Provider Directory

Provider Directory
A guide to help you make the right choice.
TABLE OF CONTENTS
Introduction..........................................................................................................................................1
PARTICIPATING PROVIDERS
FHP Health Center...............................................................................................................................2
I.
II.
III.
IV.
DOCTORS
SPECIALISTS
MEDICAL SERVICES
DENTAL SERVICES
Provider Directory...........................................................................................................................3-12
I.
PRIMARY CARE PROVIDERS........................................................................................3
II.
PRIMARY CARE BY CLINIC..............................................................................................5
III.
SPECIALISTS......................................................................................................................6
IV.
MEDICAL SERVICES................................................................................................ ...........8
V.
DENTAL SERVICES..............................................................................................................9
VI.
OFF-ISLAND SERVICES...................................................................................................10
VII.
OFF-ISLAND NETWORK................................................................................................11
VIII.
VISITING OFF ISLAND PROVIDERS / SPECIALISTS.............................................12
TIC-PD092510
PARTICIPATING PROVIDERS
The true measure of any health care
organization is the quality of the care you
receive. And at the heart of this is your
relationship with your participating
provider. Your participating provider is
essential in providing your day to day
health care needs as well as providing the
avenue for health care alternatives such as
specialty care.
That’s why, at TakeCare, you have the
freedom to make the most important
health care decision of all - the choice of
your participating provider. This provider
directory serves as a helpful tool to select a
participating provider.
HOW TO SELECT A
PARTICIPATING PROVIDER
Choose a Participating Provider (Medical
Group or Individual Physician) from this
directory. You and your enrolled dependents
may choose a different Participating
Provider. You may switch Participating
Providers as often as needed by simply
calling the TakeCare Customer Service
Department, Monday - Friday, 8 a.m. to 5
p.m. at (671) 647-3526 on Guam and
(670) 235-7687 in the CNMI and (680)
488-4715 in Palau. Your new selection
will be effective immediately. Services
received through providers not listed in
this Provider Directory may be covered at
a lesser coverage level. Please refer to your
Schedule of Benefits for specific Out-ofNetwork Benefits.
Introduction
HELPFUL INFORMATION
Who is a Participating Provider?
A participating provider is any individual
practice association, individual physician,
pharmacy, hospital or group of licensed
providers who have entered into a written
agreement with TakeCare to provide
medical or dental services to you and your
enrolled dependents.
How are Participating Providers
Compensated (paid)?
When am I able to access a
Specialty Care Provider?
When you or your Primary Care Provider
feel you need more specialized treatment,
you may request for a referral to seek a
specialist for an office consultation.
However, before any treatment begins,
you may need to have prior authorization
from TakeCare’s Medical Management
Department. Once the request is reviewed
and approved, treatment can commence.
WHO TO CALL FOR HELP
TakeCare pays its Participating Providers
using various payment methods, including
per diem and fee-for-service arrangements. Per
diem means paying a fixed dollar amount
per day for all services rendered. Fee-forservice means paying the provider’s usual,
customary and regular fee at a discount
for having a written agreement for
TakeCare members.
If you have any questions, please feel free
to call the TakeCare Customer Service
Department, Monday - Friday, 8am - 5pm
at: Guam (671) 647-3526, CNMI (670)
235-7687 or Palau (680) 488-4715.
What is a Primary Care Provider
and a Specialty Care Provider and
how many of each do you have in
your network of providers?
A Primary Care Provider is responsible
for providing or authorizing your medical
care services. A Primary Care Provider
may be physicians of Internal Medicine,
Pediatrics, Family Practice or General
Practice. A Specialty Care Provider is a
duly licensed physician, osteopath,
psychologist or other practitioner that
your Primary Care Provider may refer
you to. TakeCare has the largest on-island
contracted provider network with
over 100 Primary Care and Specialty
Care Providers.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
1
TIC-PD092510
FHP Health Center
FHP Health Center (Guam)
#548 South Marine Corps Drive,
Tamuning, Guam 96913
(671) 646-5825
MEDICAL
DENTAL
HEALTH CENTER SERVICES
Urgent Care
Fly, Eric, PA-C
Frickel, Wendy, M.D.
Stanley, W. Ed, PA-C
General Dentistry
Bero, David P., D.D.S.
Johnson, Elwood, D.D.S.
Kowal, Robert, D.D.S.
Sullivan, John, D.D.S.
· Health Education
· Home Health
· Hospice
· Laboratory
· Mammography
· Oncology
· Optical
· Pharmacy
· Radiology
· Surgi-Center
Family Practice
Kaufman, Karyn, PA-C
Lombard, Chiyo, F.N.P.
Mariano, Maria Chela A., M.D.
Meadows, Allison D., M.D.
Rozycki, Thomas, M.D.
Stratton, Walter, PA-C
Endodontic Dentistry
Baugh, Dean, D.D.S.
FHP VISION CENTER
McDonald, Jay, O.D.
San Nicolas, Marlene, O.D.
Internal Medicine
Dulay, Marylou, M.D.
Martineau, Charles, M.D.
Obstetrics/Gynecology
Cole, Farrell, M.D.
Leliukas, Alice, C.N.M.
Oncology
Wax, Arnold, M.D.
Pediatrics
Alano, Maria Andrea, M.D.
Leon Guerrero, Robert, M.D.
Sarmiento, Dennis, M.D.
Stadler, James, M.D.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
2
TIC-PD092510
PRIMARY CARE Providers
FAMILY PRACTICE
Adolphson, Arania, M.D.
American Medical Center
Upper Tumon, 647-8262
Akimoto, Vincent, M.D.
American Medical Center
Upper Tumon, 647-8262
Arguelles, Luis, M.D.
ITC Medical Center
Tamuning, 646-6354
Dennis, Darren K., PA-C
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Dombrowski, Chris, M.D.
PMC Isla Health System
Tamuning, 647-6201
Ericson, Debra G., M.D.
The Doctors’ Clinic
Tamuning, 649-5018/23
Flores, Lisa D., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Frickel, Wendy D., M.D.
FHP Health Center
Tamuning, 646-5825
Mariano, Maria Chela A. , M.D.
FHP Health Center
Tamuning, 646-5824
Ward, Jennifer Deanne, M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Meadows, Allison D., M.D.
FHP Health Center
Tamuning, 646-5824
Woodruff, Walter, PA-C
Express Care
Hagatna, 477-2873
Meadows, Lee H., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
INTERNAL MEDICINE
Mercado, Gemma M., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Nguyen, Hoa Van, M.D.
American Medical Center
Upper Tumon, 647-8262
Nozaki, James K., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Parker, Erica M., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Perez, Walter Chris, M.D.
The Doctors’ Clinic
Tamuning, 649-5018/23
Robinson, Michael J., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Galgo, Geoffrey, M.D.
Guam Medical Care Clinic
Upper Tumon, 647-4174
Rozycki, Thomas, M.D.
FHP Health Center
Tamuning, 646-5825
Gerling, William L., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Santos, Patrick C., M.D.
Tumon Medical Office
Upper Tumon, 649-5052
Hawkins, Elizabeth, M.D.
PMC Isla Health System
Tamuning, 647-6201
Schroeder, Fred, M.D.
Pacific Medical Group
Tamuning, 649-7232
Kaufman, Karyn, PA-C
FHP Health Center
Tamuning, 646-5825
Sheldon, Kim, PA-C
Express Care
Hagåtña, 477-2873
Lom, Jitka, M.D.
Express Care
Hagatna, 477-2873
Silan, Rodolfo D., M.D.
Guam Medical and Foot Clinic
Tamuning, 646-7678
Lombard, Chiyo, F.N.P.
FHP Health Center
Tamuning, 646-5825
Lombard, Gabriel P.N., M.D.
The Doctors’ Clinic
Tamuning, 649-5018/23
Lujan, Davina, M.D.
PMC Isla Health Systems
Tamuning, 647-6201
Alvez, Laura, M.D.
Pacific Medical Group
Tamuning, 647-1830
Bez, Ellen P., M.D.
Marianas Physicians Group
Tamuning, 647-1830
Chang, Young, M.D.
Photo Town Plaza
Tamuning, 646-2984
Chaya, Craig J., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Chenet, Alix, M.D.
Guam Adult Pediatric Clinic
Dededo, 633-4272
Ching, Russell E., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Choe, David P., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Duenas, Vincent A., M.D.
The Doctors’ Clinic
Tamuning, 649-5018/23
Dulay, Marylou, M.D.
FHP Health Center
Tamuning, 646-5825
Geslani, Bevan, M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Stratton, Walter, PA-C
FHP Health Center
Tamuning, 646-5825
Terlaje, Ricardo, M.D.
Tumon Medical Office
Upper Tumon, 649-5052
Waldman, Michael, M.D.
PMC Isla Health System
Tamuning, 647-6201
Guzman, Pablo, M.D.
St. Anthony’s Clinic
Tamuning, 646-5266/9696/5277
Kallingal, Matilda, M.D.
Kallingal’s Medical Clinic
Barrigada, 632-9078
Kalligal, Sebastian, M.D.
PMC Isla Health Systems
Tamuning, 647-6201
Lim, Doris, M.D.
ITC Medical Clinic, Ste. 126
6126 GITC Bldg. 590 S. Marine Dr.
Tamuning, 646-8844/45
continued on next page
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
3
TIC-PD092510
PRIMARY CARE Providers, cont.
INTERNAL MEDICINE cont.
PEDIATRICS
Lim, Johnny Jr., M.D.
American Medical Center
Upper Tumon, 647-8262
Alano, Maria Andrea R., M.D.
FHP Health Center
Tamuning, 646-5825
Hidalgo, Edgardo, M.D.
Pediatric & Asthma Clinic
Tamuning, 647-4121/4102/9893
Alvey, Rachel, M.D.
PMC Isla Health Systems
Tamuning, 647-6201
Leon Guerrero, Robert, M.D.
FHP Health Center
Tamuning 646-5825
Blancaflor, Maria, M.D.
MPG Pediatrics
Tamuning, 648-5437
Linsangan, Gladys, M.D.
Dededo Polymedic Clinic
Dededo, 637-9661
Primary Pediatric Care
Tamuning, 646-2185
Lizama, Florencio T., M.D.
PMC Isla Health System
Tamuning, 647-6201
Madantschi, Mohammad H., M.D.
Hafa Adai Specialist Group
Tamuning, 647-4542
Magcalas, Edgar, M.D.
Health Partners, LLC
Tamuning, 646-5227/8
Martineau, Charles, M.D.
FHP Health Center
Tamuning, 646-5824
Nerves, Robert, M.D.
Pacific Medical Group
Tamuning 649-7232
Ouhadi, Faraz, M.D.
Pacific Medical Group
Tamuning 649-7232
Pangilinan, Ronald R., M.D.
FHP Health Center
Tamuning, 646-5824
Preston, Donald C., M.D.
Guam Adult Pediatric Clinic
Tamuning, 633-4272
Carrera, Yolanda, M.D.
Harmon Pediatrics
Harmon, 649-1058/9
Santos, Edna, M.D.
Tumon Medical Office
Upper Tumon, 649-7337
Chen, Wen Yen, M.D.
Central Medical Clinic
Dededo, 637-8112
Domalanta, Dina D., M.D.
Pediatric and Adolescent Clinic
Tamuning, 647-7337/7336
Garcia, Antonio, M.D.
Pediatric & Asthma Clinic
Tamuning, 647-4121/4102/9893
Garrido, John, M.D.
Isla Pediatrics
Tamuning, 647-4466/8495
Sarmiento, Dennis, M.D.
FHP Health Center
Tamuning, 646-5825
Stadler, James, M.D.
FHP Health Center
Tamuning, 646-5825
Thio, Kevin A., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Rubio, Joel M., M.D.
Health Partners. LLC
Tamuning, 646-5227/8
Safabakhsh, Saied, M.D.
Pacific Medical Group
Tamuning, 649-7232
Samonte, Romeo, M.D.
Pacific Health Care
Harmon, 647-4533
Supit, Edwin J., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Taitano, John R., M.D.
The Doctors’ Clinic
Tamuning, 649-5018/23
Troxel, Tiffanny, PA-C
Pacific Medical Group
Tamuning, 649-7232
Wilgus, Janna B., M.D.
PMC Isla Health Systems
Tamuning, 647-6201
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
4
TIC-PD092510
Primary Care Providers by CLINIC
FHP HEALTH CENTER
548 South Marine Corps Drive
Tamuning, 646-5825
Urgent Care
Fly, Eric, PA-C
Frickel, Wendy D., M.D.
Stanley, W. Ed, PA-C
Family Practice
Arana, Maria Chela, M.D.
Kaufman, Karyn, PA-C
Lombard, Chiyo, F.N.P.
Meadows, Allison D., M.D.
Rozycki, Thomas, M.D.
Stratton, Walter, PA-C
Internal Medicine
Dulay, Marylou, M.D.
Martineau, Charles, M.D.
Obstetrics/Gynecology
Cole, Farrell, M.D.
Leliukas, Alice, C.N.M.
Pediatrics
Alano, Maria Andrea, M.D.
Leon Guerrero, Robert, M.D.
Sarmiento, Dennis, M.D.
Stadler, James, M.D.
AMERICAN MEDICAL CENTER
1244 N. Marine Drive, Suite 101
Upper Tumon, 647-8262
Family Practice
Adolphson, Arania, M.D.
Akimoto, Vincent, M.D.
Nguyen, Hoa Van, M.D.
Internal Medicine
Lim, Johnny Jr., M.D.
CENTRAL MEDICAL CLINIC
330 W. Marine Drive
Dededo, 637-8112
Pediatrics
Chen, Wen Yen, M.D.
DEDEDO POLYMEDIC CLINIC
172 East Buena Vista Avenue
Dededo, 637-9661
Pediatrics
Linsangan, Gladys, M.D.
THE DOCTORS’ CLINIC
851 Carlos Camacho Road
Tamuning, 649-5018/23
Family Practice
Ericson, Debra G., M.D.
Lombard, Gabriel, P.N., M.D.
Perez, Walter Chris, M.D., F.A.A.F.P
THE DOCTORS’ CLINIC cont.
Internal Medicine
Duenas, Vincent A., M.D.
Taitano, John R., M.D.
DR. CARRERA’S CLINIC
Guam Business Center, Ste. 109
Harmon, 649-1058/9
ISLA PEDIATRICS
Oka Bldg., Ste. 106
Tamuning, 647-4466/8495
PMC ISLA HEALTH SYSTEM
177-A Chalan Pasaheru, Suite F
Tamuning, 647-6201
Pediatrics
Garrido, John, M.D.
Family Practice
Dombrowski, Chris, M.D.
Hawkins, Elizabeth, M.D.
Lujan, Davina, M.D.
Waldman, Michael, M.D.
ITC MEDICAL CENTER
GITC Building, Ste. 126
Tamuning, 646-8844
Pediatrics
Carrera, Yolanda, M.D.
DR. CHANG’S CLINIC
353 Chalan San Antonio #100
Photo Town Plaza
Tamuning, 646-2984
Internal Medicine
Chang, Young, M.D.
EXPRESS CARE
Agana Shopping Center
302 S.Rte 4 Ste. 207
Hagatna, 477-2873
Family Practice
Arguelles, Luis, M.D.
Internal Medicine
Kallingal, Sebastian, M.D.
Lizama, Florencio T., M.D.
Wilgus, Janna B., M.D.
Internal Medicine
Lim, Doris, M.D.
Pediatrics
Alvey, Rachel, M.D.
KALLINGAL’S MEDICAL CLINIC
Route 16
Barrigada, 632-9078/7500
PRIMARY PEDIATRIC CARE
816 North Marine Drive, Suite 108
Tamuning, 646-2185
Internal Medicine
Kallingal, Matilda, M.D.
MPG PEDIATRICS
396 Chalan San Antonio, Ste. 103
Tamuning, 648-5437
Family Practice
Lom, Jitka, M.D.
Sheldon, Kim, PA-C
Woodruff, Walter, PA-C
Pediatrics
Blancaflor, Maria B., M.D.
GUAM ADULT/PEDIATRIC CLINIC
612 North Marine Drive
Dededo, 633-4272
PACIFIC HEALTH CARE
Guam Business Center, Ste. 108
Harmon, 647-4533
Internal Medicine
Chenet, Alix, M.D.
Preston, Donald, M.D.
Internal Medicine
Samonte, Romeo, M.D.
GUAM MEDICAL CARE CLINIC
744 North Marine Drive
Upper Tumon, 647-4174
PACIFIC MEDICAL GROUP
633 Gov. Carlos Camacho Rd.
Ste. 205,Tamuning, 649-7232
Family Practice
Galgo,Geoffrey, M.D.
Family Practice
Schroeder, Fred, M.D.
GUAM MEDICAL & FOOT CLINIC
SONY Bldg., Ste. 104
Tamuning, 647-2925
Family Practice
Silan, Rodolfo D., M.D.
Internal Medicine
Alvez, Laura, M.D.
Nerves, Robert, M.D.
Ouhadi, Faraz, M.D.
Safabakhsh, Saied, M.D.
Troxel, Tiffany, PA-C
HAFA ADAI SPECIALIST GROUP
Sunflower Villa
Tamuning, 647-4542
PEDIATRIC & ADOLESCENT CLINIC
472 Chalan San Antonio
Tamuning, 647-7337/7336
Pediatrics
Domalanta, Dina, M.D.
General Surgery
Lim, Reynald, M.D.
Rahmani, Kia, M.D.
PEDIATRIC & ASTHMA CLINIC
428 Chalan San Antonio
Tamuning, 647-4121/9893
HEALTH PARTNERS, LLC
Ste 226, ITC Bldg, 590 S. Marine
Corps Dr.Tamuning, 646-5227/8
Pediatrics
Garcia, Antonio, M.D.
Hidalgo, Edgardo, M.D.
Internal Medicine
Magcalas, Edgar, M.D.
Rubio, Joel M., M.D., FACE.
Pediatrics
Linsangan, Gladys, M.D.
SEVENTH-DAY ADVENTIST CLINIC
388 Ypao Road
Tamuning, 646-8881
Family Practice
Dennis, Darren K., PA-C
Flores, Lisa D., M.D.
Gerling, William L., M.D.
Meadows, Lee H., M.D.
Mercado, Gemma M., M.D.
Nozaki, James K., M.D.
Parker, Erika, M., M.D.
Robinson, Michael, M.D.
Ward, Jennifer Deanne, M.D.
Internal Medicine
Chaya, Craig J., M.D.
Ching, Russell E., M.D.
Choe, David P., M.D.
Geslani, Bevan, M.D.
Supit, Edwin J., M.D.
Pediatrics
Thio, Kevin A., M.D.
ST. ANTHONY’S CLINIC
Tamuning, 646-9696/5277
Internal Medicine
Guzman, Pablo, M.D.
TUMON MEDICAL OFFICE
Upper Tumon, 649-5052/649-7337
Family Practice
Santos, Patrick C., M.D.
Terlaje, Ricardo, M.D.
Pediatrics
Santos, Edna, M.D.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
5
TIC-PD092510
SPECIALISTS
BEHAVIORAL HEALTH
Babauta, Tom, Q.C.S.W., M.S.W., IMFT
Sunflower Villa Ste. 205
Tumon, 777-7732
Bellis, Kirk, D.O.
Sunflower Villa Ste. 205
Tumon, 646-4757/67
Blas, Florence Sgro, M.S.
Health Services of the Pacific
384 Governor Carlos Camacho Road
Tamuning, 647-5357
Camacho, Rosemarie, M.A., IMFT
590 S. Marine Corps Dr., Ste. 219 GITC
Tamuning, 649-2081/2083
Fegurgur, Mary, L.C.S.W.-IMFT
Center Point Bldg., Ste. 104
Tamuning, 649-5910
Ismael, Ariel, M.D.
Marianas Clinic
267 S. Marine Corp Drive
2nd Floor UIU Bldg.2D
Tamuning, 646-7972
Kallingal, George K., Ph.D.
Kallingal’s Medical Clinic
Barrigada, 632-9078
Kane, Stephen, Ph.D.
PMB 130 1270 N Marine Corps Drive
Suite 101, Tamuning, 789-0803
Lizama, Tricia Atoigue, MSW, ACSW
GCIC Building, Suite 501B
Hagatña, 488-5073
Natividad, Lisalinda, Ph.D., L.C.S.W.
222 Chalan Sto. Papa Ste. 205
Hagatña, 777-7285
Perez, Lilli Ann, Ph.D., LCSW, RPT-S
Family Pacific
P.O. Box 795
Hagatña, 477-5715
Perez, Victor, M.D.
Suite 403-C PDN Building
Hagatna, 477-4619
Rapadas, Juan, Ph.D.
GCIC Building, Suite 500x
Hagatna, 988-4274/898-6744
Sukola, Kelly, IMFT
Marianas Clinic
267 S. Marine Corp Drive
2nd Floor UIU Bldg.2D
Tamuning, 646-7972
Taimanglo, Patricia, Ph.D.
590 S. Marine Dr. Suite 219 GITC
Tamuning, 649-2080/2081
Tolentino, Doris, MSW, MPH, IMFT
GCIC Building, Suite 501B
Hagatña, 898-1853
Unpingco, Annie, L.C.S.W.-IMFT
Thera-Health Clinic
Sinajana, 475-8549
Bordallo, Annie U., M.D.
Marianas Physician Group
Tamuning, 647-1830
ANESTHESIOLOGY
Cole, Farrell, M.D.
FHP Health Center
Tamuning, 646-5825
DeGuzman, Fernan, M.D.
Lim, Reynald, M.D.
Hafa Adai Specialist Group
Tamuning, 647-4542
Lopez, Gilbert, M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Starr, Loren, CRNA
Seventh-Day Adventist Clinic
Tamuning, 646-8881
CARDIOLOGY
Kim, Byungsoo, M.D., F.A.C.C.
PeMar Place, Ste. 103
Tamuning, 646-3880
ENDOCRINOLOGY
Ericson, Debra, M.D.
The Doctor’s Clinic
Tamuning, 649-5018/23
Gabel, Jeffery P., D.O.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Graybill, Cassandra N.K., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Hawkins, Elizabeth, M.D.
PMC Isla Health Systems
Tamuning, 649-7588
Leliukas, Alice, CNM
FHP Health Center
Tamuning, 646-5824
Rubio, Joel M., M.D., FACE
Health Partners, LLC
Tamuning, 646-5227/8
GYNECOLOGY
Nightingale, Janet, CNM
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Griley, Edmund, M.D.
Pregnancy Control Clinic
Tamuning, 646-6111
Saguan, Docile, M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
NEPHROLOGY
Shieh, Thomas, M.D.
643 Chalan San Antonio Ste. 108
Tamuning, 648-2229
Alvez, Laura, M.D.
Pacific Medical Group
Tamuning, 649-7232
Velsmid, Stephanie, CNM
Marianas Physicians Group
PeMar Place
Tamuning, 647-1830
Nerves, Robert, M.D.
Pacific Medical Group
Tamuning, 649-7232
Philips, Sherif, M.D.
American Dialysis Center
Upper Tumon, 646-3773
Walker, Diane, CNM
Marianas Physicians Group
PeMar Place
Tamuning, 647-1830
Safabakhsh, Saied, M.D.
Pacific Medical Group
Guam Medical Plaza
Tamuning, 649-7232
Zvonik, Karen, M.D.
Marianas Physicians Group
PeMar Place
Tamuning, 647-1830
NEUROLOGY
ONCOLOGY (Medical)
Wax, Arnold, M.D.
FHP Health Center
Tamuning, 646-5824
Barthlen, Gabriele M., M.D.
Guam Sleep Center
Tamuning, 647-6669
ONCOLOGY (Radiation)
Pagliuca,, Theresa, M.D.
Island Cancer Center
Tamuning, 646-3363
Carlos, Ramel, M.D.
Neurology Clinic
Tamuning, 646-6463
Chen, Kwang-Ming, M.D.
Guam Medical Plaza
Tamuning, 646-4263/6491
OB/GYN
Bae, Soyoung, M.D.
643 Chalan San Antonio, Ste. 108
Tamuning, 648-2229
OPHTHALMOLOGY
Burton, Gregory P., M.D.
Jack, Robert S., M.D.
Smith, Anthony J., M.D.
Will, Daniel V., M.D.
Island Eye Center
Tamuning, 647-5381-4
(cont. on next page)
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
6
TIC-PD092510
SPECIALISTS, cont.
OPHTHALMOLOGY (cont.)
Chaya, Craig J., M.D.
Giebel, Arthur, M.D.
Wresch, Robert, M.D.
Seventh Day Adventist Clinic
Tamuning, 646-8881
DeBenedictis, Marjorie, M.D.
St. Lucy’s Eye Clinic
Guam Medical Plaza, Ste. 103
Tamuning, 647-5829
Silan, Noel, D.P.M.
The Guam Foot Clinic
Ste 126, GITC Bldg.
Tamuning, 647-2925
RADIOLOGY
Berg, Nathaniel, M.D.
Spak, Eric, M.D.
Guam Radiology Consultants
Tamuning, 649-1001
Richardson, Darius, D.M.D., M.D.
318 Father Duenas Dr.
Tamuning, 647-0060/61
Lizama, Vincent, M.D.
Mudd, Michael, M.D.
Schneider, Michael, M.D.
Pacific Radiology
Tamuning, 649-2346
ORTHOPEDIC SURGEON
SURGERY (General)
ORAL AND MAXILLOFACIAL SURGERY
Anderson, Terrence D., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Bollinger, Jan, M.D.
Guam Orthopedic Associates
Guam Medical Plaza, Ste. 212
Tamuning, 646-6356/6610/6491
Cunningham, Glenn, M.D.
Little Palm Orthopaedics
Guam Medical Plaza, Suite 212
Tamuning, 646-6356 / 6610 / 6491
OTOLARYNGOLOGY (ENT)
Fell, William, M.D.,
Guam Surgicenter
Tamuning, 646-3855 x.157
Stewart, Thomas Allan, M.D.,
Seventh-Day Adventist Clinic
Tamuning, 646-8881
PHYSICAL THERAPY
Duenas, Julienne, P.T.
S.O.A.R. Physical Therapy
Oka Building, Suite 201
Tamuning, 647-0110/1
Kyle, Robert S., P.T.
Lossev, Grace, M.P.T.
Roa, Jessie P.T.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
PODIATRY
Damian, Teresa A., D.P.M.
Sangalang, Maria Melinda , D.P.M.
Marianas Footcare Clinic
122 Tun Jose Way
Tamuning, 649-3338
Hazen, Larry W., D.P.M.
The Doctors’ Clinic
Tamuning, 649-5018/23
Cruz, Michael, M.D., F.A.C.S.
Eusebio, Ricardo, M.D., F.A.C.S.
Island Surgical Center
Guam Medical Plaza
Tamuning, 646-0443/4
Anderson, Terrence D., M.D.
Bates, Brian E., M.D.
Bray, Jerome L., M.D.
Magliato, Kathy E., M.D.
Mariano, Myron, M.D.
McCanse, Webb R., M.D.
Seventh-Day Adventist Clinic
Tamuning, 646-8881
Kobayashi, Ronald, M.D.
Guam Surgical Group
ITC Building, Ste. 211
Tamuning, 649-7588
Rahmani, Kia, M.D.
Hafa Adai Specialist Group
Sunflower Villa, 280 Pale San Vitores
Tamuning, 647-4542/53
SURGERY (Physician Assistant)
Sevilla, Audrey Camille, PA-C
214 Condo Lane, Apt. 417
Tamuning, 988-7187
SURGERY (Reconstruction and Plastic)
Fegurgur, John, M.D.
Hafa Adai Specialist Group
Sunflower Villa, 280 Pale San Vitores
Tamuning, 647-4542
UROLOGY
Richter, Jaroslav, M.D.
Oka Building, Suite 202
Tamuning, 649-9693
Sheff, Conrad D., M.D.
OP Plaza 285 Farenholt Ave., Ste. C1-301
Tamuning, 649-9693
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
7
TIC-PD092510
MEDICAL Services
ACUPUNCTURE
Please refer to your Schedule of Benefits
brochure for specific information regarding your Acupuncture coverage
Yu, Jong Chin, Lic.Ac.
Yu’s China Acupuncture Clinic
DIALYSIS CENTERS con’t
OPTOMETRISTS
PHARMACIES con’t.
Guam Dialysis Center
McDonald, Jay, O.D.
San Nicolas, Marlene, O.D.
Oka Pharmacy Inc.
265 Chalan Santo Papa
Hagatna, 475-3600
Isla Home Infusion Center
BIRTHING CENTERS
202 Farenholt Ave.
Suite 101-102
Tamuning,646-1266
Pemar Place
#472 Chalan San Antonio
Tamuning, 647-1417/1418
HEALTH IMPROVEMENT
CHIROPRACTIC
Please refer to your Schedule of Benefits
brochure for specific information regarding
your Chiropractic coverage
Tamuning, 646-5824/5
By Appointment Only
Arthur, Steve, D.C.
Cogan, William, D.C.
Ross Hearing Aids
Active Life Chiropractic
306 N. Marine Corps Drive,
Tamuning, 477-3472
White, Roderick, D.C.
Advanced Chiropractic Clinic
267 S. Marine Corps Dr., Ste. 2G
Tamuning, 649-0545
Dimalanta, Albert J., D.C.
Lohas Chiropractic Clinic
782 South Marine Corp Drive, Ste. 101
Tamuning, 649-4871
Gregory, Barbara, D.C.
Gregory, Robert, D.C.
Pacific Life Chiropractic
761 S. Marine Dr., Suite A-5B
Tamuning, 649-9355/2225
Klosinski, Thomas R., D.C.
UIU Building, Room 2G
Tamuning, 649-0545
Larkin, Scott R., D.C.
Larkin, Lani M., D.C.
#330 West Marine Dr., Suite #4,
Dededo 632-4262/633-2225
Martinez, Roger, D.C.
A.D.I.O Chiropractic Clinic
197 Hernan Cortez Ave. Ste. A-1
Hagatna, 475-2346
Miller, Gregory, D.C.
Marianas Chiropractic
2078 Route 16 Ste. C
Dededo, 637-7926/6683
DIALYSIS CENTERS
Philips, Sherif, M.D.
American Dialysis Center
1406 N. Marine Corps Drive
Upper Tumon, 647-2029
Annex II Building
Tamuning, 646-5825
DME
263 Sanchez St. Harmon, 646-7565
Sagua Managu
FHP Health Center
Christian, James G., O.D.
Storey,Jeannette, O.D.
Seventh Day Adventist Clinic
Tamuning, 646-8881
Yturralde, Conchita M., O.D.
FHP Health Center
Health Education Department
Vision Express
Micronesia Mall, Suite C-140
Dededo, 633-3937
PHARMACIES
HEARING SERVICES
FHP Pharmacy
Tamuning, 646-5825
Refill line: 646-5950
655 Harmon Loop Road,
Suite 108-A
Dededo, 637-4327
HOME HEALTH
FHP Health Center
Home Health
G.I.T.C. Building Suite 124
590 S. Marine Drive
Tamuning, 646-5770
Satellite Locations:
Inarajan, 828-7547
Super Drugs Dededo
214 W. Marine Drive
Dededo, 637-9793
Super Drugs Agana
118 ASC Rt. 4
Agana, 477-3627
Guam Rexall Drugs
Super Drugs Oka
646 South Marine Dr.
Tamuning, 646-4827
291 Farenholt Ave.
Tamuning, 646-6183
Harmon Drugs
SURGERY CENTERS
ITC Pharmacy II
Good Samaritan Clinic
Tamuning, 649-1977
PMC Isla Health System
177-C Chalan Pasaheru
(Airport Road)
Tamuning, 647-6201
875 N. Rt. 2
Agat, 565-3043
Guam Medical Center
Upper Tumon, 647-5572
1st Floor, GITC Bldg.
Tamuning, 646-6395
PeMar Place
472 Chalan San Antonio
Tamuning, 649-5079
Sagan Amot Pharmacy
Guam Medical Pharmacy
ITC Pharmacy I
FHP Health Center
#548 South Marine Corps. Drive
Tamuning, 646-5825
172 Buena Vista Ave.
Dededo, 637-9683
Southern Region Community
Health Center
Route 16, Harmon
637-1473
Dededo Polymedic Center
172 East Buena Vista Avenue
Dededo, 632-0043
Polymedic Pharmacy
Community Pharmacy II
520 W Santa Monica Dr.
Dededo, 635-7418
Main Location:
The Doctors’ Clinic
Tamuning, 649-5018/23;
649-9400 (direct line)
388 Ypao Road
Tamuning, 649-3856
Health Services of the Pacific
Diagnostic Laboratory Services, Inc. (DLS)
Perezville Pharmacy
Seventh Day Adventist
DPH Northern Region Com.
LABORATORY SERVICES
Guam Business Center Ste.108
Harmon, 649-6831
177-C Chalan Pasaheru
Tamuning, 646-6160
HOSPICE
384 Governor Carlos Camacho Road
Tamuning, 647-5357
Pacific HealthCare Pharmacy
Community Pharmacy I
N. Marine Drive
Upper Tumon, 646-6515
Tamuning, 646-5825
241 Farenholt Ave.,
Tamuning, 647-1193
FHP Surgicenter
#548 South Marine Corps. Drive
Tamuning, 646-5825
Guam Surgi Center, LLC
Guam Medical Plaza Bldg., 633 Gov.
Carlos Camacho Rd.
Tamuning, 646-3855
Kmart Pharmacy
IN AREA HOSPITAL
404 N. Marine Drive
Tamuning, 649-7843/44
Guam Memorial Hospital
Mega Drug I
850 Gov. Carlos G. Camacho Road
Oka, Tamuning, 647-2555 thru 9
Suite 101, Oka Plaza Bldg.
Tamuning, 646-5355
The Doctors’ Clinic
#851 Carlos Camacho Road
Tamuning, 649-5022 ext. 136
Mega Drug II
Suite A-6, Daily Plaza Bldg.
Dededo, 632-3385
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
8
TIC-PD092510
DENTAL Services
GENERAL DENTISTRY
FHP Health Center
Annex Building
Tamuning, 646-5825
Bero, David P., D.D.S.
Johnson, Elwood, D.D.S.
Kowal, Robert, D.D.S.
Sullivan, John, D.D.S.
Hightower Dental Clinic
Tamuning, 646-7281/84
Hightower, William, C., D.D.S.
Hightower, William, C.II, D.D.S.
ENDODONTICS
FHP Health Center
Baugh, Dean P., D.D.S.
Annex Building
Tamuning, 646-5825
Isa Dental
Centam Bldg. 1st Floor
Tamuning, 646-7982/5437
Hightower Dental Clinic
Hightower, William C., D.D.S.
Center Point, Suite #301-304
Tamuning, 646-7281/84
Johnson, Jeffrey, D.D.S.
Family Dental Center
Guam Polyclinic
Tamuning, 646-6510/646-6822
Malabanan, Ben, Jr., D.D.S.
2211 Army Dr., Suite 202
Tamuning, 649-4446
ORAL AND MAXILLOFACIAL
SURGERY
Malilay, Janice, D.D.S.
Silos, Nerissa, D.M.D.
Ordot Dental Clinic
159 Judge Sabian St.
Ordot, 477-8215, 472-8720
Richardson, Darius, D.M.D., M.D.
Father Duenas Dr.
Tamuning, 647-0060/61
Eusebio, Andrew, D.D.S.
Rapadas, Antonio, D.D.S.
PEDIATRIC DENTISTRY
Fernandez Dental Office
148 Loreta St. Ste. B
Dededo, 633-1995
Fernandez, Michael, D.D.S.
GCIC Dental
GCIC Building, Suite 300
Hagåtña, 472-2489/477-6779
Valles, Gerson S., D.D.S.
Gentle Care Dental
Hengi Plaza, Suite 102
Tamuning, 646-8858/78
Sule, Hugh L., D.D.S.
Guam Dental Arts
140 Punzalan Street
Tamuning, 646-8462/6689
Brady,Timothy P., D.D.S.
Hartup, Jason, D.M.D.
Hafa Adai Family Dental
ITC Bldg, Suite 104
Tamuning, 649-7851-2
Cheng, Victoria, D.M.D.
Marutani, David, D.M.D.
Takenaka, Yasunori, D.D.S.
Harmon Loop Dental Office
505 Harmon Loop Rd., Ste. 300
Dededo, 637-9696/9700
Alegria, Conrado V., D.D.S.
Alegria, Corazon V., D.D.S.
Rapadas, Cristina, D.D.S.
Sison,Suzanne, D.D.S.
The Pediatric Dentistry
Ko, Hee Soo, D.M.D.
655 Harmon Loop Rd.
Suite 108, Dededo, 637-8334
Paradise Smiles
226 Chalan San Antonio, Ste. B
Tamuning, 646-2010
The Pediatric Dental Center
222 Chalan Sto.Papa, Ste 301
Hagatna, 477-6235
Bourgeois, Kenny, D.D.S.
Reynolds, Bruce, D.D.S.
Reflection Center Suite 304
222 East Chalan Sto. Papa
Hagatna, 472-6824/25
Romero, Francisco J, D.D.S., MSD
SanNicolas,Francisco,“Koko”,D.D.S.,MSD
Seventh-Day Adventist Clinic
388 Ypao Road
Tamuning, 646-8881, ext. 400
Isa Dental
Terlaje, Rayner, D.D.S
Centam Bldg. 1st Floor
Tamuning, 646-7982/5437
Matson, Debra, D.D.S.
Ordelheide, Chad, D.D.S.
Parker, Scott M., D.D.S.
Visscher, Jonathan R., D.D.S.
Ward, Wayne, D.D.S.
Harmon Loop Dental Office
Toerge, Sandra, D.M.D.
Dededo, 637-9696/9700
Veloria, Tom S., D.M.D.
Baltej Pavilion, Suite 303-304
Tamuning, 646-5146/649-9593
Yang, Robert J., D.M.D., P.C.
744 N. Marine Dr., Ste. 107
Tamuning, 647-8702/3
Yasuhiro, Stanley Y., D.D.S.
667 N. Marine Drive, Ste. 204
Tamuning, 646-2823/3679
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
9
TIC-PD092510
OFF-ISLAND Services
SAIPAN
SAIPAN PRIMARY
CARE PROVIDERS &
SUPPORT SERVICES
FAMILY / GENERAL
PRACTICE
FHP Health Center
Oleai Business Center, 1st Floor
P.O. Box 500118
San Jose, Saipan, Mp 96950
(670) 235-0994, 235-0996
Lamar, Daniel, M.D.
Sablan, Roca Q., CNM-NP
Schraudenbach, Cooper C. M.D.
Stephens, Lone, PA-C
Marianas Medical Center
San Antonio Rd. Saipan
(670) 234-3926/3925/3927
Stearns, Anthony, M.D.
Weiss, William, PA-C
Willis, Tiffany, M.D.
Medical Associates of the
Pacific, LLC
Suite 101 MH II Bldg. Marina
Heights Business Park,
Saipan, MP 96950
(670) 323-9000
Ada, Norma S., M.D.
Camacho, Bertha, NP
Cornett, Edward L., D.C.
Fergurgur, John, M.D.
Hofschneider, James, M.D.
Lowe, Chad C., D.D.
Modern Solutions, LLC
Larry Hocog, M. D.
Saipan, (670) 234-5302/3
Pacific Medical Center
(670) 233-1613/8100/8101
Al-Alou, Ahmad, M.D.
Al-Alou, Gabriel, M.D.
DeGuzman, Gabriel, M.D.
ACUPUNCTURE
Jung Sang Park, A.C.
Brothers Clinic
Saipan, (670) 234-7674
BEHAVIORAL HEALTH
Brenn, Adrian, Ph.D., M.A.
Erhard, Anne, Ph.D.
Pacific Clinic & Consulting
Saipan , (670) 322-1925
Graf, Linda, N.C.C., LCP-P
Saipan, (670) 322-4723
CHIROPRACTIC
Fishman-Tudor, Susan, D.C.
Paradise Island Chiropractic Inc.
Saipan, (670) 233-2225 or
(670) 287-2225
Mariano, Justin, D.C.
Mariano Chiropractic Clinic
Saipan, (670) 233-6325
HOME HEALTH/OUTPATIENT
PHYSICAL THERAPY
Marianas Health Services
Saipan Plaza Bldg., Ste 7
Saipan, (670) 233-4647
Saipan Adventist Clinic
Quarter Master Road,
Chalan Laulau, Saipan 96950
(670) 234-6323
Pierson, Crystal, D.D.S.
Pierson, Kenneth, D.D.S.
Stafford, Michael, D.D.S.
Toothworks Dental Clinic,
Kulot De Rosa St.
Chalan Kiya, Saipan 96950
(670) 234-3810
Markoff, Alan, D.D.S.
Marianas Visiting Nurses
Kim’s Bldg., Middle Road, Gualo Rai
Saipan, (670) 323-7720
NEUROLOGY
Pacific Sleep Center
Hutchinson, Kimberly, M.D.
Saipan, (670) 322-6302
PERIODONTICS
Saipan Adventist Clinic
Quarter Master Road,
Chalan Laulau, Saipan 96950
(670) 234-6323
OPHTHALMOLOGY
Hardt Eye Clinic
Lo, Samuel, O.D., M.D.
Beach Road,
Garapan, Saipan 96950
(670) 235-2030
OPTOMETRY
Belau National Hospital
P.O. Box 6027
Koror, Republic Of Palau 96940
(680) 488-2552/3
Pacific Family Medical Supplies
P.O. Box 1523
Koror, Republic Of Palau
(680) 488-6655
PHARMACY & MEDICAL
SUPPLIES
Pacific Family Medical Supplies
P.O. Box 1523
Koror, Republic Of Palau
(680) 488-6655
Gatewood, Robert, D.D.S., M.D.
Ko, Hee Soo, D.M.D.
Marianas Eye Institute
Khorram, David, M.D.
Beach Road, Garapan
Saipan, (670) 235-9090
TINIAN
TINIAN HEALTH CENTER
Medical and Dental Clinic
(670) 433-9233/9263/9333
Rankin, Ricardo J., D.D.S.
OPTOMETRY
Hardt Eye Clinic
Hardt, Donald, O.D.
Beach Road,
Garapan, Saipan 96950
(670) 235-2030
POHNPEI
Genesis Island Family
Clinic & Hospital
(691) 320-8660
Marianas Eye Institute
Khorram, David, M.D.
Robertson, Mark, O.D.
Beach Road, Garapan
Across 13 Fisherman Monument
Saipan, (670) 235-9090
Berysins Community Health Center
(691) 320-6115/7740
PALAU
ORTHOPAEDICS
PRIMARY CARE AND
GENERAL SURGERY
Arafiles, Ruben, M.D.
MH-II Bldg, Ste. 101 Marina
Hghts, Bus Park,Saipan MP 96950
(670)323-9000
Belau National Hospital
P.O. Box 6027
Koror, Republic Of Palau 96940
(680) 488-2552/3
PHARMACY
FHP Pharmacy
Roberts, Emais, M.D.
Family Surgical Clinic
P.O. Box 1652, Koror,
Republic Of Palau
(680) 488-6920/21/22
Oleai Center
San Jose, CNMI, (670) 235-0994
CNMI DENTAL NETWORK
GENERAL DENTISTRY
Yano, Victor M., M.D.
Belau Medical Clinic
P.O. Box 822
Koror, Republic Of Palau
(680) 488-2688/87
Dental Care
Middle Road, Garapan
Saipan 96950
(670) 233-1100
GENERAL DENTISTRY
Eckert, Brian, D.D.S.
Maxim, Masha, D.D.S.
Reedstrom, Dean M., D.D.S.
Belau National Hospital
P.O. Box 6027
Koror, Republic Of Palau 96940
(680) 488-2552/3
New Wave Dental Clinic
Middle Road,
Garapan, Saipan 96950
(670) 233-3300
Hall, Michael E., D.D.S.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
10
TIC-PD092510
OFF-ISLAND Network
TakeCare Participating Providers with Prior Authorization by Medical Management Department is Required
HAWAII*
Gentle Dental Aiea/Perlridge
98-211 Pali Momi St., Ste. 715
Aiea, Hawaii 96701
Tel:(808) 488-8119
Gentle Dental Honolulu
1136 Union Plaza Ste. 502
Honolulu, Hawaii 96813
Tel:(808) 536-3405
Gentle Dental Kona
75-1028 Henry St., Ste. 203
Kailua-Kona, Hawaii 96740
Tel:(808) 329-4425
Gentle Dental Makakilo/Kapolei
92-605 Makakilo Dr.
Kapolei, Hawaii 96707
Tel:(808) 672-0397
Gentle Dental Mililani
95-1249 Meheula Pkwy. Ste. 115
Mililani, Hawaii 96789
Tel:(808) 623-2888
Gentle Dental Waianae Coast
86-078 Farrington Hwy. Ste. 210
Waianae, Hawaii 96792
Tel:(808) 697-1310
Kapi‘olani Medical Center at PaliMomi
98-1079 Moanalua Road
Aiea, Hawaii 96701
Tel:(808) 486-6000
HAWAII* con’t.
Kapi‘olani Medical Center
for Women and Children
1319 Punahou Street
Honolulu, Hawaii 96826
Tel:(808) 983-6000
MAINLAND UNITED STATES* con’t.
Miller Children’s Hospital
2801 Atlantic Ave.
Long Beach, CA 90806
Tel:(562) 933-5437
Straub Clinic and Hospital
888 South King Street
Honolulu, Hawaii 96813
Tel:(808) 522-4000
MAINLAND UNITED STATES*
Anaheim Memorial Medical Center**
111 W.La Palma Ave.
Anaheim, CA 92801
Tel:(714) 774-1451
Cedars-Sinai Medical Center
8700 Beverly Blvd.
Los Angeles, CA 90048
Tel:(310) 423-3277
UCLA Medical Center
10920 Wilshire Blvd. Ste. 1800
Los Angeles, CA 90024
Tel:(310) 794-8759
Santa Monica-UCLA
Medical Center
Tel:(310) 319-4000
NEW ZEALAND
Ascot Hospital (MedTral)***
90 Greenlane Road East
Remuera, Auckland New Zealand
Tel: 1-866-206-3582
+64-9-6236588
Good Samaritan Hospital**
1225 Wilshire Blvd.
Los Angeles, CA 90017
Tel:(213) 977-2121
Mercy Hospital (MedTral)***
98 Mountain Road
Epsom, Auckland New Zealand
Tel: 1-866-206-3582
+64-9-6236588
Long Beach Memorial Medical Center
2801 Atlantic Ave.
Long Beach, CA 90804
Tel:(562) 933-2000
MedTral***
1-866-206-3582 (toll free USA/Canada)
or 1+64-9-632-6588
Please contact Medical Managementor Customer Service for other available providers.
* Asia Plan members do not have access to Hawaii or Mainland United States Network
** Preferrred Provider:
A preferred provider is a participating provider that has entered into a written agreement with TakeCare to provide off-island care or treatment at a preferential or deeper discounted rate which
allows TakeCare to provide greater coverage to you. The participating providers which are identified herein as preferred providers are subject to change from time-to-time depending on the terms
and rates for services of the written agreements. Please be sure to check with TakeCare’s Medical Management Department to confirm the identity of preferred providers.
***MedTral-International Patient Coordination and referral department for Mercy and Ascot Hospital Group
ASIA NETWORK
PHILIPPINES
Cebu Doctor’s University
Hospital, INC.
Osmena Blvd., Capitol
Cebu City
Tel: (632) 253-7511
St. Luke’s Medical Center**
279 E. Rodriguez Boulevard Sr.
Quezon City, Philippines 1102
Tel: (632) 726-5770
(632) 726-6937
32nd St. Bonifacio Global City
Taguig City, Philippines
(632)789-7700
The Medical City**
Ortigas Avenue, Pasig City
Tel: (632) 635-6789 or
(632) 631-8626
Please contact the TakeCare
Medical Referral Office at:
Room 718 North Tower
Cathedral Heights Building
Tel: (632) 726-5770
(632) 726-6937
St.Luke’s Trunkline:
(632)723-0101 Local 5718
JAPAN
SINGAPORE
Kameda Medical Center
929 Higashi-cho
Kamogawa City Chiba, Japan
Tel: 0470-92-2211
Raffles Hospital
585 North Bridge Road
Raffles Hospital, Singapore
Tel: (65) 6311-1666
KOREA
TAIWAN
Samsung Medical Center
50 Irwon-don, Kangnam-Ku,
Seoul, Korea
Tel: 82(2) 3410-0200/022
Taiwan Adventist Hospital
424 Pa Te Road, Section 2
Taipei, Taiwan
Tel: (86) 2-27718151
MALAYSIA
THAILAND
Sime Darby Healthcare
1, Jalan SS 12/1A, 47500
Subang Jaya, Selanger, Malaysia
Tel: 8
Bumrungrad Hospital
33 Sukhumvit SOI (Nana Nua)
Klongtoey, Nua Sub District,
Wattana District Bangkok,
Thailand
Tel: (662) 677-1000
*Asia Plan members do not have access to Hawaii or Mainland United States Network
**Preferred Pathway Provider
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are
provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory
11
TIC-PD092510
Visiting OFF-ISLAND Providers/Specialist
Name
Specialty
Clinic Name
Ho, Jason, M.D
Internal Medicine Hematology
& Medical Oncology
Ruggio, Joseph, M.D.
Cardiologist
Pacific Cardiovascular Associates
Parks, David, M.D.
Retinal Ophthalmologist
Retina Vitreous Consultants
Pang, Pierre, M.D.
Retinal Ophthalmologist
Retina Center of Guam, LLC
Quiros, Juan Carlos, M.D.
Cardiologist
Pacific Cardiovascular Associates
Saw, Eng, M.D.
General Surgeon
Seneviratne, Lasika, M.D.
Hematology / Medical Oncolog
L.A. Hematology and Oncology Medical Center
Tan, Christopher, M.D.
Pediatric Cardiologist
Pacific Cardiovascular Associates
Taniguchi, Raymond, M.D.
Neurological Surgery
FHP Health Center
Provider Directory
12
TIC-PD092510
www.takecareasia.com