FL 33186Office Phone: (305) 387-1981P01712431 - P01712093 Accepting New Members: YTermination Date:

Ferran, Victor A MDUniversity Health Care North Shore Inc 1210 NW 95th St Miami, FL 33147Office Phone: (305) 691-1820P01725155 - P01841402 Accepting New Members: YTermination Date: University Health Care WestchesterInc 1695 SW 107th Ave Miami, FL 33165Office Phone: (305) 207-4443P01725155 - P01713435 Accepting New Members: YTermination Date:

Florent-Carre, Marie H DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01702978 - P0002237 Accepting New Members: YTermination Date:

Flores, Lucky MDWellness Therapy & Medical Care Center Inc 8206 NW 103rd St Hialeah, FL 33016Office Phone: (305) 827-0208P0001160 - P01818076 Accepting New Members: YTermination Date:

Fontaine Figueredo, Fabian MDMiami Beach Medical Consultants LLC 1200 Alton Rd Miami Beach, FL 33139Office Phone: (305) 534-0076P01757305 - P01787105 Accepting New Members: YTermination Date:

13200 Biscayne BlvdNorth Miami, FL 33181Office Phone: (305) 534-0076P01757305 - P01787346 Accepting New Members: YTermination Date:

151 NW 11th St Ste E102 Homestead, FL 33030Office Phone: (305) 248-4877P01757305 - P01787347 Accepting New Members: YTermination Date:

551 E 49th St Ste 1-8 Hialeah, FL 33013Office Phone: (305) 534-0076P01757305 - P01787348 Accepting New Members: YTermination Date:

7500 SW 8th St Ste 101-104 Miami, FL 33144Office Phone: (305) 534-0076P01757305 - P01787349 Accepting New Members: YTermination Date:

Foreman, Stewart DOCompass Health Systems PA1065 NE 125th St Ste 206 North Miami, FL 33161Office Phone: (888) 852-6672P01736156 - P01704497 Accepting New Members: YTermination Date:

Foster-Moumoutjis, Gina M MDNova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01818460 - P01762318 Accepting New Members: YTermination Date:

Fox, Gregory DOFox Medical Center - Downtown 606 W Flagler StMiami, FL 33130Office Phone: (305) 545-9292P01717369 - P01841995 Accepting New Members: YTermination Date: Fox Medical Center - Westchester 6090 Bird Rd Miami, FL 33155Office Phone: (305) 661-6336P01717369 - P01841996 Accepting New Members: YTermination Date:

Fox, Jeffrey DOFox Medical Center - Downtown 606 W Flagler StMiami, FL 33130Office Phone: (305) 545-9292P01708850 - P01841995 Accepting New Members: YTermination Date:


Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare Provider/Pharmacy Directory

Specializes in Simply Care/ComfortSe especializa en Simply Care/Comfort





Fox, Jonathan DOFox Medical Center - Kendall 10860 SW 88th St Miami, FL 33176Office Phone: (305) 595-1300P01826523 - P01842006 Accepting New Members: YTermination Date:

Fox, Kevin B DOFox Medical Center - Kendall 10860 SW 88th St Miami, FL 33176Office Phone: (305) 595-1300P01718686 - P01842006 Accepting New Members: YTermination Date:

Franco, Vicente MDVicente Franco MD PA 1884 S Red Rd Miami, FL 33155Office Phone: (305) 262-9333P01718832 - P01718831 Accepting New Members: YTermination Date:

Friman, Jesus MDClinica Sur Medical Center 18400 NW 75th Pl Ste 106 Hialeah, FL 33015Office Phone: (305) 825-2222P01791405 - P01792596 Accepting New Members: YTermination Date:

Garcia, Lazaro M MDLazaro M Garcia MD PA 3626 NW 7th St Miami, FL 33125Office Phone: (305) 643-4343P01715229 - P01715228 Accepting New Members: YTermination Date:

Garcia, Lilian C MDFox Medical Center - Hialeah 2801 W 12th Ave Hialeah, FL 33010Office Phone: (305) 805-9500P01765015 - P01842034 Accepting New Members: YTermination Date:

Garcia, Rene J MDRene J Garcia MD PA 10260 SW 56th St Ste 101 Miami, FL 33165Office Phone: (305) 596-1433P01713814 - P01773390 Accepting New Members: YTermination Date:

Garcia-Sellek, Basilio MDBasilio Garcia-Sellek DO PA 13055 SW 42nd St Ste 103 Miami, FL 33175Office Phone: (305) 226-2262P01723591 - P01723589 Accepting New Members: YTermination Date:

Girala, Ricardo A MDMedicus Medical Group PLLC3661 S Miami Ave Ste 510 Miami, FL 33133Office Phone: (305) 860-1030P01723580 - P01836299 Accepting New Members: YTermination Date:

747 Ponce De Leon Blvd Ste 606-607 Coral Gables, FL 33134Office Phone: (305) 444-7779P01723580 - P01836298 Accepting New Members: YTermination Date:

Godoy, Gene MDAccess Health Care Physicians LLC790 Ives Dairy RdNorth Miami Beach, FL 33160Office Phone: (305) 405-0365P01823003 - P01822975 Accepting New Members: YTermination Date:

Gogate, Sangita A DOTenet Florida Physician Services LLC7100 W 20th Ave Ste 504 Hialeah, FL 33016Office Phone: (305) 819-1820P01732829 - P01838997 Accepting New Members: YTermination Date:

Gomez Rivera, Jose A DOFamily Medicine of Miami PA9485 SW 72nd St Ste 104 Miami, FL 33173Office Phone: (305) 270-1142P01724606 - P01724607 Accepting New Members: YTermination Date:

Gonzalez, Emilio L MDRuben J Ayala MD PA14283 SW 42nd St Miami, FL 33175Office Phone: (305) 226-1001P01782654 - P01709557 Accepting New Members: YTermination Date:

Gonzalez, Jorge DOJorge A Gonzalez DO PA4302 Alton Rd Ste 1020 Miami Beach, FL 33140Office Phone: (305) 672-9333P01712095 - P01712094 Accepting New Members: YTermination Date:

Gonzalez, Jose N MDDoctors Medical Center Inc 5521 SW 8th St Coral Gables, FL 33134Office Phone: (305) 685-5688P0000608 - P01711487 Accepting New Members: YTermination Date:

Specializes in Simply Care/Comfort Also accepts Medicaid/Tambin acepta Medicaid Se especializa en Simply Care/Comfort Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare Provider/Pharmacy Directory



Gonzalez, Julio C MDJulio C Gonzalez MD 4550 NW 7th St Miami, FL 33126Office Phone: (305) 643-9292P01708855 - P01808501 Accepting New Members: YTermination Date:

Gonzalez, Manuel Jr MDGl Medical Group LLC9049 SW 87th Ct Miami, FL 33176Office Phone: (305) 662-7234P01723337 - P01730104 Accepting New Members: YTermination Date:

Gonzalez, Misael MDMisael Gonzalez MD PA 2945 SW 8th St Miami, FL 33134Office Phone: (786) 577-5470P01717065 - P01717063 Accepting New Members: YTermination Date:

Gonzalez, Roberto R MDJMG Specialty Physicians971 NW 2nd St Miami, FL 33128Office Phone: (305) 585-2815P01758842 - P01778300 Accepting New Members: YTermination Date:

Grecy, Yvelt MDDoctors Medical Center Inc 1272 NW 119th St Miami, FL 33167Office Phone: (305) 685-5688P01737637 - P0002239 Accepting New Members: YTermination Date:

Guaty, Nestor E MDSouth Florida Family PracticeAssociates LC 8840 SW 40th St No 200 Miami, FL 33165Office Phone: (305) 221-3111P01723909 - P01723905 Accepting New Members: YTermination Date:

Guevara, Aldo MDCare Medical Center Group Inc13926 SW 47th St Ste F Miami, FL 33175Office Phone: (305) 340-5555P01791349 - P01814922 Accepting New Members: YTermination Date:

2344 NW 7th St Miami, FL 33125Office Phone: (305) 649-6090P01791349 - P01791350 Accepting New Members: YTermination Date:

4201 Palm Ave Ste C Hialeah, FL 33012Office Phone: (305) 823-0210P01791349 - P01791351 Accepting New Members: YTermination Date:

Gurarye, Roza B MDRoza Gurarye MD PA2020 NE 163rd St Ste 105 North Miami Beach, FL 33162Office Phone: (305) 948-3985P01757991 - P01757995 Accepting New Members: YTermination Date:

Hames, Elizabeth M DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01757083 - P0002237 Accepting New Members: YTermination Date:

Hanabergh, Rodolfo MDLSL Medical Center Inc 4640 W Flagler StMiami, FL 33134Office Phone: (305) 443-8229P01733062 - P01813680 Accepting New Members: YTermination Date: Riola Medical Center 7221 Coral Way Ste 201Miami, FL 33155Office Phone: (786) 292-4381P01733062 - P01845304 Accepting New Members: YTermination Date:

Haydar, Victoria E MDVictoria E Haydar MD PA10251 SW 72nd St Ste 102 Miami, FL 33173Office Phone: (305) 279-1975P01760130 - P01760131 Accepting New Members: YTermination Date:

Hernandez, Josefina MDMartinez-Hernandez MD PA 8480 SW 8th St Miami, FL 33144Office Phone: (305) 264-1131P0001304 - P01713684 Accepting New Members: YTermination Date:

Herrera, Edwin A MDReferral Medical Services Inc 330 SW 27th Ave Ste 306 Miami, FL 33125Office Phone: (305) 456-2966P0001215 - P01833424 Accepting New Members: YTermination Date:

Hoover III, John W MDHealthcare Now LLC 2575 SW 67th Ave Miami, FL 33155Office Phone: (305) 266-2424P01704820 - P01789002 Accepting New Members: YTermination Date:






Humaran, Anselmo H MDAnselmo H Humaran MD PA 11474 Quail Roost DrCutler Bay, FL 33157Office Phone: (305) 232-2066P01718039 - P01718038 Accepting New Members: YTermination Date:

Hurst, Maury MDUniversity Health Care Coral GablesInc 4908 SW 8th St Coral Gables, FL 33134Office Phone: (305) 207-5870P01720797 - P01841395 Accepting New Members: YTermination Date:

Jaeger, Robert M DOComplete Medical Care Associates Inc 12955 SW 42nd St Ste 10 Miami, FL 33175Office Phone: (305) 252-9952P01712740 - P01729645 Accepting New Members: YTermination Date: Miami Beach Medical Consultants LLC 9611 SW 40th St Miami, FL 33165Office Phone: (305) 534-0076P01712740 - P01793093 Accepting New Members: YTermination Date:

Jagmohan, Gem H DOFox Medical Center - Westchester 6090 Bird Rd Miami, FL 33155Office Phone: (305) 661-6336P01842396 - P01841996 Accepting New Members: YTermination Date:

Jarrett, Wentworth MDDr Wentworth Jarrett PA 12955 SW 132nd St Bldg 3BMiami, FL 33186Office Phone: (305) 520-5750P01727758 - P01727757 Accepting New Members: YTermination Date:

Johnson, Michelle L DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01805005 - P01762318 Accepting New Members: YTermination Date:

Koenig, Nathalie A DOElite Health Primary Care PA4302 Alton Rd Ste 300 Miami Beach, FL 33140Office Phone: (305) 672-9989P0000980 - P01816876 Accepting New Members: YTermination Date:

Lemaire, Joseph MDManaged Care Providers Inc12595 NE 7th Ave Miami, FL 33161Office Phone: (305) 981-1015P01713776 - P01716092 Accepting New Members: YTermination Date:

Leon, Ramon MDSouth Dade Primary Care LLC7540 SW 61st Ave South Miami, FL 33143Office Phone: (305) 666-8691P0001332 - P01823123 Accepting New Members: YTermination Date:

Leroy, Nathalie MDMiami Beach Community HealthCenter Inc 710 Alton Rd Miami Beach, FL 33139Office Phone: (305) 538-8835P01708974 - P0000649 Accepting New Members: YTermination Date:

Lopez Luciano, Luisa MDDavina Medical Care PA 925 NE 30th Ter Ste 316 Homestead, FL 33033Office Phone: (305) 245-8787P01734193 - P01734192 Accepting New Members: YTermination Date:

Lopez, Wilson MDFamily & Pediatrics Medical Center4005 NW 114th Ave Unit 2 Doral, FL 33178Office Phone: (305) 591-2988P01708834 - P01714240 Accepting New Members: YTermination Date:

Lozano, Josefina MDRegenerate Primary Medical LLC6161 Sunset Dr Ste B South Miami, FL 33143Office Phone: (305) 663-1113P01773247 - P01777666 Accepting New Members: YTermination Date:

Marill, Carlos M MDNorth Miami Medical Inc 823 NE 125th St North Miami, FL 33161Office Phone: (305) 895-7840P01726783 - P0001252 Accepting New Members: YTermination Date:

Broward/Miami-Dade/Palm Beach Simply Healthcare Medicare Provider/Pharmacy Directory



Marquez-Valedon, Guillermo A MDMed Plan Clinic LLC 10982 SW 184th St Miami, FL 33157Office Phone: (305) 351-9346P01781153 - P01784379 Accepting New Members: YTermination Date:

7200 NW 7th St Ste 150 Miami, FL 33126Office Phone: (305) 262-1610P01781153 - P01782629 Accepting New Members: YTermination Date:

Martinez, Adolfo MDMartinez-Hernandez MD PA 8480 SW 8th St Miami, FL 33144Office Phone: (305) 264-1131P0001311 - P01713684 Accepting New Members: YTermination Date:

Martinez, Cindy L MDAcevedo Medical Care Group Inc2400 NW 54th St Miami, FL 33142Office Phone: (305) 633-9090P01800568 - P01798842 Accepting New Members: YTermination Date:

Martinez, Jorge MDSt John Clinic Medical Center Inc 161 NW 29th St Miami, FL 33127Office Phone: (305) 576-0231P0001470 - P01713757 Accepting New Members: YTermination Date:

Martinez-Noda, Peter A MDPeter Martinez-Noda DO PA 7000 SW 97th Ave Ste 101 Miami, FL 33173Office Phone: (305) 273-4454P01742066 - P01742065 Accepting New Members: YTermination Date:

Masri, Hady DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01706909 - P0002237 Accepting New Members: YTermination Date:

Medina, Yesenia DOJMG Specialty Physicians971 NW 2nd St Miami, FL 33128Office Phone: (305) 585-2815P0002351 - P01778300 Accepting New Members: YTermination Date:

Milanes, Hermes L MDCh Medical Group Corp711 NW 23rd Ave Ste 301 Miami, FL 33125Office Phone: (305) 643-4797P01766819 - P01847924 Accepting New Members: YTermination Date:

Montes De Oca Pineda, Jenny C MD

Prime Care at Coral Gables 370 Minorca Ave 2nd Fl Coral Gables, FL 33134Office Phone: (305) 443-3001P01758307 - P01737925 Accepting New Members: YTermination Date:

Mora, Francisco MDFrancisco J Mora MD PA 7480 Fairway Dr Ste 218Hialeah, FL 33014Office Phone: (305) 820-6211P01714453 - P01806341 Accepting New Members: YTermination Date:

Moran-Walcutt, Pamela J DONova Southeastern University Inc1750 NE 167th St North Miami Beach, FL 33162Office Phone: (954) 262-4100P01730041 - P01762318 Accepting New Members: YTermination Date:

Morelli, Joseph DOCommunity Health of South Florida Inc 10300 SW 216th St Miami, FL 33190Office Phone: (305) 253-5100P01763620 - P0000257 Accepting New Members: NTermination Date:










Morelli, Joseph DO (continued)


19300 SW 376th St Florida City, FL 33030Office Phone: (305) 246-4607P01763620 - P01718101 Accepting New Members: NTermination Date:

3831 Grand Ave Coconut Grove, FL 33133Office Phone: (786) 245-2700P01763620 - P01734251 Accepting New Members: NTermination Date:



Morono, Leydis MDAccess Medical Group of Hialeah Inc3805 W 20th Ave Ste 105 Hialeah, FL 33012Office Phone: (305) 557-2277P01803613 - P01714263 Accepting New Members: NTermination Date:

Access Medical Group ofWestchester Inc 14223 SW 42nd St Miami, FL 33175Office Phone: (786) 485-5600P01803613 - P01735383 Accepting New Members: YTermination Date:

1621 SW 107th Ave Miami, FL 33165Office Phone: (786) 422-6525P01803613 - P01714266 Accepting New Members: YTermination Date:

Morono-Ponce, Idaylis MDPremier Value Family Medicine LLC8348 Bird Rd Miami, FL 33155Office Phone: (305) 225-0707P01756647 - P01756649 Accepting New Members: YTermination Date:

Nabut, Jose MDFox Medical Center - Hialeah 2801 W 12th Ave Hialeah, FL 33010Office Phone: (305) 805-9500P01710431 - P01842034 Accepting New Members: YTermination Date:

Nana, Maher M MDTarek Medical LLC 1400 NE Miami Gardens Dr Ste 105 North Miami Beach, FL 33179Office Phone: (305) 974-5933P01738048 - P01801353 Accepting New Members: YTermination Date:

Ng, Shukshin DOElite Health Primary Care PA4302 Alton Rd Ste 300 Miami Beach, FL 33140Office Phone: (305) 672-9989P01816883 - P01816876 Accepting New Members: YTermination Date:

Nieves, Evelyn MDGaleno Medical Group PA351 NW 42nd Ave Ste 204 Miami, FL 33126Office Phone: (305) 644-2212P01814883 - P01800570 Accepting New Members: YTermination Date:

Nunez, Edgar MDCommunity Health of South Florida Inc 10300 SW 216th St Miami, FL 33190Office Phone: (305) 252-4880P0001369 - P0002260 Accepting New Members: YTermination Date:







Nunez, Edgar MD (continued)

19300 SW 376th St Florida City, FL 33030Office Phone: (305) 246-4607P0001369 - P01718101 Accepting New Members: YTermination Date:

3831 Grand Ave Coconut Grove, FL 33133Office Phone: (786) 245-2700P0001369 - P01734251 Accepting New Members: NTermination Date:



Nunez, Hernaldo MDJMG Specialty Physicians16555 NW 25th Ave Opa Locka, FL 33054Office Phone: (305) 585-6000P01763220 - P01720979 Accepting New Members: YTermination Date:

Nunez, Lydia A MDJMG Specialty Physicians100 NW 170th St Ste 410 Miami, FL 33173Office Phone: (305) 654-6850P01720779 - P01713945 Accepting New Members: NTermination Date:

111 NW 1st St Ste 110 Miami, FL 33128Office Phone: (786) 466-7200P01720779 - P01778295 Accepting New Members: NTermination Date:

Orcasita-Ng, Jose A MDJose Orcasita-Ng PA7000 W 12th Ave Ste 21-22 Hialeah, FL 33014Office Phone: (305) 362-9560P01722294 - P01722292 Accepting New Members: YTermination Date:

Otero, Anisia MDCoral Reef Medical Group LLC11440 N Kendall Dr Ste 308 Miami, FL 33176Office Phone: (305) 271-7660P01786953 - P01718712 Accepting New Members: YTermination Date:

30334 Old Dixie HwyHomestead, FL 33033Office Phone: (786) 243-0149P01786953 - P01807353 Accepting New Members: YTermination Date:

Lifeplus Healthcare Group Inc13550 SW 88th St Ste 180 Mi

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