Provider Directory Region 1 - Florida Department of Health

[Pages:364]Provider Directory

Region 1

Escambia, Okaloosa, Santa Rosa and Walton Counties

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January 2019

Welcome to the Children's Medical Services Managed Care Plan

Thank you for choosing the Children's Medical Services Managed Care Plan (CMS Plan) Specialty Plan for your health care needs. We are happy to have you as a member and look forward to serving you. This Directory contains a list of quality health care providers that are participating in the CMS Plan in your area, including primary care physicians, hospitals, pharmacies and other health care professionals. If you would like to know your provider's hospital affiliation(s), please call their office to get the most up-to-date information. CMS Plan, together with the two Integrated Care Systems (ICS): Ped-i-Care and Community Care Plan (CCP) is continually expanding our network of health care providers to improve access to quality health care services for our members. Since our providers may change over time, you may get the most recent listing of Florida CMS Plan providers by calling the toll-free Customer Service Center of Ped-I-Care at 1-866-376-2456 and the TTY phone number of 1 -800-9558771, if you reside in one of the counties colored in green in the map below, or the toll free Customer Service Center of CCP at 1-866-209-5022 and TTY phone number of 1 855-655-5303 if you reside in one of the counties colored in yellow.

*** Some providers may not perform certain services based on religious or moral beliefs.

Table of Contents

Escambia County

79

Alphabetic Listing for Escambia ............................................................................................................................................................... 79

Adolescent Medicine ................................................................................................................................................................................ 79

Adolescent Medicine ................................................................................................................................................................................ 79

Allergy / Immunology ............................................................................................................................................................................... 79

Allergy

............................................................................................................................................................................................ 79

Ambulatory Surgery Center .......................................................................................................................................................................... 79

Ambulatory Surgery Center .......................................................................................................................................................................... 79

Anesthesiology

..................................................................................................................................................................................... 80

Anesthesiology

..................................................................................................................................................................................... 80

Certified Registered Nurse Anestheti.s.t........................................................................................................................................................... 81

Audiology

.......................................................................................................................................................................................... 83

Audiologist

........................................................................................................................................................................................ 83

Hearing Aid Specialist ............................................................................................................................................................................. 83

Behavioral Health Practitioners .................................................................................................................................................................... 84

Community Mental Health Servic.e..s................................................................................................................................................................ 84

Comprehensive Behavioral Health Asse..s..s.m...e..n..t............................................................................................................................................. 84

Social Worker/Case Manager......................................................................................................................................................................... 85

Specialized Mental Health Practitione..r........................................................................................................................................................... 85

Brain And Spinal Cord .............................................................................................................................................................................. 88

Traumatic Brain Injury And Spinal Cord In.j.u..r.y................................................................................................................................................. 88

Cardiology

......................................................................................................................................................................................... 89

Cardiovascular Medicine ............................................................................................................................................................................ 89

Chiropractic

....................................................................................................................................................................................... 90

Chiropractor

....................................................................................................................................................................................... 90

Community Services ................................................................................................................................................................................. 90

Childrens Medical Services ......................................................................................................................................................................... 90

Federally Qualified Health Center.................................................................................................................................................................. 90

Home Health Agency ................................................................................................................................................................................. 90

Rural Health Clinic ................................................................................................................................................................................ 90

Dentistry

.......................................................................................................................................................................................... 91

General Dentistry .................................................................................................................................................................................. 91

Oral Surgery (Dentist) ............................................................................................................................................................................. 92

Orthodontist

....................................................................................................................................................................................... 92

Other Dentist

...................................................................................................................................................................................... 93

Pedodontist

........................................................................................................................................................................................ 93

Dermatology

........................................................................................................................................................................................ 93

Dermatology

........................................................................................................................................................................................ 93

Dialysis

........................................................................................................................................................................................... 93

Dialysis Center

.................................................................................................................................................................................... 93

Disability

......................................................................................................................................................................................... 93

Aged/Disabled Adults ............................................................................................................................................................................... 93

Durable Medical Equipment .......................................................................................................................................................................... 94

Durable Med Equipt/ Medical Suppl.ie..s............................................................................................................................................................ 94

Medical Oxygen Retailer ............................................................................................................................................................................ 94

Early Intervention

................................................................................................................................................................................. 94

Professional Early Intervention Service..s......................................................................................................................................................... 94

Emergency Services ................................................................................................................................................................................. 95

Emergency Medicine ................................................................................................................................................................................. 95

Endocrinology

...................................................................................................................................................................................... 97

Endocrinology

...................................................................................................................................................................................... 97

Gastroenterology

................................................................................................................................................................................... 98

Gastroenterology ................................................................................................................................................................................... 98

Hematology / Oncology ............................................................................................................................................................................... 100

Hematology

.......................................................................................................................................................................................... 100

Oncology

............................................................................................................................................................................................ 100

Pediatrics; Oncology/Hematolog..y................................................................................................................................................................... 100

Infectious Diseases

................................................................................................................................................................................. 101

Infectious Diseases ................................................................................................................................................................................. 101

Midwife

............................................................................................................................................................................................. 101

Certified Registered Nurse Midwif.e................................................................................................................................................................. 101

Neonatology

......................................................................................................................................................................................... 102

Neonatal/Perinatal .................................................................................................................................................................................. 102

Nephrology

.......................................................................................................................................................................................... 102

Nephrology

.......................................................................................................................................................................................... 102

Neurology

........................................................................................................................................................................................... 102

Neurology

........................................................................................................................................................................................... 102

Nurse Practitioners And Physician Assis.t..a..n..t.s................................................................................................................................................ 103

Anesthesiology Assistant ............................................................................................................................................................................ 103

Clinical Nurse Specialist Psych. Mental H.e..a..l.t.h............................................................................................................................................... 103

Family Nurse

........................................................................................................................................................................................ 103

Nurse Practitioner (Arnp)|Group..................................................................................................................................................................... 108

Pediatric Nurse

..................................................................................................................................................................................... 109

Physician Assistant ................................................................................................................................................................................. 110

Obstetrics / Gynecology ............................................................................................................................................................................. 114

Gynecology

.......................................................................................................................................................................................... 114

Maternal/Fetal

...................................................................................................................................................................................... 114

Ob-Gyn

.............................................................................................................................................................................................. 114

Ophthalmology

....................................................................................................................................................................................... 117

Ophthalmology ....................................................................................................................................................................................... 117

Optometry / Optician ................................................................................................................................................................................ 118

Optometrist

......................................................................................................................................................................................... 118

Other Specialties

................................................................................................................................................................................... 119

Managed Care Treating Provider|O.t.h..e..r.......................................................................................................................................................... 119

Personal Care ....................................................................................................................................................................................... 119

Otolaryngology

...................................................................................................................................................................................... 120

Otolaryngology ...................................................................................................................................................................................... 120

Pallate Care

........................................................................................................................................................................................ 120

Hospice

............................................................................................................................................................................................. 120

Pathology

........................................................................................................................................................................................... 121

Pathology

........................................................................................................................................................................................... 121

Pathology; Clinical ................................................................................................................................................................................. 121

Pediatric Cardiology

................................................................................................................................................................................ 122

Pediatrics; Cardiology .............................................................................................................................................................................. 122

Pediatric Nephrology ................................................................................................................................................................................ 122

Pediatrics; Nephrology .............................................................................................................................................................................. 122

Pediatric Neurology

................................................................................................................................................................................. 122

Neurology/Children .................................................................................................................................................................................. 122

Pharmacy

............................................................................................................................................................................................ 123

Community Pharmacy .................................................................................................................................................................................. 123

Infusion Pharmacy ................................................................................................................................................................................... 125

Ltc|Non Community ................................................................................................................................................................................... 125

Physical Medicine

................................................................................................................................................................................... 125

Physical Medicine And Rehab......................................................................................................................................................................... 125

Podiatry

............................................................................................................................................................................................ 126

Podiatrist

.......................................................................................................................................................................................... 126

Primary Care - Family Practice ...................................................................................................................................................................... 127

Family Practice

..................................................................................................................................................................................... 127

Primary Care - General Practice ..................................................................................................................................................................... 131

General Practice (Default Spec For P.h..y..s.)...................................................................................................................................................... 131

Primary Care - Internal Medicine .................................................................................................................................................................... 134

Adult Primary Care .................................................................................................................................................................................. 134

Internal Medicine ................................................................................................................................................................................... 134

Primary Care - Pediatrics ........................................................................................................................................................................... 136

Pediatrics

.......................................................................................................................................................................................... 136

Psychiatry

.......................................................................................................................................................................................... 141

Psychiatry

.......................................................................................................................................................................................... 141

Psychiatry; Child ................................................................................................................................................................................... 141

Radiology

........................................................................................................................................................................................... 142

Radiology

........................................................................................................................................................................................... 142

Radiology; Diagnostic ............................................................................................................................................................................... 142

Radiology; Pediatric ................................................................................................................................................................................ 143

Radiology; Therapeutic .............................................................................................................................................................................. 143

Surgery

............................................................................................................................................................................................. 144

Surgery; General .................................................................................................................................................................................... 144

Surgery; Plastic

.................................................................................................................................................................................... 144

Surgery; Thoracic ................................................................................................................................................................................... 144

Surgery; Traumatic .................................................................................................................................................................................. 145

Surgery; Urological ................................................................................................................................................................................. 145

Surgery - Cardiovascular ............................................................................................................................................................................ 145

Surgery; Cardiovascular ............................................................................................................................................................................. 145

Surgery - Neurologic ................................................................................................................................................................................ 145

Surgery; Neurological ............................................................................................................................................................................... 145

Surgery - Orthopedic ................................................................................................................................................................................ 146

Surgery; Hand ....................................................................................................................................................................................... 146

Surgery; Orthopedic ................................................................................................................................................................................. 146

Surgery - Pediatric

................................................................................................................................................................................. 147

Surgery; Pediatric .................................................................................................................................................................................. 147

Therapy And Rehabilitation .......................................................................................................................................................................... 148

Occupational Therapist .............................................................................................................................................................................. 148

Physical Therapist .................................................................................................................................................................................. 148

Speech Therapist .................................................................................................................................................................................... 149

Therapist (Pt; Ot; St; Rt)|Group .................................................................................................................................................................... 151

Transportation

...................................................................................................................................................................................... 151

Air Ambulance ....................................................................................................................................................................................... 151

Ambulance

........................................................................................................................................................................................... 151

Okaloosa County

169

Alphabetic Listing for Okaloosa ................................................................................................................................................................ 169

Allergy / Immunology ................................................................................................................................................................................ 169

Allergy

............................................................................................................................................................................................. 169

Ambulatory Surgery Center ........................................................................................................................................................................... 169

Ambulatory Surgery Center ........................................................................................................................................................................... 169

Anesthesiology

...................................................................................................................................................................................... 169

Anesthesiology ...................................................................................................................................................................................... 169

Audiology

........................................................................................................................................................................................... 170

Hearing Aid Specialist .............................................................................................................................................................................. 170

Behavioral Health Practitioners ..................................................................................................................................................................... 170

Community Mental Health Servic..e..s................................................................................................................................................................ 170

Comprehensive Behavioral Health Ass.e..s..s.m...e..n..t............................................................................................................................................. 170

Specialized Mental Health Practition.e..r........................................................................................................................................................... 170

Chiropractic

........................................................................................................................................................................................ 170

Chiropractor

........................................................................................................................................................................................ 170

Community Services .................................................................................................................................................................................. 171

Rural Health Clinic ................................................................................................................................................................................. 171

Dentistry

........................................................................................................................................................................................... 171

General Dentistry ................................................................................................................................................................................... 171

Dermatology

......................................................................................................................................................................................... 171

Dermatology

......................................................................................................................................................................................... 171

Durable Medical Equipment ........................................................................................................................................................................... 172

Durable Med Equipt/ Medical Supp.l.ie..s............................................................................................................................................................ 172

Medical Oxygen Retailer ............................................................................................................................................................................. 172

Early Intervention

.................................................................................................................................................................................. 172

Professional Early Intervention Servic.e..s......................................................................................................................................................... 172

Emergency Services .................................................................................................................................................................................. 172

Emergency Medicine .................................................................................................................................................................................. 172

Endocrinology

....................................................................................................................................................................................... 173

Endocrinology ....................................................................................................................................................................................... 173

Nurse Practitioners And Physician Assis.t..a..n..t.s................................................................................................................................................ 174

Family Nurse

........................................................................................................................................................................................ 174

Ob/Gyn Nurse ........................................................................................................................................................................................ 174

Pediatric Nurse

..................................................................................................................................................................................... 174

Physician Assistant ................................................................................................................................................................................. 174

Obstetrics / Gynecology ............................................................................................................................................................................. 176

Maternal/Fetal

...................................................................................................................................................................................... 176

Ob-Gyn

.............................................................................................................................................................................................. 176

Ophthalmology

....................................................................................................................................................................................... 176

Ophthalmology ....................................................................................................................................................................................... 176

Optometry / Optician ................................................................................................................................................................................ 177

Optometrist

......................................................................................................................................................................................... 177

Otolaryngology

...................................................................................................................................................................................... 177

Otolaryngology ...................................................................................................................................................................................... 177

Pediatric Cardiology

................................................................................................................................................................................ 178

Pediatrics; Cardiology .............................................................................................................................................................................. 178

Pharmacy

............................................................................................................................................................................................ 179

Community Pharmacy .................................................................................................................................................................................. 179

Ltc|Non Community ................................................................................................................................................................................... 180

Primary Care - Family Practice ...................................................................................................................................................................... 181

Family Practice

..................................................................................................................................................................................... 181

Primary Care - General Practice ..................................................................................................................................................................... 181

General Practice (Default Spec For P.h..y..s.)...................................................................................................................................................... 181

Primary Care - Internal Medicine .................................................................................................................................................................... 182

Internal Medicine ................................................................................................................................................................................... 182

Primary Care - Pediatrics ........................................................................................................................................................................... 183

Pediatrics

.......................................................................................................................................................................................... 183

Psychiatry

.......................................................................................................................................................................................... 184

Psychiatry

.......................................................................................................................................................................................... 184

Radiology

........................................................................................................................................................................................... 184

Radiology

........................................................................................................................................................................................... 184

Surgery

............................................................................................................................................................................................. 184

Surgery; Thoracic ................................................................................................................................................................................... 184

Surgery - Cardiovascular ............................................................................................................................................................................ 184

Surgery; Cardiovascular ............................................................................................................................................................................. 184

Surgery - Neurologic ................................................................................................................................................................................ 184

Surgery; Neurological ............................................................................................................................................................................... 184

Surgery - Orthopedic ................................................................................................................................................................................ 184

Surgery; Orthopedic ................................................................................................................................................................................. 184

Therapy And Rehabilitation .......................................................................................................................................................................... 185

Occupational Therapist .............................................................................................................................................................................. 185

Physical Therapist .................................................................................................................................................................................. 186

Prescribed Pediatric Extended Ca.r.e................................................................................................................................................................ 187

Speech Therapist .................................................................................................................................................................................... 187

Therapist (Pt; Ot; St; Rt)|Group .................................................................................................................................................................... 191

Santa Rosa County

210

Alphabetic Listing for Santa Rosa .............................................................................................................................................................. 210

Anesthesiology

...................................................................................................................................................................................... 210

Anesthesiology ...................................................................................................................................................................................... 210

Certified Registered Nurse Anesthet.i.s.t........................................................................................................................................................... 210

Audiology

........................................................................................................................................................................................... 211

Hearing Aid Specialist .............................................................................................................................................................................. 211

Behavioral Health Practitioners ..................................................................................................................................................................... 212

Comprehensive Behavioral Health Ass.e..s..s.m...e..n..t............................................................................................................................................. 212

Social Worker/Case Manage.r......................................................................................................................................................................... 212

Specialized Mental Health Practition.e..r........................................................................................................................................................... 212

Cardiology

.......................................................................................................................................................................................... 213

Cardiovascular Medicine ............................................................................................................................................................................. 213

Community Services .................................................................................................................................................................................. 214

Federally Qualified Health Center................................................................................................................................................................... 214

Rural Health Clinic ................................................................................................................................................................................. 214

Dentistry

........................................................................................................................................................................................... 214

General Dentistry ................................................................................................................................................................................... 214

Dermatology

......................................................................................................................................................................................... 214

Dermatology

......................................................................................................................................................................................... 214

Early Intervention

.................................................................................................................................................................................. 214

Professional Early Intervention Servic.e..s......................................................................................................................................................... 214

Emergency Services .................................................................................................................................................................................. 214

Emergency Medicine .................................................................................................................................................................................. 214

Endocrinology

....................................................................................................................................................................................... 215

Endocrinology ....................................................................................................................................................................................... 215

Gastroenterology

.................................................................................................................................................................................... 215

Gastroenterology .................................................................................................................................................................................... 215

Midwife

............................................................................................................................................................................................. 215

Certified Registered Nurse Midwif.e................................................................................................................................................................. 215

Neurology

........................................................................................................................................................................................... 216

Neurology

........................................................................................................................................................................................... 216

Nurse Practitioners And Physician Assis.t..a..n..t.s................................................................................................................................................ 217

Clinical Nurse Specialist Psych. Mental H.e..a..l.t.h............................................................................................................................................... 217

Family Nurse

........................................................................................................................................................................................ 217

Nurse Practitioner (Arnp)|Group..................................................................................................................................................................... 217

Ob/Gyn Nurse ........................................................................................................................................................................................ 218

Pediatric Nurse

..................................................................................................................................................................................... 218

Physician Assistant ................................................................................................................................................................................. 218

Obstetrics / Gynecology ............................................................................................................................................................................. 220

Ob-Gyn

.............................................................................................................................................................................................. 220

Optometry / Optician ................................................................................................................................................................................ 221

Optometrist

......................................................................................................................................................................................... 221

Other Specialties

................................................................................................................................................................................... 221

Managed Care Treating Provider|O.t.h..e..r.......................................................................................................................................................... 221

Otolaryngology

...................................................................................................................................................................................... 222

Otolaryngology ...................................................................................................................................................................................... 222

Pathology

........................................................................................................................................................................................... 222

Pathology

........................................................................................................................................................................................... 222

Pediatric Cardiology

................................................................................................................................................................................ 222

Pediatrics; Cardiology .............................................................................................................................................................................. 222

Pediatric Nephrology ................................................................................................................................................................................ 222

Pediatrics; Nephrology .............................................................................................................................................................................. 222

Pediatric Neurology

................................................................................................................................................................................. 222

Neurology/Children .................................................................................................................................................................................. 222

Pharmacy

............................................................................................................................................................................................ 223

Community Pharmacy .................................................................................................................................................................................. 223

Primary Care - Family Practice ...................................................................................................................................................................... 225

Family Practice

..................................................................................................................................................................................... 225

Primary Care - General Practice ..................................................................................................................................................................... 226

General Practice (Default Spec For P.h..y..s.)...................................................................................................................................................... 226

Primary Care - Internal Medicine .................................................................................................................................................................... 226

Adult Primary Care .................................................................................................................................................................................. 226

Primary Care - Pediatrics ........................................................................................................................................................................... 227

Pediatrics

.......................................................................................................................................................................................... 227

Psychiatry

.......................................................................................................................................................................................... 229

Psychiatry

.......................................................................................................................................................................................... 229

Psychiatry; Child ................................................................................................................................................................................... 229

Pulmonology

......................................................................................................................................................................................... 229

Pulmonary Diseases .................................................................................................................................................................................. 229

Radiology

........................................................................................................................................................................................... 229

Radiology; Diagnostic ............................................................................................................................................................................... 229

Surgery

............................................................................................................................................................................................. 229

Surgery; General .................................................................................................................................................................................... 229

Surgery - Orthopedic ................................................................................................................................................................................ 230

Surgery; Orthopedic ................................................................................................................................................................................. 230

Therapy And Rehabilitation .......................................................................................................................................................................... 231

Occupational Therapist .............................................................................................................................................................................. 231

Physical Therapist .................................................................................................................................................................................. 231

Speech Therapist .................................................................................................................................................................................... 231

Transportation

...................................................................................................................................................................................... 232

Ambulance

........................................................................................................................................................................................... 232

Walton County

238

Alphabetic Listing for Walton .................................................................................................................................................................. 238

Behavioral Health Practitioners ..................................................................................................................................................................... 238

Comprehensive Behavioral Health Ass.e..s..s.m...e..n..t............................................................................................................................................. 238

Specialized Mental Health Practition.e..r........................................................................................................................................................... 238

Cardiology

.......................................................................................................................................................................................... 238

Cardiovascular Medicine ............................................................................................................................................................................. 238

Chiropractic

........................................................................................................................................................................................ 238

Chiropractor

........................................................................................................................................................................................ 238

Community Services .................................................................................................................................................................................. 239

Home Health Agency .................................................................................................................................................................................. 239

Rural Health Clinic ................................................................................................................................................................................. 239

Dentistry

........................................................................................................................................................................................... 239

General Dentistry ................................................................................................................................................................................... 239

Dermatology

......................................................................................................................................................................................... 239

Dermatology

......................................................................................................................................................................................... 239

Emergency Services .................................................................................................................................................................................. 239

Emergency Medicine .................................................................................................................................................................................. 239

Endocrinology

....................................................................................................................................................................................... 240

Endocrinology ....................................................................................................................................................................................... 240

Neurology

........................................................................................................................................................................................... 240

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