PROVIDER REFERRAL GUIDE VOLUSIA/FLAGLER COUNTIES

Transcription

1 1 5/01/18 PROVIDER REFERRAL GUIDE VOLUSIA/FLAGLER COUNTIES CHECK OUT OUR WEBSITE!!! FHCP Central Referral Department 386 / or 800 / (Ext. 3230) Fax: 386 / or 855 / Central Referral Department- Manager / Sue Schack, L.P.N. 386 / or 800 / (Ext. 3230) Central Referral Department- Clinical Supervisor / Susan Dreggors, L.P.N. 386 / or 800 / (Ext. 3230) Provider Relations Coordinator / Carol Cooper, L.P.N. 386 / or 800 / (Ext. 4001) FHCP Case Management Utilization Review Department 386 / or 866 / FHCP Case Management Coordination of Care Department 386 / or 855 / Provider Benefit & Eligibility Questions 386 / or 844 / **************************************************************************************************** Indicates pre-authorization needed By FHCP Central Referrals Department. For URGENT requests that require pre-authorization, the requesting provider/staff MUST CALL FHCP Central Referrals at 386 / ********************************************************************************************** Services that require pre-authorization must have documentation as to the medical necessity. If that documentation is not available, your request may be denied. Please refer to your Provider Referral Guide for assistance in referring your patients for services. There are guideline variations for HECN members. HECN, VOTRAN, DAYTONA STATE COLLEGE & BETHUNE-COOKMAN COLLEGE MEMBERS CAN SEE ALL LISTED HMO PROVIDERS AS WELL AS ADDITIONAL PROVIDERS THAT HAVE BEEN INDICATED WITHIN THIS DOCUMENT

2 2 5/01/18 TABLE OF CONTENTS The Table of Contents listed below outlines Florida Health Care Plan s Preferred Participating Providers ACUTE LOW BACK & NECK PROGRAM... 9 ALLERGY AMBULATORY SURGICAL CENTERS (ASC S) PLEASE REFER TO SURGICAL FACILITIES ARTERIAL BLOOD GASES (ABG S) AUTISM SPECTRUM DISORDER (ASD) BIRTH CENTERS BARIATRIC SURGERY PROGRAM BONE DENSITY STUDIES BONE SCANS BRACES / ORTHOTICS / PROSTHETICS DIABETIC SHOE PROVIDERS CARDIAC CATHETERIZATION CARDIAC MONITORING CARDIAC REHABILITATION CARDIOLOGY CARDIOLOGY (CONTINUED) CARDIOLOGY- NUCLEAR CARDIOLOGY- NUCLEAR (CONTINUED) CARDIOLOGY- NUCLEAR (CONTINUED) CARDIOLOGY - PEDIATRIC CASE MANAGEMENT COORDINATION OF CARE DEPARTMENT CASE MANAGEMENT COORDINATION OF CARE DEPARTMENT (CONTINUED) CHIROPRACTIC CHIROPRACTIC (CONTINUED) CHIROPRACTIC (CONTINUED) COLOGUARD TESTING COLONOSCOPY / SCREENING (CONTINUED) CONTRACEPTION CT SCANS CT SCANS (CONTINUED) DENTAL SERVICES DENTAL SERVICES (CONTINUED) URGENT (NOT LATER THAN 72 HOURS) / ACCIDENTAL DENTAL INJURY SERVICES TMJ SERVICES... 39

3 ORAL SLEEP APNEA APPLIANCES DERMATOLOGY DERMATOLOGY (CONTINUED) DIABETES EDUCATION DIABETES EDUCATION (CONTINUED) DIAGNOSTIC TESTING DIAGNOSTIC TESTING (CONTINUED) DIALYSIS SERVICES DISEASE MANAGEMENT PROGRAMS DISEASE MANAGEMENT PROGRAMS (CONTINUED) DISEASE MANAGEMENT PROGRAMS (CONTINUED) DISEASE MANAGEMENT PROGRAMS (CONTINUED) DURABLE MEDICAL EQUIPMENT DURABLE MEDICAL EQUIPMENT (CONTINUED) OXYGEN ORDERS DURABLE MEDICAL EQUIPMENT (CONTINUED) POV S / ELECTRIC WHEELCHAIR ORDERS EAR LAVAGE EAR, NOSE AND THROAT (ENT) ECHOCARDIOGRAMS EEG TESTING EEG TESTING VIDEO EEG TESTING MOBILE SERVICES ELECTROCARDIOGRAMS (EKG S) EMERGENCY FACILITIES EMG TESTING (CONTINUED) ENDOCRINOLOGY ENDOCRINOLOGY (CONTINUED) ENDOCRINOLOGY/DIABETES MANAGEMENT EVENT MONITOR EXTENDED HOURS CARE CENTERS EXTENDED HOURS CARE CENTERS (CONTINUED) PROVIDERS OR FACILITIES NOT LISTED IN FHCP DIRECTORIES FLIGHT PHYSICALS GASTROENTEROLOGY GASTROENTEROLOGY (CONTINUED) GASTROENTEROLOGY (CONTINUED) GASTROENTEROLOGY-PEDIATRIC GENETIC TESTING /01/18

4 BRCA TESTING GLUCOMETERS GYNECOLOGY AND WELL WOMAN S ASSESSMENTS GYNECOLOGY AND WELL WOMAN S ASSESSMENTS (CONTINUED) GYNECOLOGY AND WELL WOMAN S ASSESSMENTS (CONTINUED) HAND THERAPY SERVICES HEARING / AUDIOLOGY SERVICES HEARING / AUDIOLOGY SERVICES HEMATOLOGY HEPATITIS C HIV HOLTER MONITOR HOME HEALTH CARE HOME INFUSION PHARMACIES HOSPICE HOSPITAL ADMISSIONS ACUTE INPATIENT REHABILITATION FACILITIES LTACH ADMISSIONS LONG TERM ACUTE CARE HOSPITALS HOSPITALIST HOSPITALIST (CONTINUED) HYPERBARIC OXYGEN THERAPY (HBO) INFECTIOUS DISEASES INFECTIOUS DISEASES - PEDIATRICS INFUSION CLINICS INFUSION SERVICES (WEST VOLUSIA & SEMINOLE COUNTY) INFUSION SERVICES (INFUSION PUMPS FOR CHEMOTHERAPY) INJECTION CLINIC INSULIN PUMPS INSULIN PUMPS (CONTINUED) INTERPRETER SERVICES INTERPRETER SERVICES (CONTINUED) LABORATORY SERVICES ROUTINE LABORATORY SERVICES ROUTINE (CONTINUED) LABORATORY SERVICES STAT LABORATORY SERVICES STAT (CONTINUED) LABORATORY SERVICES (CONTINUED) GENETIC TESTING LABORATORY SERVICES-HOME LITHOLINK SERVICES /01/18

5 LACTATION SERVICES/BREASTFEEDING CLASSES LYMPHEDEMA CLINIC MAMMOGRAMS (DIAGNOSTIC OR SCREENING) MEDICATIONS (REQUIRING PRIOR AUTHORIZATIONS) MRI S MRI S (CONTINUED) NEONATAL & PERINATAL HIGH RISK PREGNANCY & INFANT CASE MANAGEMENT NEPHROLOGY NEPHROLOGY (CONTINUED) NEUROLOGY NEUROLOGY (CONTINUED) NEUROLOGY (CONTINUED) NUTRITIONAL ASSESSMENT AND COUNSELING OBSTETRICS OBSTETRICS (CONTINUED) OCULAR PROSTHETICS LAB ONCOLOGY MEDICAL/HEMATOLOGY ONCOLOGY MEDICAL/HEMATOLOGY (CONTINUED) ONCOLOGY MEDICAL/HEMATOLOGY THERAPY COMMERCIAL MEMBERS ONCOLOGY-MEDICAL/HEMATOLOGY THERAPY MEDICARE MEMBERS ONCOLOGY- RADIATION ONCOLOGY - RADIATION THERAPY OPHTHALMOLOGY OPHTHALMOLOGY (CONTINUED) OPHTHALMOLOGY-RETINAL SERVICES ONLY OPHTHALMOLOGY-CORNEAL SERVICES ONLY OPTOMETRY OPTOMETRY LOW VISION ORAL SLEEP APNEA APPLIANCES ORTHOPAEDICS SPORTS MEDICINE- NON-SURGICAL TREATMENT OUTPATIENT REHABILITATION BALANCE & VESTIBULAR THERAPY OUTPATIENT REHABILITATION BALANCE & VESTIBULAR THERAPY (CONTINUED) OUTPATIENT REHABILITATION HAND THERAPY SERVICES OUTPATIENT REHABILITATION PHYSICAL THERAPY OUTPATIENT REHABILITATION /01/18

6 PHYSICAL THERAPY (CONTINUED) OUTPATIENT REHABILITATION OCCUPATIONAL THERAPY OUTPATIENT REHABILITATION SPEECH THERAPY OUTPATIENT REHABILITATION VIDEOSTROBOSCOPY AND VOICE THERAPY EVALUATION PAIN MEDICINE PAIN MEDICINE PAIN MEDICINE (CONTINUED) PATHOLOGY OUT-PATIENT/AMBULATORY PATHOLOGY OUT-PATIENT/AMBULATORY (CONTINUED) PEDIATRICS PEDIATRIC SUB-SPECIALTIES PEG TUBE FEEDING ASSESSMENT PELVIC HEALTH PROGRAM PERINATAL & NEONATAL HIGH RISK PREGNANCY & INFANT CASE MANAGEMENT PERINATOLOGY PERIPHERAL VASCULAR INTERVENTION PHARMACY-PREFERRED RETAIL PHARMACY PHARMACY-STANDARD RETAIL PHARMACY PHYSICAL MEDICINE AND REHABILITATION SERVICES PHYSICAL MEDICINE AND REHABILITATION SERVICES PODIATRY PRIMARY CARE PROVIDERS OR FACILITIES NOT LISTED IN FHCP DIRECTORIES PSYCHIATRY / BEHAVIORAL HEALTH PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH (CONTINUED) PSYCHIATRY / BEHAVIORAL HEALTH PSYCHIATRY / BEHAVIORAL HEALTH CHILD & ADOLESCENT PSYCHIATRY / BEHAVIORAL HEALTH / INPATIENT /01/18

7 PULMONARY FUNCTION TESTS (PFTS) / SPIROMETRY PULMONARY FUNCTION TESTS (PFTS) WITH DLCO) PULMONARY REHABILITATION PULMONOLOGY PULMONOLOGY(CONTINUED) PULMONOLOGY(CONTINUED) PULMONOLOGY(CONTINUED) PULMONOLOGY - PEDIATRIC REPORTABLE DISEASES/CONDITIONS REPORTABLE DISEASES/CONDITIONS (CONTINUED) RHEUMATOLOGY RHEUMATOLOGY - PEDIATRICS SKILLED NURSING FACILITY SKILLED NURSING FACILITY (CONTINUED) SLEEP DISORDER PROVIDERS SLEEP DISORDER PROVIDERS (CONTINUED) SLEEP DISORDER PROVIDERS (CONTINUED) SLEEP DISORDER PROVIDERS (CONTINUED) SLEEP DISORDER PROVIDERS (CONTINUED) SLEEP DISORDER PROVIDERS (CONTINUED) SLEEP DISORDER PROVIDER HOME STUDIES SLEEP DISORDER PROVIDER HOME STUDIES (CONTINUED) SLEEP DISORDER PROVIDER HOME STUDIES (CONTINUED) SLEEP DISORDER PROVIDER PEDIATRIC HOLLY HILL SUBSTANCE ABUSE OUTPATIENT GROUP SERVICE SUBSTANCE ABUSE INTENSIVE OUTPATIENT PROGRAM SUBSTANCE ABUSE OUTPATIENT SERVICES SUBSTANCE ABUSE OUTPATIENT SERVICES SUBSTANCE ABUSE PARTIAL HOSPITALIZATION PROGRAM SUBSTANCE ABUSE - RESIDENTIAL SUBSTANCE ABUSE SUBOXONE INDUCTION SERVICES SURGERY-CARDIOVASCULAR SURGERY-COLON MINOR SURGICAL CLINIC SURGERY-GENERAL SURGERY-GENERAL(CONTINUED) SURGERY-HAND SURGERY-NEURO SURGERY-NEURO (CONTINUED) /01/18

8 SURGERY-ORAL SURGERY-ORTHOPAEDICS SURGERY-ORTHOPAEDICS (CONTINUED) SURGERY-ORTHOPAEDICS (CONTINUED) SURGERY-PLASTIC SURGERY-RECTAL UROGYNECOLOGY/RECONSTRUCTIVE PELVIC SURGERY SERVICES SURGERY VASCULAR PERIPHERAL VASCULAR INTERVENTION SURGERY VASCULAR (CONTINUED) SURGICAL FACILITIES SURGICAL FACILITIES (CONTINUED) SUTURE AND STAPLE REMOVAL TAVR EVALUATIONS TERTIARY CARE CENTERS TRANSPLANTS ULTRASOUND TESTING ULTRASOUND TESTING (CONTINUED) URGENT CARE SERVICES URGENT CARE SERVICES (CONTINUED) UROLOGY VACUUM ASSISTED CLOSURE DEVICES VARICOSE VEIN TREATMENT VNG TESTING WEIGHT MANAGEMENT PROGRAMS WOUND CARE WOUND CARE HYPERBARIC OXYGEN THERAPY (HBO) AND VACUUM ASSISTED CLOSURE DEVICES X-RAYS (PLAIN FILMS) X-RAYS (PLAIN FILMS) (CONTINUED) X-RAYS (STAT READINGS) X-RAYS (STAT READINGS) (CONTINUED) X-RAYS (STAT READINGS) (CONTINUED) X-RAYS (UNABLE TO BE DONE AT FHCP) X-RAYS (UNABLE TO BE DONE AT FHCP) (CONTINUED) /01/18

9 ACUTE LOW BACK & NECK PROGRAM This low back and neck pain program is for FHCP members age 17 years and above. This program is for acute pain, less than 2 week duration. Access to this program can be made by either the physician or the patient. INSTRUCTIONS: Physician: For members you have recently treated for low back or neck pain, you must complete the FHCP Rehabilitation Services Request form indicating Acute Low Back & Neck Program. Instruct the member to call for an appointment at the nearest location (Location List on next page) and to bring the request form to the initial visit. Member is responsible for co-payment. Member: Direct access (i.e. call to self-refer). Must not be currently receiving care from a physician for low back/neck pain) Appointment will be limited to no more than 4 visits in 2 weeks Responsible for Physical Therapy co-payment. The following page is a listing of the locations that providee the above services. 9 5/01/18

10 FLORIDA HEALTH CARE PLANS OUTPATIENT REHABILITATION LOCATIONS Please call to schedule your initial appointment Within one week of the date of the request. Ability Health Services & Rehabilitation Stetson/FH Hospital Deland Ability Health Services & Rehabilitation 1565 Saxon Blvd., Suite East Pennsylvania Ave. 401 Venture Blvd., Suite C Deltona, FL Deland, FL South Daytona, FL Phone: (386) Phone: (386) Phone: (386) Fax: (386) Fax: (386) Fax: (386) Ability Health Services & Rehabilitation Ability Health Services & Rehabilitation Blue Water Therapy 901 Douglas Ave., Suite S. International Pkwy., Suite North Dixie Freeway Altamonte Springs, FL Lake Mary, FL New Smyrna Beach, FL Phone: (407) Phone: (407) Phone: (386) Fax: (407) Fax: (407) Fax: (866) Ability Health Services & Rehabilitation Ability Health Services & Rehabilitation Professional Physical Therapy 1200 Lexington Green Lane 7400 Red Bug Lake Road 1316 S. Ridgewood Ave., Suite 1 Sanford, FL Oviedo, FL Edgewater, FL Phone: (407) Phone: (407) Phone: (386) Fax: (407) Fax: (407) Fax: (386) Progressive Physical Therapy Palm Coast Sports Medicine and 290 Clyde Morris Blvd., Ste. B2 Rehabilitation Center Ormond Beach, FL Old Kings Road Phone: (386) Palm Coast, FL Fax: (386) Phone: (386) Fax: (386) /01/18

11 ALLERGY Robert DiNicolo, M.D. # Infants and older Records needed prior to scheduling Please send by courier Michael D. Kohen, M.D. # Vinicius Costa Diniz Domingues, M.D. # Patients 1 year and older Juan C. Mas, M.D. # Edward McLaughlin, M.D. # Patients 2 years and older Rajesh K. Patel, M.D. # Patients 5 years and older Yong Tsai, M.D. # Patients 3 years and older Asthma, Allergy and Sinus Clinic 353 N. Clyde Morris Blvd., Daytona Beach, FL / Allergy, Asthma, Arthritis & Lung Center 709 N. Clyde Morris Blvd., Daytona Beach, FL / Fax: 386 / Asthma & Allergy Specialists 890 N. Boundary Avenue, Suite 101, DeLand, FL Pine Cone Drive, Ste. 105, Palm Coast, FL W. Granada Blvd., Ste. 2, Ormond Beach, FL Asthma Allergy Care Center, PL 1301 S. International Pkwy., Ste. 1011, Lake Mary, FL Junior St., Orange City, FL / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 407 / / Fax: 386 / Arthritis, Autoimmune and Allergy 1893 N. Clyde Morris Blvd., Ste. 110, Daytona Beach, FL / Fax: 386 / Prior authorization from the FHCP Central Referrals is not needed. The requesting provider will send an order to the specialist. Appointments can be made by the physician s office or the member can call after the order has been received by the specialty office. The specialty office will advise you of their scheduling protocol. AMBULATORY SURGICAL CENTERS (ASC S) PLEASE REFER TO SURGICAL FACILITIES 11 5/01/18

12 ARTERIAL BLOOD GASES (ABG s) Central Florida Regional Hospital #00Y West Seminole Blvd., Sanford, FL / Florida Hospital DeLand #00YG W. Plymouth Ave., DeLand, FL / Fax: 386 / Florida Hospital Fish Memorial #00YG Saxon Blvd., Orange City, FL / Fax: 386 / Florida Hospital Flagler #00Y015 Outpatient Laboratory 60 Memorial Medical Parkway, Palm Coast, FL / Fax: 386 / Florida Hospital New Smyrna #00Y Palmetto Street, New Smyrna Beach, FL / Halifax Health #00Y N. Clyde Morris Blvd., Daytona Beach, FL NO APPOINTMENT NECESSARY Fax: 386 / / Fax: 386 / Prior authorization from the FHCP Central Referrals is not needed. The requesting provider will send an order to the specialist. Appointments can be made by the physician s office or the member can call after the order has been received by the specialty office. The specialty office will advise you of their scheduling protocol. 12 5/01/18

13 AUTISM SPECTRUM DISORDER (ASD) FHCP Psychiatric Department Easter Seals Society of Volusia & Flagler Counties #10J N. Ridgewood Ave., Holly Hill, FL / Fax: 386 / Dunn Ave., Daytona Beach, FL McGregor., Deland, FL INSTRUCTIONS: The requesting provider should refer members with suspected autism disorder to the FHCP s Psychiatric Department for an evaluation and recommendation. Preauthorization is NOT needed for this referral. The requesting provider will send an order and pertinent documentation to substantiate the request to the FHCP Psychiatric Department. Appointments can be made by the provider s office or the member can call after the order has been received by the office. The specialty office will advise you of their scheduling protocol. The FHCP Psychiatrist shall evaluate and diagnosis the member. Once evaluated and a confirmatory diagnosis has been made, the Psychiatry office will submit a referral order to the FHCP Referral Department. The Referral Department will review the request to determine if benefit requirements have been met for FHCP coverage of ASD. If approved, the FHCP Referral Department will notify the FHCP contracted provider that renders ASD treatment to schedule the member. 13 5/01/18

14 BIRTH CENTERS Agape Birth & Wellness Center Patients 15 years and older Heart2Heart Birth Center, LLC Patients 16 years and older 1346 Mason Ave., Daytona Beach, FL / Fax: 386 / Lexinton Green Ln., Sanford, FL / Fax: 407 / The above providers will provide complete outpatient obstetrical services, including vaginal deliveries at the Center, to FHCP members for uncomplicated, low-risk pregnancies. INSTRUCTIONS: Member can self-refer to this specialty and will be able to call and schedule an appointment without an order from physician. BARIATRIC SURGERY PROGRAM All Florida Health Plan Members (FHCP) members that are considering entering the Bariatric Surgery Program must obtain Prior Authorization from the FHCP Central Referral Department before entering the program. INSTRUCTIONS: Complete the FHCP Referral Form. Attach pertinent documentation to substantiate the request and forward by fax (386 / ) or courier, to FHCP s Central Referrals at the Holly Hill facility. The Referral Department will review to see if the patient meets the guidelines and if they have the benefit of Bariatric Surgery. A FHCP member can attend the free public Information Sessions that are held in Daytona Beach and Orange City. The members will be advised at the meeting that acceptance into the program will require a referral to be submitted to the FHCP Central Referral Department for consideration. 14 5/01/18

15 BONE DENSITY STUDIES Florida Health Care Plans (N) Patients 450 lbs. & under 350 N. Clyde Morris Blvd., Daytona Beach, FL Florida Health Care Plans (N) -Edgewater Patients 450 lbs. & under 239 N. Ridgewood Ave., Edgewater, FL Cyrus Diagnostic Imaging, Inc. # (N) 165 Waymont Court, Lake Mary, FL PATIENTS SCREENED FOR MOBILITY LAD Imaging, LLC # (N) 1555 Saxon Blvd., Bldg. 4, Suite 401, Deltona, FL PATIENTS SCREENED FOR MOBILITY Palm Coast Imaging # (N) 3 Pine Cone Drive, #101, Palm Coast, FL WILL NOT SCHEDULE SNF PATIENTS Town Center Imaging #10P733 (N) 21 Hospital Drive, Palm Coast, FL WILL NOT SCHEDULE SNF PATIENTS 386 / Ext Fax: 386 / / Fax: 386 / / Fax: 407 / / Fax: 386 / / Fax: 386 / / Fax: 386 / (H) Outpatient Hospital Department/Facility (N) Outpatient Non-Hospital Facility Out of pocket costs may vary depending on location or benefit plan Prior authorization from the FHCP Central Referrals is not needed. The requesting provider will send an order to the specialist. Appointments can be made by the physician s office or the member can call after the order has been received by the specialty office. The specialty office will advise you of their scheduling protocol. FHCP will cover this testing once every 24 months. 15 5/01/18

16 BONE SCANS Cyrus Diagnostic Imaging, Inc. # (N) 165 Waymont Court, Lake Mary, FL PATIENTS SCREENED FOR MOBILITY 407 / Fax: 407 / Florida Hospital - DeLand #00YG80 (H) 701 W. Plymouth Avenue, DeLand, FL / Fax: 386 / Florida Hospital Fish Imaging #00YG34 (H) 1053 Medical Center Drive, Suite 151, Orange City, FL Centralized scheduling 386 / / Fax: 386 / Florida Hospital - Fish Memorial #00YG34 (H) 1055 Saxon Blvd., Orange City, FL Centralized scheduling 386 / / Fax: 386 / Florida Hospital Flagler #00Y015 (H) 60 Memorial Medical Parkway, Palm Coast, FL / Fax: 386 / Florida Hospital New Smyrna #00Y010 (H) 401 Palmetto Street, New Smyrna Beach, FL / Fax: 386 / LAD Imaging, LLC # (N) 1555 Saxon Blvd., Bldg. 4, Suite 401, Deltona, FL PATIENTS SCREENED FOR MOBILITY 386 / Fax: 386 / Palm Coast Imaging Center # (N) 3 Pine Cone Drive, Ste. 101, Palm Coast, FL WILL NOT SCHEDULE SNF PATIENTS 386 / Fax: 386 / Port Orange Imaging Center #F00002 (N) Open MRI Unit also available 1195 Dunlawton Avenue, Port Orange, FL WILL NOT SCHEDULE SNF PATIENTS 386 / Fax: 386 / Town Center Imaging #F00004 (N) 21 Hospital Drive, Palm Coast, FL WILL NOT SCHEDULE SNF PATIENTS 386 / Fax: 386 / Twin Lakes Imaging Center #F00001 (N) 1890 LPGA Blvd., Suite 110, Daytona Beach, FL WILL NOT SCHEDULE SNF PATIENTS 386 / Fax: 386 / (H) Outpatient Hospital Department/Facility (N) Outpatient Non-Hospital Facility Out of pocket costs may vary depending on location or benefit plan Prior authorization from the FHCP Central Referrals is not needed. The requesting provider will send an order to the specialist. Appointments can be made by the physician s office or the member can call after the order has been received by the specialty office. The specialty office will advise you of their scheduling protocol. 16 5/01/18

17 BRACES / ORTHOTICS / PROSTHETICS American Ortho Tech # Mason Avenue, Daytona Beach, FL N. Sun Drive, Suite 2000, Lake Mary, FL / Fax: 386 / Hospital Drive, Suite 270, Palm Coast, FL B & G Rehab B & G Rehab Inc. # N. Nova Rd., Ste. 109, Ormond Beach, FL / Spinal and Cervical Braces only Fax: 386 / Dynasplint Systems 770 Ritchie Hwy., Suite #W21, Severna Park, MD / Dynamic Splinting Systems Fax: 866 / Hanger Prosthetics & Orthotics, Inc Mason Ave., Suite C, Daytona Beach, FL / Fax: 386 / Enterprise Rd., Ste. B, Orange City, FL / Fax: 386 / Hanger Prosthetics & Orthotics, Inc. * FHCP members residing in Seminole County can obtain all prosthetic/orthotic services and devices at these locations 819 East 1st. Street, Sanford, FL * 124 Underwood Street, Orlando, FL * 1100 South Orlando Ave., Winter Park, FL * 407 / Fax: 407 / / Fax: 407 / / Fax: 407 / Orthotic & Prosthetic Center of Daytona 851 Dunlawton Ave., Ste. 101, Port Orange, FL / Fax: 813 / INSTRUCTIONS: Complete the FHCP Referral Form. Attach pertinent documentation to substantiate the request and forward by fax (386 / ) or courier, to FHCP s Central Referrals at the Holly Hill facility. The Referral Department will review the request and if approved will forward the referral and clinical information to the provider for scheduling purposes. 17 5/01/18

18 DIABETIC SHOE PROVIDERS Atlantic Foot & Ankle Associates All ages Atlantic Foot & Ankle Associates 790 Dunlawton Avenue, Suite C, Port Orange, FL LPGA Blvd., Suite 230, Daytona Beach, FL Town Center Dr., Ste. 200, Orange City, FL Hospital Drive, Suite 150, Palm Coast, FL W. Granada Blvd., Ste. F, Ormond Beach, FL 386 / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / Dale s Shoes 2595 West International Speedway Blvd., Daytona Beach, FL / Fax: 386 / From the Sole, Inc Custom Molded Shoes Available 1520 Ridgewood Ave., Holly Hill, FL / Fax: 386 / Hanger Prosthetics & Orthotics, Inc 1400 Mason Ave., Suite C, Daytona Beach, FL / Fax: 386 / Enterprise Rd., Orange City, FL / Fax: 386 / East 1st. Street, Sanford, FL / Fax: 407 / Custom Molded Shoes Available JSC Pedorthics, Inc. 100 S. State Street, Suite D, Bunnell, FL / All ages Fax: 386 / Custom Molded Shoes Available Orthotic & Prosthetic Center of Daytona 851 Dunlawton Ave., Ste. 101, Port Orange, FL / Fax: 813 / Additional Diabetic Shoe Provider information on the following page 18 5/01/18

19 DIABETIC SHOE PROVIDERS (continued) INSTRUCTIONS: The need for diabetic shoes must be certified by a physician who is a doctor of medicine or a doctor of osteopathy and who is responsible for diagnosing and treating the patient s diabetic systemic condition through a comprehensive plan of care. The managing physician must: Document in the patient s medical record that the patient has diabetes; Certify that the patient is being treated under a comprehensive plan of care for diabetes, and that the patient needs diabetic shoes; and Document in the patient s record that the patient has one or more of the following conditions: * Peripheral neuropathy with evidence of callus formation; * History of pre-ulcerative calluses; * History of previous ulceration; * Foot deformity; * Previous amputation of the foot or part of the foot; or * Poor Circulation For each individual, coverage of the footware and inserts is limited to one of the following within one calendar year: shoes). *No more than one pair of custom-molded shoes (including inserts provided with such shoes) and two additional pairs of inserts; or *No more than one pair of depth shoes and three pairs of inserts (not including the noncustomized removable inserts provided with such Custom molded shoes are only available through Hanger Prosthetics and Orthotics, Inc., JSC Pedorthics, Inc. and From the Sole, Inc. To request this service please place your order on a prescription pad and include applicable covered criteria as listed above. The patient should then be directed to bring the prescription to the provider of their choice. Discounts will be offered for patients not meeting above criteria. 19 5/01/18

20 CARDIAC CATHETERIZATION Central Florida Regional Hospital #00Y West Seminole Blvd., Sanford, FL / Florida Hospital - DeLand #00YG W. Plymouth Avenue, DeLand, FL / Fax: 386 / Florida Hospital - Fish Memorial #00YG Saxon Blvd., Orange City, FL / Fax: 386 / Florida Hospital Flagler #00Y Memorial Medical Parkway, Palm Coast, FL / Fax: 386 / Florida Hospital Memorial Medical Center #00Y004 Out-patient Cardiac Cath. Lab 301 Memorial Medical Pkwy., Daytona Beach, FL / Fax: 386 / Florida Hospital New Smyrna #00Y Palmetto Street, New Smyrna Beach, FL / Fax:: 386 / Halifax Health #00Y007 Out-patient Cardiac Cath. Lab 303 N. Clyde Morris Blvd., Daytona Beach, FL / Fax: 386 / INSTRUCTIONS: The Cardiologist should schedule the procedure with the hospital, make arrangements for pre-op as needed and notify the member. The requesting Cardiologist should then complete the FHCP Surgical & Special Procedure Form. Fax the form to the FHCP s Central Referrals at the Holly Hill facility 386 / The Referral Department will review the request. The Cardiologist will be notified only if the procedure is not approved. 20 5/01/18

21 CARDIAC MONITORING irhythm Technologies, Inc. # Townsend St., Ste. 380, San Francisco, CA / Fax: 1/ 888 / irhythm Technologies, Inc. provide a long term continuous ambulatory cardiac monitoring device (Zio Patch) to FHCP members to record and store elect electrocardiogram (ECG) data. Prior authorization from the FHCP Central Referral Department is not required. Participating providers can contact the company directly at the above telephone number. The medical device shall be affixed to the FHCP member at the Participating Provider s office and the member shall wear the device for up to fourteen (14) days as medically necessary. Interpretation and reporting of the ECG data captured by the supplier s medical device will be the responsibility of the ordering Participating Provider. CARDIAC REHABILITATION Central Florida Regional Hospital #00Y West Volusia Seminole Blvd., Sanford, FL / Florida Hospital New Smyrna #00Y Palmetto Street, New Smyrna Beach, FL / Fax: 386 / Florida Hospital - DeLand #00YG W. Plymouth Avenue, DeLand, FL / Fax: 386 / Florida Hospital - Fish Memorial #00YG Saxon Blvd., Orange City, FL / Fax: 386 / Florida Hospital Flagler #00Y Memorial Medical Parkway, Palm Coast, FL / Fax: 386 / Florida Hospital Memorial Medical Center 301 Memorial Medical Pkwy., Daytona Beach, FL / #00Y004 Halifax Health #00Y N. Clyde Morris Blvd., 3rd. Floor, Daytona Beach, FL Fax: 386 / / Fax: 386 / INSTRUCTIONS: Complete the FHCP Referral Form. Attach pertinent documentation to substantiate the request and forward by fax (386 / ) or courier, to FHCP s Central Referrals at the Holly Hill facility. The Referral Department will review the request and if approved will forward the referral and clinical information to the provider for scheduling purposes. Indicate what phase of the program is being requested. 21 5/01/18

22 CARDIOLOGY Stephen Minor, M.D. #10P180 Ryan A. Smith, D.O. # David Williams, M.D. # Records needed prior to scheduling Robert Bianco, M.D. # N. Clyde Morris Blvd., Daytona Beach, FL MEDICAL RECORDS FAX 386 / City Place, Palm Coast, FL MEDICAL RECORDS FAX 386 / / Fax: 386 / / Fax: 386 / Jacob K. Agamasu, M.D. # Ratan Ahuja, M.D. # Sameer Chadha, M.D. # Janak Bhavsar, M.D. #10X469 Chad Broome-Webster, M.D. # Marielle Lazard, M.D. #10A228 Oscar D. West, M.D. # Roy Venzon, M.D. # Janak Bhavsar, M.D. #10X469 Chad Broome-Webster, M.D. # Marielle Lazard, M.D. #10A228 Oscar D. West, M.D. # Roy Venzon, M.D. # S. International Parkway, Suite 1481, Lake Mary, FL / Fax: 407 / Central Florida Cardiovascular Consultants 759 Harley Strickland Blvd., Orange City, FL S. International Parkway, Suite 1171, Lake Mary, FL / Fax: 386 / / Fax: 407 / Daytona Heart Group 630 W. Plymouth Ave., DeLand, FL / Fax: 386 / Daytona Heart Group 938 Saxon Blvd., Suite 101-C, Orange City, FL / Fax: 386 / Information on Zoll Life Vests can be found under Durable Medical Equipment Guidelines for TAVR Evaluations can be found under TAVR. Additional Cardiology information on the following page 22 5/01/18

23 CARDIOLOGY (continued) Larry Van Thomas Crisco, M.D. # Kevin Haynes, D.O. # Dinesh Pubbi, M.D. # Neil Sanghvi, M.D. # Mubeen Chida, M.D. # Gary D. Hecht, M.D. # Rajendra Hippalgoankar, M.D. # Robert Rosemond, M.D. # Records needed prior to scheduling James Kim, M.D. # Behzad Oskouei, M.D. # Ravi Rao, M.D. #10E081 Yogesh Shah, M.D. # Huijan Wang M.D. 10H333 Records needed prior to scheduling First Coast Heart & Vascular Center, PA 14 Office Park Drive, Suite 1, Palm Coast, FL / Fax: 386 / Cardiovascular Specialists, P.A. 305 Mangoustine Ave., Suite 200, Sanford, FL / Fax: 407 / Cardiology Associates of West Volusia, P.A W. New York Avenue, DeLand, FL / Central Florida Heart Associates, PA 932 Saxon Blvd., Suite A, Orange City, FL Medical Plaza Drive, Suite 106, Sanford, FL W. Plymouth Ave., DeLand, FL Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / Heart Care Centers of Florida 600 Palmetto St., New Smyrna Beach, FL / Fax: 386 / Live Oak Street, Suite A, New Smyrna Beach, FL / Fax: 386 / Complete Cardiology Care, LLC 305 Memorial Medical Pkwy., Ste. 300, Daytona Beach, FL / Fax: 386 / Information on Zoll Life Vests can be found under Durable Medical Equipment Guidelines for TAVR Evaluations can be found under TAVR. Additional Cardiology information on the following page 23 5/01/18

24 CARDIOLOGY (continued) Dinesh Arab, M.D. # David Henderson, M.D. # Barton Sickinger, D.O. # John L. Walker, M.D. # Beth Bartholomew, M.D. # Pedro Cox-Alomar, M.D. # Alan Goldsmith, M.D. # Joshua Horenstein, M.D. #10L042 Kim Klancke, M.D. # Vincent Peterson, D.O. # Glenn Rayos, M.D. # Hancy Seide, M.D. # Vance Wilson, M.D. # Surya Rao, M.D. #10E082 Humayun Jamidar, M.D Otakar Quadrat, M.D. #10I198 PLEASE SEND RECENT EKG AND LABS. Cardiology Physicians Memorial, LLC 305 Memorial Medical Pkwy., Suite 301, Daytona Beach, FL HECN, DAYTONA STATE COLLEGE & BETHUNE- COOKMAN COLLEGE PROVIDERS Daytona Heart Group 695 N. Clyde Morris Blvd., Daytona Beach, FL Dunlawton Ave., Unit 101, Port Orange, FL S. Ridgewood Ave., Edgewater, FL HECN PROVIDERS Cardiology Physicians Memorial, LLC 311 N. Clyde Morris Blvd., Ste. 320, Daytona Beach, FL HECN, DAYTONA STATE COLLEGE & BETHUNE- COOKMAN COLLEGE PROVIDERS 386 / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / Information on Zoll Life Vests can be found under Durable Medical Equipment Guidelines for TAVR Evaluations can be found under TAVR. Prior authorization from the FHCP Central Referrals is not needed. The requesting provider will send an order to the specialist. Appointments can be made by the physician s office or the member can call after the order has been received by the specialty office. The specialty office will advise you of their scheduling protocol. 24 5/01/18

25 CARDIOLOGY- NUCLEAR Stephen Minor, M.D. #10P180 Ryan A. Smith, D.O. # David Williams, M.D. # Records needed prior to scheduling Robert Bianco, M.D. # N. Clyde Morris Blvd., Daytona Beach, FL MEDICAL RECORDS FAX 386 / City Place, Palm Coast, FL MEDICAL RECORDS FAX 386 / / Fax: 386 / / Fax: 386 / Jacob K. Agamasu, M.D. # Ratan Ahuja, M.D. # Janak Bhavsar, M.D. #10X469 Chad Broome-Webster, M.D. # Marielle Lazard, M.D. #10A228 Oscar D. West, M.D. # Roy Venzon, M.D. # Janak Bhavsar, M.D. #10X469 Chad Broome-Webster, M.D. # Marielle Lazard, M.D. #10A228 Oscar D. West, M.D. # Roy Venzon, M.D. # S. International Parkway, Suite 1481, Lake Mary, FL / Fax: 407 / Central Florida Cardiovascular Consultants 759 Harley Strickland Blvd., Orange City, FL S. International Parkway, Suite 1171, Lake Mary, FL / Fax: 386 / / Fax: Same as Orange City Daytona Heart Group 630 W. Plymouth Ave., DeLand, FL / Fax: 386 / Daytona Heart Group 938 Saxon Blvd., Suite 101-C, Orange City, FL / Fax: 386 / Additional Cardiology-Nuclear information on the following page 25 5/01/18

26 CARDIOLOGY- NUCLEAR (continued) Mubeen Chida, M.D. # Larry Van Thomas Crisco, M.D. # Kevin Haynes, D.O. # Dinesh Pubbi, M.D. # Neil Sanghvi, M.D. # Gary D. Hecht, M.D. # Rajendra Hippalgoankar, M.D. # Robert Rosemond, M.D. # Records needed prior to scheduling James Kim, M.D. # Behzad Oskouei, M.D. # Ravi Rao, M.D. #10E081 Yogesh Shah, M.D. # Wing Yi Liu, M.D. # Records needed prior to scheduling Cardiovascular Specialists, P.A. 305 Mangoustine Ave., Suite 200, Sanford, FL / Fax: 407 / First Coast Heart & Vascular Center, PA 14 Office Park Drive, Suite 1, Palm Coast, FL / Fax: 386 / Cardiology Associates of West Volusia, P.A W. New York Avenue, DeLand, FL / Central Florida Heart Associates, PA 932 Saxon Blvd., Suite A, Orange City, FL Medical Plaza Drive, Suite 106, Sanford, FL W. Plymouth Ave., DeLand, FL Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / Heart Care Centers of Florida 600 Palmetto St., New Smyrna Beach, FL / Fax: 386 / Live Oak Street, Suite A, New Smyrna Beach, FL / Fax: 386 / Complete Cardiology Care, LLC 305 Memorial Medical Pkwy., Ste. 300, Daytona Beach, FL / Fax: 386 / Additional Cardiology-Nuclear information on the following page 26 5/01/18

27 CARDIOLOGY- NUCLEAR (continued) Dinesh Arab, M.D. # David Henderson, M.D. # Barton Sickinger, D.O. # John L. Walker, M.D. # Beth Bartholomew, M.D. # Pedro Cox-Alomar, M.D. # Alan Goldsmith, M.D. # Joshua Horenstein, M.D. #10L042 Kim Klancke, M.D. # Vincent Peterson, D.O. # Glenn Rayos, M.D. # Hancy Seide, M.D. # Vance Wilson, M.D. # Surya Rao, M.D. #10E082 Humayun Jamidar, M.D Otakar Quadrat, M.D. #10I198 Cardiology Physicians Memorial, LLC 305 Memorial Medical Pkwy., Suite 301, Daytona Beach, FL HECN, DAYTONA STATE COLLEGE & BETHUNE- COOKMAN COLLEGE PROVIDERS Daytona Heart Group 695 N. Clyde Morris Blvd., Daytona Beach, FL Dunlawton Ave., Unit 101, Port Orange, FL S. Ridgewood Ave., Edgewater, FL HECN PROVIDERS Cardiology Physicians Memorial, LLC 311 N. Clyde Morris Blvd., Ste. 320, Daytona Beach, FL HECN, DAYTONA STATE COLLEGE & BETHUNE- COOKMAN COLLEGE PROVIDERS 386 / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / / Fax: 386 / Prior authorization from the FHCP Central Referrals is not needed. The requesting provider will send an order to the specialist. Appointments can be made by the physician s office or the member can call after the order has been received by the specialty office. The specialty office will advise you of their scheduling protocol. 27 5/01/18

28 CARDIOLOGY - PEDIATRIC INSTRUCTIONS: Complete the FHCP Referral Form. Attach pertinent documentation to substantiate the request and forward by fax (386 / ) or courier, to FHCP s Central Referrals at the Holly Hill facility. The Referral Department will review the request and if approved will forward the referral and clinical information to the provider for scheduling purposes. 28 5/01/18

29 CASE MANAGEMENT COORDINATION OF CARE DEPARTMENT The Case Management Coordination of Care Department provides services to members who experience complex health conditions or critical events that require the extensive use of resources and assistance navigating Florida Health Care Plans (FHCP) to facilitate the appropriate delivery of care and health coaching. Case Management Coordination of Care is considered a voluntary program and all eligible members have the right to participate or decline participation. The aims of the Case Management Coordination of Care Program are to improve the health and quality of life of our members, identify and reduce socio-economic barriers, reduce inappropriate utilization of emergency department visits, reduce hospitalizations and re-admissions, and partner with providers to promote treatment plan compliance. The Community Resource Services does not substitute services for urgent evaluation or placement. Florida Health Care Plans Chronic Complex Care program assists members with complex health conditions that would benefit from additional support by a Registered Nurse Care Coordinator. The Registered Nurse Care Coordinator provides advocacy and education to help members navigate through the healthcare continuum, access appropriate care, and gain empowerment through self-management of lifestyle practices that can reduce disease progression and complications. The Chronic Complex Care program includes Transplant Case Management from pre-transplantation to one year post transplant and as needed. Florida Health Care Plans remote patient management program, Interactive Health at Home, allows their clinical team to monitor the member s daily vitals and when followed by Complex Care, notify the Registered Nurse Care Coordinator when there is a change that requires attention. Through the use of daily health sessions, the Remote Monitoring program helps to create positive behavior change and self- management skills. By providing monthly reports, providers gain key insights on the health habits of our members, receiving only timely, accurate, and actionable data. Use of this program promotes improved clinical efficiencies, reduced hospitalizations, and improved outcomes for members with chronic conditions. The peripheral offered are scale, blood pressure cuff, pulse oximetry, manual entry of FHCP glucose monitor. Florida Health Care Plans In-Home Providers- Home Docs for Volusia, Flagler, and Seminole Marketplace and Doctors at Home for Seminole and Brevard Marketplace are offered through the Case Management Coordination of Care Department. The service helps to supplement primary care services in the home. The initial visit for transition of care occurs within three business days and primary care services within seven business days. The goals of the In-Home Providers are to improve access to healthcare for homebound members to reduce the risk of disease progress ion; reduce risk of fragmented care; early interventions to reduce the need of the emergency department, hospitalization, and urgent care through management by primary care services; and facilitate transitional care for members discharged from the hospital to home with limited support to ensure compliance with follow up care, medication management, and reduce complications for the purpose to enhance quality of care. Criteria for enrollment in case management may include members with new diagnoses, acute or uncontrolled chronic diseases and referrals through proactive data screening or referral of a member who requires any of the following: Additional Case Management information on the following page 29 5/01/18

30 CASE MANAGEMENT COORDINATION OF CARE DEPARTMENT (continued) Healthcare related advocacy across the continuum Member education Assistance with monitoring and treatment Assistance with obtaining needed community resources Assistance with health conditions compromised by psycho-social or behavioral health needs Any clinical situation requiring care coordination to enhance continuity of care and quality of life Florida Health Care Plans Community Resource Services works in partnership with members and providers/referral sources to address the socioeconomic needs of members to improve access to healthcare related services through utilization of agencies and community partners. The Community Resource Coordinators will complete individualized needs assessments and connect members with appropriate existing resources offered through agencies or within their community. The Community Resource Services does not substitute services for urgent evaluation or placement. The goal of the Community Resource Services is to assist members with significant socioeconomic strain to identify actual or potential barriers through needs assessments for the purpose to improve access to healthcare by providing available community resources, or agency related services, and provide navigation through the continuum: Facilitate the coordination of healthcare delivery through education of available resources that can reduce socioeconomic strain Assist with access of resources available within the community or agencies Provide education of community services or agencies that may or may not have fees associated Facilitates member access to existing financial resources, such as those public assistance programs available through the Social Security Administration or Department of Children and Families There are various methods to submit a referral for the CM Coordination of Care or Community Resource services: Telephone Contact: Toll free 855 / or 386 / Referral form available through the Provider Handbook Fax: 386 / Website: cmanagement@fhcp.com Internal: E.H.R. Task The Case Management Coordination of Care Department does not substitute for urgent evaluation or intervention by their healthcare providers; replace home health care or emergent services such Department of Children and Family, emergent placement to alternative living, skilled placement or staffing, or in home safety evaluations; nor direct home health care or skilled placement referrals to the Case Management Utilization Review Department. 30 5/01/18

31 CHIROPRACTIC Whitney Amos-McNary, D.C. # Trudi Vogel, D.C. # All ages Rebecca Bruno, D.C. # Linda Lombardo, D.C. # Christopher Smith, D.C. # All ages Alene Cabrera, D.C. #10AD11 James Young, D.C. #10C248 All ages Kenneth W. Davis, D.C. # All ages John P. Gingras, D.C. # Natalie Tran, D.C. #10P967 James Jeremy Hether, D.C All ages Elizabeth Jurenko, D.C. # J. Randall Timko, D.C. #00WG79 All ages Carol Learned, D.C. #10N499 Roger Learned, D.C. #10Q034 Vincent Mattiello, D.C. # Christopher Lechmaier, D.C. #10P381 Tricia Lechmaier, D.C. # Vogel Chiropractic Clinic 1780 S. Nova Road, Suite 4, South Daytona, FL / Fax: 386 / Lombardo Chiropractic Clinic, PA 1400 Hand Ave., Suite S, Ormond Beach, FL / Fax: 386 / Port Orange Chiropractic 3729 S. Nova Rd., Port Orange, FL / Fax: 386 / Davis Chiropractic Center 381 Palm Coast Pkwy. SW, Unit, Palm Coast, FL / Fax: 386 / Gingras Chiropractic 3113 S. Ridgewood Ave., South Daytona, FL / Fax: Same as phone 2719 S. Woodland Blvd., DeLand, FL / Fax: 386 / Complete Wellness Medical Center 844 N. Stone St., Suite 202, DeLand, FL / Fax: 386 / Ormond s Family Chiropractic Center 147 E. Granada Blvd., Ormond Beach, FL / Fax: 386 / Lechmaier Family Chiropractic Center 1051 Town Center Dr., Orange City, FL / Fax: 386 / Additional Chiropractic information on the following page 31 5/01/18

32 CHIROPRACTIC (continued) Clark Monahan, D.C. # Meet Patel, D.C. # Kreistopher Valdes, D.C. # Monohan Chiropractic 264 Pam Coast Pkwy. NE, Palm Coast, FL / Fax : 386 / Matt Nirschl, D.C. # N. Old Kings Rd., Ste. C, Ormond Beach, FL / Fax : 386 / A. Michael Petker, D.C. # Mason Ave., Holly Hill, FL / Fax: 386 / Porter Chiropractic and Wellness, LLC 1367 Beville Rd., Daytona Beach, FL / Debora Porter, D.C. # All ages Robert Poss, D.C. # Patrick Reed, D.C. # All ages Alicia Rivera, D.C. #10S129 All ages Omar Rivera, D.C. #10S997 All ages Michael J. Rodriguez, D.C. # Gregory Walsh, D.C. #10T369 Jennifer Smith, D.C. #10F257 All ages Fax: 386 / Poss Clinic of Chiropractic 819 Beresford Road, DeLand, FL / Fax: Same as phone Patrick Reed, D.C., P.A East Highway 100, Suite G4, Bunnell, FL / Rivera Family Chiropractic Center 3950 US HWY 17-92, Ste. 1000, Casselberry, FL DeBary Ave., Deltona, FL Fax: Same as phone 407 / Fax: 407 / / Fax: 386 / Rivera Family Chiropractic Center 900 W. 25 th. St., Sanford, FL / Fax: 407 / Ormond Medical Center 545 W. Granada Blvd., Ormond Beach, FL / Fax: 386 / Health & Wellness Chiropractic Center 1051 Town Center Dr., Orange City, FL / Fax: 386 / Additional Chiropractic information on the following page 32 5/01/18