Family Medicine, Gastroenterology. In these cases, the doctor must first call Superior. This allows you to manage your health better and know what resources are available to you. Why a primary care provider is important Dr. James Purpura specializes in family medicine and practices in Abilene, TX. Download the free version of Adobe Reader. Have both Medicare and Medicaid or receive long-stay nursing home services. Geriatric doctors specialize in care for older adults. For Original Medicare (Part A and Part B), you do not need to utilize a primary care doctor. The online provider directory was last updated on 3/2/2023. Click the button below to view every primary care provider who are open to new patients and offer online scheduling. If you are looking for a new primary care doctor, or just want to find out more information about your own doctor, we make it simple. Insurance Accepted . You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Your main doctor will treat most of your healthcare needs. You may find a treatment agency near you to get an assessment for treatment approval. They can give you the name, address and phone number of a doctor or specialist. If you go to a doctor who is not enrolled in Medicaid, Medicaid cannot reimburse for any services from that doctor. Family Medicine. You will need to show your ProviderOne services card and your health plan ID card. CLOSED NOW. A general physician provides preventive care, can educate you about healthy lifestyle choices, and can also be aprimary care doctor. Medicaid physician fees after the ACA primary care fee bump. Washington Apple Health (Medicaid) clients who receive the following coverage: Medical - Apple Health coverage without a managed care plan Dental - only if you are on an Apple Health program that receives dental coverage Visit Dentist Link or call 1-844-888-5465 She strives to ensure patients are heard and understood in all aspects of wellness needs in . This symbol will appear next to participating doctors names. Locating Enhanced Primary Care Practices Finding top-rated Primary Care Physicians near you is simple on WebMD Care. Primary Care Provider Fee-For-Service Fee Schedules Provider Bulletins Provider Manual Health Plan Resources Provider Resources Electronic Visit Verification Provider Memos Criminal History Record & Background Check Provider Exclusion Reinstatement List Provider Enrollment Modernization Health Assessment Grievance and Appeals Certification Programs Find and compare doctors and other providers near you. If you have a speech or hearing disability, difficulty communicating, or a mobility impairment, be sure to tell the receptionist about it when you make the appointment. Consider your healthcare needs, as well as the provider's experience treating your age group, gender, or health conditions. Call your primary care provider to see if they offer after- hours care. Note: If you are covered by Apple Health without a managed care plan (also known as fee-for-service), you must find a provider who accepts Washington Apple Health using your ProviderOne services card. FaithOnyechefuna and her teamunderstand all of the factors that affect patients' health and well-being and are committed to nurturing a long-term, positive relationship. They use electronic technology to improve service. It is helpful to fill out the form with information that you know about, such as name and address, before you give it to the provider. Be sure to check with your insurance company to make sure your chosen doctor is in-network, as this will save you money on out-of-pocket costs. Refer to R2's documentation for details. This means you must choose a health plan and a Primary Care Provider (PCP). If you aren't happy with them for any reason, you can choose another provider. It takes longer to get an appointment for a general check-up, so don't put it off. McLaren Medical Group Provider McLaren Health care employs primary care physicians and specialists at convenient locations with varying hours and same-day appointments where available to ensure your healthcare is covered for all stages of life. Superior will review the request for specialty services and respond with a decision. 325-793-5290. What insurance does Oak Street Health accept? This tool gives you a list of professionals or group practices in the specialty and geographic area you specify, along with detailed profiles, maps and driving directions. If it's after hours, you can leave a message and we'll call you back the next business day. Sunshine Health is a managed care plan with a Florida Medicaid contract. Are you looking for a new primary care doctor that's accepting new patients near you? Main: (800) 841-2900. Need help? It's better to use a professional interpreter than to bring a family member or friend to interpret for you. Appointments: 540-374-8140. If you have a sudden or severe health problem that you think is an emergency, call 911 or go to the nearest emergency room. It's okay to ask your provider to repeat anything you don't understand. Find primary care clinics & doctor's offices near me and get access to trusted physicians who are experts in senior primary care at Oak Street Health. Thank you for helping keep our patients and staff safe. Spanish and Marshallese bilingual services. We also offer virtual visits with a primary care provider. Your provider might order lab tests. How do I find a Medicare plan that accepts my primary care physician? You will need Adobe Reader to open PDFs on this site. A lock icon or https:// means youve safely connected to the official website. We spend more time with our patients than other primary care physicians would to ensure you get the careyouneed. Get a primary care provider Once you're enrolled in a health plan, you'll need to choose a primary care provider (PCP). Primary Care Find an Expert Who Advocates for Your Health When it comes to your day-to-day health, your primary care provider is your main advocate. You don't need to get prior approval from your PCP to see an obstetrician or gynecologist (OB/ GYN), as long as they are in your health plan's network. They can provide you and your family with regular check-ups, immunizations . To see a specialist, you need to get "prior approval," also called a "referral," from your primary care provider. Indicate Enhanced Primary Care in Step Two when completing your search. Types of services provided include: primary care, specialty care, labs and diagnostics, and medications. You now have full access to your health records on your mobile device. Your PCP might be a doctor, a nurse practitioner, a physician assistant, or a naturopath. A regional broker contracted by the Health Care Authority will arrange the most appropriate transportation for you. On average, patients who use Zocdoc can search for an Endodontist in Louisville who takes Medicaid insurance, book an appointment, and see the Endodontist within 24 hours. Access your Priority Health account. Our Find a Provider tool lets you search through our directory of high quality Primary Care Providers (PCPs), physicians, hospitals, drug stores and other health-care providers that are here to help you achieve your health care goals. The content on our physician directory pages is only available to viewers in the United States. WebMD does not provide medical advice, diagnosis or treatment. State Government websites value user privacy. Need help deciding? Enter the name or specialty youre looking for and click the search icon. Thats why it is important to indicate your plan type correctly when using the online provider directory, so you see the full range of participating providers available to you. Primary Care Doctor. Neurology (Brain & Spine) Obstetrics & Gynecology (OBGYN) Orthopedics. At Oak Street Health, we can help you find adoctor that best meets your health needs. If you must choose, NCDHHS - Division of Health Benefits will send you a letter that tells you how to transition to Managed Care. Medicaid programs vary by state and each state Medicaid agency maintains their own list of professionals that accept Medicaid. Log into ProviderOne. They will be the ones you see for non-emergency medical problems, can diagnose and treat common medical problems and refer you to medical specialists when appropriate. For information on how to request nonemergency medical transportation, visit transportation services (nonemergency). Interpreters are available in many languages, including sign language, at no cost to you. You will stay in NC Medicaid Direct if you: Receive Family Planning Medicaid, Refugee Medicaid, Foster Care/Adoption Medicaid , or must meet a deductible before getting Medicaid benefits, Are part of the Health insurance premium payment (HIPP) or Program of all-inclusive care for the elderly (PACE) programs, or. Shestrives to ensure patients are heard and understood in all aspects of wellness needs in order to provide exceptional personalized care. Sometimes it's good to have someone else help you listen to what your provider tells you. We would like to show you a description here but the site won't allow us. Most beneficiaries receiving Medicaid or NC Health Choice will be required to transition to NC Medicaid Managed Care. Primary Care Pediatrics OB/Gyn Featured specialties Orthopaedics A primary care doctor is your go-to person in most situations when you or someone in your family needs medical care. Once you're enrolled in a health plan, you'll need to choose a primary care provider (PCP). If you know the practice name where the provider works, search by Organization for a Plan. Enter at least part of the practice (organization) name and a location to search. Only go to the hospital if it's an emergency. Find-A-Doc will tell you. 6. He attended Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Patient Reviews . Click here to learn more about Interoperability and Patient Access. It can also be a nurse or clinic. Primary care providers (PCP) can diagnose and treat a wide variety of healthcare concerns, including colds or the flu to more complex medical issues. Other services available Monday-Friday 8 a.m.-5 p.m. Interpreter service available. 264. Find information about making your first health care appointment with Apple Health (Medicaid) coverage. If you must choose, NCDHHS - Division of Health Benefits will send you a letter that tells you how to transition to Managed Care. 1665 Antilley Road, Abilene, TX. You can get a paper copy of the Provider Directory for free by calling Member Services at the number on the back of your ID card. All rights reserved. Need certain services to address needs related to developmental disability, behavioral health or traumatic brain injury. Services Provided by Primary Care Physicians. Search site. A primary care provider (PCP) can help you stay healthy and may be the first person you see to treat any medical issues. While nearly 85% accepted patients using private insurance, and almost 84% accepted those in Medicare, less than 69% were accepting Medicaid recipients. 2000 E Greenville St Ste 3600, Anderson, SC 29621. You can search for clinics or doctors in your with office hours that suit your needs. What if Im not sure I want to change doctors right now? Receive full benefits through the Family and Childrens or the Aged, Blind and Disabled Medicaid programs, or through the NC Health Choice or Medicaid for Pregnant Women program. Our primary care physicians provide quality care that fits your life. Call the Medicaid Contact Center at 888-245-0179, or. To find out which nursing facilities are in Superior's network, you can call us at 1-877-277-9772 or search our Find a Provider online tool. NCDHHS - Division of Health Benefits will send you a letter that tells you if you have the choice to enroll. Staying well starts with your primary care doctor. . Dr. Duane Jay Henk, MD. You can use the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool to find a primary care provider (PCP). She is one of the best, if not the best, Primary Care Providers I have ever seen in nearly 30 years with the military medical. Receive Innovations Waiver services, Traumatic Brain Injury (TBI) Waiver services, or Community Alternatives Program for Children (CAP/C) or Community Alternative Program for Disabled Adults (CAP/DA) services. Healthline Media does not provide medical advice, diagnosis, or treatment.
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