Children s Medical Services Managed Care Plan Provider ...

[Pages:2]Children's Medical Services Managed Care Plan ? Provider Relations Liaisons

CMS Plan Region

Ped-I-Care Provider Relations

Ped-I-Care ? Pensacola Escambia, Okaloosa, Santa Rosa, Walton Ped-I-Care ? Panama City Bay, Calhoun, Gulf, Holmes, Jackson, Washington Ped-I-Care ? Tallahassee Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla Ped-I-Care ? Gainesville Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union Ped-I-Care ? Ocala Citrus, Hernando, Lake, Marion, Sumter Ped-I-Care ? Daytona Flagler, Putnam, Volusia Ped-I-Care ? Jacksonville Baker, Clay, Duval, Nassau, St Johns Ped-I-Care ? Pinellas Park Pasco, Pinellas Ped-I-Care ? Lakeland Hardee, Highlands, Polk Ped-I-Care ? Tampa Hillsborough Ped-I-Care ? Orlando Orange, Osceola, Seminole Ped-I-Care ? Viera Brevard

CCP ? South North Dade

CCP ? South South Dade, Monroe

CCP ? Southeast North Broward

CCP ? Southeast South Broward

CCP ? Southeast Palm Beach CCP ? Southeast Indian River, Martin, Okeechobee, St. Lucie CCP ? Southwest Charlotte, Collier, Desoto, Glades, Hendry, Lee, Manatee, Sarasota

Liaison Pati Colvin Christine Davis Josh Brown Marty Johnson Tiffany Krampota Melissa Thivierge

Shelly Clifton Melissa Thivierge Misty Gladden Christopher Turner Tony Smith Dale Brown Shawma Cooley Shawma Cooley Natalia Penalver Mildred Terrero Delmah Williams Jessie Rivero Natacha Fontaine Noemi Ruiz Rosie Chaviano

Main Office Address

1699 SW 16th Avenue Gainesville, FL 32608

Phone (352) 627-9161 (352) 627-9139 (850) 484-5040, ext. 1232

(850) 872-4700, ext. 123

(850) 487-2604, ext. 164

(352) 627-9209

(352) 369-7863

(352) 627-9209

(904) 798-4150

(727) 217-7863

(863) 413-3580, ext. 141

(813) 396-9754

(407) 858-5590

(407) 858-5590

1643 Harrison Parkway Building H, Suite 200 Fort Lauderdale, FL 33323

(954) 622-3308 Fax: 1-855-207-1194

(954) 622-3311 Fax: 1-855-207-1194

(954) 622-3319 Fax: 1-855-207-1194 (954) 622-3316 Fax: 1-855-207-1194

(954) 622-3314 Fax: 1-855-207-1194 (954) 622-3320 Fax: 1-855-207-1194 (954) 622-3315 Fax: 1-855-207-1194

Email

peds-ics-providerapprovals-mailbox@peds.ufl.edu

jbrown10@ufl.edu martyjohnson@ufl.edu tkrampota@ufl.edu mthivierge@ufl.edu

smallory@peds.ufl.edu mthivierge@ufl.edu mgladden@peds.ufl.edu cturner6030@ufl.edu tasmith97@ufl.edu dalejbrown@ufl.edu smcooley@ufl.edu smcooley@ufl.edu npenalver@ mterrero@ dwilliams@ jrivero@ nfontaine@ nruiz@ rchaviano@

Please notify Provider Management team at Central Office if any information above changes ? cmsproviderhelp@ Updated: 10/03/2017

Early Steps Service Area Western Panhandle Escambia, Okaloosa, Santa Rosa, Fort Walton Big Bend Bay, Calhoun, Gulf, Holmes, Jackson, Washington, Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla

North Central Hamilton, Columbia, Suwannee, Lafayette Dixie, Gilchrist, UNnoirotnh,eAaslatechrnua, Levy, Marion Baker, Nassau, Duval, Bradford, Clay, St. Johns North Beaches Putnam, Flagler, Volusia, Lake, Sumter Bay Area Hillsborough, Polk

West Central Citrus, Hernando, Pasco, Pinellas Central Orange, Seminole, Osceola Gulf Central Manatee, Sarasota, Charlotte, Hardee, DeSoto, Highlands

Southwest Glades, Lee, Hendry, Collier Gold Coast Broward Treasure Coast Indian River, Okeechobee, St. Lucie, Martin, Palm Beach

Space Coast Brevard North Dade Dade Southernmost Coast Dade, Monroe

Early Steps ? Provider Relations Liaisons

Liaison Michelle Lunsford

Donna Smoker

Area Office Address

5150 Bayou Blvd., Suite 1-N Pensacola, FL 32503 914 Harrison Ave. Panama City, FL 32401

Phone (850) 416-7201

(850) 747-5411 x 1340

Dina Snider Sharon Hennessy Sara Carter Tami Kruger Emily Shafer-Hudkins

Vicky Manzaroli Gabriela Tortolero Kathy Riley Kim Barger Kristin Peras Jeanne Miley Beverly Carmody

Marissa Barrera

1801 Miccosukee Commons Dr. Tallahassee, FL 32308 PO Box 100296 Gainesville, FL 32610

(850) 921-0330 (352) 273-8553

910 N. Jefferson St. Jacksonville, FL 32209

(904) 360-7022 x 7268

1673 Mason Ave. Daytona Beach, FL 32117

Tampa - USF 13101 N. Bruce B. Downs Blvd. Tampa, FL 33612 480 7th Avenue S., Dept. 7470 St. Petersburg, FL 33701

601 W. Michigan St. Orlando, FL 32805

4630 17th St. Sarasota, FL 34235

(386) 873-0365 (813) 455-1945

(727) 767-6826 (407) 317-7430 x 2227 (407)-317-7430 x2251 (941) -487-5429

8961 Daniels Center Dr., Ste 401 (239) 433-6700 Ft. Myers, FL 33912 1401 South Federal Highway (954) 728-1098 Ft. Lauderdale, FL 33316

(772) 380-9973

10570 S. Federal Hwy., Suite 200 Port St. Lucie, FL 34952

(561) 881-2822

Brittany Henley Althea Puzio

Susie Fernandez Michele Gaston

Elma Pierre Christine Morrissey

2565 Judge Fran Jamieson Way Viera, FL 32940 1120 NW 14th St., Room 1216 Miami, FL 33136

17615 Southwest 97th Ave. Palmetto Bay, FL 33157

(321) 639-5863 (321) 634-3688

(305) 243- 6660 (305) 243-6660

(786) 268-1814 (786) 624-3612

Email gmlunsford@ donna.smoker@

dina.snider@

sara.carter@jax.ufl.edu

tkruger@ eshaffer@health.usf.edu

vmanzar1@jhmi.edu gabriela.tortolero@ kathleen.riley@ kimbarger@

kristinperas@ jmiley@ bcarmody@fl.

mbarrera@fl. brittany.henley@ althea.puzio@ sfernandez2@med.miami.edu mgaston@med.miami.edu elma.pierre@ christine.morrisey@

Please notify Provider Management team at Central Office if any information above changes ? cmsproviderhelp@ Updated: 10/03/2017

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

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

Google Online Preview   Download