2017 Medicare Provider Directory Addendum

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1 2017 Medicare Provider Directory Addendum July 2017 Please review the changes that have occurred to our provider network as of the effective date above. This document should be included with the complete 2017 Kaiser Permanente Medicare Provider Directory. For the most current provider listings, please visit kp.org/directory. If you have questions, please contact Kaiser Permanente Member Services at , TTY 711, seven days a week, 8 a.m. to 8 p.m. Kaiser Permanente Providers Oahu Marc K. Morifuji, PA-C Orthopaedics July Tham T. Trinh, MD Anesthesiology Philip P. Bruno, DO Infectious Disease Moves The following provider has moved to the Radiology Department Alean I. Cook-Palmer, MD Nanaikeola Clinic Family Medicine Other changes Alan A. Sunada, PA-C General Surgery Neelesh B. Fernandes, MD Waipio Medical Office Occupational Medicine June James McKoy, MD Mapunapuna Medical Office Pain Management Marie E. Nguyen, MD Cardiology 7053M-17 7/17

2 Abhinetri Pandula, MD Honolulu Medical Office Internal Medicine Mabel M. Sanqui, CNM Honolulu Medical Office Obstetrics and Gynecology May Kumbaiah N. Murthy, MD Behavioral Health Services - Ala Moana Psychiatry Pantea Shoja, MD After Hours Care Denis S. Yamada, PA-C Orthopaedics Bryan T. Tanabe, MD Honolulu Medical Office Internal Medicine Stephanie A. Murata, PA-C Orthopaedics Emergency Medicine Lauren N. Rodriguez, MD April Jennifer S. Domingo, MD Behavioral Health Services - Ala Moana Psychiatry Mahkameh Farhadi, MD Emergency Medicine Amber R. Francis, PA-C After Hours Care Richard L. Pang, MD Ear, Nose, and Throat (Otolaryngology) Kumbaiah N. Murthy, MD Behavioral Health Services - Ala Moana Psychiatry March Albert J. Mariani, MD Mapunapuna Medical Office Urology Leslie Garay, MD Waipio Medical Office Ophthalmology Carolyn R. Annerud, MD After Hours Care 2 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

3 Christopher Weissman, MD Emergency Medicine Elizabeth A. Ranft, D.O. Hospital Medicine February Michael V. McCanless, MD Behavioral Health Services - Ala Moana Psychiatry Bryan T. Tanabe, MD Honolulu Medical Office Internal Medicine Ronald W.Y. Ling, OD Honolulu Medical Office Optometry Julie W. Ireland, MD Mapunapuna Medical Office Genetics Sarah E. Brown, MD Moanalua Medical Office Hospital Medicine Jan N. Inao, MD Nanaikeola Clinic Family Medicine Eric C. Chow, MD Waipio Medical Office Internal Medicine Jennifer S. Domingo, MD Behavioral Health Services - Ala Moana Psychiatry January Steven M. Hong, MD Honolulu Medical Office Internal Medicine Stephanie X.L. Shao Jones, OD Honolulu Medical Office Optometry Aparna S. Shah, MD Honolulu Medical Office Allergy 3 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

4 Prabhat K. Bhama, MD Ear, Nose & Throat (Otolaryngology) Erin L. Hunt, MD After Hours Care Susan G. Hurley, MD Waipio Medical Office Family Medicine Jessica S. Kosut, MD Koolau Medical Office Pediatrics Amber L. Kuklinski, PA-C Orthopaedic Surgery Stanley Y.T. Loo, MD Pathology Craig H. Nakatsuka, MD Continuing Care Stein E. Rafto, MD Radiology - General David C. Newhouse, MD Waipio Medical Office Obstetrics and Gynecology Moves The following provider has moved to the Cardiology Department Other changes Melissa V.C. Pae, PA-C Same Day Care Maui Matthew B. Kingsbauer, DO Lahaina Clinic Family Medicine July Sandra M. Rausch, MD Lahaina Clinic Same Day Care Elizabeth B. Ausbeck, MD Wailuku Medical Office Obstetrics-Gynecology 4 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

5 Steve A. Granada, MD Maui Lani Medical Office Internal Medicine June Vona B. Diener, MD Maui Lani Medical Office Family Medicine April Anna Kalman, MD Maui Lani Medical Office Internal Medicine Moves The following provider has moved to the Wailuku Medical Office Cardiology Department March Other changes Nicole L. Dusenbury, PA-C Same Day Care Anne Donohue, MD Maui Lani Elua Clinic Occupational Medicine John G. Meisel, MD Maui Lani Medical Office Family Medicine January 5 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

6 Hawaii Island June Parwathi V. Paniker, MD Kona Medical Office Dermatology: Mohs Surgery May Michael J. McGrath, MD Kona Medical Office Psychiatry Parwathi V. Paniker, MD Kona Medical Office Dermatology: Mohs Surgery April Moves March Parwathi V. Paniker, MD Kona Medical Office Dermatology: Mohs Surgery Other changes Our South Kona Clinic closed permanently on March 31, We have transitioned all care services to our Kona Medical Office. At Kona Medical Office, you may continue seeing your physician and also have access to services like specialty care, diagnostic imaging, and pharmacy. Call or see a receptionist for more information or to make an appointment. 6 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

7 Contracted Providers Oahu Psychotherapy Marilyn K. Choy-Gibson, LCSW 1481 S. King St., #544 Honolulu, HI Jennifer M. Takahashi, PsyD 1215 Center St., #203 Honolulu, HI July Psychiatry June Honolulu Psychiatric Services, LLC 2228 Liliha St., #404 Honolulu, HI Dialysis May Autism - Applied Behavior Analysis US Renal Care 1520 Liliha St., 1st Flr. Honolulu, HI US Renal Care Honolulu 226 N. Kuakini St., 2nd Flr. Honolulu, HI Behavioral and Therapeutic Services of Hawaii LLC (BTSH) 1330 Wilder Ave., #319 Honolulu, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

8 US Renal Care Kapahulu 750 Palani Ave. Honolulu, HI US Renal Care Kapolei 555 Farrington Hwy. Kapolei, HI US Renal Care Koolau Hui Iwa St. Kaneohe, HI US Renal Care Pearlridge Moanalua Rd. Aiea, HI US Renal Care Wahiawa 850 Kilani Ave. Wahiawa, HI US Renal Care Waipahu Kahuailani St. Waipahu, HI US Renal Care Windward Kaneohe Bay Dr., #D09 Kaneohe, HI Perinatology Kapiolani Medical Specialists 1401 S. Beretania St., #920 Honolulu, HI Anuenue Behavior Analysts Kamehameha Hwy. Haleiwa, HI Imi Ola Autism Services Farrington Hwy., #206 Waianae, HI Autism Behavior Consulting Group Iwaena St., 2nd Flr. Aiea, HI Kuhn Behavioral Consulting Services 1253 S. Beretania St., #2710 Honolulu, HI Chemical Dependency - Emergency Medicine Ku Aloha Ola Mau 1130 N. Nimitz Hwy., #C-302 Honolulu, HI Chemical Dependency Rehabilitation Comprehensive Health & Attitude Management Program, Inc. 173 S. Kukui St. Honolulu, HI Diagnostic Radiology Aloha Pacific Mobile Imaging 1010 S. King St., #B6 Honolulu, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

9 Dialysis DSI Aloha Dialysis 1520 Liliha St., 1st Flr. Honolulu, HI DSI Honolulu Dialysis 226 N. Kuakini St., 2nd Flr. Honolulu, HI DSI Kapahulu Dialysis 750 Palani Ave. Honolulu, HI DSI Kapolei Dialysis 555 Farrington Hwy. Kapolei, HI DSI Koolau Dialysis Hui Iwa St. Kaneohe, HI DSI Pearlridge Dialysis Moanalua Rd. Aiea, HI DSI Wahiawa Dialysis 850 Kilani Ave. Wahiawa, HI DSI Waipahu Dialysis Kahuailani St. Waipahu, HI DSI Windward Dialysis Kaneohe Bay Dr., #D09 Kaneohe, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

10 Liberty - Leeward Dialysis Satellite Facility Fort Weaver Rd. Ewa Beach, HI Liberty - Siemsen Dialysis Satellite Facility 2226 Liliha St., Ground Flr. Honolulu, HI Liberty - Waianae Dialysis Satellite Facility Farrington Hwy. Waianae, HI Intraoperative Electroneurodiagnostic Services Island Neuro, Inc Ahuawa Lp. Honolulu, HI Laser Vision Correction Pan Pacific Laser Vision Center, LLC 1330 Ala Moana Blvd., #10 Honolulu, HI MRI-Open - Diagnostic Radiology Y & M Radiology 2230 Liliha St., #106 Honolulu, HI Y & M Radiology 1481 S. King St., #202 Honolulu, HI Y & M Radiology 1441 Kapiolani Blvd., #310 Honolulu, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

11 Nephrology Nada, Ono, Ka'anehe & Solomon Pali Momi St., #320 Aiea, HI x6012 Obstetrics-Gynecology (Ob-Gyn) IVF Pacific In Vitro Fertilization Institute 1319 Punahou St., #980 Honolulu, HI Oral Surgery Steven E. Wilhite, DDS 1329 Lusitana St., #405 Honolulu, HI Skilled Nursing Facility (SNF) Pediatrics Kulana Malama 919 Lehua Ave. Pearl City, HI Autism - Applied Behavior Analysis Center for Autism and Related Disorders, LLC Sienna Greener-Wooten, PhD, BCBA , ext Behavioral and Therapeutic Services of Hawaii, LLC (BTSH) 1330 Wilder Ave., #319 Honolulu, HI, March Anesthesiology Pediatrics Alan G. Britten, MD 1319 Punahou St. Honolulu, HI Psychology Neuropsychology (Adults/Geriatrics) Brian Combs, PhD 1 Jarrett White Rd. Honolulu, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

12 Imi Ola Autism Services 590 Farrighton Hwy., # Kapolei, HI Positive Behavior Supports Corporation 7 Waterfront Plaza, 500 Ala Moana Blvd., #400 Honolulu, HI Psychology DBT John C. Donkervoet, PhD Kamehameha Hwy., #409 Kaneohe, HI Chemical Dependency - Substance Abuse Tui L. Ulu, LCSW Pali Momi St., #600 Aiea, HI Gastroenterology Hawaii Gastroenterology Specialists, LLP Pali Momi St., #312 Aiea, HI Pediatric Skilled Nursing Facility (SNF) Kulana Malama Karayan St. Ewa Beach, HI Psychology Jean F. Adair-Leland, PhD 4211 Waialae Ave., #206A Honolulu, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

13 Maui May Chemical Dependency Rehabilitation Comprehensive Health & Attitude Management Program, Inc. 270 Waiehu Beach Rd., #115 Wailuku, HI Dialysis Liberty - Kahana Dialysis Satellite Facility 10 Hoohui Rd., #100 Lahaina, HI Liberty - Maui Dialysis Satellite Facility 105 Maui Lani Pkwy., #105 Wailuku, HI Oral Surgery Richard A. Rasmussen, DDS 1063 Lower Main St., #C-221 Wailuku, HI Psychology Mark D. Breithaupt, PhD 55 N. Church St., #7 Wailuku, HI Valley Isle Psychological Services, LLC 3277 Mapu Pl. Kihei, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

14 Surgery Cardiovascular Michael Dang, MD 221 Mahalani St. Wailuku, HI Urgent Care Minit Medical Urgent Care Clinic 270 Dairy Rd., # 239 Kahului, HI Minit Medical Urgent Care Clinic 305 Keawe Rd., # 507 Lahaina, HI Autism - Applied Behavior Analysis Center for Autism and Related Disorders, LLC Sienna Greener-Wooten, PhD, BCBA , ext Social Worker Jacqueline Tyler, LCSW 95 E. Lipoa St., #209 Kihei, HI Jacqueline Tyler, LCSW 161 Wailea Ike Pl., #A-104 Wailea, HI March 14 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

15 Hawaii Island Hospitalists June Social Worker Midpacific Hospitalists, LLC Mamalahoa Hwy. Kamuela, HI Skilled Nursing Facility (SNF) Legacy of Hilo 563 Kaumana Dr. Hilo, HI Stephen E. Knight, LCSW Pahoa Village Rd., 2nd Flr. Paho, HI Skilled Nursing Facility (SNF) Regency Hilo Rehabilitation and Nursing Center 563 Kaumana Dr. Hilo, HI Psychotherapy May Dialysis Grace Barrientos, LCSW 399 E. Kawili Rd., #202 Hilo, HI Liberty - Hilo Dialysis Facility 140 Rainbow Dr. Hilo, HI Liberty - Kona Dialysis Satellite Facility Alii Dr., #336 Kailua-Kona, HI Psychology Emily L. Claspell Ouli St. Kamuela, HI Social Worker Mark G. Ansel, PhD, LCSW, DCSW PO Box 1469 Kapaau, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

16 Tracey W. Lambe, LCSW 27 Ululani St. Hilo, HI Laboratory March Pan Pacific Pathologists, Inc. 33 Lanihuli St. Hilo, HI, Social Worker Ann Lofland, LCSW Hanama Pl., #109 Kailua-Kona, HI Laura Anne Williams, LCSW A Opelo Rd., #3 Kamuela, HI ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

17 Mainland May Durable Medical Equipment Continuous Glucose Monitoring Systems DexCom, Inc Sequence Dr. San Diego, CA Family Nurse Practitioner Walgreens Healthcare Clinic Collections Center Dr. Chicago, IL To get the most up-to-date information about Kaiser Permanente s network providers in your area, you can visit kp.org/directory or call Member Services at , seven days a week, 8 a.m. to 8 p.m. TTY users should call 711. Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. The provider network may change at any time. You will receive notice when necessary. 17 ADDENDUM Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare

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