BayCarePlus - Provider Directory - Provider Pharmacy Directory

2021 PROVIDER DIRECTORY

This Provider Directory was updated on 12/14/2021. For more recent information or other questions, please contact BayCarePlus Customer Service at (866) 509-5396

TTY: 711, 8am to 8pm, seven days a week, or visit Member.. You may reach a messaging service on weekends from April 1 through September 30 and holidays. Please leave a message, and your call will be

returned the next business day.

Changes to our Provider Directory may occur during the benefit year. An updated Provider Directory is located on our website at . You may also call Customer Service for updated provider information.

BayCarePlus Complete (HMO) BayCarePlus Rewards (HMO) BayCarePlus Premier (HMO)

BayCarePlus Signature (HMO)

Serving Hillsborough, Pasco, Pinellas and Polk Counties

Provider Directory

BayCarePlus? Medicare Advantage (HMO) Plans

Provider Directory

Provider Directory

This directory is current as of December 14, 2021.

This directory provides a list of the BayCarePlus current network providers.

This directory is for Hillsborough, Pasco, Pinellas and Polk counties in Florida.

To access the BayCarePlus online provider directory, you can visit . For any questions about the information contained in this directory, please call our Customer Service Department at (866) 509-5396 from 8 a.m. to 8 p.m., seven days a week. You may reach a messaging service on weekends from April 1 through September 30 and holidays. Please leave a message, and your call will be returned the next business day. TTY users should call 711.

To request a hard copy of BayCarePlus's provider directory, please call our Customer Service Department at (866) 509-5396 from 8 a.m. to 8 p.m., seven days a week. BayCarePlus will mail a hard copy of the provider directory to you within three (3) business days of your request. BayCarePlus may ask whether your request for a hard copy is a one-time request or if you are requesting to receive the provider directory in hard copy permanently. If you request it, your request for hard copies of the provider directory remains until you leave BayCarePlus or request that hard copies be discontinued.

BayCare Select Health Plans is an HMO plan with a Medicare contract. Enrollment in BayCare Select Health Plans depends on contract renewal.

We have free interpreter services to answer any questions you may have about our health or drug plan. To reach an interpreter, call us toll-free at (866) 509-5396. Your call will be answered by someone who speaks English, who will help connect you to an interpreter for your language. This is a free service.

This information may be available in a different format, including Braille or large print. Please call our customer service at the number listed above if you need plan information in another format or language.

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

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Provider Directory

TABLE OF CONTENTS

Section 1 - Introduction .............................................................. 6

What is the service area for BayCarePlus? ....................................................... 9 How do you find BayCarePlus providers in your area?........................................ 9

Section 2 - List of Network Providers ........................................... 13

Hospitals.................................................................................................. 13 Hospitals (34) .................................................................................. 13

Primary Care Providers............................................................................... 16 Primary Care Providers (574) ............................................................. 16

Specialty Care Providers ............................................................................. 61 Acupuncturist (20)............................................................................ 61 Acupuncturist-ACAOM (20) ................................................................ 62 Allergy & Immunology (37) ................................................................ 64 Cardiothoracic Surgery (29) ............................................................... 67 Cardiovascular Disease (194) ............................................................. 69 Chiropractic (59) .............................................................................. 89 Colorectal Surgery (17) ..................................................................... 93 Dermatology (150) ........................................................................... 94 Dermatology Mohs (8)......................................................................106 Dietician (12)..................................................................................107 Electrophysiology (36) .....................................................................108 Endocrinology (47) ..........................................................................112 Female Pelvic Medicine and Reconstruction (11) ...................................115 Gastroenterology (124) ....................................................................116 General Surgery (170) .....................................................................127 Gynecological Oncology (18) .............................................................140 Hand Surgery (18)...........................................................................142 Hematology (94) .............................................................................143 Infectious Disease (57) ....................................................................152 Interventional Cardiology (83) ...........................................................156 Interventional Radiology (1)..............................................................166 Massage Therapist (12) ....................................................................166 Nephrology (72)..............................................................................167 Neurological Surgery (36) .................................................................173 Neurology (76) ...............................................................................176 Neuropsychology (2)........................................................................182 Neuroradiology (1) ..........................................................................182 Neurotology (3) ..............................................................................182 OBGYN - Gyn Only (9)......................................................................183 Obstetrics / Gynecology (128) ...........................................................183 Oncology (152) ...............................................................................197 Ophthalmology (199) .......................................................................210 Ophthalmology - Corneal (1) .............................................................229 Ophthalmology-Retina Only (18)........................................................229 Optometrist (1)...............................................................................231

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Oral and Maxillofacial Surgery (1) ......................................................231 Orthopedic Surgery (177) .................................................................231 Otolaryngology (ENT) (91) ................................................................248 Pain Management (52) .....................................................................257 Physical Medicine & Rehabilitation (39) ...............................................262 Plastic & Reconstructive Surgery (19) .................................................266 Podiatry (110) ................................................................................267 Pulmonary Disease (79) ...................................................................276 Radiation Oncology (63) ...................................................................283 Rheumatology (44)..........................................................................288 Sleep Medicine (8)...........................................................................292 Spine Surgery (5)............................................................................292 Sports Medicine (19)........................................................................293 Surgical Oncology (13) .....................................................................295 Thoracic Surgery (16) ......................................................................296 Transplant Surgery (6) .....................................................................297 Urology (90) ...................................................................................298 Vascular Surgery (37) ......................................................................305 Other Contracted Providers ........................................................................310 Ambulatory Surgical Center (47)........................................................310 Audiology (1)..................................................................................312 Dialysis Center (32) .........................................................................312 Durable Medical Equipment (13) ........................................................314 Fitness (1) .....................................................................................314 Home Health Agency (7)...................................................................314 Hospital (2) ....................................................................................315 Imaging & Radiology (27) .................................................................315 Labs (22) .......................................................................................317 Long Term Care Facility (2) ...............................................................320 Orthotics and Prosthetics (24) ...........................................................320 Other Treatment Center (5) ..............................................................322 Rehabilitation Hospital (3).................................................................322 Skilled Nursing Facility (95)...............................................................322 Therapy - Occupational (27)..............................................................327 Therapy - Physical (54) ....................................................................328 Therapy - Speech (20) .....................................................................331 Transportation (2) ...........................................................................332 Urgent Care Center (9).....................................................................332 Behavioral Health Providers .......................................................................334 Facilities Behavioral Health - Outpatient (11) ......................................334 Facilities Behavioral Health - Inpatient (13) .........................................334 Facilities Substance Abuse - Inpatient (6)............................................335 Facilities Substance Abuse - Outpatient (7)..........................................336 Licensed Clinical Social Worker (66) ...................................................336 Licensed Professional Counselor (1)....................................................340 Psychiatry (115)..............................................................................340 Psychology (17) ..............................................................................349 Dental Care Providers ...............................................................................351 Dental Health (305) .........................................................................351

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Provider Directory Routine Vision Care Providers.....................................................................375

Routine Vision (333) ........................................................................375 Pharmacy Directory ..................................................................................402

Retail Pharmacies including Chain Pharmacies (292) .............................403 Mail Order Pharmacy........................................................................417 Mail Order Pharmacies (1) ................................................................417 Home Infusion Pharmacies................................................................418 Home Infusion (5) ...........................................................................418 Long Term Care Pharmacies ..............................................................419 Long Term Care (38)........................................................................419 Alphabetical Provider Index........................................................................421

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Provider Directory

Section 1 - Introduction

Section 1 - Introduction

This directory provides a list of BayCarePlus network providers. For detailed information about your healthcare coverage, please see your Evidence of Coverage (EOC).

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 healthcare services from your PCP. The name and telephone number of your PCP is printed on your membership ID card.

The network providers listed in this directory have agreed to provide you with your healthcare, vision and dental 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. Please refer to your EOC for details.

You will get your routine or basic care from your PCP. Your PCP will coordinate the rest of the covered services you need. This includes x-rays, laboratory tests, therapies, specialist visits, hospital admissions and follow-up care. Your PCP also contacts other network providers for updates about your care and/or treatment. If you need certain types of covered services or supplies, your PCP must give approval ahead of time.

Your plan may require you to obtain a referral to see a specialist. Please refer to your Evidence of Coverage for plan rules. When your PCP thinks you need specialized treatment, he or she will give you a "referral" (approval ahead of time) to see a network specialist. A specialist is a doctor who provides healthcare services for a specific disease or part of the body. If you want to use a BayCarePlus specialist or hospital, you should check with your PCP to make sure he or she can make referrals to that specialist or hospital.

If your plan requires a referral it is very important to get a referral from your PCP before you see a network specialist. If you do not have a referral before you get services from a specialist, you may have to pay for these services yourself. If the specialist wants you to come back for follow-up visits, be sure to check the original referral to see if these were included.

In some cases, your PCP will need to get prior authorization from BayCarePlus. A prior authorization is an approval from the plan for medical services and must be requested before services are received. Since your PCP will provide and coordinate your healthcare, you should have all of your past medical records sent to your new PCP's office. The law requires us to protect the privacy of your medical records and personal health information. For more information about privacy, see your Evidence of Coverage.

You may change your PCP for any reason, at any time. To change your PCP, call our Customer Service Department at (866) 509-5396 (TTY: 711). PCP changes take effect the first day of the following month. Requests for retroactive changes are typically not approved. When you call, be sure to let the customer service representative know if you are seeing specialists or getting other covered services that needed your PCP's approval (such as home health services and durable medical equipment). The customer service representative will change your membership record to show the name of your new PCP. The representative

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Provider Directory

will also send you an updated membership card with the name and telephone number of your new PCP.

Some services you may get on your own. You can get only a few types of covered services without seeing your PCP first. "Self-referred" means you get a service on your own. If you get self-referred services, you still have to pay a copayment. If you get a self-referred service from a network provider, you will only have to pay the in-network copayment. If you go to an out-of-network provider for these services, you will have to pay more.

The following services may be self-referred:

? Routine eye exam ? an annual exam for the purposes of determining changes to your vision and the possible need for eyeglasses or contact lenses. Please see the "Routine Vision Care Provider" section at the end of this directory for information on how to find network providers that you may use without a referral from your PCP.

? Routine women's healthcare - this includes breast exams, mammograms (x-rays of the breast), pap tests and pelvic exams. This care is covered without a referral only if you get it from a network provider.

? Flu shots, hepatitis and pneumonia vaccinations ? these are covered only if you get them from a network provider.

? Emergency services - whether you get these services from network providers or out-ofnetwork providers, emergency services including hospital care after you are stable (known as post-stabilization) are also covered.

? Urgently needed care ? this includes care you receive from out-of-network providers when you are temporarily outside the plan's service area.

? Renal dialysis - kidney services that you get when you are temporarily outside the plan's service area are covered. If possible, please let us know before you leave the service area and where you will be. We can help arrange for you to have maintenance dialysis while you are away.

? Medicare covered dermatology visits from a network provider. (You may self-refer to a network dermatologist up to five times per calendar year.)

? Medicare covered chiropractic services from a network provider.

? Medicare covered podiatry visits from a network provider.

? Behavior health visits from a network provider.

Getting care when traveling or are away from the plan's service area. Out of service area coverage is limited. The only services we cover when you are outside of our service area are care for a medical emergency, including maintenance care and hospital care after you are stable (known as post-stabilization care), urgently needed care, renal dialysis (kidney) and care that BayCarePlus has approved in advance. If you question whether a service is covered when you travel, please call our Customer Service Department.

The difference between a medical emergency and urgently needed care is the seriousness of the condition.

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