Providence Preferred is designed to manage the cost, delivery and quality of health care for our many insurers, third-party administrators, self-insured groups and individuals. Non-participating providers include any licensed providers who are not PPO providers. Dr. Antillon enjoys being a mom, running, and hiking. Some of Sashas interests are traveling, horse racing, Escape Rooms, dancing, bike riding, and watching the Dallas Cowboys! Dr. Tam is Board Certified in Family Medicine. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. Dr. Briones has been with First Choice Community Healthcare since 2006. Anthem. Contact us if you have questions about how to usefind a health care provider. Our Patient-Centered Healthcare Home makes you feel welcomed and cared for by a team that: We go the extra mile to help our patients get help paying for their health care. Aetna ASA - National Network Administrator and web-based Employee Assistance Program (EAP) provider; The LSU First Networks. We provide quality and affordable medical, dental and behavioral health care and WIC. 1st Choice Healthcare is accepting applications for a Behavioral Health Provider for our Corning Clinic. For urgent prior authorization requests outside of regular business hours (including weekends and holidays), please contact at 855-444-4647 and follow the prompts. She completed her residency with Mercy Health in Grand Rapids. With a large network of more than 22,000 providers in all 46 counties, First Choice SM is proud to be the highest-rated Medicaid plan in the state, according to an independent provider satisfaction survey. Tools available for each are: * Information is available on First Choice Health Administrators (FCHA) members only. As we respond to the COVID-19 crisis we continue to provide access to care for all of our patients. She has been certified by the Board of New Mexico as a Physician Assistant since 2014. Walmart gift card is restricted from the purchase of alcohol, tobacco, and firearm products. * Find videos, FAQs, and guides to help you with ProviderSource. we started our first clinics in empty church buildings and storefronts. Wendy has training in EMDR, Substance Abuse and Addictions, and Equine-assisted therapy. We want to encourage you to maintain your health and wellness, and First Choice is here to help you. Our whole-person approach is serving members throughout the state by providing access to far more than clinical care. I think one of the best things about being a Family Doctor is the privilege and opportunity to get to know my patients- I thrive on that continuity of care. Her personal interests include travel, camping, hiking, reading and photography. I strive to use an integrative approach to disease prevention and management whenever possible. She was born and raised in Albuquerque, NM and grew up in the South Valley. Mass General Brigham Health Plan staff is available at 855-444-4647 Monday-Friday (8:00 AM - 5:00 PM EST, closed 12:00 - 12:45 PM). He joined First Choice Community Healthcare in 2010. He completed his residency at the University of New Mexico Childrens Hospital, and he is also Pediatric Board Certified. First Choice Health's Preferred Provider Organization (PPO) is recognized as the leading independent PPO Network in Washington and Oregon, with a growing regional presence in Alaska, Idaho . Customer Service. We're accepting new patients. Find out more about the coronavirus and how you can help prevent it. Refer to your Evidence of Coverage (EOC). She is active in the NMAPA and UNM SOM PA Alumni Association and loves to volunteer for local events. Her special interests in medicine include prenatal care, Women's Health, but she also loves seeing pediatric patients, doing procedures and providing gender affirming care. Toll-free: 800-752-9475 Social and Health Program Consultant 4. By showing providers with higher ProfilePoints first, You can cancel or change your request at any time, simply by calling Member Services. She is Board Certified through the National Committee on Certification of Physician Assistants. Dr. Shah graduated from medical school at Saint Louis University in Missouri 2000-2004 and completed her Pediatric Residency at the University of New Mexico from 2004-2007. So you, your family, and our entire community can be their . 2023 Provider portal. We recognize the importance of maintaining doctor/patient relationships. She completed her undergraduate education at the University of Texas at Austin and her medical training at UT Health Science Center at San Antonio. It is the policy of First Choice Health to admit and treat all residents without regard to race, color, national origin, sex, age or handicap. The mission of First Choice Community Health Centers is to provide comprehensive primary healthcare services, with excellence and compassion, for the entire community. PHYSICIAN DIRECTORY. She has worked and lived in Valencia County communities for several years. We provide comprehensive, affordable, culturally-responsive care that is patient-centered. You will be responsible for paying all amounts above the allowed amount. She delivered a baby in residency and saw him recently for a 7-year WCC. She joined First Choice in 2021 because of our mission of serving underserved communities. You will receive the highest quality care at the lowest possible cost, with more . To find a PPO Provider or confirm if your current provider is part of the PPO Provider Network, please visit our customized locators. Click on the link above for First Choice location information. She completed her residency at the University of New Mexico Family and Community Medicine. He is Board Certified in Family Medicine Clinical Informatics. Call 800-424-DOCS to schedule A first-of-its-kind online enrollment portal with innovative programs that address the biggest issues facing you and your patients. She also enjoys providing care to survivors of domestic violence and sexual assault. Fluent in Spanish and Cantonese. Recognizing the need for a more comprehensive approach to improving the health and wellness of our communities. We understand our patients have busy lives, which is why we have extended hours of Saturday from 9:00 a.m. to 4:00 p.m. so you can fit us in to your schedule. In her spare time, she enjoys rock climbing, biking, and yoga as well as spending time with family. PPO Providers First Choice Health or First Health Network. Dr. Cook enjoys running, hiking, biking, all snow-related activities, and spending time with her husband and kids - most often outside. View this and more full-time & part-time jobs in Corning, AR on Snagajob. Her special interests in medicine include prenatal care and Women's Health, but she also loves seeing babies and kids. 57103. For additional information on what is covered under the PPO Provider Network: *Inpatient and certain outpatient services are subject to prior authorization. She enjoys spending time with her family, movies, cooking and baking. Through managed care organizations, eligible individuals receive quality physical and behavioral medical care, as well as long-term supports. We got the word out through community outreach Employer Search. Dr. Hamilton attended the University of New Mexico and graduated as a Doctor of Medicine in 2011. Hours: Monday-Friday 7 AM - 7 PM. He is Board Certified in Family Practice. He is fluent in German and capable in Spanish. Dr. Loughrey's medical practice interests include: incorporating Lifestyle Medicine; medication provision for opioid use disorder; advocating and promoting health equity for communities, and making his patients laugh. Services are covered at 100% after your HRA is exhausted. NaviNet. As we respond to the COVID-19 crisis we continue to provide access to care for all of our patients. Dr. Vesper's interests are full spectrum family medicine and health policy and advocacy, she is capable in Spanish. We use cookies and limited processing of your personal information for our View 2022 and 2023 claims. This site contains links to other Internet sites. Your copay, coinsurance, and deductible are at the same level, regardless of which PPO provider or PPO facility you choose. He completed his residency at the University of New Mexico Hospital, Family and Community Medicine. We can give you more information about a provider, too. She enjoys all aspects of primary care, especially being able to take care of multiple generations of families. Dr. Guerrero-Pezzano graduated from Escuela Latino Americana de Medicina in 2010 before completing her residency at the University of New Mexico, School of Family and Community Medicine in 2014. Firefox 27 and Future Versions, Online personal health records; If the Provider Directory is not . . Balance billing is the difference between what a Non-participating Provider charges for a service and what Medicare will reimburse for that service. Copyright 2017 Kaiser Foundation Health Plan, Inc. Home health, hospice, and skilled nursing facility services, Please review your Evidence of Coverage (EOC) for plan details. Provider data contained within the online directory is updated daily Monday through Friday. Careers; Customer Service 800.207.1018. Dr. Jeansonne attended DePaul University and Nova Southeastern University, graduated in 2009. Directory of Health Care Providers. Dr. French started his employment with First Choice Community Healthcare in 2014. Whether you'd like to access your own First Choice information, need to find a doctor in your area, or want to find out if your medicine is covered, we're here to help. Dr. Cook graduated from the University of New Mexico Medical School in 2016 and completed her Family Medicine residency in Idaho. He enjoys the outdoors, music and personalgrowth. Dr Morales is honored to be part of the First-Choice team. If there are any differences between this document and your Evidence of Coverage (EOC), your Evidence of Coverage (EOC) will prevail. Wendy joined First Choice Community Healthcare in October of 2019. If you use a Non-participating Provider, it is important that you understand balance billing. Choose a non-participating provider nationwide. Dr. Phillips is a 1994 graduate of the University of New Mexico, School of Medicine. No-cost COVID-19 at-home testing available to First Choice, Transfer to First Choice duringan open or annual enrollment period and get a $25 gift card! 2023 - First Choice Health . Amy received her Bachelors of Science in Nursing at UNM in 2014, her Masters of Science in Nursing (Family Nurse Practitioner) at Frontier Nursing University in 2017 and completed her Doctorate of Nursing Practice (DNP) at Frontier Nursing University October of 2018. The company's . As a First Choice member, you have access to hundreds of doctors and dozens of locations in the First Choice network. This just adds to the reasons why PPO plans are more flexible and desirable than HMO plans. Current partners are listed below. Dental only coverage has its own card. She was born and raised in Albuquerque, New Mexico. Dr. Phillips interests include preventive medicine and gardening. Make Us Your First Choice. Find answers to your most frequently asked questions. To ask for a hard copy of the Provider and Pharmacy Directory, call Member Services. If you have any questions or need help with any of the PPO providers, you may contact their customer support at: Kaiser Permanente 1-866-616-0047 (TTY 711). She values increasing access to all New Mexicans. across Central New Mexico. She joined First Choice Community Healthcare in December of 2019 at our Belen site. Out-of-network: Discounted rates from First Choice Health providers in Washington, Oregon, Alaska, Idaho, and Montana and First Health Network providers in all other states. Dr. Miller is particularly interested in supporting people to make changes in how they live their life to improve their health. Prior authorization. For urgent prior authorization requestsoutside of regular business hours (including weekends and holidays), please contact at 855-444-4647and follow the prompts. Broad number of Washington state providers we contract with directly, including Washington Permanente Medical Group. Balance billing can mean significant out-of-pocket costs for you. We are a health center grantee under 42 USC 245b and a deemed Public Health Service employee under 42 USC 233 (g)-(n). Fax: 931-962-8594. Ameritas. Dental Health Alliance / Sun Life. H8213_001_WEB_2099651. She has been a sexual assault nurse examiner for eleven years. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take First Choice Health insurance. He attended Harvard University Medical School, in Boston, MA and graduated in 1978. Delta Dental - Premier, PPO and Medicare Advantage Providers*. Please contact our office for details. She joined First Choice Community Healthcare in July 2019 and is passionate about working in the medical field as an integrated behavioral health provider and supporting people who are recovering from substance use. Our Health Centers deliver high quality, We'll also ask for your preference during our Welcome Call and later in the year, when you contact the plan. In his spare time, Dr. Ogas enjoys kickboxing, mountain climbing, soccer, and cooking. Health Plan Administration; Employee Assistance Program; PPO Provider Network; Clinically Integrated Networks . First Health Network 1-800-226-5116. Dr. Bustos, a Las Cruces native, graduated in 2012 from the University of New Mexico, School of Medicine. Dr. Vargas was born and raised in Rio Rancho, NM. H&R Block, Inc. Call Member Services at 1-888-978-0862, (TTY/TDD 711), 8 a.m. to 8 p.m. 7 days a week. We also value observing the highest ethical and professional standards while fulfilling our mission and vision. 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