Northern Specialists Medi-Cal Provider Directory

Medi-Cal Provider Directory Northern Specialists-

Del Norte, Humboldt, Lassen, Modoc, Shasta, Siskiyou, Tehama, Trinity

Facilities, Other Services Providers, Specialty Care

CONTACT US (800) 863-4155 |

Revised Date: March 6, 2024 08-85215_CPL_001 04/18/2013

PHC PROVIDERS | NORTHERN SPECIALISTS DIRECTORY

TABLE OF CONTENTS

How to use this list:....................................................................................................................................................................1 Para usar esta lista:...................................................................................................................................................................3 Glossary of Terms......................................................................................................................................................................5 Glosario de t?rminos .................................................................................................................................................................8 Nondiscrimination Notice.........................................................................................................................................................12 Aviso de no discriminaci?n......................................................................................................................................................15 Grievances ..............................................................................................................................................................................13 Quejas .....................................................................................................................................................................................16 Language Assistance ..............................................................................................................................................................18 Asistencia de idiomas..............................................................................................................................................................18 Accessibility Standards............................................................................................................................................................21 Est?ndares de Accesibilidad....................................................................................................................................................22 Timely Access to Care.............................................................................................................................................................24 Acceso oportuno a la atenci?n m?dica....................................................................................................................................25 Physician Listing Information...................................................................................................................................................26 Informaci?n del listado de m?dicos .........................................................................................................................................26 NorthernSpec Facilities, Pharmacy, Urgent Care & VSP List..................................................................................................27

Hospitals Primary................................................................................................................................................................27 Hospitals Referral ...............................................................................................................................................................29 Mental Health .....................................................................................................................................................................31 Pharmacy Network List.......................................................................................................................................................31 Skilled Nursing Long Term Care Facilities..........................................................................................................................32 Urgent Care Sites ...............................................................................................................................................................37 Vision .................................................................................................................................................................................. 38 NorthernSpec Other Services Providers .................................................................................................................................39 Community Health Worker Services...................................................................................................................................39 Community Supports ..........................................................................................................................................................39 Enhanced Care Management.............................................................................................................................................44 Justice Involved Enhanced Care Management ..................................................................................................................59 NorthernSpec Referral/Specialist Providers ............................................................................................................................64 Acupuncture .......................................................................................................................................................................64 Allergy................................................................................................................................................................................. 65 Ambulatory Surgery Centers .............................................................................................................................................. 67 Audiology ............................................................................................................................................................................ 69 Bariatric Surgery.................................................................................................................................................................69 Behavioral Health Treatment..............................................................................................................................................70 Cardiovascular Disease......................................................................................................................................................83 Chiropractic ........................................................................................................................................................................95 Community Based Adult Services CBAS............................................................................................................................99 Comprehensive Perinatal Services Program CPSP.........................................................................................................100 Dermatology ..................................................................................................................................................................... 104 Dialysis Centers................................................................................................................................................................109 Doula Services .................................................................................................................................................................109

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 21 for a description of codes: P EB IB R E T

Revised Date: March 6, 2024

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PHC PROVIDERS | NORTHERN SPECIALISTS DIRECTORY

Durable Medical Equipment ............................................................................................................................................. 110 Endocrinology................................................................................................................................................................... 116 Family Planning ................................................................................................................................................................ 117 Female Pelvic Medicine and Reconstuctive Surgery........................................................................................................121 Gastroenterology ..............................................................................................................................................................121 General Surgery ............................................................................................................................................................... 125 Gynecology....................................................................................................................................................................... 136 HIV AIDS Specialists ........................................................................................................................................................146 Hand Surgery....................................................................................................................................................................146 Hearing Aid Dispenser......................................................................................................................................................146 Hematology....................................................................................................................................................................... 147 Home Health Agencies.....................................................................................................................................................151 Home Infusion Therapy.....................................................................................................................................................156 Hospice Services..............................................................................................................................................................158 Infectious Diseases ..........................................................................................................................................................161 Laboratory Draw Stations .................................................................................................................................................163 MAT-BUP.......................................................................................................................................................................... 167 Maternal Fetal Medicine ................................................................................................................................................... 172 Medical Supplies ..............................................................................................................................................................173 Nephrology ....................................................................................................................................................................... 175 Neurological Surgery ........................................................................................................................................................182 Neurology ......................................................................................................................................................................... 183 Nutrition Services .............................................................................................................................................................185 Obstetrics .........................................................................................................................................................................185 Occupational Therapy.......................................................................................................................................................196 Oncology........................................................................................................................................................................... 197 Ophthalmology.................................................................................................................................................................. 200 Orthopaedic Surgery.........................................................................................................................................................209 Orthotics Prosthetics ........................................................................................................................................................217 Otolaryngology.................................................................................................................................................................. 221 Pain Management ............................................................................................................................................................224 Palliative Medicine............................................................................................................................................................227 Pediatric Cardiology..........................................................................................................................................................228 Pediatric Dermatology ...................................................................................................................................................... 231 Pediatric Endocrinology....................................................................................................................................................231 Pediatric Gastroenterology ...............................................................................................................................................232 Pediatric Neurology .......................................................................................................................................................... 232 Pediatric Surgery ..............................................................................................................................................................232 Physical Medicine Rehabilitation ......................................................................................................................................233 Physical Therapy ..............................................................................................................................................................235 Plastic Reconstructive Surgery.........................................................................................................................................241 Podiatry............................................................................................................................................................................. 242 Pulmonary Disease ..........................................................................................................................................................247 Radiation Oncology .......................................................................................................................................................... 250 Radiology.......................................................................................................................................................................... 252

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 21 for a description of codes: P EB IB R E T

Revised Date: March 6, 2024

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PHC PROVIDERS | NORTHERN SPECIALISTS DIRECTORY

Rheumatology................................................................................................................................................................... 254 Sleep Medicine .................................................................................................................................................................255 Speech Therapy................................................................................................................................................................256 Sports Medicine................................................................................................................................................................257 Substance Use ................................................................................................................................................................. 258 TB Chest Clinic.................................................................................................................................................................267 Telehealth Services ..........................................................................................................................................................267 Thoracic Surgery .............................................................................................................................................................. 272 Urology ............................................................................................................................................................................. 275 Vascular Surgery...............................................................................................................................................................278 Wound Care .....................................................................................................................................................................280 INDEX.................................................................................................................................................................................... 283

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 21 for a description of codes: P EB IB R E T

Revised Date: March 6, 2024

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PHC PROVIDERS | NORTHERN SPECIALISTS DIRECTORY

The Partnership HealthPlan of California (PHC) Service Area includes 24 counties with providers located throughout those counties as well as other counties. The 24 PHC counties are Butte, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Nevada, Placer, Plumas, Shasta, Sierra, Siskiyou, Solano, Sonoma, Sutter, Tehama, Trinity, Yolo, and Yuba.

To view our entire list of network providers, visit the PHC website, for an online searchable directory. It is updated daily. Click on "Members", then click on "Find a Provider."

If you need help finding a provider or looking for a provider on our website, call Member Services at (800) 863-4155. TTY/TDD users can call the California Relay Service at (800) 735-2929 or call 711.

How to use this list:

1. Pick two primary care providers (PCPs). One will be your first choice and the other will be your second choice. We ask you to pick a second choice in case your first choice is not available.

2. Write the names and the provider numbers of the primary care providers that you picked on the enclosed Primary Care Provider Selection Form. Call our Members Services Department to make sure the doctor or medical group is available.

3. Return the Primary Care Selection Form to PHC using the enclosed postage paid return envelope.

4. You can access some Medi-Cal benefits without an authorization from your PCP. Please refer to your Member Handbook or call the PHC Member Services Department for more information about these services.

5. Some hospitals and\or primary care providers may not provide one or more of the following services that are covered benefits: family planning contraceptive services, including emergency contraception; sterilization, including tubal ligation or abortion. You can obtain more information about these services before you choose your PCP by calling your prospective primary care provider or by calling the PHC's Member Services Department at (800)863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

6. Members are encouraged to pick a Primary Care Provider (PCP) that is closest to their home. However, members can choose any PCP in their County that is available in this Provider Directory.

7. The telephone number listed under each site in this directory is the same number to call after normal business hours.

If you need help filling out the Primary Care Selection Form or if you have any questions about choosing a primary care provider, please call our Member Services Department at (800) 863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

Your PCP will give you a referral to send you to a specialist if you need one. A specialist is a doctor who has extra education in one area of medicine. Your PCP will work with you to choose a specialist.

For some types of care, your PCP or specialist will need to ask for approval before you get the care. This is called prior

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. = Board Certified = Trained in Cultural Competency. See Page 21 for a description of codes: P EB IB R E T

Revised Date: March 6, 2024

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