PHO Physician Directory

PHO Physician Directory

May 2022

Please reference this directory when referring to a Specialty Physician

The Northeast PHO

500 Cummings Center, Suite 6500

Beverly, MA 01915

PHO CONTACTS

PHONE:

FAX - OPERATIONS:

(978) 236-1744

(978) 236-1777

__________________________________________________________________________________

Stacey Keough

Joseph Peppe, M.D.

Lisa Driscoll

Executive Director

Medical Director

Executive Assistant

(978) 816-2010

(978) 236-1740

(978) 236-1744

Shawn Bromley

Meg Doyon

Alycia Messelaar

Marcela Bloom

Ann Cabral

Michelle Costanza

Carolyn Kernweis

Jessica Bryan

Stacey Begonis

Jean Servizio

Director, Contracting and Operations

Administrative Secretary

Manager, Provider & Payor Relations

Provider Relations & Credentialing Coordinator

Manager, Referral Services

Referral & Authorization Lead

Referral & Authorization Lead

Referral Coordinator

Referral Coordinator

Referral Coordinator

(978) 236-1704

(978) 236-1789

(978) 236-1784

(978) 236-1760

(978) 236-1758

(978) 236-1748

(978) 236-1739

(978) 236-1634

(978) 236-1754

(978) 236-1737

Carol Freedman, RPh

Alison "Ali" Wiklund, MSN, FNP-BC

Sandra Pajarillaga, LICSW

Jean St. Peter, R.N.

Julie Wang, R.N.

Manager, Pharmacy Services

Population Health Nurse Practitioner

Social Worker

Care Manager

Care Manager

(978) 236-1774

(978) 236-1770

(978) 307-6307x1731

(978) 236-1768

(978) 236-1763

Liz Isaac

Jennifer Andersen

Cheryl Brennan

Stephanie Cunningham

Laureen Viel

Director, Ambulatory Performance Improvement

Quality Analyst Lead

Quality and Data Entry Specialist

Projects Specialist

Lead Population Health Specialist

(978) 236-1767

(978) 236-1747

(978) 236-1719

(978) 236-1753

(978) 236-1746

Nicholas Catino

Maureen von Zweck

Healthcare Data Analyst

Financial and Accounting Analyst

(978) 236-1773

(978) 236-1701

NEPHO Board of Directors Contacts

Officers

¡ñ Pierre Ezzi, M.D., President (Class P) Phone: 978-524-8181

¡ñ Eric Sleeper, M.D., Secretary (Class P) Phone: 978-927-4980

¡ñ Connie Woodworth, VP of Finance of Beverly & Addison Gilbert Hospitals, Treasurer

(Class H) Phone: 978-816-2580

Directors

¡ñ Tom Sands, CEO of Beverly & Addison Gilbert Hospitals(Class H) Phone: 978-8162580

¡ñ Alexander Doumas, M.D. (Class P) Phone: 978-927-8400

¡ñ Melissa Johnston, COO of Lahey Health Primary Care (Class H) Phone: 978-739-1208

¡ñ Mark Gendreau, M.D., CMO of Beverly & Addison Gilbert Hospitals (Class H) Phone:

978-816-2885

¡ñ Steven Hollis, M.D. (Class P) Phone: 978-927-3040

¡ñ Timothy Kelliher, M.D. (Class P) Phone: 978-922-2226

¡ñ William Medwid, M.D. (Class P) Phone: 978-468-7381

Northeast PHO Members

¡ñ Stacey Keough, Northeast PHO, Executive Director, ex-officio (without vote) Phone:

978-816-2010

¡ñ Joseph Peppe, M.D., Northeast PHO, Medical Director, ex-officio (without vote) Phone:

978-236-1740

¡ñ Shawn Bromley, Northeast PHO, Director of Contracting and Operations (without vote)

Phone: 978-236-1704

Northeast PHO Referral Management Policy 2021

The Northeast Physician Hospital Organization (PHO) has a comprehensive network of

community based specialists who partner with our Primary Care Providers (PCPs) to

provide well-coordinated care for our patients. The Northeast PHO is part of a larger

network, Beth Israel Lahey Health Performance Network (BILHPN). If services are not

available in the Northeast PHO network, referrals may be directed to BILHPN providers

and facilities. In an effort to facilitate and improve care coordination for the patients of

Northeast PHO network, the following referral management process has been put in

place.

1. BCBS, Fallon, Harvard Pilgrim, Tufts, and Tufts Medicare Preferred HMO patients

seeking specialty care referrals outside of the Northeast PHO network may be

subject to review.

2. Preferred Tertiary providers are:

Lahey Hospital & Medical Center and Beth Israel Deaconess Medical Center

for services not available within the Northeast PHO network.

3. The following criteria must be met in order for an out of PHO or out of BILHPN

referral request to be approved.

a. Pre-existing relationship - Clinical notes will be required to authorize a preexisting relationship

i. The patient must have seen the out of network (OON) specialist within

12 months for the same condition

ii. Follow up to current surgery or complication of current surgery or

therapy

iii. PCPs should make efforts to redirect care to a Northeast PHO, or

when necessary BILHPN, specialist where clinically appropriate

b. Services not in PHO network - Clinical notes will be required to support this

request

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download