Financial Assistance Policy Physician List

Financial Assistance Policy Physician List

Physician Services NOT Covered Under the Bronson Financial Assistance Policy

20TH Street Clinic, PC Adult & Pediatric Ear, Nose & Throat PLC Advanas Foot & Ankle Specialists Advanced Occupational Medicine & Rehab Advanced Radiology Services Advanced Vascular Services Advanced Vision Care Allegan General Hospital Amy J. Reed, NP Anesthesia Associates of Battle Creek Ankle & Foot Center, PC Anoop Thakur, MD Ascension Borgess Hospital Asthma Allergy Centers, PC Avalon Behavioral Health, PLC Behavioral Health Care, PC Borgess Physicians Groups Brett J. Eliuk, DO Bright Futures Pediatrics Bronson Advanced Radiology Service ? special rules apply, Contact Advanced Radiology for details Bronson Commons ? special rules apply, Contact Bronson Commons for details Brookside Otolaryngology Bryan S. Parks, CRNA C. William Wentworth, DPM Cancer & Hematology Centers Center for Behavioral Pediatrics Centra Care Cereal City Pediatrics Chandra Madala, MD Charles F. Butler, MD Children's Medicine, PC Christopher Rogers, DO Christopher T. Ombrello, MD Clinical Psychology Services, PLLC Comprehensive Neuropsychological Services Comprehensive Urology David B. Thrower, DO Day One Family Healthcare Diabetes and Endocrine Center Douglas J. Wunderly, MD Down East Medical Center Eye Care Physicians & Surgeons, PC Family Health Center, PC Family Surgical Grace Health, Inc. Great Lakes Heart & Vascular Institute Great Lakes Plastic Reconst. & Hand Surgery Gregory W. Fuller, DO Gunjana Bhandari, MD HDVCH ? Congenital Heart Center

HDVCH ? Nephrology/Transplant HDVCH ? Neurology Helen De Vos Children's Pediatric Neurology Historic Northside Family Practice Hospice Care of Southwest Michigan Hugo K. Roesler, MD Humberto Covarrublus, MD IME Physician Services, PC Integrated Behavioral Health Psychological Svcs Janas Family Medicine Jasper Clinic Research & Development Joel H. Reinoehl, MD John F. Schonder, MD John H. Deppen, DDS Joseph Bruno, MD Kalamazoo Anesthesiology, PC Kalamazoo Dermatology, PC Kalamzoo Foot Surgery, PC Kalamazoo Gastroenterology Heptaology Kalamazoo Opthalmology, PC Kalamazoo Oral & Maxillofacial Surgery Kalamazoo Pediatric Dentistry Kalamazoo Valley Family Practice KameswaraTatineni, MD Kidney Health Clinic Kim E. Shultheiss, MD Kimberly S. Schommer, PA-C Lakeshore Cardiothoracic and Vascular Surgery Lakeview Anesthesia Services Leonard A. Mattano, MD Lori A. Hughes, PA-C Lynn C. Hyland, DDS Marshall Medical Association Mary Free Bed Medical Group Michael A. Pack, DO Michael S. Pawlik, DO Michelle L. Kachman, MD Michiana Pain Center Michigan Orthopedic Surgery & Rehabilitation Moazami Pediatrics Nephrology Center, PC Neuropsychology Associates Nicholas S. Hoeve, DO Nicole P. Piscatelli, MD Nilinjan B. Gajare, MD North Avenue Podiatry Services Northside Pediatrics Oaklawn Medical Group Ear, Nose & Throat OB-GYN, PC O-M-G General Surgical Associates O-M-G Heart & Vascular Institute PainDoc Anesthesiology Paragon Opthalmology

Effective 05/15/2019

Page 1 of 5

Financial Assistance Policy Physician List

Physician Services NOT Covered Under the Bronson Financial Assistance Policy

Staci M. Krupp, PA-C

Parchment Family Practice

Sudhir Desai, MD, PLC

Park Allergy Care

Summit Healthcare Group

Parkway Plastic Surgery

The Arthritis Center at Michiana Spine and Pain

Pathology Services of Kalamazoo, PC

The Lung Center

Pediatric Dentistry

The Surgical Group of Southwest Michigan

Pediatrics, PC

Thomas A. Keller, Jr., MD

Physicians Center of Physical Medicine

Thomas Blok, MD

Plastic Surgery Specialists

Thomas Family Practice

Portage Podiatry, PC

Thyroid Center of West Michigan, PC

Primary Care Clinic of Jackson

TLC Eye Care and Laser Centers

Program in Medical Ethics, Humanities & Law

Tracie F. White, NP

ProMed Physicians

Trestlewood Pediatrics, PC

Pulmonary Critical Care & Sleep Medicine

University of Michigan

Ravinder Sharma, MD

Urology Associates of Battle Creek

Real Time Neuromonitoring Associates, PC

Vascular Health Center, PC

Richard T. Jefson, MD

VBEMS

Robert A. Williams, DO

Vincent Shen, MD, PLC

Robert O'Connor, MD

Virtual Radiologic Professionals

Ronald VanderLugt, MD

Vision Eye Care

Sarah L. Engster, NP

Vitreo-Retinal Associates, PC

Sean J. O'Neill, PA-C

Wattles Park Family Practice

Simonds Foot and Ankle

West Michigan Cancer Center

Sindecuse Health Center

West Michigan Ear, Nose & Throat

Singer Eye Center, PC

West Michigan Endodontics

Sivareddy Tegulapalle, MD

West Michigan School of Medicine

Southern Michigan Pain Consultants, PC

Westside Family Medical Center, PC

Southwest Foot & Ankle Specialists, PC

WMed Emergency Medicine

Southwest Michigan Dermatology

WMed Physician Groups and Clinics

Southwestern Michigan Emergency Services,

Women's Health Care Specialists, PC

PC

Women's Health, PC

Southwest Michigan Eye Center

Younho Chung, MD

Southwest Michigan Neonatology, PC

*Note ? This list is not all-inclusive of

non-Bronson providers who may provide

services within a Bronson facility.

Effective 05/15/2019

Page 2 of 5

Financial Assistance Policy Physician List

Physician Services Covered Under the Bronson Financial Assistance Policy

Bronson Advanced Cardiac Healthcare, PLC Bronson Adult Critical Care, Intensivist Service Bronson Advanced Illness Management Bronson After Hours Clinic ? Internal Medicine Stadium Drive Bronson At Home Bronson Bariatric & Metabolic Specialists Bronson Cancer Center Bronson Battle Creek ? Cardiology Specialists Bronson Battle Creek ? OB/GYN Bronson Battle Creek Infectious Disease Bronson Battle Creek Occupational Medicine Bronson Battle Creek Urology Specialists Bronson Bone Health Bronson Breast Surgery Bronson Cardiothoracic Surgery, PC Bronson Cardiothoracic, Vascular & Endovascular, Surgery Specialists Bronson Center for Colon & Rectal Diseases Bronson Colon & Rectal Battle Creek Bronson Colon & Rectal Surgery Bronson Commons Bronson Comprehensive Wound Clinic Bronson Critical Care & Pulmonary Medicine Specialists Bronson Diabetes and Endocrinology Center Bronson Digestive, Endocrine & General Surgery Specialists, Bronson Lakeview Surgery Bronson Ear, Nose & Throat Specialists Bronson Family Medicine ? John Street, Helmer, Marshall, Portage, Shaffer St, The Groves, Vicksburg,

Oshtemo Bronson Family Practice Bronson Fast Care ? All locations Bronson Gastroenterology ? Portage, Downtown Bronson General Surgery Bronson Geriatric Medical Services Bronson Hand & Elbow Specialists Bronson Healthcare Group Bronson Healthcare Midwest Bariatric & Metabolic Surgery Bronson Healthcare Midwest Continence Center Bronson Healthcare Midwest Digestive, Endocrine & General Surgery Bronson Healthcare Midwest Family Medicine Bronson Healthcare Midwest Hand & Elbow Specialists Bronson Healthcare Midwest Internal Medicine Bronson Healthcare Midwest Internal Medicine & Pediatrics Lifetime Wellness Bronson Healthcare Midwest Neurology Bronson Healthcare Midwest Neurology and Neurodiagnostics Bronson Healthcare Midwest Ophthalmology Bronson Healthcare Midwest Orthopedics & Joint Specialists Bronson Healthcare Midwest Otolaryngology (ENT) Head & Neck Surgery Bronson Healthcare Midwest Outpatient Surgery Center Bronson Healthcare Midwest Pulmonary Medicine Bronson Healthcare Midwest Rheumatology Bronson Healthcare Midwest Spine & Scoliosis Specialists Bronson Healthcare Midwest Sports Medicine

Effective 05/15/2019

Page 3 of 5

Financial Assistance Policy Physician List

Physician Services Covered Under the Bronson Financial Assistance Policy

Bronson Healthcare Midwest Trauma, Foot & Ankle Specialists Bronson Healthcare Midwest Urology Bronson Infectious Disease Services Bronson Internal Medicine ? Centre, Fremont, John St, Osthemo, South Haven, Stadium Bronson Internal Medicine & Pediatrics ? Lifetime Wellness Bronson Internal Medicine & Rheumatology Bronson Internal Medicine Associates Bronson Internal Medicine - Hospital Specialists, Pediatric Referral Services, Pediatric Inpatient

Services Bronson Lakeview Acute Care Clinic Bronson Lakeview Family Care Bronson Lakeview Family Care Internal Medicine Bronson Lakeview Family Care Pediatrics Bronson Lakeview Internal Medicine Hospital Specialists Bronson Lakeview Neurobehavioral Health Bronson Lakeview ? Surgery, Trauma Surgery Services Bronson Maternal-Fetal Medicine Bronson Methodist Hospital Bronson Methodist Hospital ? Research Bronson Methodist Hospital Urology and Continence Specialists Bronson Neuroscience Center ? Neurology, BBC, BLH Neuro Behavioral Health, Neurosurgery,

Neuroscience Center Bronson OB/GYN ? Associates, Capital Ave SW, Paw Paw Bronson Oncology Specialists Bronson Orthopedic Specialists ? John St, Health Parkway, Paw Paw, South Haven, West Main Bronson Orthopedic Trauma, Foot & Ankle Specialists Bronson Pediatric Cardiology, PC Bronson Pediatric Gastroenterology Clinic Bronson Pediatric Hematology Oncology Bronson Pediatric Inpatient Services Bronson Pediatric Nephrology Bronson Pediatric Neurology Bronson Pediatric Referral Service Bronson Pediatric Surgery Services Bronson Pediatric Urology Bronson Plastic Surgery Specialists ? service restrictions apply, please contact billing for more

information Bronson ProHealth Bronson Pulmonary Medicine ? Kalamazoo, Paw Paw Bronson Radiation Oncology Bronson Rambling Road Pediatrics ? Pediatric Referral Services, Portage, Oshtemo Bronson Rapid Response Team Bronson Rheumatology Specialist ? John St Bronson Sleep Health ? W. Centre Bronson South Haven Family Care Bronson South Haven General Surgery Bronson South Haven Pediatrics Bronson Spine & Scoliosis Specialists Bronson Sports Medicine Specialists Bronson Trauma Surgery Services Bronson Urology & Continence Specialists ? Gull Road, John St, Three Rivers Bronson Urology Specialists - Coldwater

Effective 05/15/2019

Page 4 of 5

Financial Assistance Policy Physician List

Physician Services Covered Under the Bronson Financial Assistance Policy

Bronson Vascular & Endovascular Surgery Specialists Bronson Women's Service ? BMH, BSH Bronson Wound Center and Hyperbaric Medicine

Effective 05/15/2019

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