CHILDREN’S MEDICAL SERVICES

CHILDREN'S MEDICAL SERVICES

CMS CENTRAL OFFICE

Director: Cassandra G. Pasley, BSN, JD Linda Reynolds, Administrative Assistant III Cheryl Young

Bureau of Early Steps & Newborn Screening Lois Taylor, RN, BSN, CPM, Chief Lucy Smith, Administrative Assistant I

Early Steps: Laura Rumph

Newborn Screening: Lois Taylor, RN, BSN, CPM

Bureau of Child Protection Team & Special Technology Peggy Scheuerman, Chief Stephenie Havard, Administrative Assistant II

Child Protection Unit: Teresa Morris

Telehealth and Special Technology Unit: Frank Gholston

Bureau of Network Administration: Melissa Vergeson, Chief Charlotte Roe, Administrative Assistant II

Information Systems Unit: Young Yi

Fiscal & Contract Unit: Ann Filloon

Managed Care Unit: Catherine McGrath

TPA & MMA Compliance Unit Vacant

Bureau of Network Operations: Kelli Stannard, Interim Chief Diane Barrett, Administrative Assistant II

Quality & Practice Management Unit: Vacant

Specialty Programs Unit: Kelli Stannard, RN, BSN

Provider Services Unit: Patricia Trom, BSW, RN, MS

CMSN Florida KidCare: Gail Vail, MPA, Program Director Phyllis O'Neal, RN, BSN Jennifer Mitchell

CONTACT INFORMATION

4052 Bald Cypress Way, Bin A06

Tallahassee, FL 32399-1707

(850) 245-4218

Fax: (850) 413-8782

(850) 245-4213

(850) 245-4153

(850) 245-4670 (850) 245-4419

Fax: (850) 488-8513

(850) 245-4857

(850) 245-4670

Fax: (850) 488-8513

(850) 245-4220 (850) 245-4223

(850) 245-4200 ext. 2225

(850) 245-4200 ext. 3903

(850) 245-4677

Fax: (850) 413-8782

(850) 245-4200 ext. 2226

(850) 245-4200 ext. 2462

(850) 245-4200 ext. 2259

(850) 245-4200 ext. 2239

(850) 245-4200 ext.

(850) 245-4200 ext. 2228 Fax: (850) 488-3813 (850) 245-4216

(850) 245-4200 ext.

(850) 245-4200 ext. 2228

(850) 245-4200 ext. 2230

(850) 245-4200 ext. 2238 (850) 245-4200 ext. 2243 (850) 245-4200 ext. 2251

Updated: May 12, 2015

1

CHILDREN'S MEDICAL SERVICES

NORTHWEST FLORIDA REGION ? Pensacola and Panama City Area Office

Regional Medical Director: Rex Northup, MD Regional Nursing Director: Aliece Rockwell, ARNP, MSN, CPNP Regional Program Administrator: Diane Gaston Pensacola ? Escambia, Okaloosa, Santa Rosa, Walton Counties

Primary Care Medical Director: Yahia Rahim, MD Regional Primary Care Director: Patti Welch, RN, BSN CMAT Medical Director: Angela Mintz, MD; Ryan Hahn, MD MFC Medical Director: Carol "CiCi" Sekhon, MD

Panama City ? Bay, Calhoun, Gulf, Holmes, Jackson, Washington Counties

Assistant Medical Director: Musab Al-Yahia, MD Nursing Director: Alana Balsters-Waddell, RN Program Manager: Glinda Colemere Primary Care Medical Director: Yahia Rahim, MD Regional Primary Care Director: Patti Welch, RN, BSN CMAT Medical Director: Angela Mintz, MD; Ryan Hahn, MD Interim MFC Medical Director: Carol "CiCi" Sekhon, MD

5192 Bayou Boulevard

Pensacola, FL 32505

(850) 484-5040

Fax: (850) 484-5042

Area Office

5192 Bayou Boulevard

Pensacola, FL 32505

(800) 381-3685

(850) 484-5040

Fax: (850) 484-5042

Primary Care

Florida Panhandle Pediatric Foundation

5192 Bayou Blvd.

Pensacola, FL 32503

(850) 475-5495

Fax: (850) 475-5527

Area Office

230 North Tyndall Parkway

Panama City, FL 32404

(800) 299-4700

(850) 872-4700

Fax: (850) 872-4817

Primary Care

Florida Panhandle Pediatric Foundation, Inc. 2814 West 15th Street

Panama City, FL 32401

(850) 872-4840

Fax: (850) 872-4844

TALLAHASSEE BIG BEND REGION ? Tallahassee Area Office

Regional Medical Director: Susan Cross, MD Regional Nursing Director: Joni Hollis, MSN Regional Program Administrator: LaTonya Arnold Tallahassee ? Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla Counties

Assistant Medical Directors: Julia St. Petery, MD and Mary Beth Seay, MD

Primary Care Medical Director: Julia St. Petery, MD Primary Care Project Administrator: Carol McCormick, RN,

MSN CMAT Medical Director: Susan Cross, MD MFC Medical Director: Julia St. Petery, MD

2390 Phillips Road

Tallahassee, FL 32308

(850) 487-2604

Fax: (850) 922-2123

Area Office

2390 Phillips Road

Tallahassee, FL 32308

(800) 226-2604

(850) 487-2604

Fax: (850) 488-8852

Primary Care

Tallahassee Pediatric Foundation, Inc.

1126-A Lee Avenue

Tallahassee, FL 32303

(850) 488-7935

Fax: (850) 488-0918

NORTH CENTRAL FLORIDA REGION ? Gainesville Referral Center, and Gainesville, Ocala,

Jacksonville and Daytona Area Office

Regional Medical Director: Thomas Chiu, MD Regional Nursing Director: Sharon Surrency, RN, MPH, FCN Regional Program Administrator: Karen Billings

1701 SW 16th Avenue, Bldg. B

Gainesville, FL 32608

(352) 334-1400

Fax: (352) 344-1476

Gainesville North Referral Center Medical Director: Rick Bucciarelli, MD Nursing Director: Anitra Griffin, RN

Gainesville Satellite Office at UF & Shands

Teaching Hospital

CMS North Central Region

Gainesville Satellite Office

1600 SW Archer Road, Box 100353

Gainesville, FL 32610

(352) 265-0459

Fax: (352) 265-1094

Updated: May 12, 2015

2

CHILDREN'S MEDICAL SERVICES

NORTH CENTRAL FLORIDA REGION ? Continued

Gainesville ? Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Putnam, Suwannee, Union Counties

Area Office 1701 SW 16th Avenue, Bldg. B

Assistant Regional Medical Director: Rick Bucciarelli, MD

Gainesville, FL 32608

Nursing Director: Robin Couch, RN

(800) 523-7545

Primary Care Medical Director: Don Fillips, MD

(352) 334-1400

Fax: (352) 334-1476

Primary Care Project Administrator: Nancy Dinwiddie, RN

Primary Care

CMAT Medical Director: John Nackashi, MD MFC Medical Director: Don Fillips, MD

Gainesville Primary Care Project, Inc. 1701 SW 16th Avenue, Bldg. A

Mail: PO Box 100296, JHMHC

Gainesville, FL 32608

(352) 393-2786

Fax: (352) 334-0856

Ocala ? Citrus, Hernando, Lake, Marion, Sumter

Area Office

Medical Director: Ted Saha, MD

3200 East Silver Springs Blvd., Suite 201

Nursing Director: Debra Grant, RN

Ocala, FL 34470

Primary Care Medical Director: Ted Saha, MD

(888) 326-7485

Primary Care Project Administrator: Jeff Baxla

(352) 369-2100

CMAT Medical Director: John Nackashi, MD

Primary Care

MFC Medical Director: Bobby Richardson, MD

Pediatric Primary Care Foundation, Inc.

3200 East Silver Springs Blvd., Suite 202

(352) 369-2100

Fax: (352) 369-2141

Jacksonville ? Baker, Clay, Duval, Nassau, St. Johns Counties

Area Office

Medical Director: Mobeen Rathore, MD

910 North Jefferson St.

Nursing Director: Sherry Buchman, RN

Jacksonville, FL 32209-6810

Primary Care Medical Director: Jeff Goldhagen, MD

(800) 340-8354

Primary Care Project Administrator: Jane Veniard

(904) 360-7070

Fax: (904) 798-4568

CMAT Medical Director: Ana Alvarez, MD

Primary Care

MFC Medical Director: Ana Alvarez, MD

Manager Access to Child Health, Inc.

(904) 360-7070

Fax: (904) 798-4559

Daytona Beach ? Flagler, Volusia Counties

Area Office

Medical Director: Michael C. Bell, MD

421 South Keech Street

Nursing Director: Judy Ryan, RN

Daytona Beach, FL 32114-4623

Primary Care Medical Director: Andrea Thorpe, MD

(866) 827-5197

Primary Care Project Administrator: Jeff Baxla

(386) 238-4980

Fax: (386) 254-3937

CMAT Medical Director: David Childers, MD

Primary Care

MFC Medical Director: Andrea Thorpe, MD

Pediatric Primary Care Foundation, Inc.

(386) 238-4980

Fax: (386) 254-3937

TAMPA BAY REGION ? Tampa, St. Petersburg and Lakeland Area Offices

Regional Medical Director: John Curran, MD Regional Nursing Director: Joanne Angel, RN Regional Program Administrator: Patty Kopp

13101 North Bruce B. Downs Blvd.

Tampa, FL 33612

(813) 396-9743

Fax: (813) 396-9795

Tampa ? Hillsborough County Assistant Regional Nursing Director: Julie Perez, RN CMAT Medical Director: Jennifer Takagishi, MD MFC Medical Director: Jennifer Takagishi, MD

Area Office

13101 North Bruce B. Downs Blvd.

Tampa, FL 33612

(866) 300-6878

Fax: (813) 396-9746

(813) 396-9743

St. Petersburg ? Pasco, Pinellas Counties Assistant Medical Director: Jennifer Takagishi, MD CMAT Medical Director: Mary Pavan, MD MFC Medical Director: Mark Morris, MD

Area Office

3491 Gandy Blvd., Suite 100

Pinellas Park, FL 33781

(800) 336-1612

(727) 217-7800

Fax: (727) 217-7921

Updated: May 12, 2015

3

CHILDREN'S MEDICAL SERVICES

TAMPA BAY REGION - Continued

Lakeland ? Hardee, Highlands, Polk Counties

Area Office

Assistant Regional Medical Directors: Timothy Gompf, MD and 200 North Kentucky Avenue, Suite 114

William Ray, MD

Lakeland, FL 33801

CMAT Medical Director: Jennifer Takagishi, MD

(800) 741-2250

MFC Medical Director: Fred Wehle, MD

(863) 413-3580

Fax: (863) 413-3597

CENTRAL FLORIDA REGION ? Orlando and Viera Area Offices

Regional Medical Director: Ayodeji Otegbeye, MD

7000 Lake Ellenor Drive

Regional Nursing Director: Barbara Ray, RN

Orlando, FL 32809

Regional Program Administrator: Cathleen Mark

(407) 858-5550

Fax: (407) 856-6597

Orlando ? Orange, Osceola, Seminole Counties

Area Office

Primary Care Medical Director: Henry Dumas, MD

7000 Lake Ellenor Drive

Primary Care Project Administrator: Jacqueline Amos

Orlando, FL 32809

CMAT Medical Director: Henry Dumas, MD

(800) 226-6530

MFC Medical Director: Vivek DeSai, MD

(407) 858-5555

Fax: (407) 856-6573

Provider Relations: Veronica McKinley

Primary Care

Central Florida Child Health Program, Inc.

(407) 858-4799

Fax: (407) 856-6594

(407) 858-6143

Viera ? Brevard County

Area Office

Assistant Regional Medical Director:

2565 Judge Fran Jamieson Way

William Knappenberger, MD

Viera, FL 32940

Nursing Director: LuAnn Pachkoski, RN

(321) 639-5888

Fax: (321) 690-3887

Primary Care Medical Director: Mihai Radu, MD

Primary Care

Primary Care Project Administrator: Lisa Gemmill

Community Access to Child Health of Brevard

CMAT Medical Director: Henry Dumas, MD

2565 Judge Fran Jamieson Way

MFC Medical Director: Vivek DeSai, MD

Viera, FL 32940

Provider Relations: Veronica McKinley

(321) 637-7700

Fax: (321) 637-7707

SOUTHWEST FLORIDA REGION ? Sarasota, Ft. Myers, and Naples Area Offices

Regional Medical Director: Barbara Rumberger, MD Regional Nursing Director: Cheri Andrews, RN Regional Program Administrator: Elizabeth Herrera, MBA

6055 Rand Blvd.

Sarasota, FL 34238-5189

(800) 235-9717

(941) 361-6250

Fax: (941) 361-6272

Sarasota ? Charlotte, Desoto, Manatee, Sarasota Counties Medical Director: Patricia Blanco, MD Assistant Medical Director: Robert J. Shamsey, MD Primary Care Medical Director: Robert Shamsey, MD Primary Care Project Administrator: Angela Chatfield, RN CMAT Medical Director: Alicja Langner, MD MFC Medical Director: Patricia Blanco, MD Provider Relations: Tony Chatfield

Area Office

6055 Rand Blvd.

Sarasota, FL 34238-5189

(800) 235-9717

(941) 361-6250

Fax: (941) 361-6272

Primary Care

Westcoast Access to Children's Health, Inc.

6055 Rand Blvd.

Sarasota, FL 34238-5189

(941) 361-6250

Fax: (941) 361-6186

Updated: May 12, 2015

4

CHILDREN'S MEDICAL SERVICES

SOUTHWEST FLORIDA REGION ? Continued

Ft. Myers ? Glades, Hendry, Lee Counties

Area Office

Medical Director: John Ritrosky, MD

9800 South Healthpark Drive, Suite 405

Assistant Medical Director: Jorge Quinonez, MD

Ft. Myers, FL 33908

Primary Care Medical Director: Jorge Quinonez, MD

(800) 226-3290

Primary Care Project Administrator: Kathy Simonson, RN

(239) 433-6723

CMAT Medical Director: Alicja Langner, MD

Primary Care

MFC Medical Director: Jack Bartlett, MD

Island Coast Primary Care Project, Inc.

Provider Relations: Mary McGreen

4150 Ford Street, Ext. #1B

Ft. Myers, FL 33916

(239) 461-8393

Fax: (239) 461-8394

Naples ? Collier County

Area Office

Nursing Director: Erica Alessandri, RN

1665 Medical Boulevard

Primary Care Medical Director: Barbara Rumberger, MD

Naples, FL 34110

Primary Care Project Administrator: Erica Alessandri, RN

(239) 624-6730

Fax: (239) 624-6731

CMAT Medical Director: Alicja Langner, MD

(239) 658-3517

Fax: (239)658-3518

MFC Medical Director: Jack Bartlett, MD

(Immokalee)

Provider Relations: Mary McGreen

Primary Care

Collier Health Care Inc.

(239) 624-6730

Fax: (239) 624-6731

SOUTHEAST FLORIDA REGION ? Ft. Lauderdale, West Palm Beach and Ft. Pierce Area Offices

Regional Medical Director: Jaime Lambrecht, MD Regional Nursing Director: Paula Dorhout, RN, MSN Regional Program Administrator: Gregory Deal

Ft. Lauderdale ? Broward County Nursing Director: Cheryl Wallin, RN, MSN, NE-BC CMAT Medical Director: Jaime Lambrecht, MD MFC Medical Director: Beverley Nelson Curtis, MD Provider Relations: Andrea Avecillas

Ft. Pierce ? Indian River, Martin, Okeechobee, St. Lucie Counties Nursing Director: Ellen Pruitt, RN, MSN CMAT Medical Director: Jaime Lambrecht, MD MFC Medical Director: Ronald Romear, MD Provider Relations: Judith Love-Landmeier

West Palm Beach ? Palm Beach County Nursing Director: Paula Dorhout, RN, MSN CMAT Medical Director: Jaime Lambrecht, MD MFC Medical Director: Ronald Romear, MD Provider Relations: Judith Love-Landmeier

Broward General Medical Center 1625 SE 3rd Avenue, Suite 415

Ft. Lauderdale, FL 33316

(800) 204-2182

(954) 713-3100

Fax: (954) 713-3179

Area Office

Broward General Medical Center 1625 SE 3rd Avenue, Suite 415

Ft. Lauderdale, FL 33316

(800) 204-2182

(954) 713-3100

Fax: (954) 713-3179

Area Office 1701 South 23rd Street

Ft. Pierce, FL 34950-4804

(800) 226-1354

(772) 467-6000

Fax: (772) 467-6092

Area Office

5101 Greenwood Avenue

West Palm Beach, FL 33407

(877) 822-5203

Fax: (561) 840-0102

(561) 881-5040

Fax: (561) 840-0103

Updated: May 12, 2015

5

CHILDREN'S MEDICAL SERVICES

SOUTH FLORIDA REGION ? Miami-Dade and Marathon Area Offices

Regional Medical Director: Jose Rosa-Olivares, MD

Rohde Bldg., 401 NW 2nd Avenue, Suite N220

Regional Nursing Director: Betty Mayo, RN, BSN

Miami, FL 33128

Regional Program Administrator: James "Doug" Harvey

(305) 679-6636

Fax: (305) 377-5848

Miami-Dade County Regional Medical Director: Jose Rosa-Olivares, MD

Area Office Rohde Bldg., 401 NW 2nd Avenue, Suite N220

Assistant Medical Director: Jeffery P. Brosco, MD

Miami, FL 33128

(866) 831-9017

Fax: (786) 377-5848

Regional Nursing Director: Betty Mayo, RN, BSN

(305) 349-1330

Nursing Director: Yves Renaud, RN, BSN

Primary Care Project Administrator: Aimee Richardson, RN Primary Care

CMAT Medical Director: Maria Medina-Capote, MD

Miami Children's Hospital ? CMS Primary

MFC Medical Director: Gwen Wurm, MD Provider Relations: Nadine Francis

Care Program 3100 SW 62nd Avenue

Miami, FL 33155

(786) 624-2490

Fax: (786) 624-5790

Marathon ? Monroe County

Area Office

Regional Medical Director: Jose Rosa-Olivares, MD

3333 Overseas Highway

Assistant Medical Director: Jeffery P. Brosco, MD

Marathon, FL 33050

(305) 349-1330

Fax: (305) 289-2781

Regional Nursing Director: Betty Mayo, RN, BSN

Nursing Director: Yves Renaud

Updated: May 12, 2015

6

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

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

Google Online Preview   Download