February SummaCare Medicare Dental Provider Directory. Delta Dental Medicare Advantage Premier Network.

Size: px
Start display at page:

Download "February SummaCare Medicare Dental Provider Directory. Delta Dental Medicare Advantage Premier Network."

Transcription

1 February 2017 SummaCare Medicare Dental Provider Directory Delta Dental Medicare Advantage Premier Network

2

3 This directory provides a list of SummaCare Medicare dental providers, available through the Delta Dental of Medicare Advantage Premier network. This directory is for dental providers in 41 counties. This directory is current as of February Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about SummaCare s Medicare dental network providers in your area, you can visit or call our Customer Service Department at or (toll-free) From February 15 through September 30, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., Monday through Friday. From October 1 through February 14, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., seven days a week. TTY users should call SummaCare is an HMO and HMO-POS plan with a Medicare contract. This document may be available in an alternate format such as large print or audio. For more information, contact SummaCare Customer Service Department at or (toll-free) H3660_17_ NM

4 ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: ). 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: ) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: ). ملحوظة: إذا كنت تتحدث اذكر اللغة فا ن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (رقم ھاتف الصم والبكم: ). Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (TTY: ). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (TTY: ). ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : ). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: ). XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (TTY: ). 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: ).) 번으로전화해주십시오. ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (TTY: ). 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます (TTY: ) まで お電話にてご連絡ください AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel (TTY: ). УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (телетайп: ). ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la (TTY: ). H3660_17_60 Accepted

5 SummaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SummaCare does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. SummaCare: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact the Appeals and Grievances Department. If you believe that SummaCare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Appeals and Grievances Department PO Box 1107 Akron, OH Toll-free: TTY: Fax: appeals@summacare.com You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, the Appeals nad Grievances Department is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, , (TDD). Complaint forms are available at H3660_17_57 Accepted

6 Section 1 Introduction This directory provides a list of SummaCare Medicare dental providers, available through the Delta Dental of Medicare Advantage Premier network. The network providers listed in this directory have agreed to provide you with your dental coverage. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue to go to that same provider. What is the service area for SummaCare? The counties in SummaCare s service area are listed below. Allen, Ashland, Ashtabula, Auglaize, Carroll, Columbiana, Crawford, Cuyahoga, Defiance, Erie, Fulton, Geauga, Hancock, Hardin, Henry, Holmes, Huron, Lake, Lorain, Lucas, Mahoning, Marion, Medina, Mercer, Morrow, Ottawa, Paulding, Portage, Putnam, Richland, Sandusky, Seneca, Stark, Summit, Trumbull, Tuscarawas, Van Wert, Wayne, Williams, Wood, and Wyandot. How do you find SummaCare Medicare dental providers in your area? This provider directory is listed alphabetically by county and then city. Within each city, dental specialties are listed alphabetically, with each dental provider listed alphabetically within his/her specialty. If you have questions about SummaCare, please call our Customer Service Department at or (toll-free) From February 15 through September 30, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., Monday through Friday. From October 1 through February 14, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., seven days a week. TTY users should call Or visit our website at

7 Section 2 List of Network Providers This section contains a list of SummaCare Medicare dental providers. There are 4,072 general dentists in the Delta Dental Medicare Advantage Premier Network. Oral Surgeons There are 233 oral surgeons in the Delta Dental Medicare Advantage Premier Network. Endodontists There are 94 endodontists in the Delta Dental Medicare Advantage Premier Network. There are 42 orthodontists in the Delta Dental Medicare Advantage Premier Network. Periodontists There are 155 periodontists in the Delta Dental Medicare Advantage Premier Network. Prosthodontists There are 11 prosthodontists in the Delta Dental Medicare Advantage Premier Network. Oral Pathologists There are 3 oral pathologists in the Delta Dental Medicare Advantage Premier Network. Public Health There is 1 public health provider in the Delta Dental Medicare Advantage Premier Network. Provider listings appear as follows: County City Specialty Last name, First Name, Middle Initial Dental facility/organization in which they are affiliated Address City, State, Zip Code Phone Number

8

9 Allen Allen Bluffton JORDAN, MATTHEW S PO Box Thurman St Bluffton, OH (419) Delphos MOHR, JACOB K MOHR SMILES 603 E 3rd St Delphos, OH (419) Elida WIECHART, MARY E HEALTH PROFESSIONALS MANAGEMENT CO LLC 409 E Kiracofe Ave Elida, OH (419) Lima Allen County BLANFORD, JEFFREY J Ste Elida Rd Lima, OH (419) BUTTS, CHARLES L 2721 Shawnee Rd Lima, OH (419) CARLSON, STEVEN M JEFFREY J BLANFORD DDS Ste Elida Rd Lima, OH (419) DUGAN, EUGENE V GENE V DUGAN DDS & BRAD T PLACE DDS 1707 Allentown Rd Lima, OH (419) FRONING, GEOFFREY M BUCKEYE DENTAL SERVICES 1031 Richie Ave Lima, OH (419) GEISLER, CATHERINE A CALDERON DENTAL 3292 Elida Rd Lima, OH (419) HANCOCK, DAVID W 555 W ELM ST DENTISTRY LLC 555 W Elm St Lima, OH (419) PATTON, JOE A J A PATTON DENTAL LLC 2354 Shawnee Rd Lima, OH (567) PLACE, BRAD T GENE V DUGAN DDS & BRAD T PLACE DDS 1707 Allentown Rd Lima, OH (419) STOCKER, JON C JON C STOCKER DDS LLC 244 Golden Ln Lima, OH (419) TODD, STEVEN E LIMA DENTAL ASSOCIATES - RISOLVATO LTD 2115 Allentown Rd Lima, OH (419) Oral Surgeons KNOWLES, DONALD L DONALD L KNOWLES 1235 W Market St Lima, OH (419) MCDONOUGH, MATTHEW L CALDERON DENTAL 3292 Elida Rd Lima, OH (419) AHMAN, THOMAS L ORTHODONTIC ASSOCIATES DRS AHMAN & JANOWSKI LLC 260 S Eastown Rd Lima, OH (419) JANOWSKI, JOSEPH L ORTHODONTIC ASSOCIATES DRS AHMAN & JANOWSKI LLC 260 S Eastown Rd Lima, OH (419) MAYERS, MATTHEW C ORTHODONTIC ASSOCIATES DRS AHMAN & JANOWSKI LLC 260 S Eastown Rd Lima, OH (419) ONEILL, BRENDAN A ORTHODONTIC ASSOCIATES DRS AHMAN & JANOWSKI LLC 260 S Eastown Rd Lima, OH (419)

10 Allen Ashland LEOPOLD, ANDREA R CHILDRENS SMILES DENTAL CARE 2969 Blue Jacket Ct Lima, OH (419) MEYER, TYRA L CHILDRENS SMILES DENTAL CARE 2969 Blue Jacket Ct Lima, OH (419) Ashland Allen (continued) Pedodontists Ashland County BADDOUR, DAVID J SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) BARKLEY, AARON T ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) BIEHLE, ERIN M SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419) CASTOR, THOMAS R SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419) SANDERS & BIEHLE DDS ASHLAND LLC 535 Claremont Ave Ashland, OH (419) CHENG, KIT Y ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) DECKER, HEIDI G ASHLAND COUNTY ORAL HEALTH SERVICES 431 E 9th St Ashland, OH (419) EMERY, KELLY SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) EWALD, GARY M 926 Katherine Ave Ashland, OH (419) FARRKH, AMANA SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) FOWLER, RONALD D ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) FRANK, STEPHEN E STEPHEN E FRANK DDS 144 Maple St Ashland, OH (419) GERBASI, JENNIFER L SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) GLYNN, JEFFREY W SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419) SANDERS & BIEHLE DDS ASHLAND LLC 535 Claremont Ave Ashland, OH (419) HATAHET, ABDALKAREEM SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419) HICKEY, DAVID C SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) HOBBS, MITCHELL SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) JUSTICE, NATHAN D SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419)

11 Ashland Ashtabula Ashland (continued) KHIMJI, FAIZA N SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) KOMANDURI, SRAVANI SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) LANE, KEVIN M ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) LEWIS, MARCIA ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) MATZ, ROBERT D BRAD HENDRICKSON DDS Ste B 910 Katherine Ave Ashland, OH (419) MURARKA, ANISHA M SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) ROGUS, KARRY E SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419) SANDERS, J C SANDERS & BIEHLE DDS ASHLAND LLC 270 Sandusky St Ashland, OH (419) WARNOCK, ANNA J ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) YOUSEF, HADIL F SAMPSON DENTISTRY 926 Katherine Ave Ashland, OH (419) YU, MING S ALPHA DENTAL ASHLAND- MING YU DDS LLC 1445 Claremont Ave Ashland, OH (419) REED, CHARLES R SANDERS & BIEHLE DDS ASHLAND LLC 535 Claremont Ave Ashland, OH (419) Loudonville Oral Surgeons HAMM, PAUL W STEPHEN S PESICEK AND PAUL W HAM 145 N Water St Loudonville, OH (419) HARTZLER, LEE T STEPHEN S PESICEK AND PAUL W HAM 145 N Water St Loudonville, OH (419) PESICEK, STEPHEN S STEPHEN S PESICEK AND PAUL W HAM 145 N Water St Loudonville, OH (419) SCOTT, DARREL L SCOTT DENTAL GROUP LLC 633 N Union St Loudonville, OH (419) SCOTT, TYLER L SCOTT DENTAL GROUP LLC 633 N Union St Loudonville, OH (419) ZUPSANSKY, DANIEL S STEPHEN S PESICEK AND PAUL W HAM 145 N Water St Loudonville, OH (419) Ashtabula Ashtabula County BADER, JULIUS C ASHTABULA DENTAL ASSOCIATES 5005 State Rd Ashtabula, OH (440)

12 Ashtabula Ashtabula Ashtabula (continued) BALOGH-CROMBIE, DEBRA A DRS CROMBIE BALOGH- CROMBIE & HOZA 2010 W 19th St Ashtabula, OH (440) BERNE, DAVID L 3228 N Ridge Rd E Ashtabula, OH (440) COLIADIS, JASON E ASHTABULA DENTAL ASSOCIATES 5005 State Rd Ashtabula, OH (440) CROMBIE, MARTIN B DRS CROMBIE BALOGH- CROMBIE & HOZA 2010 W 19th St Ashtabula, OH (440) GHIBU, ANA C ASHTABULA DENTAL ASSOCIATES 5005 State Rd Ashtabula, OH (440) HOZA, JOHN M DRS CROMBIE BALOGH- CROMBIE & HOZA 2010 W 19th St Ashtabula, OH (440) MADULAPALLY, SHIRISHA R 3228 N Ridge Rd E Ashtabula, OH (440) QUE, PAUL M 3228 N Ridge Rd E Ashtabula, OH (440) SIVIK, MICHAEL C ASHTABULA DENTAL ASSOCIATES 5005 State Rd Ashtabula, OH (440) Oral Surgeons HANNA, JAMES W 1813 W Prospect Rd Ashtabula, OH (440) KRAJEKIAN, JOSEPH I 3228 N Ridge Rd E Ashtabula, OH (440) MCDONOUGH, MATTHEW L 3228 N Ridge Rd E Ashtabula, OH (440) ARNOLD, J JEFFREY 4430 Main Ave Ashtabula, OH (440) FORSBERG, CLIFTON T ASHTABULA DENTAL ASSOCIATES 5005 State Rd Ashtabula, OH (440) RAFFA, THOMAS J THOMAS J RAFFA DDS 355 W Prospect Rd Ashtabula, OH (440) DEFINA, MIGUEL ASHTABULA DENTAL ASSOCIATES 5005 State Rd Ashtabula, OH (440) Conneaut WROBLESKY, ANTHONY M ANTHONY M WROBLESKY JR 864 Main St Conneaut, OH (440) Geneva Periodontists DROCKTON, THOMAS J COOPER OWENS DDS LLC 220 E Main St Geneva, OH (440) FIORITTO, FRANK J JAMES C FORTNEY DDS 299 S Broadway Geneva, OH (440) FORTNEY, JAMES JAMES C FORTNEY DDS 299 S Broadway Geneva, OH (440)

13 Ashtabula Carroll TAPOLCSANYI, MICHELLE E GENEVA FAMILY DENTAL LLC 460 W Main St Geneva, OH (440) Orwell SCHUSTER, RUDOLF 60 N Maple St Orwell, OH (440) Minster Ashtabula (continued) Auglaize County MAYERS, TRACY A MINSTER DENTAL CENTER 4215 State Route 66 Minster, OH (419) MEIRING, JAMES T MINSTER DENTAL CENTER 4215 State Route 66 Minster, OH (419) OVERMAN, JAMES L MINSTER DENTAL CENTER 4215 State Route 66 Minster, OH (419) SHARP, SHAWN MINSTER DENTAL CENTER 4215 State Route 66 Minster, OH (419) WOEHRMYER, HEATHER M MINSTER DENTAL CENTER 4215 State Route 66 Minster, OH (419) SLONKOSKY, PHILIP W MINSTER DENTAL CENTER 4215 State Route 66 Minster, OH (419) New Bremen BROERING, THOMAS K THOMAS K BROERING DDS 710 E Monroe St New Bremen, OH (419) Wapakoneta Pedodontists JACKSON, KENNETH J KENNETH J JACKSON DDS 809 Redskin Trail Wapakoneta, OH (419) MEYER, TIMOTHY D TIMOTHY D MEYER DDS 1106 Lincoln Ave Wapakoneta, OH (419) Carrollton Carroll County BARKER, BRUCE E 256 N Lisbon St Carrollton, OH (330) CRUMP, GARY GARY W CRUMP DDS 2013 Canton Rd NW Carrollton, OH (330) PAULUS, MICHAEL W PAULUS ORTHODONTICS Box Trump Rd NW Carrollton, OH (330) PAULUS, WILLIAM D PAULUS ORTHODONTICS Box Trump Rd NW Carrollton, OH (330)

14 Columbiana Columbiana Columbiana County Columbiana MARSICO, JAMES F JAMES F MARSICO DDS 319 N Main St Columbiana, OH (330) PALUSAK, JEFFREY M 155 Deal Dr Columbiana, OH (330) WANAT, FRANK B 225 E State Route 14 Ste 205 Columbiana, OH (330) E Liverpool GROSSER, I SCOTT 1324 Saint Clair Ave E Liverpool, OH (330) East Liverpool DIETZ, CRAIG E CRAIG E DIETZ DMD Calcutta Smith Ferry Rd East Liverpool, OH (330) GIBBS, BRUCE P State Route 267 East Liverpool, OH (330) RICE, E LEE State Route 267 East Liverpool, OH (330) WELLINGTON, SHANE M SHANE M WELLINGTON DMD LLC 1609 Pennsylvania Ave East Liverpool, OH (330) DAVIS, ROBERT A DENTISTRY FOR CHILDREN & TEENS Saint Clair Ave East Liverpool, OH (330) East Palestine PATTON, C ANDREW ANDREW PATTON DMD 163 E Taggart St East Palestine, OH (330) Lisbon Pedodontists DINELLO, DOMENIC A 116 Exchange St Lisbon, OH (330) FISHER, RICHARD M COMMUNITY ACTION AGENCY OF COLUM Saltwell Rd Lisbon, OH (330) SAWIRISS, MAGDA COMMUNITY ACTION AGENCY OF COLUM Saltwell Rd Lisbon, OH (330) Salem ARORA, NIDHI 2384 Southeast Blvd Salem, OH (330) FISHER, RICHARD M 130 Rose Ave Salem, OH (330) GERSON, JUDY 2384 Southeast Blvd Salem, OH (330) IADEROSA, GREGORY B SMILE WRIGHT FAMILY DENTAL 303 Continental Dr Salem, OH (330) MADJARAC, KEVIN MATTHEW R YERKEY DDS 2940 State Route 45 S Salem, OH (330) MOODY, DENNIS M SMILE WRIGHT FAMILY DENTAL 303 Continental Dr Salem, OH (330)

15 Columbiana Crawford Columbiana (continued) SCHUSTER, TED A DENTAL HEALTH GROUP TED A SCHUSTER DDS 1410 E State St Salem, OH (330) SHIVERS, PAUL K 2951 State Route 45 S Salem, OH (330) YERKEY, MATTHEW R 2940 State Route 45 S Salem, OH (330) AL-MAHDI, AMMAR K 2384 Southeast Blvd Salem, OH (330) BAILEY, FRANK R DE ORTHO CENTRE TED A SCHUSTER DDS LLC 2384 Southeast Blvd Salem, OH (330) KALRA, VARUN 2951 State Route 45 S Salem, OH (330) MARTINS, MOSHOOD 2384 Southeast Blvd Salem, OH (330) MIKOLICH, MARISSA L 2384 Southeast Blvd Salem, OH (330) MOZAYENI-AZAR, MANDANA 2384 Southeast Blvd Salem, OH (330) PAULUS, MICHAEL W PAULUS ORTHODONTICS 2951 State Route 45 S Salem, OH (330) PAULUS, WILLIAM D PAULUS ORTHODONTICS 2951 State Route 45 S Salem, OH (330) SIMPSON, STEPHEN P 2384 Southeast Blvd Salem, OH (330) Periodontists HOM, PAUL M 2951 State Route 45 S Salem, OH (330) Bucyrus KATERAKIS, ANDREW J BUCYRUS FAMILY DENTIST GROUP 117 S Poplar St Bucyrus, OH (419) LIN, HSUAN LI BUCYRUS DENTAL - H LIN DDS LLC 314 W Warren St Bucyrus, OH (419) Galion Crawford County FELLNER, THOMAS G Ste Harding Way W Galion, OH (419) PHILLIPS, TONYA L TONYA L PHILLIPS DDS LLC 112 S Market St Galion, OH (419) SMITH, BRADLEY M 401 Harding Way W Galion, OH (419) YOUNG, COREY A COREY A YOUNG DDS Ste B 1245 State Route 598 Galion, OH (419)

16 Cuyahoga Cuyahoga Bay Village Cuyahoga County FRANCATI, DAVID J BAY DENTAL OFFICE 660 Dover Center Rd Bay Village, OH (440) MIKULA, CYNTHIA J 572 Dover Center Rd Bay Village, OH (440) MORNINGSTAR, BRIAN S BAY DENTAL OFFICE 660 Dover Center Rd Bay Village, OH (440) WATERS, SHERRY L BAY DENTAL OFFICE 660 Dover Center Rd Bay Village, OH (440) Oral Surgeons DANKO, IHOR J BAY ORAL AND MAXILLOFACIAL SURGE 660 Dover Center Rd Ste 127 Bay Village, OH (440) Pedodontists KYRKOS, DIANA A 660 Dover Center Rd Ste 17 Bay Village, OH (440) Beachwood ACHAR, SUMA Chagrin Blvd Ste 145 Beachwood, OH (216) ADELSTEIN, GERALD B CLEVELAND CENTER FOR COMPREHENSIVE DENTISTRY 3609 Park East Dr Ste 404 Beachwood, OH (216) ADELSTEIN, RICHARD CLEVELAND CENTER FOR COMPREHENSIVE DENTISTRY 3609 Park East Dr Ste 404 Beachwood, OH (216) AHN, CHANGWON UNITED DENTAL CARE WILLOUGHBY HILLS CHANGWON AHN DMD LLC Chargin Blvd #204 Beachwood, OH (216) BLAND, JOHN C SABRINA E MICKEL DDS Chargin Blvd Ste 170 Beachwood, OH (216) CARSON, R C CARSON FAMILY DENTISTRY LLC Ste Chagrin Blvd Beachwood, OH (216) CHANG, MYUNG W DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216) SABRINA E MICKEL DDS Chargin Blvd Ste 170 Beachwood, OH (216) DIAZ, MARIA M DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216) FAIST, JEROME L 3690 Orange Pl Ste 515 Beachwood, OH (216) FARKAS, LEE V Chagrin Blvd Ste 320 Beachwood, OH (216) GRANDE, PAUL S DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216) JOHNSON, BRADLEY DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216) KERSCHNER, DAVID C DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216)

17 Cuyahoga Cuyahoga Cuyahoga (continued) LOKESH, YOGITHA ELITE DENTISTRY CENTER LLC Chargrin Blvd Beachwood, OH (216) LURIE, FREDRICK A FREDRICK A LURIE DDS 3690 Orange Pl Ste 460 Beachwood, OH (216) OBERMEIER, JOSEPH R CLEVELAND CENTER FOR COMPREHENSIVE DENTISTRY 3609 Park East Dr Ste 404 Beachwood, OH (216) SCHWARTZ, DANIEL M MICHAEL S HAUSER DMD MD Chagrin Blvd Beachwood, OH (216) SMILOVITS, PETER PETER SMILOVITS DDS & ASSOCIATES Ste Chagrin Blvd Beachwood, OH (216) WOLFE, JOHN E CARSON FAMILY DENTISTRY LLC Ste Chagrin Blvd Beachwood, OH (216) WORFORD, MARK A Ste 510 North 3609 Park East Dr Beachwood, OH (216) ADENWALLA, SHABBIR DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216) BARBOSA, VIOLET N VIOLET ORTHODONTICS LLC Chagrin Blvd Ste 145 Beachwood, OH (330) GU, JIAFENG DR ZASSO & ASSOCIATES BEACHWOOD Chagrin Blvd Beachwood, OH (216) MOZAYENI-AZAR, MANDANA MANDANA MOZAYENI DDS MSD Ste Chagrin Blvd Beachwood, OH (216) WEISS, IRA H IRA H WEISS DDS MSD 3755 Orange Pl Ste 100a Beachwood, OH (216) Pedodontists BROWN, LAWRENCE E Ste Orange Pl Beachwood, OH (216) LEE, SANG Y SIMON S LEE DDS LLC 3619 Park East Dr Ste 312 Beachwood, OH (216) Bedford FLORIAN, FLORIN HUDEC DENTAL ASSOCIATES Rockside Rd Bedford, OH (440) SAVAGE, REGINA Ste Northfield Rd Bedford, OH (216) DUCHON, STUART L JOHN A HUDEC DDS SPECIALTY SERVICES Rockside Rd Bedford, OH (440) Berea Periodontists FRIEDRICH, ROCHELLE M Ste E Bridge St Berea, OH (440) HRNCHAR, MICHELLE L BRIAN J BRITT DDS LLC 633 W Bagley Rd Berea, OH (440)

18 Cuyahoga Cuyahoga MAJCHER, CASIMIR J 387 Front St Berea, OH (440) AGRONIN, KENNETH 359 Front St Berea, OH (440) HANS, MARK G 347 Front St Berea, OH (440) Brecksville Cuyahoga (continued) ADORNETTO, ROBERT M Ste Brecksville Rd Brecksville, OH (440) FELEPPELLE, ANDREA L EDWARD S BRANDON DDS Ste A 8871 Brecksville Rd Brecksville, OH (440) JAFFE, IVAN M 7770 Brecksville Rd Brecksville, OH (440) MATAS, DAINA K 7650 Chippewa Rd Ste 208 Brecksville, OH (440) MATAS, GIEDRA J GIEDRA J MATAS 7650 Chippewa Rd Ste 208 Brecksville, OH (440) MCCUNE, GREGORY T 8865 Brecksville Rd Brecksville, OH (440) SALEH, MOHAMMED U BRECKSVILLE DENTAL EXCELLENCE 8423 Chippewa Rd Brecksville, OH (440) WU, KUO KUANG KUO-KUANG WU DMD DENTAL SERVICE 8180 Brecksville Rd Ste 201 Brecksville, OH (440) KAUFMAN, NEAL M Ste Royalton Rd Brecksville, OH (440) SABAT, MICHAEL R 8865 Brecksville Rd Brecksville, OH (440) SULLIVAN, ANNELISE H 8803 Brecksville Rd Ste 10 Brecksville, OH (440) Pedodontists COLOMA, ARLENE J 8869 Brecksville Rd Brecksville, OH (440) DAVIS, SARAH J SARAH J DAVIS DDS Ste Brecksville Rd Brecksville, OH (440) Broadview Heights APOTSOS, KATHRYN J AVERY DENTAL GROUP 8200 Avery Rd Broadview Heights, OH (440) FLORIAN, FLORIN HUDEC DENTAL ASSOCIATES 8191 Broadview Rd Broadview Heights, OH (440) KOZLOWSKI, MARK MARK KOZLOWSKI DDS LLC Ste D 1000 W Wallings Rd Broadview Heights, OH (440) MATTHEWS, RONALD D R DOUGLAS MATTHEWS DDS 9341 Broadview Rd Broadview Heights, OH (440) PETROFF, HEATHER J HEATHER J PETROFF DDS LLC Ste E Royalton Rd Broadview Heights, OH (440) STEFFAS, THOMAS J AVERY DENTAL GROUP 8200 Avery Rd Broadview Heights, OH (440)

19 Cuyahoga Cuyahoga Cuyahoga (continued) TARTARA, E AVERY DENTAL GROUP 8200 Avery Rd Broadview Heights, OH (440) TARTARA, JONATHAN T AVERY DENTAL GROUP 8200 Avery Rd Broadview Heights, OH (440) WHITNEY, SCOTT WHITNEY & ASSOCIATES DDS Ste Town Centre Dr Broadview Heights, OH (440) DUCHON, STUART L JOHN A HUDEC DDS SPECIALTY SERVICES 8191 Broadview Rd Broadview Heights, OH (440) LAWRENCE, ERIC S SPECIALTY DENTAL PARTNERS OF OHIO 7983 Broadview Rd Broadview Heights, OH (440) Pedodontists KUCERA, REBECCA REBECCA KUCERA DDS LLC 9075 Town Centre Dr Ste 130 Broadview Heights, OH (440) Brook Park OZAWA, KYOKO RICHARD S HONG DMD & KYOKO OZAWA DMD Snow Rd Ste 2 Brook Park, OH (216) Brooklyn ALRABADY, RULA DRS MARINO NASSIF & ASSOCIATES 4647 Ridge Rd Brooklyn, OH (216) BEEGAN, WILLIAM M 4597 Ridge Rd Brooklyn, OH (216) DAVIS, MYCHAEL E 7351 Northcliff Ave Brooklyn, OH (216) DOGAN, FURKAN 7351 Northcliff Ave Brooklyn, OH (216) IRANPOUR, STEVEN S SAFA IRANPOUR DDS 4301 Ridge Rd Brooklyn, OH (216) MADULAPALLY, SHIRISHA R 7351 Northcliff Ave Brooklyn, OH (216) PATEL, BHAVIK K 7351 Northcliff Ave Brooklyn, OH (216) PATEL, DAXESHKUMAR J 7351 Northcliff Ave Brooklyn, OH (216) POPA, ANDREI 7351 Northcliff Ave Brooklyn, OH (216) QUE, PAUL M 7351 Northcliff Ave Brooklyn, OH (216) SHAHPATEL, KHYATI D 7351 Northcliff Ave Brooklyn, OH (216) Oral Surgeons KRAJEKIAN, JOSEPH I 7351 Northcliff Ave Brooklyn, OH (216) MCDONOUGH, MATTHEW L 7351 Northcliff Ave Brooklyn, OH (216)

20 Cuyahoga Cuyahoga KOLODZIEJ, RONALD P RONALD P KOLODZIEJ DMD MS LLC 4597 Ridge Rd Brooklyn, OH (216) Chagrin Falls CORENO, THOMAS G 35 S Main St Chagrin Falls, OH (440) WOLF, JAMES JAMES B WOLF DMD 45 E Washington St Chagrin Falls, OH (440) Cleveland Cuyahoga (continued) ABIAD, JOSEPH N BUCKEYE FAMILY DENTAL 4163 Pearl Rd Cleveland, OH (216) DRS ALMADANI AND ALQSOUS 2140 Noble Rd Cleveland, OH (216) ABUZAKYAH, SAAD A CLEVELAND DENTAL INSTITUTE LLC Shaker Blvd Ste 136 Cleveland, OH (216) DR YAZAN HADDADEEN & PARTNERS LLC 2904 Euclid Ave Cleveland, OH (216) WALID THABET & PARTNERS LLC 3370 W 117th St Cleveland, OH (216) ADAMS JR, RODERICK H EDWARD R HILLS Cedar Rd Ste 3 Cleveland, OH (216) Ste E 105th St Cleveland, OH (216) AL-AISH, SANDY S CITY DENTAL CARE AL-AISH LLC Lorain Ave Cleveland, OH (216) ALI, HAYAT A Lorain Ave Cleveland, OH (216) ALRABADY, RULA DR NASSIF AND ASSOCIATES 4647 Ridge Rd Cleveland, OH (216) ARORA, NIDHI Shaker Blvd Ste 136 Cleveland, OH (216) BERSCHIG, ERIC E Shaker Sq Cleveland, OH (216) BLACKMON, LISA D CARE ALLIANCE 1530 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1795 W 25th St Cleveland, OH (216) CARE ALLIANCE 2916 Central Ave Cleveland, OH (216) CARE ALLIANCE 6001 Woodland Ave Cleveland, OH (216) BRAHMBHATT, MIT R PEARL DENTAL MIT R BRAHMBHATT DDS 4194 Pearl Rd Cleveland, OH (216) BUTLER, LYNDA V LYNDA V BUTLER DDS Cedar Rd Ste 210 Cleveland, OH (216) DIRENZO, CHRISTY OCEAN DENTAL 3545 Ridge Rd Cleveland, OH (216) DOERSCHUK, JASON A 3817 W 160th St Cleveland, OH (216) FLORIAN, FLORIN HUDEC DENTAL ASSOCIATES 3608 Payne Ave Ste 101 Cleveland, OH (216)

21 Cuyahoga Cuyahoga Cuyahoga (continued) FLORIAN, FLORIN HUDEC DENTAL ASSOCIATES 8475 Memphis Ave Cleveland, OH (216) JOHN A HUDEC CLEVELAND DENTAL HEALTH CENTER Lorain Ave Cleveland, OH (216) JOHN A HUDEC DDS 3329 Broadview Rd Cleveland, OH (216) JOHN A HUDEC DENTAL ASSOCIATES 1730 W 25th St Cleveland, OH (216) JOHN A HUDEC PURITAS DENTAL ASSOCIATES Puritas Ave Cleveland, OH (216) FOSTER, BILLY B NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Superior Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Miles Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES 1468 E 55th St Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Saint Clair Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES 8300 Hough Ave Cleveland, OH (216) GALICKI, LEONARD G CARE ALLIANCE 1530 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1795 W 25th St Cleveland, OH (216) CARE ALLIANCE 2916 Central Ave Cleveland, OH (216) CARE ALLIANCE 6001 Woodland Ave Cleveland, OH (216) GERSON, JUDY D2 DENTAL OF OHIO Lorain Ave Ste 140 Cleveland, OH (216) HADDADEEN, YAZAN H CLEVELAND DENTAL INSTITUTE LLC Shaker Blvd Ste 136 Cleveland, OH (216) DR YAZAN HADDADEEN & PARTNERS LLC 2904 Euclid Ave Cleveland, OH (216) WALID THABET & PARTNERS LLC 3370 W 117th St Cleveland, OH (216) HARRIS, NICOLE L CARE ALLIANCE 1530 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1795 W 25th St Cleveland, OH (216) CARE ALLIANCE 2916 Central Ave Cleveland, OH (216) CARE ALLIANCE 6001 Woodland Ave Cleveland, OH (216) HAVIGHURST, JULIE C CLEVELAND HEIGHTS DENTAL JEFFREY ROSENTHAL LLC Ste Fairmount Blvd Cleveland, OH (216) HERNANDEZ, ALFREDO CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) HEWKO, MICHAEL P 5747 Pearl Rd Cleveland, OH (440) HILLS, EDWARD Shaker Blvd Fl 2 Cleveland, OH (216)

22 Cuyahoga Cuyahoga Cuyahoga (continued) HILLS, EDWARD EDWARD R HILLS Cedar Rd Ste 3 Cleveland, OH (216) HORNYAK, PAUL A BRADLEY W HYLAN DDS & ASSOC 3447 W 117th St Cleveland, OH (216) HYLAN, BRADLEY W BRADLEY W HYLAN DDS & ASSOC 3447 W 117th St Cleveland, OH (216) JANI, ZAMIRA CLARK DENTAL LLC 3084 W 25th St Cleveland, OH (216) JOHNSON, HENDERSON H A JOHNSON DDS 2475 E 22nd St Ste 320 Cleveland, OH (216) JOHNSON, HENLEY B NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Superior Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Miles Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES 1468 E 55th St Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Saint Clair Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES 8300 Hough Ave Cleveland, OH (216) KIM, BENEDICT H DRS AICO & BEN KIM DDS 3736 Rocky River Dr Cleveland, OH (216) KIRBY, KAREN NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Superior Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Miles Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES 1468 E 55th St Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Saint Clair Ave Cleveland, OH (216) NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES 8300 Hough Ave Cleveland, OH (216) KMIECK, KENNETH T DENTURE SOLUTIONS LLC 5615 Overlook Rd Cleveland, OH (440) KORMOS, RICHARD ROSEWATER DENTAL ASSOC 2626 Lorain Ave Cleveland, OH (216) LAKHANI, EJAZ A DR NASSIF AND ASSOCIATES 4647 Ridge Rd Cleveland, OH (216) MAHALAHA, SUPARNA CARE ALLIANCE 1530 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1795 W 25th St Cleveland, OH (216) CARE ALLIANCE 2916 Central Ave Cleveland, OH (216) CARE ALLIANCE 6001 Woodland Ave Cleveland, OH (216) MUN, THOMAS K 3878 E 71st St Cleveland, OH (440)

23 Cuyahoga Cuyahoga Cuyahoga (continued) NEVAR JR, FRED NEVAR & NEVAR DDS Ste Euclid Ave Cleveland, OH (216) NEVAR, DEREK T NEVAR & NEVAR DDS Ste Euclid Ave Cleveland, OH (216) NEVAR, DONALD A NEVAR & NEVAR DDS Ste Euclid Ave Cleveland, OH (216) RAZA, SAFIYA CARE ALLIANCE 1530 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1795 W 25th St Cleveland, OH (216) CARE ALLIANCE 2916 Central Ave Cleveland, OH (216) CARE ALLIANCE 6001 Woodland Ave Cleveland, OH (216) ROSENBLITT, PAUL J Ste Superior Ave E Cleveland, OH (216) ROUBAL, THOMAS A Ste Lorain Ave Cleveland, OH (216) SAVAGE, REGINA THE FREE MEDICAL CLINIC OF GREATER CLEVELAND Euclid Ave Cleveland, OH (216) SHAPIRO, ROBERT CLEVELAND HEIGHTS DENTAL JEFFREY ROSENTHAL LLC Ste Fairmount Blvd Cleveland, OH (216) SHUMAKER, L DON 1701 E 12th St Ste 502 Cleveland, OH (216) SKAHAN, MARY K ANDREW J DEAK DMD & ASSOCIATES 3730 Rocky River Dr Ste 1 Cleveland, OH (216) TEICH, SORIN T CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) THABET, WALID R CLEVELAND DENTAL INSTITUTE LLC Shaker Blvd Ste 136 Cleveland, OH (216) DR YAZAN HADDADEEN & PARTNERS LLC 2904 Euclid Ave Cleveland, OH (216) WALID THABET & PARTNERS LLC 3370 W 117th St Cleveland, OH (216) VOIERS, DOUGLAS W AURA SMILE DENTAL CLEVELAND 1415 W 9th St Cleveland, OH (216) WALKER, WILLIAM Harvard Ave Cleveland, OH (216) WOLF, ELLIOT ELLIOT A WOLF DDS Ste Cedar Rd Cleveland, OH (216) YEE, BRIAN BRIAN YEE DDS 1701 E 12th St Ste 501 Cleveland, OH (216) ZAKELJ, REBECCA A CARE ALLIANCE 1530 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1534 Saint Clair Ave NE Cleveland, OH (216) CARE ALLIANCE 1795 W 25th St Cleveland, OH (216) CARE ALLIANCE 2916 Central Ave Cleveland, OH (216)

24 Cuyahoga Cuyahoga Cuyahoga (continued) ZAKELJ, REBECCA A CARE ALLIANCE 6001 Woodland Ave Cleveland, OH (216) DUCHON, STUART L JOHN A HUDEC DDS SPECIALTY SERVICES Lorain Ave Cleveland, OH (216) JOHN A HUDEC DDS SPECIALTY SERVICES Puritas Ave Cleveland, OH (216) JOHN A HUDEC DDS SPECIALTY SERVICES 1730 W 25th St Cleveland, OH (216) JOHN A HUDEC DDS SPECIALTY SERVICES 3329 Broadview Rd Cleveland, OH (216) JOHN A HUDEC DDS SPECIALTY SERVICES 3608 Payne Ave Ste 101 Cleveland, OH (216) JOHN A HUDEC DDS SPECIALTY SERVICES 481 E 260th St Cleveland, OH (216) JOHN A HUDEC DDS SPECIALTY SERVICES 8475 Memphis Ave Cleveland, OH (216) DWORKIN, JEFFREY Ste Cedar Rd Cleveland, OH (216) HANS, MARK G CASE DENTAL MEDICINE SUPPORT SERVICES LLC 2124 Cornell Rd Cleveland, OH (216) MARTINS, MOSHOOD Chagrin Blvd Cleveland, OH (216) OCONOR, CASEY L 3906 Rocky River Dr Cleveland, OH (216) PALOMO, J MARTIN CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) VALIATHAN, MANISH CASE DENTAL MEDICINE SUPPORT SERVICES LLC 2124 Cornell Rd Cleveland, OH (216) CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) WEISS, IRA H IRA H WEISS DDS MSD 7055 Pearl Rd Ste 100 Cleveland, OH (440) Pedodontists AL SAAD, AHMAD M CLEVELAND DENTAL INSTITUTE LLC Shaker Blvd Ste 136 Cleveland, OH (216) FERRETTI, GERALD A UNIVERSITY HOSPITALS OF CLEVELAN M/S Euclid Ave Rm 1200 Cleveland, OH (216) MARKARIAN, TANIA WALID THABET & PARTNERS LLC 3370 W 117th St Cleveland, OH (216) Periodontists DA SILVA, ANDRE P CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) PALOMO, LEENA LEENA PALOMO DDS MSD SPECIALTIES Ste Cedar Rd Cleveland, OH (216) SAZIMA, SCOTT 1701 E 12th ST #502 Cleveland, OH (216)

25 Cuyahoga Cuyahoga Cuyahoga (continued) Prosthodontists KALEINIKOVA, ZINAIDA CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) TULUNOGLU, IBRAHIM F CWRU FACULTY PRACTICE 2124 Cornell Rd Cleveland, OH (216) Cleveland Heights BEUSHAUSEN, MAXIMILLIAN G 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) CROWDER, WILSHONDA E 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) DOGAN, FURKAN 3636 Mayfield Rd Cleveland Heights, OH (216) HAFFAR, RAWAA 3636 Mayfield Rd Cleveland Heights, OH (216) JAFFE, SAM 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) KATZEL, STEVEN M Ste Severance Cir Cleveland Heights, OH (216) LEMPEL, TAMARA 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) LEVINTOV, NIKOLAY 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) MARECHEK, ANDREI 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) NGUYEN, JUSTIN L 3636 Mayfield Rd Cleveland Heights, OH (216) RADU, ALEXANDRA 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) RUSSELL, LEONARD LEONARD A RUSSELL DDS 2204 S Taylor Rd Cleveland Heights, OH (216)

26 Cuyahoga Cuyahoga Cuyahoga (continued) SHINGLER, DONALD C DRS MARINO NASSIF & ASSOCIATES 5 Severance Cir Ste 412 Cleveland Heights, OH (216) SOBOLEWSKI, DOROTHY HEIGHTS DENTAL GROUP 2278 Lee Rd Cleveland Heights, OH (216) TAIFOUR, MOHAMMED L 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) THICKLIN, LAKEISHA DR MARINO AND ASSOCIATES 5 Severance Cir Ste 412 Cleveland Heights, OH (216) TRAN, MIMI T 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) WALSH, LAURA M 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) BREHA, DANIEL J DR KATES PREMIER SMILES ORTHODONTICS 5 Severance Cir Ste 714 Cleveland Heights, OH (216) COPELAND, GARRISON E DR KATES PREMIER SMILES ORTHODONTICS 5 Severance Cir Ste 714 Cleveland Heights, OH (216) DZIUBA, DOUGLAS 3636 Mayfield Rd Cleveland Heights, OH (216) FARLEY, MARK D 3636 Mayfield Rd Cleveland Heights, OH (216) HALLGARTH, KEVIN J 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) KATES, DALE A DR KATES PREMIER SMILES ORTHODONTICS 5 Severance Cir Ste 714 Cleveland Heights, OH (216) SLODOV, ANDREW J 3636 Mayfield Rd Cleveland Heights, OH (216) Mayfield Rd Cleveland Heights, OH (216) SPROWL, ALYSSA E DR KATES PREMIER SMILES ORTHODONTICS 5 Severance Cir Ste 714 Cleveland Heights, OH (216) WARD, KEVIN A 3636 Mayfield Rd Cleveland Heights, OH (216) Periodontists ASWAD, RULLA 3636 Mayfield Rd Cleveland Heights, OH (216)

27 Cuyahoga Cuyahoga Cuyahoga (continued) ASWAD, RULLA 3636 Mayfield Rd Cleveland Heights, OH (216) SUTHERLAND, LYNNE 2204 S Taylor Rd Cleveland Heights, OH (216) E Cleveland FOSTER, BILLY B NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Euclid Ave E Cleveland, OH (216) JOHNSON, HENLEY B NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Euclid Ave E Cleveland, OH (216) KIRBY, KAREN NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES Euclid Ave E Cleveland, OH (216) Euclid FLORIAN, FLORIN HUDEC DENTAL ASSOCIATES Lake Shore Blvd Euclid, OH (216) HUDEC DENTAL ASSOCIATES 481 E 260th St Euclid, OH (216) NEVAR, DEREK T DEREK T NEVAR DDS LLC Euclid Ave Ste 426 Euclid, OH (216) Oral Surgeons WEBER, JILL M OHIOS CENTER FOR ORAL FACIAL & IMPLANT SURGERY Euclid Ave Ste 410 Euclid, OH (216) BREHA, DANIEL J DR KATES PREMIER SMILES ORTHODONTICS Euclid Ave Ste 610 Euclid, OH (216) COPELAND, GARRISON E DR KATES PREMIER SMILES ORTHODONTICS Euclid Ave Ste 610 Euclid, OH (216) DUCHON, STUART L JOHN A HUDEC DDS SPECIALTY SERVICES Lake Shore Blvd Euclid, OH (216) KATES, DALE A DR KATES PREMIER SMILES ORTHODONTICS Euclid Ave Ste 610 Euclid, OH (216) SCOTESE, TERRY C Ste Euclid Ave Euclid, OH (216) SPROWL, ALYSSA E DR KATES PREMIER SMILES ORTHODONTICS Euclid Ave Ste 610 Euclid, OH (216) Fairview Park DAVIS, MYCHAEL E 3540 Westgate Fairview Park, OH (440) DOGAN, FURKAN 3540 Westgate Fairview Park, OH (440) MADULAPALLY, SHIRISHA R 3540 Westgate Fairview Park, OH (440)

28 Cuyahoga Cuyahoga Cuyahoga (continued) MANDATO, THADDEUS J Ste Lorain Rd Fairview Park, OH (440) MESSINA, MATTHEW J Lorain Rd Fairview Park, OH (440) PATEL, DAXESHKUMAR J 3540 Westgate Fairview Park, OH (440) POMPEANI, MARK J Ste Fairview Center Dr Fairview Park, OH (440) POPA, ANDREI 3540 Westgate Fairview Park, OH (440) QUE, PAUL M 3540 Westgate Fairview Park, OH (440) ROBERTS, FREDERICK A Ste Westgate Fairview Park, OH (440) RUSZKOWSKI, CHRISTOPHER Lorain Rd Ste 6 Fairview Park, OH (440) SHAHPATEL, KHYATI D 3540 Westgate Fairview Park, OH (440) VILLAIRE, MATTHEW J 3540 Westgate Fairview Park, OH (440) Oral Surgeons KRAJEKIAN, JOSEPH I 3540 Westgate Fairview Park, OH (440) SQUIRES, WILLIAM D Ste Westgate Fairview Park, OH (440) Periodontists PIRES, LUIS FERNANDO S EVERETT WU DMD Lorain Rd Fairview Park, OH (440) Garfield Heights ABUZAKYAH, SAAD A ANGEL DENTAL CARE 9701 Vista Way Garfield Heights, OH (216) CHANG, MYUNG W DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216) DIAZ, MARIA M DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216) FLORIAN, FLORIN HUDEC DENTAL ASSOCIATES 5046 Turney Rd Garfield Heights, OH (216) GRANDE, PAUL S DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216) HADDADEEN, YAZAN H ANGEL DENTAL CARE 9701 Vista Way Garfield Heights, OH (216) JAGANNATHAN, RAMYA HUDEC DENTAL ASSOCIATES 5046 Turney Rd Garfield Heights, OH (216) JOHNSON, BRADLEY DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216)

29 Cuyahoga Cuyahoga Cuyahoga (continued) KAO, CHUNG LEI HUDEC DENTAL ASSOCIATES 5046 Turney Rd Garfield Heights, OH (216) KERSCHNER, DAVID C DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216) MUHIEDDIINE, AHMAD K ANGEL DENTAL CARE 9701 Vista Way Garfield Heights, OH (216) MURPHY, JENNIFER L HUDEC DENTAL ASSOCIATES 5046 Turney Rd Garfield Heights, OH (216) RIGBY, MARK C HUDEC DENTAL ASSOCIATES 5046 Turney Rd Garfield Heights, OH (216) SOUCIE, DANIEL E McCracken Rd Garfield Heights, OH (216) THABET, WALID R ANGEL DENTAL CARE 9701 Vista Way Garfield Heights, OH (216) VANDERKUYP, MICHAEL A DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216) DUCHON, STUART L JOHN A HUDEC DDS SPECIALTY SERVICES 5046 Turney Rd Garfield Heights, OH (216) GU, JIAFENG DR ZASSO & ASSOCIATES GARFIELD Rockside Rd Garfield Heights, OH (216) Pedodontists MARKARIAN, TANIA ANGEL DENTAL CARE 9701 Vista Way Garfield Heights, OH (216) Highland Heights FRATANTONIO, NICHOLAS R HIGHLAND DENTAL PROFESSIONALS LLC Ste Wilson Mills Rd Highland Heights, OH (440) THEN, VERA S VERA S THEN DDS 6151 Wilson Mills Rd Ste 230 Highland Heights, OH (440) AUSTRIA, MARK P Ste Wilson Mills Rd Highland Heights, OH (440) Highland Hts PRIESAND, PAUL J MAEMIE CHAN DMD LLC 6151 Wilson Mills Rd Highland Hts, OH (440) Independence Periodontists BARTHER, SAMUEL J 6573 Brecksville Rd Independence, OH (216) BILSKI, THOMAS M THOMAS M BILSKI DDS & ASSOC Ste B 6527 Brecksville Rd Independence, OH (216) BROSKY, WILLIAM E ROCKSIDE FAMILY DENTAL CARE LLC 6132 W Creek Rd Independence, OH (216) CARMICHAEL, DEAN A ROCKSIDE FAMILY DENTAL CARE LLC 6132 W Creek Rd Independence, OH (216)

30 Cuyahoga Cuyahoga GLORIOSO, LOUIS A LOUIS A GLORIOSO DDS 7007 E Sprague Rd Independence, OH (440) JERAN, JASON P ROCKSIDE FAMILY DENTAL CARE LLC 6132 W Creek Rd Independence, OH (216) RUSS, PAUL G ROCKSIDE FAMILY DENTAL CARE LLC 6132 W Creek Rd Independence, OH (216) SOUCIE, DANIEL E Ste Rockside Rd Independence, OH (216) Lakewood Cuyahoga (continued) ALBANO, MARIE A Detroit Ave Ste 720 Lakewood, OH (216) BEVAN, CLAUDIA MADISON AVENUE FAMILY DENTISTRY Madison Ave Lakewood, OH (216) COCHRAN, NICOLE L NICOLE L COCHRAN DDS COMFORT DENTAL Hilliard Rd Lakewood, OH (216) DEVOR, GREGORY P GREGORY P DEVOR LLC Madison Ave Lakewood, OH (216) HARTER, ROBERT L DRS ROBERT L & CHRISTOPHER J HARTER Detroit Ave Lakewood, OH (216) HERMANN, GARY R Ste Detroit Ave Lakewood, OH (216) JENKINS, DENVER D DENVER D JENKINS JR Detroit Ave Lakewood, OH (216) KAVANAGH, THOMAS E 1417 Marlowe Ave Lakewood, OH (216) LAUBMEIER, JEFFREY W Madison Ave Lakewood, OH (216) LEGAN, ROBERT F Madison Ave Lakewood, OH (216) LOPER, MARK R MADISON AVENUE FAMILY DENTISTRY Madison Ave Lakewood, OH (216) PECHAN, STAN J Sloane Ave Lakewood, OH (216) SCHMIDT, ROBERT W ROBERT W SCHMIDT Ste Detroit Ave Lakewood, OH (216) SMITH, MATTHEW J LAKEWOOD DENTAL SMITH DDS LLC Detroit Ave Lakewood, OH (216) Endodontists KANTOROVICH, IGOR ADVANCED ENDODONTICS Ste Detroit Ave Lakewood, OH (216) KOLODZIEJ, RONALD P RONALD P KOLODZIEJ DMD MS LLC 1495 Warren Rd Ste 101 Lakewood, OH (216) Pedodontists ALLEE, LYN M LYN MAXWELL ALLEE DMD MED 1216 Manor Park Ave Lakewood, OH (216)

Member Matters Newsletter

Member Matters Newsletter Member Matters Newsletter 2017 Winter Issue IN THIS ISSUE 2 A New Year with Premier HealthOne 2 Is it Time to See Your Doctor? 3 Chicken & White Bean Soup 4-5 Preventive Health Checklist 6-7 Recognizing

More information

Kadlec Regional Medical Center 0118 KMC-002B

Kadlec Regional Medical Center 0118 KMC-002B Kadlec Regional Medical Center 0118 KMC-002B Washington ASO KMC-002B Kadlec HSA 10/25/50/3000 1500d Kadlec Regional Medical Center 0118 KMC-002B Washington ASO KMC-002B Kadlec HSA 10/25/50/3000 1500d n

More information

There are 2 kinds of appeals with Blue Cross of Idaho Care Plus

There are 2 kinds of appeals with Blue Cross of Idaho Care Plus You have the right to appeal our decision You have the right to ask Blue Cross of Idaho Care Plus to review our decision by asking us for an appeal. If you lose the Medicaid services appeal with Blue Cross

More information

2019 Formulary Monthly Notice of Change

2019 Formulary Monthly Notice of Change Updated: 03/01/2019 2019 Formulary Monthly Notice of Change Medicare Advantage Employer Group Plans (EGWP) This is a listing of the changes that have occurred to the 2019 MAPD formulary. For a complete

More information

Notice of Denial of Medical Coverage

Notice of Denial of Medical Coverage Important: This notice explains your right to appeal our decision. Read this notice carefully. If you need help, you can call one of the numbers listed on the last page under Get help & more information.

More information

Getting to the BOTTOM OF BACK PAIN

Getting to the BOTTOM OF BACK PAIN Getting to the BOTTOM OF BACK PAIN What You Should Know About Low Back Pain Do I Need an X-ray? According to the American College of Physicians, most people with low back pain feel better after a month

More information

2018 Annual Notice of Changes

2018 Annual Notice of Changes 2018 Annual Notice of Changes AETNA BETTER HEALTH OF OHIO a MyCare Ohio plan (Medicare-Medicaid Plan) Aetna Better Health of Ohio, a MyCare Ohio plan (Medicare-Medicaid Plan), is a health plan that contracts

More information

Community Care Family Care Partnership Program (HMO SNP) (Community Care) 2019 Pharmacy Directory

Community Care Family Care Partnership Program (HMO SNP) (Community Care) 2019 Pharmacy Directory Community Care Family Care Partnership Program (HMO SNP) (Community Care) 2019 Pharmacy Directory This pharmacy directory is updated monthly For more recent information or other questions, please contact

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE LIVE HEALTHY ENJOY REWARDS GCHJMJXEN 0916 Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Summary of Benefits. Humana Walmart Rx Plan (PDP) State of North Carolina. Our service area includes the following state(s): North Carolina.

Summary of Benefits. Humana Walmart Rx Plan (PDP) State of North Carolina. Our service area includes the following state(s): North Carolina. SBOSB026 2018 Summary of Benefits Humana Walmart Rx Plan (PDP) State of North Carolina Our service area includes the following state(s): North Carolina. Other pharmacies are available in our network. GNHH4HIEN_18

More information

Affordable Care Act Section 1557 Nondiscrimination Policy for Kentucky

Affordable Care Act Section 1557 Nondiscrimination Policy for Kentucky 1. Nondiscrimination Notice and Accessibility Requirements. ENT & Allergy Specialists will take reasonable steps to ensure that persons with Limited English Proficiency (LEP) have meaningful access and

More information

Your Feelings Matter WITH TYPE 2 DIABETES

Your Feelings Matter WITH TYPE 2 DIABETES Your Feelings Matter WITH TYPE 2 DIABETES A new diagnosis of type 2 diabetes may trigger a range of emotions from minor stress to major depression. Recognizing and addressing emotional reactions can play

More information

Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC

Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC What is Strep? Strep or strep throat is also known as Streptococcal Pharyngitis. Pharyngitis is a type of sore throat and is a

More information

Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK?

Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK? Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK? A previous heart attack increases your risk of having a second one. However, you can make changes to prevent a second heart

More information

Take Charge of YOUR COPD

Take Charge of YOUR COPD Take Charge of YOUR COPD You are the Key Did you know that Chronic Obstructive Pulmonary Disease (COPD) Flare-Ups cause your COPD to progress faster and shorten your life? The key is managing your COPD

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE LIVE HEALTHY ENJOY REWARDS GCHJMJXEN 0916 Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE GCHJMJXEN 0916 LIVE HEALTHY ENJOY REWARDS Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Living with DIABETES

Living with DIABETES Living with DIABETES Mark Your Calendar Regular tests and screenings can ensure you re on the right track with your Diabetes. You should complete the following screenings at least once or twice a year:

More information

2019 Over-the-Counter Drugs and Vitamins - Puerto Rico*

2019 Over-the-Counter Drugs and Vitamins - Puerto Rico* 209 Over-the-Counter Drugs and Vitamins - Puerto Rico* Federal Employees Health Benefits Program Effective January, 209 OVER-THE COUNTER COVERAGE FOR PUERTO RICO CATEGORY PRODUCT LIMIT Allegra-D 2 Hour

More information

DELTA DENTAL PREMIER DENTIST DIRECTORY Paramount Elite Supplemental Dental Benefit Northeast Ohio

DELTA DENTAL PREMIER DENTIST DIRECTORY Paramount Elite Supplemental Dental Benefit Northeast Ohio January 1, 2015 December 31, 2015 DELTA DENTAL PREMIER DENTIST DIRECTORY Paramount Elite Supplemental Dental Benefit Northeast Ohio PARAMOUNT ELITE IS AN HMO PLAN WITH A MEDICARE CONTRACT Enrollment in

More information

Dental Blue 65. Outline of Coverage. Dental Blue 65 Preventive Dental Blue 65 Basic Dental Blue 65 Premier Effective January 1, 2017

Dental Blue 65. Outline of Coverage. Dental Blue 65 Preventive Dental Blue 65 Basic Dental Blue 65 Premier Effective January 1, 2017 Dental Blue 65 Outline of Coverage Policy Number: DENT SR (1 1 2012) Read your subscriber certificate carefully. This disclosure statement is a very brief summary of your dental plan. The plan itself sets

More information

One mission: you Dental Plans. for Groups. Policy Form Numbers: (11-09) (11-09) (09-12) (01-15) Form No.

One mission: you Dental Plans. for Groups. Policy Form Numbers: (11-09) (11-09) (09-12) (01-15) Form No. One mission: you 2017 Dental Plans for Groups Form No. 15-022 (10-16) Policy Form Numbers: 3-229 (11-09) 3-141 (11-09) 3-202 (09-12) 18-083 (01-15) B BLUE CROSS OF IDAHO HEALTH INSURANCE PLANS / DENTAL

More information

APPOINTMENT OF REPRESENTATIVE

APPOINTMENT OF REPRESENTATIVE PO Box 31368 Tampa, FL 33631-3368 APPOINTMENT OF REPRESENTATIVE Name: Member number: Reference/Case number: PART 1 --- APPOINTMENT OF REPRESENTATIVE (to be filled out by member) I allow (Name of person

More information

The FitnessCoach Program

The FitnessCoach Program The FitnessCoach Program Learn how to improve your health and use our tools to do it. THE RIGHT FIT FOR YOU This program gives you: No-cost memberships* at local participating fitness centers or YMCAs

More information

Pediatric Benefits. Affordable Care Act Plans. Dental Coverage Vision Coverage

Pediatric Benefits. Affordable Care Act Plans. Dental Coverage Vision Coverage Pediatric Benefits Affordable Care Act Plans Dental Coverage Vision Coverage Pediatric Coverage The Affordable Care Act requires vision and dental coverage for children (dependents) 18 years and younger.

More information

Delta Dental benefit summary

Delta Dental benefit summary Delta Dental benefit summary To find a, visit deltadentalin.com/finda and use the search tool in the blue box for Medicare Advantage PPO and Medicare Advantage Premier Providers. You may also call customer

More information

General Information. * Are you a hospital or an LHD. Hospital LHD

General Information. * Are you a hospital or an LHD. Hospital LHD General Information * Are you a hospital or an LHD Hospital LHD Hospital Information * Hospital Name Year(s) of Current CHNA Year(s) of current Improvement Strategies/Plan What counties are represented/served

More information

Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused or expired prescription drugs.

Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused or expired prescription drugs. 1 GRAB-AND-GO EMPLOYEE EDUCATION CAMPAIGN HOW-TO GUIDE National Prescription Drug Take-Back Day Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused

More information

You can get this document in another language, large print, or another way that s best for you. Call (800) , TTY (800)

You can get this document in another language, large print, or another way that s best for you. Call (800) , TTY (800) Primary Care Provider (PCP) Change Form Usted puede recibir este documento en otro idioma, impreso en letra más grande o de cualquier otra manera que sea mejor para usted. Llame al número gratuito (800)

More information

Healthy Moves. A better flu season for you

Healthy Moves. A better flu season for you Fall/Winter 2017 Healthy Moves A better flu season for you Adults 65 years of age and older are a higher risk for getting and developing serious risks from the flu. Some of the risks are bronchitis, sinus

More information

Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and

Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law Radiologic Associates, PC complies

More information

HealthyFocus Spring 2017

HealthyFocus Spring 2017 HealthyFocus Spring 2017 Thanks for Your Feedback. We re Listening! Every year, the Oregon Health Authority (OHA) puts out a survey called the Consumer Assessment of Healthcare Providers and System, or

More information

2018 Formulary Annual Notice of Change

2018 Formulary Annual Notice of Change Updated: October 1, 2017 2018 Formulary Annual Notice of Change Medicare Advantage Plans (MAPD) This is a listing of the changes that have occurred to the 2018 MAPD formulary. For a complete list, please

More information

Preventive Health Care Guide Adults. Save and share with your doctor! Primary Care Office Visits. Screening Schedule. Immunization Schedule

Preventive Health Care Guide Adults. Save and share with your doctor! Primary Care Office Visits. Screening Schedule. Immunization Schedule Preventive Health Care Guide 2016 2017 At any stage of life, it s important to make your health a priority. That means making healthy lifestyle choices and seeing your doctor regularly. The charts on the

More information

GCHJUV2EN Member Registration Guide

GCHJUV2EN Member Registration Guide GCHJUV2EN 0417 Member Registration Guide Go365 Trilogy Member Registration Instructions Two Ways to Register for Go365 1. Go365.com 2. Go365 App (available in the Apple and Google Play Stores) Select the

More information

Luana i ke ola maika i

Luana i ke ola maika i OCTOBER 2018 Luana i ke ola maika i Enjoying good health Tips for a lifetime of good health and well-being are here. IN THIS ISSUE: Open Enrollment: Stick With HMSA We re More than What You d Expect We

More information

Healthy Moves. Top Five Tips for Aging Better. Summer 2017

Healthy Moves. Top Five Tips for Aging Better. Summer 2017 Summer 2017 Healthy Moves Top Five Tips for Aging Better Aging is a natural process. Although, you cannot stop the clock, you can make the process smoother. Here are five tips to help you age better: 1.

More information

Improving Ohio s Health: Controlling Diabetes and Hypertension

Improving Ohio s Health: Controlling Diabetes and Hypertension Improving Ohio s Health: Controlling Diabetes and Ohio Hospital for Diabetes and 1 By Cathy Costello, JD, Director of CliniSyncPLUS Services This article is the first in a series devoted to diabetes and

More information

Medical Mutual 2060 East Ninth Street Cleveland, OH MedMutual.com

Medical Mutual 2060 East Ninth Street Cleveland, OH MedMutual.com Medical Mutual 2060 East Ninth Street Cleveland, OH 44115-1355 MedMutual.com 2017 Medical Mutual of Ohio Z8053-MCA R7/17 Y0121_O0072_2016_Aug16 CMS Accepted Simply Supplies Product List An Over-the-Counter

More information

Regence makes it easy

Regence makes it easy Regence makes it easy Regence BlueShield is changing the way people experience health care by removing friction from the system and making it easier to navigate. When you have Regence as your health plan,

More information

HealthyFocus. Fall Winter Is Coming. At Home. In this issue:

HealthyFocus. Fall Winter Is Coming. At Home. In this issue: HealthyFocus Fall 2017 Winter Is Coming If you re a glass-half-full person, winter may make you think of pumpkin pie spice, fall leaves, football, special meals, and twinkling lights. But as the glass-half-empty

More information

SELECTIONS. Welcome to the UPMC MyHealth Selections program

SELECTIONS. Welcome to the UPMC MyHealth Selections program SELECTIONS Welcome to the UPMC MyHealth Selections program Congratulations on taking this step toward a healthier lifestyle! By taking part in the UPMC MyHealth Selections program you are showing that

More information

Health TALK. Mammograms save lives. Plan to quit.

Health TALK. Mammograms save lives. Plan to quit. Health TALK FALL 2018 Plan to quit. Every November, the Great American Smokeout asks everyone to quit smoking. You can quit for just that one day. Or it could be the fi rst day of a permanent, healthy

More information

2019 Summary of Benefits Medicare Prescription Drug Plans. BlueMedicare Value Rx (PDP) S

2019 Summary of Benefits Medicare Prescription Drug Plans. BlueMedicare Value Rx (PDP) S 2019 Summary of Benefits Medicare Prescription Drug Plans BlueMedicare Value Rx (PDP) S5904-006 January 1, 2019 December 31, 2019 The plan s service area includes: State of Florida 1 Y0011_92839_M 0818

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen OHIO Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast Cancer

More information

Josette E. Spotts, MD, FACS W. Warm Springs Road, Suite 105 Henderson, NV Tel: Fax:

Josette E. Spotts, MD, FACS W. Warm Springs Road, Suite 105 Henderson, NV Tel: Fax: Josette E. Spotts, MD, FACS 1485 W. Warm Springs Road, Suite 105 Henderson, NV 89014 Tel: 702.990.6360 Fax: 702.990.6363 Patient Name: Date: Age: Referred by: Reason for visit: Patient Name: Medical History

More information

CheckUp. Today. Free Diabetes Education Class. Sign Up. Fall More Diabetes Tips

CheckUp. Today. Free Diabetes Education Class. Sign Up. Fall More Diabetes Tips CheckUp Fall 2018 Sign Up Today Protect your good health by attending the free Healthy Living with Diabetes class. Here are the upcoming class dates in Madison: September 26 November 1, 2018 5 7:30 pm

More information

2018 Dental Plans. for Groups. Policy Form Numbers: (08-17) (11-09) (09-12) (01-18) Form No.

2018 Dental Plans. for Groups. Policy Form Numbers: (08-17) (11-09) (09-12) (01-18) Form No. 2018 Dental Plans for Groups Form No. 15-022 (09-17) Policy Form Numbers: 3-229 (08-17) 3-140 (11-09) 3-202 (09-12) 18-084 (01-18) B BLUE CROSS OF IDAHO HEALTH INSURANCE PLANS / DENTAL FOR GROUPS Dental

More information

2018 Pharmacy Directory

2018 Pharmacy Directory Kaiser Permanente 2018 Pharmacy Directory This pharmacy directory was updated on 09/2017. For more recent information or other questions, please contact Kaiser Permanente Member Services at 1-877-221-8221

More information

The benefit of knowing

The benefit of knowing The benefit of knowing Genetic testing for familial hypercholesterolemia (FH) A patient support guide 2 Does high cholesterol run in your family? In some families, high cholesterol is caused by familial

More information

Children labeled medically complex enrolled in Early Intervention. Susan Wiley, MD Jareen Meinzen-Derr, PhD Dan Choo, MD

Children labeled medically complex enrolled in Early Intervention. Susan Wiley, MD Jareen Meinzen-Derr, PhD Dan Choo, MD Children labeled medically complex enrolled in Early Intervention Susan Wiley, MD Jareen Meinzen-Derr, PhD Dan Choo, MD Background Approximately 40% of children with hearing loss have additional developmental

More information

Say hello to Go365 by Humana for Medicare members

Say hello to Go365 by Humana for Medicare members Say hello to by Humana for Medicare members is the wellness program personalized just for you, and rewards you for making healthier choices. You are already enrolled! Follow these easy steps to get started:

More information

Complete. Pennsylvania. How your plan works. Calendar year deductible This is the amount you will pay out-of-pocket for services in a calendar year

Complete. Pennsylvania. How your plan works. Calendar year deductible This is the amount you will pay out-of-pocket for services in a calendar year Complete Individual Dental Pennsylvania About your plan Good health starts with a healthy mouth. Regular dental exams and cleanings can lower the risk of gum disease, which is linked to heart disease,

More information

Figure 1. Fentanyl-Related Drug Overdoses, Ohio,

Figure 1. Fentanyl-Related Drug Overdoses, Ohio, Number of Deaths OHIO DRUG OVERDOSE PRELIMINARY DATA: GENERAL FINDINGS OVERVIEW Unintentional drug overdose continued to be the leading cause of injury-related death in Ohio in, ahead of motor vehicle

More information

Family and Self Health History for Genetic Counseling. Your Personal Health History

Family and Self Health History for Genetic Counseling. Your Personal Health History Family and Self Health History for Genetic Counseling Your Personal Health History NAME: DATE OF BIRTH: 1. Your weight: (pounds) Your height: feet inches 2. Have you ever had cancer? YES NO If YES, please

More information

Heroin & Fentanyl Related Deaths in Cuyahoga County

Heroin & Fentanyl Related Deaths in Cuyahoga County Thomas P. Gilson, M.D. 11001 Cedar Avenue, Cleveland, Ohio 44106 A National Association of Medical Examiner s (N.A.M.E.) accredited office CUYAHOGA COUNTY MEDICAL EXAMINER S OFFICE Heroin & Fentanyl Related

More information

Member Registration Guide GCHJUV2EN 0117

Member Registration Guide GCHJUV2EN 0117 Member Registration Guide GCHJUV2EN 0117 This guide covers Go365 registration based on two member types. Reference the applicable slides based on member type: 1. Humana Medical Members (members who have

More information

Preventive Care Guide

Preventive Care Guide Preventive Care Guide Kern Family Health Care wants you to get good health care. These preventive care guidelines help you stay healthy by preventing diseases or by finding them early on. Preventive care

More information

ASO core offerings. Self-funded groups, sized 51 99

ASO core offerings. Self-funded groups, sized 51 99 ASO core offerings Self-funded groups, sized 51 99 2 Regence ASO core offerings Under an ASO self-funded arrangement, you define the ideal balance between control and risk. With Regence ASO, you can rely

More information

Access Network Directory Nebraska

Access Network Directory Nebraska Access Network Directory Nebraska Introduction 1 Introduction The following is a list of health care providers in this area who are in the Cigna network. Some providers may have been added or removed

More information

Disparities in Cancer Incidence Among Residents of Appalachia Ohio

Disparities in Cancer Incidence Among Residents of Appalachia Ohio Disparities in Cancer Incidence Among Residents of Ohio Ohio Cancer Incidence Surveillance System The Ohio Department of Health Arthur G. James Cancer Hospital and Richard J. Solove Research Institute

More information

Optional Supplemental Benefits Gold Benefits Enrollment Form

Optional Supplemental Benefits Gold Benefits Enrollment Form Optional Supplemental Benefits Gold Benefits Enrollment Form Health Net Medicare Advantage Plans Health Net offers optional supplemental benefits Gold Benefits for an additional monthly premium to our

More information

SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO)

SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO) 2017 SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO) HealthTeam Advantage, a product of Care N Care Insurance Company of North Carolina, Inc., is a Medicare Advantage

More information

ASO core offerings. Self-funded groups, sized 100+

ASO core offerings. Self-funded groups, sized 100+ ASO core offerings Self-funded groups, sized 100+ 2 Regence ASO core offerings Under an ASO self-funded arrangement, you define the ideal balance between control and risk. With Regence ASO, you can rely

More information

Luana i ke ola maika i

Luana i ke ola maika i SEPTEMBER 2017 / VOLUME 14 / ISSUE 2 Luana i ke ola maika i Enjoying good health IN THIS ISSUE Mahalo, HMSA Members! Plus 3 Steps to a Better You Tell us What You Think Fun Family Fall Recipes HMSA QUEST

More information

2019 Pharmacy Directory

2019 Pharmacy Directory 2019 Pharmacy Directory This Pharmacy Directory was updated on 02/01/2019 This directory is for: Denver County Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory

More information

STATE OF WISCONSIN PREFERRED DENTAL NETWORK. Terry Rindahl, DDS 317 South St. Joseph s Avenue (608) Arcadia, WI 54612

STATE OF WISCONSIN PREFERRED DENTAL NETWORK. Terry Rindahl, DDS 317 South St. Joseph s Avenue (608) Arcadia, WI 54612 STATE OF WISCONSIN PREFERRED DENTAL NETWORK ARCADIA Terry Rindahl, DDS 317 South St. Joseph s Avenue (608) 323-3328 Arcadia, WI 54612 BLACK RIVER FALLS Elizabeth Herzberg, DDS 620 East Highway 54 (715)

More information

Appeals & Grievances Department REQUEST FOR RECONSIDERATION (APPEAL) Part C MEMBER NAME: HNET Member ID Number:

Appeals & Grievances Department REQUEST FOR RECONSIDERATION (APPEAL) Part C MEMBER NAME: HNET Member ID Number: Health Net Medicare Programs P.O. Box 10344 Van Nuys, CA 91410-0344 Phone: 1-800-431-9007 TTY: 711 Fax: 1-877-713-6189 Health Net Medicare Programs Appeals & Grievances Department REQUEST FOR RECONSIDERATION

More information

Commodity Cooperative

Commodity Cooperative Commodity Cooperative Your Source for Effective USDA Foods ManagementYoufor SWEPC Member Benefits Since 1994, the SWEPC Commodity Cooperative has been helping school districts manage the purchasing process

More information

2015 HIV/AIDS Epidemiology Profile for Cuyahoga County and the City of Cleveland

2015 HIV/AIDS Epidemiology Profile for Cuyahoga County and the City of Cleveland 2015 HIV/AIDS Epidemiology Profile for Cuyahoga County and the City of Cleveland Office of HIV/AIDS Executive Summary In 2015, there were 209 HIV/AIDS cases in Cuyahoga County; 57% of the cases were Cleveland

More information

Faculty and Staff Dental Plan Specific Plan Details Document

Faculty and Staff Dental Plan Specific Plan Details Document Faculty and Staff Dental Plan Specific Plan Details Document 2018 Plan Year (January 1 December 31, 2018) Offce of Human Resources Suite 300 1590 North High Street Columbus, OH 43201-2190 PAGE 1 of 29

More information

Indemnity PPO Medical Plan Preventive Care Guidelines

Indemnity PPO Medical Plan Preventive Care Guidelines Southern California Drug Benefit Fund Indemnity PPO Medical Plan Preventive Care Guidelines - 2018 The Indemnity PPO Medical Plan pays 100% of the cost of coverage for many routine preventive care services

More information

Trauma-Informed Care: State Update Video Conference January 21, 2015 CWRU, Center for Evidence-Based Practices

Trauma-Informed Care: State Update Video Conference January 21, 2015 CWRU, Center for Evidence-Based Practices Trauma-Informed Care: State Update Video Conference January 21, 2015 CWRU, Center for Evidence-Based Practices What is Trauma? The Three E s Individual trauma results from an event, series of events, or

More information

CCCN Patient Questionnaire

CCCN Patient Questionnaire CCCN Patient Questionnaire Date: Patient Name: Age: Referred by: Primary Care Physician: Please provide names and phone numbers of your physicians (primary care, medical oncologist, surgeon, etc.): Reason

More information

Request for Redetermination of Medicare Prescription Drug Denial

Request for Redetermination of Medicare Prescription Drug Denial Request for Redetermination of Medicare Prescription Drug Denial Because we, Health Net Medicare Programs, denied your request for coverage of (or payment for) a prescription drug, you have the right to

More information

2014 HIV/AIDS Epidemiology Profile for Cuyahoga County and the City of Cleveland

2014 HIV/AIDS Epidemiology Profile for Cuyahoga County and the City of Cleveland 2014 HIV/AIDS Epidemiology Profile for Cuyahoga County and the City of Cleveland Office of HIV/AIDS Executive Summary In 2014, there were 209 HIV/AIDS cases in Cuyahoga County; 58% of the cases were Cleveland

More information

Small group quote request

Small group quote request Small Business Group Small group quote request (for groups with 1 50 employees) Requested effective date: First of (month) Send quote to: Producer Company contact person via: Email Fax Mail 1. PLEASE TELL

More information

HealthyFocus Winter 2965 NE Conners Avenue Bend, Oregon 97701

HealthyFocus Winter 2965 NE Conners Avenue Bend, Oregon 97701 You can get this newsletter in another language, large print, or another way that s best for you. Call tollfree (800) 431-4135. TTY users may call (800) 735-2900. HealthyFocus Winter 2965 NE Conners Avenue

More information

Healthy Kids Dental Handbook

Healthy Kids Dental Handbook Healthy Kids Dental Handbook Healthy Kids Dental (HKD) is a partnership between the Michigan Department of Health and Human Services and Delta Dental of Michigan for Medicaid-eligible children. This handbook

More information

2019 Pharmacy Directory

2019 Pharmacy Directory FLORIDA 2019 Pharmacy Directory This directory is for Duval County, Florida. This pharmacy directory was updated on January 16, 2019. For more recent information or other questions, please contact PHP

More information

Access Network Directory Idaho

Access Network Directory Idaho Access Network Directory Idaho Introduction 1 Introduction The following is a list of health care providers in this area who are in the Cigna network. Some providers may have been added or removed from

More information

Valley Physicians Network (VPN)

Valley Physicians Network (VPN) Valley Physicians Network (VPN) Network Directory Serving Murrieta, Wildomar, Temecula, Lake Elsinore, Menifee PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics

More information

COMPOUNDED PRESCRIPTION DRUG PRODUCTS

COMPOUNDED PRESCRIPTION DRUG PRODUCTS COMPOUNDED PRESCRIPTION DRUG PRODUCTS UTILIZATION MANAGEMENT CRITERIA COVERAGE AUTHORIZATION CRITERIA Compounded drug products whose total prescription ingredient cost is $200 or more are covered only

More information

Smile SM Value 50/1500/No Ortho/MAC

Smile SM Value 50/1500/No Ortho/MAC Blue Shield of California Dental PPO Plan Smile SM Value 50/1500/No Ortho/MAC Benefit summary Effective January 1, 2018 THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A

More information

Small group quote request (for groups with 1 to 50 employees)

Small group quote request (for groups with 1 to 50 employees) A BETTER WAY TO TAKE CARE OF BUSINESS SMALL GROUP WASHINGTON Small group quote request (for groups with 1 to 50 employees) Requested effective date: First of (month) Send quote to: Producer Company contact

More information

PrimeCare of Sun City

PrimeCare of Sun City PrimeCare of Sun City Network Directory Serving Sun City, Menifee, Lake Elsinore, Wildomar, Temecula, Murrieta PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics

More information

Delta Dental PPO (Point-of-Service) Summary of Dental Plan Benefits For Group# , 0099 Oakland University

Delta Dental PPO (Point-of-Service) Summary of Dental Plan Benefits For Group# , 0099 Oakland University Delta Dental PPO (Point-of-Service) Summary of Dental Plan Benefits For Group# 3931-0001, 0099 Oakland University This Summary of Dental Plan Benefits should be read along with your Certificate. Your Certificate

More information

Our dental plan for individuals age 65 and over

Our dental plan for individuals age 65 and over 2017 Dental plan information Our dental plan for individuals age 65 and over bcbsnc.com/dentalblueseniors What you get 1 + Affordable premiums with easy ways to pay + No wait for preventive services (which

More information

Kaiser Permanente 2018 Sample Fee List *

Kaiser Permanente 2018 Sample Fee List * Kaiser Permanente 2018 Sample Fee List * COLORADO What s a Sample Fee List? Knowing how much you can expect to pay for care and services can help give you peace of mind. As a deductible plan member, you

More information

Smile SM Deluxe Gold 50/1500/Ortho/U85

Smile SM Deluxe Gold 50/1500/Ortho/U85 Blue Shield of California Dental PPO Plan Smile SM Deluxe Gold 50/1500/Ortho/U85 Benefit summary Effective January 1, 2017 THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS

More information

Healthy. Now Men: Take Care of Your Health

Healthy. Now   Men: Take Care of Your Health Healthy SPRING 2018 Now www.amerihealthcaritasdc.com Men: Take Care of Your Health Here s a fact you may not know: Men are dying, on average, almost five years earlier than women. 1 This is largely because

More information

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about.

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about. HDS BASIC DENTAL PLAN Summary of Dental Benefits Effective January 1, 2019 ADULTS (& CHILDREN AGE 19 THROUGH 25) PLAN MAXIMUM $1,000 per person, per calendar year. The most HDS will pay for each person

More information

REGISTRATION FORM (Please Print)

REGISTRATION FORM (Please Print) REGISTRATION FORM (Please Print) Today s date: Primary Care Physician: Referring Physician: PATIENT INFORMATION Patient s last name: First: Middle: Dr. Mr. Mrs. Miss Ms. Widowed Is this your legal name?

More information

PrimeCare of Citrus Valley

PrimeCare of Citrus Valley PrimeCare of Citrus Valley Network Directory Serving Eastvale, Corona, Norco, Riverside PRIMARY CARE FOR EVERY MEMBER OF YOUR FAMILY Family Medicine Internal Medicine Geriatrics General Practice Pediatrics

More information

Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) 2017 Drug List

Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) 2017 Drug List Upcoming Changes to Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) 2017 Drug List Updated 8/1/2017 Santa Clara Family Health Plan (SCFHP) Cal MediConnect Plan (Medicare-Medicaid

More information

2018 Pharmacy Directory

2018 Pharmacy Directory 2018 Pharmacy Directory This Pharmacy Directory was updated on 08/01/2018 For more information, please contact Denver Health Medical Plan, Inc. Member Services at 1-877-956-2111. TTY users call 711. Our

More information

Advantage Plus. Get dental, hearing aid, and additional vision benefits. Enroll now for Kaiser Permanente Senior Advantage (HMO) Georgia

Advantage Plus. Get dental, hearing aid, and additional vision benefits. Enroll now for Kaiser Permanente Senior Advantage (HMO) Georgia Advantage Plus Get dental, hearing aid, and additional vision benefits Kaiser Permanente Senior Advantage (HMO) Georgia Enroll now for 2019 H1170_018_18_M Be healthy. Be vibrant. Now you have the option

More information

Dental Benefits Summary

Dental Benefits Summary Active PPO With PPOII Network Participating Non-participating Annual Deductible* Individual $50 $100 Family $150 $300 Preventive Services 100% 80% Basic Services 80% 50% Major Services 60% 40% Annual Benefit

More information