Vantage Provider Directory
Transcription
Vantage Provider Directory
Current as of April 1, 2015 Table of Contents Hospitals 1 Region 1 (Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, West Carroll, Winn) Primary Care Physicians Specialty Care Physicians Ancillary Services 2 Region 2 (Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Webster) Primary Care Physicians Specialty Care Physicians Ancillary Services 27 Region 3 (Avoyelles, Catahoula, Concordia, Grant, LaSalle, Natchitoches, Rapides, Sabine, Vernon) Primary Care Physicians Specialty Care Physicians Ancillary Services 45 Region 4 (Allen, Beauregard, Calcasieu, Cameron, Jefferson Davis) Primary Care Physicians Specialty Care Physicians Ancillary Services 58 Region 5 (Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, St. Mary, Terrebonne, Vermilion) Primary Care Physicians Specialty Care Physicians Ancillary Services 66 Region 6 (Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupee, St. Helena, St. James, West Baton Rouge, West Feliciana) Primary Care Physicians Specialty Care Physicians Ancillary Services 83 Region 7 (Jefferson, LaFourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist, St. Tammany, Tangipahoa, Washington) Primary Care Physicians Specialty Care Physicians Ancillary Services 105 2 10 17 27 31 40 45 49 53 58 60 62 66 70 77 83 89 98 105 115 147 VANTAGE HEALTH PLAN, INC. PARTICIPATING PROVIDERS Tier I Providers Most participating providers are Tier I providers. Members seeing Tier I providers pay the Tier I co-pays, co-insurance and deductibles as listed in the Certificate of Coverage. HOSPITALS Acadia St. Landry Parish Hospital 810 S Broadway Church Point, LA 70525 (337) 684-5435 Allen Parish Hospital 108 6th Avenue Kinder, LA 70648 (337) 738-2527 American Legion Hospital 1305 Crowley Rayne Hwy Crowley, LA 70526 (337) 783-3222 Avoyelles Hospital 4231 Hwy 1192 Marksville, LA 71351 (318) 253-8611 Baton Rouge General Medical Ctr – Bluebonnet 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 Baton Rouge General Medical Center – Mid City 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 Beauregard Memorial Hospital 600 S Pine St DeRidder, LA 70634 (337)462-7100 Bienville Medical Center 1175 Pine St Ste 200 Arcadia, LA 71001 (318) 263-4700 BRFHH Monroe dba University Health Conway 4864 Jackson St Monroe, LA 71202 (318) 330-7000 BRFHH Shreveport dba University Health Shreveport 1501 Kings Hwy Shreveport, LA 71103 (318) 675-5000 Bunkie General Hospital 427 Evergreen St Bunkie, LA 71322 (318) 346-6681 Byrd Regional Hospital 1020 Fertita Boulevard Leesville, LA 71446 (337) 239-9041 Caldwell Memorial Hospital 411 Main St Columbia, LA 71418 (318) 649-6111 CHRISTUS Coushatta Health Care Center 1635 Marvel St Coushatta, LA 71019 (318) 932-2000 CHRISTUS Schumpert Highland 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 CHRISTUS Schumpert Medical Center One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Dr Alexandria, LA 71301 (318) 487-1122 CHRISTUS St. Patrick Hospital 524 Dr. Michael DeBakey Dr Lake Charles, LA 70601 (337) 436-2511 Citizens Medical Center 7939 US Hwy 165 Columbia, LA 71418 (318) 649-6106 Claiborne Memorial Medical Center 620 E College St Homer, LA 71040 (318) 927-2024 Cypress Point Surgical Hospital 42570 S. Airport Rd. Hammond, LA 70403 (985) 570-6200 DeQuincy Memorial Hospital 110 W Fourth St DeQuincy, LA 70633 (337) 786-1200 DeSoto Reg. Health System 207 Jefferson Mansfield, LA 71052 (318) 872-4610 Doctors Hospital at Deer Creek 815 S Tenth St Leesville, LA 71446 (337)392-5088 East Carroll Parish Hospital 336 N Hood Lake Providence, LA 71254 (318) 559-4023 East Jefferson General Hospital 4200 Houma Blvd Metairie, LA 70006 (504) 454-4000 Franklin Medical Center 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Green Clinic Surgical Hospital 1118 S Farmerville St Ruston, LA 71270 (318) 232-7700 Hardtner Medical Center 1102 N Pine St Olla, LA 71465 (318) 495-3131 Hood Memorial Hospital 301 West Walnut Street Amite, LA 70422 (985) 748-9485 IASIS Glenwood Regional Medical Center 503 McMillan Rd West Monroe, LA 71291 (318) 329-4200 Iberia Medical Center 2315 E Main St New Iberia, LA 70562 (337) 364-0441 Jackson Parish Hospital 165 Beech Springs Rd Jonesboro, LA 71251 (318) 259-4435 Lake Area Medical Center 4200 Nelson Road Lake Charles, LA 70605 (337) 474-6370 Lake Charles Memorial Hospital 1701 Oak Park Blvd Lake Charles, LA 70601 (337) 494-3000 LaSalle General Hospital 187 9th St Jena, LA 71342 (318) 992-9200 Louisiana Medical Center and Heart Hospital LLC 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7500 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 1 of 159 Madison Parish Hospital 900 Johnson St Tallulah, LA 71282 (318) 574-2374 Minden Medical Center 1 Medical Pz Minden, LA 71055 (318) 377-2321 Monroe Surgical Hospital 2408 Broadmoor St Monroe, LA 71201 (318) 410-0002 Morehouse General Hosp. 323 W Walnut Bastrop, LA 71220 (318) 281-2431 Natchez Community Hospital 129 Jefferson Davis Blvd Natchez, MS 39120 (601) 445-6200 Natchez Regional Medical Center 54 Seargent S Prentiss Dr Natchez, MS 39120 (601) 443-2100 Natchitoches Parish Hospital 504 Keyser Ave Natchitoches, LA 71457 (318) 214-4200 North Caddo Medical Center 1000 S Spruce St Vivian, LA 71082 (318)375-3235 Northern Louisiana Medical Center 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2100 Oakdale Community Hospital 130 N Hospital Dr Oakdale, LA 71463 (318) 335-3700 Ouachita Community Hospital 1275 Glenwood Dr West Monroe, LA 71291 (318) 322-1339 P&S Surgical Hospital 312 Grammont St Monroe, LA 71201 (318) 388-4040 Pointe Coupee General Hospital 2202 False River Dr New Roads, LA 70760 (225) 638-6331 Prevost Memorial Hospital 301 Memorial Dr Donaldsonville, LA 70346 (225)473-7931 Reeves Memorial Medical Center 409 First St Bernice, LA 71222 (318) 285-9066 Richardson Medical Center 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 Richland Parish Hospital 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 Riverland Medical Center 1700 EE Wallace Blvd Ferriday, LA 71334 (318) 757-6551 Sabine Medical Center 240 Highland Dr Many, LA 71449 (318) 256-5691 St. Charles Parish Hospital 1057 Paul Maillard Rd Luling, LA 70070 (985) 785-6242 St. Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4000 St. Francis North Hospital 3421 Medical Park Dr Monroe, LA 71203 (318) 388-1946 St. Helena Parish Hospital 16874 Hwy 43 Greensburg, LA 70441 (225) 222-6111 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 Union General Hospital 901 James Ave Farmerville, LA 71241 (318) 368-9751 West Calcasieu Cameron Hospital 701 Cypress Street Sulphur, LA 70663 (337) 527-4397 Slidell Memorial Hospital 1001 Gause Blvd Slidell, LA 70458 (985) 643-2200 West Carroll Health Systems 706 Ross St Oak Grove, LA 71263 (318) 428-3237 South Cameron Memorial Hospital 5360 West Creole Hwy Cameron, LA 70361 (337) 542-4111 Winn Parish Medical Center 301 W Boundary St Winnfield, LA 71483 (318) 648-3000 Specialists Hospital Shreveport 1500 Line Ave Shreveport, LA 71101 (318) 213-3800 REFERRAL CENTERS/ PHYSICIANS Springhill Medical Center 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 St. Bernard Parish Hospital 8000 W Judge Perez Hwy Chalmette, LA 70043 (504) 826-9500 with Prior Plan Approval Arkansas Children’s Hospital 1 Children’s Way Little Rock, AR 72202 (501) 364-1100 Children’s Hospital 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 M. D. Anderson Cancer Center 1515 Holcombe Blvd Houston, TX 77030 (713) 792-2121 St. Jude Children’s Research Hospital 262 Danny Thomas Pl Memphis, TN 38105 (901) 595-2916 UAB Hospital 1802 6th Ave S Birmingham, AL 35233 (205)934-4011 REGION 1 Includes Ouachita, Lincoln, Morehouse, Union, Richland, East Carroll, West Carroll, Madison, Jackson, Caldwell, Franklin, Tensas and Winn Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is referring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE Abraham, Ralph L., MD (Affinity Health Network) 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 Alexander, William C., MD 503 McMillan Rd West Monroe, LA 71201 (318) 329-4744 (Hospitalist Only) Anders, Kerry L., MD 3400 Medical Park Dr Ste A Monroe, LA 71203 (318) 322-7744 Bailey, Don W., MD 300 Scarborough Lake Providence, LA 71254 (318) 559-2814 Baines, Jonathan, MD 3030 Hwy 80 W Calhoun, LA 71225 (318) 644-2940 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 2 of 159 Ball Jr., James E. MD 1962 Julia St Rayville, LA 71269 (318) 728-8833 Banks III, Tommy G., MD 2104C Loop Rd Winnsboro, LA 71295 (318) 435-4571 5745 Hwy 17 Winnsboro, LA 71295 (318) 722-3333 104 Verona St Newellton, LA 71357 (318) 467-9949 448 Newton St St Joseph, LA 71366 (318) 766-8506 Barnes, David L., MD 3400 Medical Park Dr Ste C Monroe, LA 71203 (318) 325-6078 Beebe, William E., MD 503 McMillian Rd. West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Belue, J. Michael, MD 707 S Vienna St Ruston, LA 71270 (318) 251-3774 Branch, Jamie M., NP 107 Watts St Jonesboro, LA 71251 (318) 395-2121 Brunson, Kimberly G., NP 107 Watts St Jonesboro, LA 71251 (318) 395-2121 Calhoun, B. Keith, MD 4400 Old Sterlington Rd Monroe, LA 71203 (318) 324-1414 Camper, Yolanda S., NP (Affinity Health Network) 1140 University Ave Monroe, LA 71209 (318)342-1651 Carlisle, Kevin M., MD 1012 Louisa Rayville, LA 71269 (318) 728-2046 5975 Federal Hwy 80 Rayville, LA 71269 (318) 728-4368 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 Casiday, Julia M., NP (Affinity Health Network) 920 Oliver Rd Ste A Monroe, LA 71201 (318)329-9202 Chao, Deardre L, MD 4864 Jackson St Monroe, LA 71202 (318) 330-7000 Coats, John McRae, MD 327 W Hickory Ave Bastrop, LA 71220 (318) 556-3071 Coleman, Edward O., DO 2309 Arkansas Rd West Monroe, LA 71291 (318) 397-7000 Colvin, David J., MD 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 (Hospitalist Only) Colvin, Thomas L., MD 2106 Loop Rd Ste A Winnsboro, LA 71295 (318) 435-6363 Combetta, Jeffrey J., MD 2104 Loop Rd Ste C Winnsboro, LA 71295 (318) 435-4571 2106 Loop Rd Winnsboro, LA 71295 (318) 435-7458 Conville, Stacy D., MD 1809 Northpointe Ln Ste 102 Ruston, LA 71270 (318) 251-8232 Copeland, Elizabeth H., NP (Affinity Health Network) 112 Saint John St Monroe, LA 71201 (318)387-5681 Coughran, Jimmy, MD 101 Fair Ave Winnsboro, LA 71295 (318) 435-8020 8064 Hwy 165 Columbia, LA 71418 (318)649-6766 Cox, Jr., Carter, MD 206 S Vine St Bastrop, LA 71220 (318) 281-3521 Crooks, Emily C., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 Crouch, Rebecca L., MD 166 Beech Springs Rd Jonesboro, LA 71251 (318) 259-3668 Culp, David A., NP (Affinity Health Network) 1325 Louisville Ave Monroe, LA 71201 (318) 807-1500 Cummings, Russell O., MD 484 Collins Rd Columbia, LA 71418 (318) 649-5300 Dahal, Ruma, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Dansby, Thomas, Jr., MD 100 S Second St Monroe, LA 71201 (318) 322-7836 Davis, Maryanne S., NP (Affinity Health Network) 1140 University Ave Monroe, LA 71209 (318)342-1651 Dollar, Mark, MD 1900 N 7th St West Monroe, LA 71291 (318) 651-7000 Domingue, Christopher, MD 708 E Main St Oak Grove, LA 71263 (318) 428-3200 Downhour, Warren J., MD 484 Collins Rd. Columbia, LA 71418 (318) 649-5300 Dupree, Eric, MD 639 W Lafayette St Winnfield, LA 71483 (318) 648-2220 Eldridge, Joel G., DO 5475 Hwy 17 Winnsboro, LA 71295 (318) 722-3333 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Ellerbe, William M., MD (Affinity Health Network) 1825 N 18th St Ste A Monroe, LA 71203 (318) 807-3700 Elliott, Clyde E., MD 1245 Glenwood Dr West Monroe, LA 71291 (318) 966-6535 Enriquez, Jose R., MD 508 Broadway Delhi, LA 71232 (318) 878-3737 Ensminger, Bobby T., MD 411 E Vaughn Ave Ste 104 Ruston, LA 71270 (318) 255-8271 Eppinette, James M., MD 5328 Cypress St West Monroe, LA 71291 (318) 397-3636 3421 Medical Park Dr Monroe, LA 71203 (318) 388-1946 (Hospitalist Only) 309 Jackson St. Monroe, LA 71201 (318) 966-4000 (Hospitalist Only) Erwin, Lauren S., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 Fakhr, Samina, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 3 of 159 Finley, Heather H., NP (Affinity Health Network) 261 Hwy 132 Mangham, LA 71259 (318)248-2807 Freeman Ross, Latayatacha O, NP 808 Johnson St Tallulah, LA 71282 (318) 574-5080 Frengell, N. Camilla, MD Saint Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 327-4540 (Hospitalist Only) Garrett, Jennifer A., NP 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 1012 Louisa Rayville, LA 71269 (318) 728-2046 5975 Federal Hwy 80 Rayville, LA 71269 (318) 728-4368 Ghanta, Sumatha, MD (Affinity Health Network) 1825 N 18th St Ste B Monroe, LA 71201 (318) 807-1058 Givler, Jr., Donald N., MD 503 McMillan Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Gonzales, Cesar Z., MD 508 Broadway St Delhi, LA 71232 (318) 878-3737 109 Elm St Delhi, LA 71232 (318) 878-6650 509 Main St Delhi, LA 71232 (318) 878-8965 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 1818 Ave of America Monroe, LA 71201 (318) 998-2700 Graham, Monica, MD 431 W Lafayette St Winnfield, LA 71483 (318) 648-0375 Green, Gregory R., MD (Affinity Health Network) 920 Oliver Rd Ste A Monroe, LA 71201 (318) 329-9202 Grigsby, Benson A., MD 2916 N Trenton St Ruston, LA 71270 (318) 254-2892 Guinigundo, Noli, MD 502 Ross St Oak Grove, LA 71263 (318) 428-2358 Gujjula, Rajesh, MD (Affinity Health Network) 3400 Medicak Park Dr Ste B Monroe, LA 71203 (318) 387-6803 Harris, R. Brian, MD 402 2nd St Bernice, LA 71222 (318) 285-9066 Hays, Sean Elizabeth, MD 121 Watts Street Ste E Jonesboro, LA 71251 (318) 259-5631 Hayden, Benjamin W., NP (Affinity Health Network) 261 Hwy 132 Mangham, LA 71259 (318)248-2807 Hayden, Erin E., FNP (Affinity Health Network) 112 Saint John St Monroe, LA 71201 (318) 387-5681 Hayward, Michael T., MD (Affinity Health Network) 3510 Medical Park Dr Ste 5 Monroe, LA 71203 (318) 387-4855 Hearn, Pamela R., MD 402 Second St Bernice, LA 71222 (318) 285-9066 Henry, J. Byron, MD 3995 Sterlington Rd Ste A Monroe, LA 71203 (318) 329-9447 1900 N 7th St West Monroe, LA 71291 (318) 651-7000 104 Verona St Newellton, LA 71357 (318) 467-9949 Herbert, Allen J., MD 411 E Vaughn Ave Ste 203 Ruston, LA 71270 (318) 255-7474 448 Newton St St Joseph, LA 71366 (318) 766-8506 Holloway, Esther M., MD 2151 Airline Dr Ste 700 Bossier City, LA 71111 (318) 798-3763 Horne, Stephen, MD 503 McMillan Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Iglesias, Julio E., MD 301A W Boundary Winnfield, LA 71483 (318) 628-2108 Islam, Nahid A., MD 2600 Tower Rd Ste 106 Monroe, LA 71201 (318) 966-2008 Jetha, Tejal, MD 309 Jackson St Monroe, LA 71201 (318) 966-4000 Jones, Floyd T., DO 503 McMillan Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Jones, Patrick Gary, MD (Affinity Health Network) 112 St John St Monroe, LA 71201 (318) 387-5681 Kerr, Albert, MD 121 Christian Dr Rayville, LA 71269 (318) 728-0175 Kitchell, Michael T., MD 2104C Loop Rd Winnsboro, LA 71295 (318) 435-4571 5745 Hwy 17 Winnsboro, LA 71295 (318) 722-3333 2106 Loop Rd. Winnsboro, LA 71295 (318) 435-9411 Kovac, Kay, MD 300 Scarbrough St Lake Providence, LA 71254 (318) 559-3303 Krier, Brian P., MD 990 Hwy 425 Rayville, LA 71269 (318) 884-0362 Kutnikar, Dhaya, MD 1805 Lamy Ln Monroe, LA 71201 (318) 388-5383 Lapite, Oladapo, MD 306 Stone Ave Monroe, LA 71202 (318) 323-1040 Le, Dung N., MD 508 Broadway Delhi, LA 71232 (318) 878-3737 Lowder, Rayne W., NP (Affinity Health Network) 109 Regency Pl West Monroe, LA 71291 (318)812-9999 Maddox, Dale Robert, MD 503 McMillan Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Marquardt, Aaron L., MD 503 McMillian Rd. West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Massengale, Gordon, MD 111 Christian Dr Rayville, LA 71269 (318) 728-3263 McCormick, Michael, MD 1900 N 7th St West Monroe, LA 71291 (318) 651-7000 1117 Cheniere Drew Rd West Monroe, LA 71291 (318) 329-4370 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 4 of 159 McDonald, Kenneth, MD 508 Broadway Delhi, LA 71232 (318) 878-3737 Momah, Tobe S., MD 2913 Desiard St Monroe, LA 71201 (318) 651-9914 McMahan, Steven, MD 1900 N 7thSt West Monroe, LA 71291 (318) 651-7000 2915 Betin Ave Monroe, LA 71201 (318) 651-9945 1117 Cheniere Drew Rd West Monroe, LA 71291 (318) 329-4370 McVay, Wendi A., NP 112 St. John St Monroe, LA 71201 (318) 387-5681 Melton, Stuart, MD (Affinity Health Network) 1825 N 18th St Ste A Monroe, LA 71201 (318) 807-3700 Metoyer Jr, Kenneth P, MD 202 Highway 80 Calhoun, LA 71225 (318)966-8390 Meyers, Owen MD (Affinity Health Network) 920 Oliver Rd Ste A Monroe, LA 71201 (318) 329-9202 Mickail, Mamdouh G., MD 518 Durham St Bastrop, LA 71220 (318) 283-8887 108 N 16th St Mer Rouge, LA 71261 (318)239-8030 1001 W Madison Ave Bastrop, LA 71220 (318) 281-8422 3150 Taylor St Marion, LA 71260 (318) 292-2795 Minchew, Teresa D., MD 2106 Loop Rd. Winnsboro, LA 71295 (318) 412-5265 (Hospitalist Only) 2104- C Loop Rd Winnsboro, LA 71295 (318) 435-6363 850 S 2nd St Monroe, LA 71202 (318) 651-0041 Morgan, Belinda, NP (Affinity Health Group) 1325 Louisville Ave Monroe, LA 71201 (318) 387-1500 104 Verona St Monroe, LA 71201 (318) 467-9949 2915 Betin Ave Monroe, LA 71201 (318) 388-1250 Morgan, Ronald J., MD Franklin Medical Center 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 (Hospitalist Only) Morrison, William, MD 100 S Second St Monroe, LA 71201 (318) 322-7836 Neatherland, Cammie L., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 Netherland, Clinton, MD 427 S Vine St Bastrop, LA 71220 (318) 556-3333 Neumann Jr, Leonard P MD 808 Johnson St Tallulah, LA 71282 (318) 574-4731 Neumann, Thomas A MD 808 Johnson St Tallulah, LA 71282 (318) 574-5080 Noble, Jack Cole, MD (Affinity Health Network) 355 W Hickory Bastrop, LA 71220 (318) 281-4450 Overby, John L., MD 121 Watts St Ste F Jonesboro, LA 71251 (318) 395-3051 804 Chatham Ave Chatham, LA 71226 (318) 249-3200 Palla, Shireesha, MD (Affinity Health Network) 112 St John St Monroe, LA 71201 (318) 387-5681 Parker, Robert, DO 508 Broadway St Delhi, LA 71232 (318) 878-3737 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 109 Elm St Delhi, LA 71232 (318) 878-6650 Parkerson, Paula L., MD 121 Watts St Ste B Jonesboro, LA 71251 (318) 259-0006 Patel, Darshan J., MD 1162 Oliver Rd Ste 4 Monroe, LA 71201 (318) 966-6575 Pathak, Rishi R., MD 502 Ross St Oak Grove, LA 71263 (318) 428-2358 Patterson, James D., MD 1511 Orange St Monroe, LA 71202 (318) 322-7798 Perry, Donald R., MD 804 Beech St Tallulah, LA 71282 (318) 574-1453 Phillips, M. Shane, MD 1402 Celebrity Dr Ruston, LA 71270 (318) 255-1515 Pope, Sheila Y., NP 2913 DeSiard St Monroe, LA 71201 (318)651-9914 2915 Betin Ave Monroe, LA 71201 (318)651-9945 Price, Lakatisa N., NP 850 S Second St Monroe, LA 71202 (318) 651-0041 2915 Betin Ave Monroe, LA 71201 (318) 651-9945 2913 DeSiard St Monroe, LA 71201 (318) 651-9914 Prine, Matthew D., MD 1012 Louisa Rayville, LA 71269 (318) 728-2046 5975 Federal Hwy 80 Rayville, LA 71269 (318) 728-4368 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 Proctor, Gwendolyn H., MD 1245 Glenwood Dr. West Monroe, LA 71291 (318) 966-6535 Proctor, Michael D., MD 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 (Hospitalist Only) Pruden, Amy L., NP (Affinity Health Network) 1825 N 18th St Ste A Monroe, LA 71201 (318)807-3700 Rainwater, Dirk T., MD 103 Watts St Jonesboro, LA 71251 (318) 259-1569 Rankin, James D., MD 319 W Parker Hamburg, AR 71646 (870) 853-8271 Raulerson, Robert M., MD (Affinity Health Network) 112 St John St Monroe, LA 71201 (318) 387-5681 850 S 2nd St Monroe, LA 71202 (318)651-0041 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 5 of 159 Reed, Charles E., MD 3326 Front St Ste B Winnsboro, LA 71295 (318) 435-7333 Ross, Christina D., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 Ross, Theresa J, MD (Affinity Health Network) 112 Saint John St. Monroe, LA 71201 (318) 387-5681 Sanders, William, MD 1402 Celebrity Dr Ruston, LA 71270 (318) 255-1515 Sanson, Marshall V., MD 2309 Arkansas Rd West Monroe, LA 71291 (318) 397-7000 Shafiei, Khaled, MD 3510 Medical Park Dr Ste 9 Monroe, LA 71203 (318) 388-6050 Smith, James M, MD 532 S Washington St Bastrop, LA 71220 (318) 281-5600 402 Levee St St Joseph, LA 71366 (318) 766-1967 323 W Walnut Bastrop, LA 71220 (318) 281-2431 1888 Hudson Cir, Ste 10 Monroe, LA 71201 (318) 387-2828 Spencer, Erika H., NP (Affinity Health Network) 109 Regency Place West Monroe, LA 71291 (318) 812-9999 Spires, Allen, MD 301 Davenport Mer Rouge, LA 71261 (318) 647-5008 Stephens, Matilda E., NP (Affinity Health Network) 3400 Medical Park Dr Ste B Monroe, LA 71203 (318)322-9252 261 Hwy 132 Mangham, LA 71259 (318)248-2807 Stockstill, J. Dean, MD 3510 Magnolia Cv #190 Monroe, LA 71203 (318) 323-7576 Sunkireddy, Nandini, MD 3510 Magnolia Cove Ste 170 Monroe, La 71203 (318) 966-6350 2913 Renwick St Monroe, La 71201 (318) 966-7279 Thapa, Trishna MD (Affinity Health Network) 2408 Broadmoor Blvd Ste B Monroe, LA 71201 (318) 807-0525 Thompson, Barry V., MD 103 E 3rd Ave Crossett, AR 71635 (870) 364-5746 Thompson, Daniel, MD 1809 Northpointe Ln Ste 101 Ruston, LA 71270 (318) 255-5300 Thompson, David, MD 1012 Louisa St Rayville, LA 71269 (318) 728-2046 Thompson Ray, Savannah R., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 Tirumanisetti, Pavana N., MD (Affinity Health Network) 2408 Broadmoor Blvd Ste 2 Monroe, LA 71201 (318) 807-0525 109 Regency Pl West Monroe, LA 71291 (318) 812-9999 3400 Medical Park Dr Ste B Monroe, LA 71203 (318) 387-6803 ***Trejo, Daniel, MD 511 Gunby Ave Bastrop, LA 71220 (318) 281-2410 Webb, G. Wyatt, MD 205 Davenport Ave Mer Rouge, LA 71261 (318) 647-3720 Turner, Craig S., MD 516 Lincoln Rd Monroe, LA 71203 (318) 343-6487 Williams, Thomas, MD 516 Lincoln Rd Monroe, LA 71203 (318) 343-6487 Unkel, Steven, MD 811 James Ave Ste A Farmerville, LA 71241 (318) 368-2238 Willsher, Laura B., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 3150 Taylor St Marion, LA 71260 (318) 292-2795 Uprety, Subodh B., MD (Affinity Health Network) 2408 Broadmoor Blvd Ste 2 Monroe, LA 71201 (318) 807-0525 112 St. John Monroe, LA 71201 (318) 387-5681 Walker, Joan, MD 804 Beech St Tallulah, LA 71282 (318)574-1453 Walters, Jr., Joseph MD 420 Gunby Ave Bastrop, LA 71220 (318) 283-3852 323 W Walnut St Bastrop, LA 71220 (318) 281-2431 Warke, Amit G., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Washington, Adrian L., NP 850 S 2ND Monroe, LA 71202 (318) 651-0041 2915 Betin Monroe, LA 71201 (318) 651-9914 2913 Desiard St Monroe, LA 71201 (318) 651-9914 Watson, M. Paul, MD 3510 Medical Park Dr Ste 1 Monroe, LA 71203 (318) 388-1662 Williams, Angela G., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 109 Regency Pl West Monroe, LA 71291 (318)812-9999 1325 Louisville Ave Monroe, LA 71201 (318) 807-1500 Wood, Jacob M., MD 1402 Celebrity Dr Ruston, LA 71270 (318) 225-3690 Woods, G. Ronald, MD 101 Professional Dr West Monroe, LA 71291 (318) 387-5244 Wootton III, James L., MD (Affinity Health Network) 2408 Broadmoor Blvd Ste 2 Monroe, LA 71201 (318) 807-0525 Wyche, Ronald C., MD 804 Beech St Tallulah, LA 71282 (318) 574-1453 Yarbrough, David A., MD (Affinity Health Network) 3400 Medical Park Dr Ste B Monroe, LA 71203 (318) 387-6803 Yates, Ruby F., MD 484 Collins Rd Columbia, LA 71418 (318) 649-5300 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 6 of 159 Zuber, Rita, NP 3101 Cypress St, Ste 9 West Monroe, LA 71291 (318) 644-2573 INTERNAL MEDICINE Cain, Penny P., NP (Affinity Health Network) 112 St. John St Monroe, LA 71201 (318)387-5681 U Adams, Alyce, MD 3106 Cypress St West Monroe, LA 71291 (318) 322-0458 Agarwal, Kushal, MD 510 Alexander St Jonesboro, LA 71251 (318) 259-2148 1401 Ezell St Ruston, LA 71270 (318)232-0019 Albritton, Corey, MD 508 Broadway Delhi, LA 71232 (318) 878-3737 109 Elm St Delhi, LA 71232 (318) 878-6650 Al Samarah, Husam TS, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Blackwelder, Mark, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 1118 S Farmerville St Ruston, LA 71270 (318) 232-7700 Blake, Michelle, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Bonin, Reagan N., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Bruyninckx, Kyle B., MD (Affinity Health Network) 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 1506 Royal Ave Monroe, LA 71201 (318)361-0016 Coburn, David A., MD St Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Corley, Holly D., MD 1025 Marion Hwy Farmerville, LA 71241 (318) 368-9745 Deese, Teresa A., NP (Affinity Health Network) 102 Thomas Rd Ste 400B West Monroe, LA 71291 (318) 998-0353 Donald, Donna, MD St Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Edney, Daniel, MD 2080 S Frontage Rd Ste 120 Vicksburg, MS 39180 (601) 262-1000 1860 Chadwick Dr Jackson, MS 39204 (601) 376-1000 El-Malah, Amin M., MD 3510 Medical Park Dr Ste 9 Monroe, LA 71203 (318) 388-6050 Ewing, Robert C., MD 200 Professional Dr West Monroe, LA 71291 (318) 325-3812 Fahmy, Mohamed N., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Fakhre, Fakhre, MD 712 Settoon St Oak Grove, LA 71263 (318) 428-2341 Fakhre, George, MD 319 N Hood St Lake Providence, LA 71254 (318) 559-1221 Ford, Deon O., MD Saint Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Ford, James C., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Ford, Janice L., MD 206 E. Reynolds Dr Ste C3 Ruston, LA 71270 (318) 251-8476 1809 Northpointe Ste 102 Ruston, LA 71270 (318) 255-3762 206 E Reynolds Dr Ste B1 Ruston, LA 71270 (318) 251-3773 Grandon, Paul, MD 508 Broadway Delhi, LA 71232 (318) 878-3737 109 Elm St Delhi, LA 71232 (318) 878-6650 Gwan, Ofundem R., MD 1406 S Vienna St Ruston, LA 71270 (318) 232-2456 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2100 Hamby, Angela C., NP 10375 Hwy 165 N Ste D Sterlington, LA 71280 (318) 812-2304 1470 Garrett Rd Monroe, LA 71202 (318) 387-2980 Hammett, Donald K., MD 6198 Cypress St Bldg 3 West Monroe, LA 71291 (318) 397-1616 Hargett, Jennifer T., MD St Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Harter, Herschel R., MD 5975 Federal Hwy 80 Rayville, LA 71269 (318) 728-4368 Hild, Allan S., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Hubbard, Ronald, MD 1162 Oliver Rd Ste 4 Monroe, LA 71210 (318) 340-9600 Joiner, Sharon K., MD St Francis Medical Ctr 309 Jackson St Monroe, LA 71201 (318) 327-4540 (Hospitalist Only) Kidd, Holly, DO 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Koirala, Prashanta, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Lawson, Michael R., MD St Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 327-4540 (Hospitalist Only) 6198 Cypress St West Monroe, LA 71291 (318) 396-5600 (Hospitalist Only) Mallepalli, Venkat, MD 2408 Duval Dr Ste 2 Monroe, LA 71201 (318) 388-8561 Maran, Antti G., MD 411 Calypso St Ste 210 Monroe, LA 71201 (318) 966-6500 Mariano, Edward D., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 7 of 159 Mariano, Sheila, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Matthews, William H., MD 411 Calypso St., Ste 210 Monroe, LA 71201 (318) 966-6500 McCarthy, Paul J., MD St Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 327-4000 (Hospitalist Only) McIntire, Shaun L., MD 503 McMillian Rd. West Monroe, LA 71290 (318) 329-4744 (Hospitalist Only) McNew, Gina, MD 1122 Main St Ste 7 Vilonia, AR 72173 (501)796-2791 Morgan Jr., Charles G., MD (Affinity Health Network) 1506 Royal Ave Monroe, LA 71201 (318) 361-0016 Morris, Thomas L., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Navarro, Priscilla J., MD St. Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Neumann Jr, Thomas P MD 808 Johnson St Tallulah, LA 71282 (318) 574-4731 Neupane, Bibhuti, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Nwasike, Chinyelu C., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Olinde, Kurt D., MD 503 McMillian Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Saigal, Taru, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) O’Neal, Michael D., MD 309 Jackson St Monroe, LA 71201 (318) 966-4000 (Hospitalist Only) Sampognaro, Michael, MD (Affinity Health Network) # 1 Bancroft Cir Monroe, LA 71201 (318) 361-0995 6198 Cypress St West Monroe, LA 71291 (318) 396-2715 (Hospitalist Only) O’Quain, Jo L., NP 2600 Tower Dr Ste 309 Monroe, LA 71201 (318)966-6575 Pierce III, Paul W., MD 2080 S Frontage Rd Ste 120 Vicksburg, MS 39180 (601) 262-1000 1860 Chadwick Dr Jackson, MS 39204 (601) 376-1000 Pierce, Samuel, MD 2080 S Frontage Rd Ste 100 Vicksburg, MS 39180 (601) 262-1000 Ponarski, Ronald, MD 102 Thomas Rd Ste 104 West Monroe, LA 71291 (318) 329-8485 Prem, Sunil MD 1503 Stubbs Ave Monroe, LA 71201 (318) 388-0440 Rajeshwar, Rashmi, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Shelton, Mark V., MD 106 W Boundary Ave Winnfield, LA 71483 (318) 628-4123 301 W Boundary Ave Winnfield, LA 71483 (318) 253-0866 (Hospitalist Only) Shroff, Pankaj S., MD 7937 US Hwy 165 Columbia, LA 71418 (318) 649-2621 Simon, Llewelyn, MD 320 N Hood St Lake Providence, LA 71254 (318) 559-2404 Smith, James G., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Smith, Richard D., MD (Affinity Health Network) 3510 Magnolia Cv Ste 120 Monroe, LA 71203 (318) 329-1180 1650 Desiard St. Monroe, LA 71201 (318) 361-7281 Smith, Roger, MD 126 Watson St Wisner, LA 71378 (318) 724-7008 Rickman, Robert T., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Smith, Jr., William D., MD 102 Thomas Rd Ste 400B West Monroe, LA 71291 (318) 998-0353 Roy, Samer, MD 102 Thomas Rd Ste 504 West Monroe, LA 71291 (318) 322-0100 Tamakloe, Martina A., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Tamakloe, Sedo, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Thadur, Anuradha R., MD (Affinity Health Network) 2408 Broadmoor Blvd Ste A Monroe, LA 71201 (318) 807-0525 1825 N 18th St Ste A Monroe, LA 71201 (318) 807-3700 Tubre, E. Gregory, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Venters, Steven W., MD 811 James Ave Ste B Farmerville, LA 71241 (318) 368-0190 Wade, Kelvin, MD 401 Hall St Monroe, LA 71201 (318) 324-9113 Wagnon, Cynthia S., MD 508 Broadway Delhi, LA 71232 (318) 878-3737 Zwank, Ellen Marie, MD 503 McMillian Rd West Monroe, LA 71291 (318) 329-4744 PEDIATRICS U Bergstedt, Jennette S., MD 431 W. Lafayette St. Winnfield, LA 71483 (318) 648-0375 400 St. John St. Winnfield, LA 71483 (318) 302-3263 Bimle, Cynthia, MD 107 Contempo Ste A West Monroe, LA 71291 (318) 324-0111 503 McMilian Ave West Monroe, LA 71291 (318) 329-4200 (Hospitalist Only) Bivens, Marilyn, MD 920 Tower Dr., Ste 214 Monroe, LA 71201 (318) 323-8824 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 8 of 159 503 McMilian Rd West Monroe, LA 71291 (318) 329-4200 Bruyninckx, Kyle B., MD 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Carr, Vivian S., NP (Affinity Health Network) 3401 Magnolia Cv Monroe, LA 71203 (318)325-6311 Casiday, Julia M., NP (Affinity Health Network) 3116 Kilpatrick Blvd Monroe, LA 71201 (318)410-9898 Chisley, Tywanna L., MD 2915 Betin Ave Monroe, LA 71201 (318)651-9914 820 S 2nd St Monroe, LA 71202 (318)651-0041 2913 Desiard St Monroe, LA 71201 (318)651-9914 Corley, Holly D., MD 1025 Marion Hwy Farmerville, LA 71241 (318) 368-9745 3150 Taylor St Marion, LA 71260 (318) 292-2795 Daher, Marlene F., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Daniel Jr, Warren A, MD 3101 Cypress St Ste 9 West Monroe, LA 71291 (318) 644-2573 109 Regency Pl West Monroe, LA 71291 (318)812-9999 Dyess, Bonita H., MD (Affinity Health Network) 3401 Magnolia Cv Monroe, LA 71203 (318) 325-6311 Eason, Margot B., MD (Affinity Health Network) 3401 Magnolia Cv Monroe, LA 71203 (318) 325-6311 3150 Taylor St Marion, LA 71260 (318) 292-2795 McCormick, Shelly, MD 503 McMillian Rd West Monroe, LA 71291 (318) 329-4350 (Hospitalist Only) 3116 Kilpatrick Blvd Monroe, LA 71201 (318) 410-9898 McDougal, Deanna M., NP (Affinity Health Network) 3116 Kilpatrick Blvd Monroe, LA 71201 (318)410-9898 2408 Broadmoor Blvd Ste 355 Monroe, LA 71201 (318) 807-0525 McGehee, David W., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Everist, Jane, MD St Francis North Hospital 3421 Medical Park Dr Monroe, LA 71203 (318) 387-3453 (Hospitalist Only) Frangieh, Ayfarah, MD 708 E Main St Oak Grove, LA 71263 (318) 428-3200 Green, Mitra, MD St. Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 387-3453 St. Francis North Hospital 3421 Medical Park Dr Monroe, LA 71203 (318) 966-6191 (Hospitalist Only) Grino, Marie Michelle A., MD (Affinity Health Network) 3116 Kilpatrick Blvd Monroe, LA 71201 (318) 410-9898 Malik, Shahzad M., MD 518 Durham St Bastrop, LA 71220 (318) 283-8887 108 N 16th St Mer Rouge, LA 71261 (318) 239-8010 1001 W Madison St Bastrop, LA 71220 (318) 281-8422 McIntyre, Brenda, MD 609 N Trenton St Ruston, LA 71270 (318) 245-4850 Mickail, Mamdouh G., MD 518 Durham St Bastrop, LA 71220 (318) 283-8887 108 N 16th St Mer Rouge, LA 71261 (318)239-8030 1001 W Madison Ave Bastrop, LA 71220 (318) 281-8422 3150 Taylor St Marion, LA 71260 (318) 292-2795 Poliquit, Raymond, MD 2913 Desiard St Monroe, LA 71201 (318) 651-9914 850 S 2nd St Monroe, LA 71202 (318) 651-0041 2915 Betin Ave Monroe, LA 71201 (318) 651-9945 Ricks, Barrington, MD 920 Tower Dr Ste 214 Monroe, LA 71201 (318) 323-8824 Rosales, Joaquin P., MD 104 Contempo Ave West Monroe, LA 71291 (318) 807-1360 Saadat, Lyndall P., MD 102 Thomas Rd Ste 605 West Monroe, LA 71291 (318) 812-0168 Slusher, Tonya K, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Stanley, Gary, MD 920 Tower Dr Ste 214 Monroe, LA 71201 (318) 323-8824 Venters, Steven W., MD 811 James Ave Ste B Farmerville, LA 71241 (318) 368-0190 Moak, Candace F., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Waller, Rachel W., NP 323 W Walnut Ave Bastrop, LA 71220 (318) 283-3032 O’boyle, Meade P., MD 1805 Jackson St Monroe, LA 71202 (318) 966-6165 (Hospitalist only) Webb, Stacy D., NP (Affinity Health Network) 3401 Magnolia Cv Monroe, LA 71203 (318)325-6311 309 Jackson St Monroe, LA 71201 (318) 387-3453 (Hospitalist only) Perkins, Camille E., MD 326 N Hood St Lake Providence, LA 71254 (318) 559-4900 Young, Martin C., MD 323 W Walnut Ave Bastrop, LA 71220 (318) 283-3032 Yusuf, Munira, MD (Affinity Health Network) 130 DeSiard St Ste 355 Monroe, LA 71201 (318) 807-7875 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 9 of 159 Zukowski, Nancy L., MD (Affinity Health Network) 3401 Magnolia Cv Monroe, LA 71203 (318) 325-6311 SPECIALTY CARE PHYSICIANS Hendrick, Robert S., MD 312 Grammont St Ste 101 Monroe, LA 71201 (318) 998-6138 102 Regency St West Monroe, LA 71291 (318) 322-4888 ALLERGY AND IMMUNOLOGY Johnson, Brian B., MD 312 Grammont St Ste 101 Monroe, LA 71201 (318) 998-6138 Giannobile, Joseph, V., MD 3200 Forsythe Ave Monroe, LA 71201 (318) 398-1989 Jones, Rushton M., MD 101 Catalpa St Monroe, LA 71201 (318)812-1760 Oyefara, Benjamin, MD 2908 Evangeline St Monroe, LA 71202 (318) 398-7100 Lagniappe Anesthesia LLC 901 James Ave Farmerville, LA 71241 (318) 368-9751 Zambie, Michael F., MD 909 N 3rd St Monroe, LA 71201 (318) 322-5555 McIntosh III, Charles, MD 312 Grammont St Ste 101 Monroe, LA 71201 (318) 998-6138 ANESTHESIOLOGY Millan, Daniel A., MD 1601 Louisville Ave Monroe, LA 71201 (318) 855-8773 U Arena, Gregg K., MD 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2454 Beebe, Johnathan L., MD 102 Regency St West Monroe, LA 71291 (318) 322-4888 Clark, Hannah K., MD 312 Grammont St Ste 101 Monroe, LA 71201 (318) 998-6138 Clinical Partners, PA 503 McMillan Rd West Monroe, LA 71294 (903) 663-3600 323 W Walnut Ave Bastrop, LA 71220 (903) 663-3600 Domingue, Szu-Wei, MD 312 Grammont St Ste 101 Monroe, LA 71201 (318) 998-6138 Fontenot, H. Jerrel, MD 1275 Glenwood Dr West Monroe, LA 71291 (601) 936-0682 Parish Anesthesia of Monroe, LLC 309 Jackson Street Monroe, LA 71201 (318) 966-4000 Sehon & Arena Anesthesia LLC 1118 Farmerville St Ruston, LA 71270 (318) 232-7119 Sehon, Charles K., MD 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2454 102 Regency St West Monroe, LA 71291 (318) 322-4888 Stage, Rosemary B., MD 312 Grammont St Ste 101 Monroe, LA 71201 (318) 998-6138 SMSO Anesthesia 309 Jackson Street Monroe, LA 71201-7407 (318) 812-1760 Warren, Philip R., MD 102 Regency St West Monroe, LA 71291 (318) 322-4888 Landreneau, Joseph W., MD 601 Lafayette Ave Winnfield, LA 71483 (318) 648-3058 CARDIOLOGY Langiulli, Michael, MD 312 Grammont St Ste 404 Monroe, LA 71201 (318) 966-6500 U Bahro, Abdul G., MD 2080 S Frontage Rd Vicksburg, MS 39180 (601) 376-1394 Barrow, Emile A., MD 3510 Magnolia Cv #100 Monroe, LA 71203 (318) 361-9900 Caskey, Jr., David M., MD (Affinity Health Network) 102 Thomas Rd Ste 400 West Monroe, LA 71291 (318) 322-1161 Causey, P. Thomas, MD 102 Thomas Rd Ste 201 West Monroe, LA 71291 (318) 338-3525 Chaudry, Imran I., MD 3100 Forsythe Ave Monroe, LA 71201 (318) 699-0505 161 Christian Dr Rayville, LA 71269 (318) 728-3308 Gonzalez, Virginia, MD 402 McMillan Rd West Monroe, LA 71291 (318) 338-3540 2106 Loop Rd., Ste H Winnsboro, LA 71295 (318) 338-3540 Homan, David J. MD 312 Grammont St Ste 404 Monroe, LA 71201 (318) 966-8850 Islam, Rezaul, MD 3100 Forsythe Ave Monroe, LA 71201 (318) 699-0505 Jain, Sumesh, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Koepke, Ronald P., MD (Affinity Health Network) 102 Thomas Rd Ste 400 West Monroe, LA 71291 (318) 322-1161 309 Jackson St Monroe, LA 71201 (318) 966-4000 Mouhaffel, Assad H., MD 102 Thomas Rd Ste 103 West Monroe, LA 71291 (318) 387-1946 Napoli, Mark, MD 3510 Magnolia Cv Ste 100 Monroe, LA 71203 (318) 361-9900 Saad, Marc N., MD 3510 Magnolia Cv Ste 100 Monroe, LA 71203 (318) 361-9900 Sampognaro, Gregory, MD (Affinity Health Network) 2503 Broadmoor Ave Monroe, LA 71201 (318) 322-7726 Sheikh-Khalil, Mahmoud, MD 365 W. Hickory Ave Bastrop, LA 71220 (318) 281-2008 3424 Medical Park Dr Ste 6 Monroe, LA 71203 (318) 281-2008 Smith, George, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Smith, William C., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 CARDIOLOGY PEDIATRIC King, Terry, MD 300 Pavilion Rd West Monroe, LA 71292 (318) 323-1100 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 10 of 159 Turner, Jason P., MD 300 Pavilion Rd West Monroe, LA 71292 (318) 323-1100 EAR, NOSE, & THROAT/ OTOLARYNGOLOGY DERMATOLOGY Barham, Wilson T., MD 2802 Kilpatrick Blvd Monroe, LA 71201 (318) 855-6282 U Adams, Amy D., DO 1312 22nd Ave #A Meridian, MS 39301 (601)701-2220 4105 Hospital St #102 Pascagoula, MS 39581 (228) 762-8946 Altick, James, MD 2804 Kilpatrick Blvd Monroe, LA 71201 (318) 387-2545 Carey, Thomas D., MD 410 E Vaughn Ruston, LA 71270 (318) 513-9400 Gremillion, Loretta, MD 3510 Magnolia Cv Ste 140 Monroe, LA 71203 (318) 323-8799 309 Jackson St Monroe, LA 71201 (318) 966-4000 Keane, James C., MD 3510 Magnolia Cv, Ste 130 Monroe, LA 71203 (318) 524-8022 Lewis, Virginia, MD 324 Circle Dr West Monroe, LA 71291 (318) 322-3535 Mandrell, Joshua, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Mills, Kimberly M., MD #4 Bancroft Cir Monroe, LA 71201 (318) 388-0032 Shapiro, Steven, MD 1312 22nd Ave Ste A Meridan, MS 39301 (601) 701-2220 Broocks, John H., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Danna, Lawrence J., MD 108 Contempo Ave West Monroe, LA 71291 (318) 388-4994 Fields, Jr., Thomas H., MD 614 Gunby Bastrop, LA 71220 (318) 281-6111 Metts, Brent, MD 102 Thomas Rd., Ste. 202 West Monroe, LA 71291 (318) 329-8458 Mickey, Lauren J., MD 102 Thomas Rd Ste 117 West Monroe, LA 71291 (318) 322-9882 Miller, Lee, MD 2802 Kilpatrick Blvd Monroe, LA 71201 (318) 855-6282 2322 Sterlington Rd Monroe, LA 71203 (318) 537-9320 Neal, C.L., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 EMERGENCY MEDICINE Baskin, Gary O., MD 2106 Loop Rd. Winnsboro, LA 71295 (318) 412-5265 Chorette, Edward L, MD 10374 Hwy 165 N Ste D Sterlington, LA 71280 (318) 812-2304 1470 Garrett Rd Monroe, LA 71202 (318) 387-2980 Congtang, Leno H., MD 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 ED Physicians of West Louisiana, LLC 503 McMillan Rd West Monroe, LA 71291 (877) 693-5600 Gallagher, Patrick T., MD 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Macklin, William, MD 323 W Walnut Bastrop, LA 71220 (318) 283-3609 Morehouse Emergency Group LLC 323 W Walnut Bastrop, LA 71220 (318) 283-3609 Mosquera, Luis, MD 3421 Medical Park Dr Monroe, LA 71201 (800) 355-2470 Norris, Joel W., MD (Affinity Health Network) 2101 Tower Dr Monroe, LA 71201 (318)812-1125 Nguyen, Hoa T., MD 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2100 Sartor, Sally, MD 1200 S Farmerville St Ruston, LA 71270 318) 255-3690 Pegasus Emergency Group 309 Jackson St Monroe, LA 71201 (318) 966-4171 Vaughn, Traci L., MD 221 Hickory Ave Bastrop, LA 71220 (318) 281-6111 3421 Medical Park Dr Monroe, LA 71203 (318) 996-1946 Portacci, Mark, MD 706 Ross St Oak Grove, LA 71263 (318)428-2358 Sokoya, Gbolahan, MD 323 W Walnut Bastrop, LA 71220 (888) 831-2715 Traxler, Melissa A., MD 2106 Loop Rd. Winnsboro, LA 71295 (318) 435-9411 Tucker, Tyrone, MD 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 Valls, Jason J., MD 409 1st St Bernice, LA 71222 (318) 285-9066 Waterfallen, George T., MD 165 Beech Springs Rd Jonesboro, LA 71295 (318) 259-4435 ENDOCRINOLOGY U Mousa, Mohammad, MD 3510 Medical Park Dr Ste 9 Monroe, LA 71203 (318) 388-6050 Rangaraj, Uma, MD 3402 Magnolia Cv Monroe, LA 71203 (318) 388-5830 Sanson, Trudy, MD 102 Thomas Rd Ste 206 West Monroe, LA 71291 (318) 387-0641 GASTROENTEROLOGY U Bhandari, B. Raj, MD 616 S Washington St Bastrop, LA 71220 (318) 283-2177 3424 Medical Park Dr Ste 6 Monroe, LA 71203 (318) 329-2171 Coon, Collins, MD 102 Thomas Rd Ste 114 West Monroe, LA 71291 (318) 812-3303 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 11 of 159 611 Grammont St Monroe, LA 71201 (318) 325-2634 Dunn Jr., C. Butch, MD 302 McMillan Rd West Monroe, LA 71291 (318) 322-2202 503 McMillan Rd West Monroe, LA 71291 (318) 329-4200 Hinkle, III, Henry H., MD 611 Grammont St Monroe, LA 71201 (318) 325-2634 102 Thomas Rd Ste 114 West Monroe, LA 71291 (318) 812-3303 LaCayo, Leonel, MD 102 Thomas Rd Ste 106 West Monroe, LA 71291 (318) 338-3583 Levatino, Brian T., MD 611 Grammont St Monroe, LA 71201 (318) 325-2634 102 Thomas Rd Ste 114 West Monroe, LA 71291 (318) 812-3303 330 E Vaughn Ave Ruston, LA 71270 (318) 232-7080 McHugh, J. B. Duke, MD 102 Thomas Rd Ste 506 West Monroe, LA 71291 (318) 388-8878 Namihira, Yoshinobu, MD 3000 Halls Ferry Rd Vicksburg, MS 31980 (601) 638-9800 Raines, David R., MD 611 Grammont St Monroe, LA 71201 (318) 325-2634 102 Thomas Rd Ste 114 West Monroe, LA 71291 (318) 812-3303 Richert, Arthur E., MD 611 Grammont St Monroe, LA 71201 (318) 325-2634 Stedman, Charles M., MD 309 Jackson St Monroe, LA 71201 (318) 966-4000 102 Thomas Rd Ste 114 West Monroe, LA 71291 (318) 812-3303 Smiarowski, John S., MD 611 Grammont St Monroe, LA 71201 (318) 325-2634 Veillon, Edward, W., MD 309 Jackson St Monroe, LA 71201 (318) 966-4000 102 Thomas Rd Ste 114 West Monroe, LA 71291 (318) 812-3303 NEONATOLOGY De Soler, Marc, MD 309 Jackson St Monroe, LA 71201 (318) 966-4917 HEMATOLOGY/ ONCOLOGY Barron, Scott M., MD 1162 Oliver Rd Ste 7 Monroe, LA 71201 (318) 325-7007 Payne, Carmen, S., MD 309 Jackson St Monroe, LA 71201 (318) 966-4917 Gammage, Coy W., MD 1162 Oliver Rd Ste 7 Monroe, LA 71201 (318) 325-7007 NEPHROLOGY Anumele, Nkeema, MD 715 Wood St, Ste A Monroe, LA 71201 (318) 323-8847 Joseph, Sanjay A., MD 102 Thomas Rd Ste 113 West Monroe, LA 71291 (318) 322-4673 615 Wood St Monroe, LA 71201 (318) 323-8847 Osafo, David C., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Archie, Michael, MD 715 Wood St, Ste A Monroe, LA 71201 (318) 323-8847 Weinberger, Benjamin, DO 1162 Oliver Rd Ste 7 Monroe, LA 71201 (318) 325-7007 INFECTIOUS DISEASE Crider, Steven R., MD 405 Stella St Ste A West Monroe, LA 71291 (318) 807-8410 MATERNAL FETAL MEDICINE Diket, Albert L., MD 309 Jackson St Monroe, LA 71201 (318) 327-4042 Newman, Mark G., MD 309 Jackson St Monroe, LA 71201 (318) 966-4000 St. Amant, Marshall, MD 309 Jackson St Monroe, LA 71201 (318) 966-4000 U 615 Wood St Monroe, LA 71201 (318) 323-8847 U Basilla, Jean-Claude, MD 1997 S Medical Park Dr Greenville, MS 38703 (662) 335-4105 503 Catchings Ave Indianola, MS 38751 (662) 335-4105 220 N Pearman Cleveland, MS 38732 (662) 335-4105 Buenafe, Xander H, MD 1997 S Medical Park Dr Greenville, MS 38703 (662) 335-4105 41 S 4th St Rolling Fork, MS 39159 (662) 335-4105 220 N Pearman Cleveland, MS 38732 (662) 335-4105 Hand, Michael, MD 715 Wood St, Ste A Monroe, LA 71201 (318) 323-8847 615 Wood St Monroe, LA 71201 (318) 323-8847 Harter, Herschel R., MD 4864 Jackson St Monroe, LA 71202 (318) 675-5000 Ifediora, Okechukwu, MD 1908 Royal Ave Monroe, LA 71201 (318) 325-5435 Joyce, Charles, MD 1908 Royal Ave Monroe, LA 71201 (318) 325-5435 Lee, Frederick, MD 715 Wood St, Ste A Monroe, LA 71201 (318) 323-8847 615 Wood St Monroe, LA 71201 (318) 323-8847 Nammour, Tarek, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 O’Donovan, Richard, MD 715 Wood St, Ste A Monroe, LA 71201 (318) 323-8847 615 Wood St Monroe, LA 71201 (318) 323-8847 Olinde, Larry, MD 1908 Royal Ave Monroe, LA 71201 (318) 325-5435 Pruett, David E., MD 1908 Royal Ave Monroe, LA 71201 (318) 325-5435 Yount, Nelson, MD 1908 Royal Ave Monroe, LA 71201 (318) 325-5435 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 12 of 159 U NEUROLOGY U Beene, Karen N., MD 312 Grammont St Ste 402 Monroe, LA 71201 (318) 966-6550 Boykin, Michael E., MD 102 Thomas Rd Ste 107 West Monroe, LA 71291 (318) 329-8450 Ehrlich, Michael, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Gulick, Thomas A, MD 312 Grammont St Ste 402 Monroe, LA 71201 (318) 966-6550 Stucki, Brian L., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Thompson, Lowery, MD 411 Wood St Monroe, LA 71201 (318) 966-8880 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 NEUROLOGYPEDIATRIC U Pena-Miches, Aristoteles, MD 500 Hall St Monroe, LA 71201 (318) 966-7337 OB/GYN Anders, Ronald, MD 1200 S Farmerville St Ruston, LA 71270 (318) 251-6238 Armstrong, Ralph B., MD 3408 Medical Park Dr Monroe, LA 71203 (318) 323-2244 Bryan, David G., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 (GYN Only) Clark, Dellie H., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 (GYN Only) Coffman, Leslie R., MD 401 McMillan Rd West Monroe, LA 71291 (318) 387-3113 Davis, Walter L., MD 1003 Fred LaGrone Dr Crossett, AR 71635 (870) 364-3800 Dunn, David, MD 1012 Louisa Rayville, LA 71269 (318) 728-2046 Guoth, Janos, MD 425 S Vine St Bastrop, LA 71220 (318) 281-8555 Hall, Peyton R., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 (GYN Only) Lee, Won S., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 Sheppard, Tonya H., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 McWhorter, James, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Smith, Landon C., MD 411 E Vaughn Ave Ste 103 Ruston, LA 71270 (318) 255-9414 Mitcham, Laura A., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Tugwell, Terry, MD 312 Grammont St., Ste. 300 Monroe, LA 71201 (318) 388-4030 Shemwell, Amber L., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 Williams, Adrienne, MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 417 McMillan Rd West Monroe, LA 71291 (318) 322-7119 Wilson, Jason, MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 2600 Tower Dr Ste 406 Monroe, LA 71201 (318) 361-9299 931 N Trenton St Ruston, LA 71270 (318) 232-0043 Ziegler, John S, MD 510 S Washington Bastrop, LA 71220 (318) 281-8596 OPHTHALMOLOGY Harper, Robert, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Pennebaker, Dawn W., MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 Apt, Richard, MD 1310 N 19th St Monroe, LA 71201 (318) 388-2020 Jackson, P. Gwenn, MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 Petty, Laura R., MD 312 Grammont St., Ste 300 Monroe, LA 71201 (318) 388-4030 Barron, Joseph B., MD 3101 Mercedes Dr Monroe, LA 71201 (318) 325-2020 417 McMillian Rd. West Monroe, LA 71291 (318) 388-4030 Broussard, Gerald, MD 1250 Pecanland Rd Monroe, LA 71203 (318) 387-2015 Klug, Sara J., MD 102 Thomas Rd Ste 118 West Monroe, LA 71292 (318) 388-4030 312 Gramont St Ste 300 Monroe, LA 71201 (318) 388-4030 417 McMillan Rd West Monroe, LA 71291 (318) 322-7119 2600 Tower Dr Ste 406 Monroe, LA 71201 (318) 361-9299 Lebleu-Vaszily, Laurie, MD 312 Grammont St Ste 300 Monroe, LA 71201 (318) 388-4030 2600 Tower Dr Ste 406 Monroe, LA 71201 (318) 361-9299 Rushton, Stewart, Jr., MD 1003 Fred LaGrone Dr Crossett, AR 71635 (870) 364-3800 Rutz Jr., Joseph A., MD 411 E Vaughn Ave 5 Ste 202 Ruston, LA 71270 (318) 255-4047 Sanders, Curtis L., MD 618 S Washington Bastrop, LA 71220 (318)281-5035 U Bryan, David D., MD St. Francis Medical Center 309 Jackson St. Monroe, LA 71201 (318) 966-4000 Cooksey, John C., MD 1310 N 19th St Monroe, LA 71201 (318) 388-2020 1010 Vienna St Ruston, LA 71270 (318) 388-2020 Grigorian, Ruben A., MD 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 13 of 159 1801 Auburn Ave Monroe, LA 71201 (318) 812-1600 138 Christian Dr Rayville, LA 71269 (318) 728-2020 Fernandes, Joshua K., MD 3101 Mercedes Dr Monroe, LA 71201 (318) 325-2020 Haik, Raymond E., MD 1804 North 7th St West Monroe, LA 71291 (318) 325-2610 138 Christian Dr Rayville, LA 71269 (318) 728-2020 1801 Auburn Monroe, LA 71201 (318) 812-1600 Humble, Joseph E., MD 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 138 Christian Dr Rayville, LA 71269 (318) 728-2020 1801 Auburn Monroe, LA 71201 (318) 812-1600 Luffey, Gary E., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Lyon, Charles E., MD 1200 S Farmerville Rd Ruston, LA 71270 (800) 521-7218 Meyer, JoAnn H., MD 517 Catalapa St Monroe, LA 71201 (318) 966-6500 Parker, Thomas, MD 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 138 Christian Dr Rayville, LA 71269 (318) 728-2020 1801 Auburn Monroe, LA 71201 (318) 812-1600 Read, William Jason, MD 3510 Magnolia Cv Ste 180 Monroe, LA 71203 (318) 387-3881 Ballard, Richard I., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 1010 S Vienna Ruston, LA 71270 (318) 387-3881 Redmond, Patrick R., MD 207 St. John St. Winnfield, LA 71483 (318) 487-2020 Richards, Alan B., MD 1801 Auburn Ave Monroe, LA 71201 (318) 812-1600 Van Norman, Russell, MD 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 Vekovius, Bryan, MD 3101 Mercedes Dr Monroe, LA 71201 (318) 325-2020 Vincent, Jared, MD 400 E Vaughn Ave Ruston, LA 71270 (318) 255-2745 Williamson, Baron, MD 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 138 Christian Dr Rayville, LA 71269 (318) 728-2020 OPHTHALMOLOGYPEDIATRICS Richards, Alan B., MD 1801 Auburn Ave Monroe, LA 71201 (318) 812-1600 ORTHOPAEDICS U Bailey, Jr., Myron, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Bailey, Sidney, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Blair, Major, E., MD 411 E Vaughn Ave Ste 201 Ruston, LA 71270 (318) 251-1003 601 W Lafayette St Winnfield, LA 71483 (318) 251-1003 Brown, Douglas C., MD 312 Grammont St Ste 302 Monroe, LA 71201 (318) 323-6603 101 Professional Dr West Monroe, LA 71291 (318) 323-6603 161 Christian Dr Rayville, LA 71269 (318) 323-6603 Bulloch, Robert Brian, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Counts, Jeffrey R., DO 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 DeGravelle Jr., Martin J, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Dona, Grant A., MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Ferrer, Jose L., MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Finley III, James S., MD 707 S Vienna Ruston, LA 71270 (318) 251-8001 Graves, W. Sol, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 McClelland, Scott K., MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Sirmon, Kristopher C., MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Ave West Monroe, LA 71291 (318) 323-8451 330 East Vaughn Ruston, LA 71270 (318) 323-8451 Spires, Jr., Timothy, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 1650 Desaird St Monroe, LA 71201 (318) 361-7282 Spires, Sr., Timothy, MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 14 of 159 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Trettin, David M., MD 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 (318) 323-8451 Potts, James M., MD 312 Grammont St Ste 301 Monroe, LA 71201 (318) 323-8451 1501 Louisville Ave Monroe, LA 71201 (318) 361-2613 PSYCHIATRY OTOLOGY/ NEUROTOLOGY House, III, James, MD 971 Lakeland Dr Ste 854 Jackson, MS 39216 (601) 981-2825 Carter, O. Stephen, MD 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 PAIN MANAGEMENT Arklamiss Surgery Center 210 Layton Ave Monroe, LA 71201 (318) 807-0206 Forte, Vincent, MD 210 Layton Ave Ste 20 Monroe, LA 71201 (318) 323-6405 Gordon, James H., MD 210 Layton Ave Ste 20 Monroe, LA 71201 (318) 323-6405 Ledbetter, John, MD 210 Layton Ave Ste 20 Monroe, LA 71201 (318) 323-6405 PATHOLOGY Delta Pathology Group, LLA 309 Jackson St Monroe, LA 71201 (318) 327-4105 109 Circle Dr West Monroe, LA 7129 (318) 323-1834 PHYSICAL MEDICINE Morstead, Rolf, MD 312 Grammont Ste 301 Monroe, LA 71201 (318) 323-8451 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 Matthews, William H., MD 411 Calypso Ste 210 Monroe, LA 71201 (318) 966-6500 Zentner, Scott, MD 2104 Loop Rd Ste A Winnsboro, LA 71295 (318) 435-6377 Murray, Howard N., MD 206 Bell Ln Ste C West Monroe, LA 71291 (318) 251-8316 U Agarwal, Rita, MD 3711 Cypress St Ste 5 West Monroe, LA 71291 (318) 396-3228 U Wright, Michael B., MD 128 Ridgedale Dr West Monroe, LA 71291 (318) 329-4419 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Gullapalli, Aruna, MD 2404 Duval Dr Monroe, LA 71201 (318) 329-3933 Liles, Leigh T., MD 1818 Ave of America Monroe, LA 71201 (318) 998-2700 2104-C Loop Rd Winnsboro, LA 71201 (318)435-6377 Ragsdill Jr., Roy MD 109 Regency Place West Monroe, LA 71291 (318) 812-9999 Torres, Alfredo E., MD 300 Washington St Ste 208 Monroe, LA 71201 (318) 651-8337 Vandenberg, Hebert, MD 615 S Trenton St Ruston, LA 71270 (318) 251-2322 6134 Quitman Hwy Quitman, LA 71268 (318) 395-8787 1506 Stubbs Ave Monroe, LA 71201 (318) 361-3808 Walker, Calvin C., MD 433 Bayou Oaks Dr Monroe, LA 71203 (318) 323-0700 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 PULMONARY MEDICINE U Bruchhaus, John D., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Coburn, David A., MD St Francis Medical Center 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Fincher, Richard W., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Gullatt, Thomas J., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Hammett, Ronald F., MD 102 Thomas Rd Ste 107 West Monroe, LA 71291 (318) 329-8479 Irby, M. Scott, MD 2810 Armand Pl Monroe, LA 71201 (318) 322-5864 Shrestha, Pranabh, MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Smith, James G., MD 309 Jackson St Monroe, LA 71201 (318) 966-4540 (Hospitalist Only) Smith, Thomas P., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 309 Jackson St Monroe, LA 71201 (318) 327-4000 (Hospitalist Only) Uysal, Askin, MD 102 Thomas Rd Ste 104 West Monroe, LA 71291 (318) 329-8485 503 McMillan Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) RADIATION MEDICINE Ebeling, Robert L., MD 411 Calypso St Monroe, LA 71201 (318) 966-1917 Zollinger, William, MD 411 Calypso St Monroe, LA 71201 (318) 966-1917 RADIOLOGY U Jain, Nitesh K., MD 309 Jackson St Monroe, LA 71201 (318) 966-7285 Abraham III, Ralph L., MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Maran, Antti G., MD 411 Calypso St Ste 210 Monroe, LA 71201 (318) 966-6500 Barnidge, Michael Jr., MD 1601 Lamy Ln Monroe, LA 71201 (318)387-3453 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 15 of 159 Barraza, J. Michael, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Elias, Francis, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Stelly, Marcus V., MD 2106 Loop Rd Winnsboro, LA 71295 (318) 412-5237 McCoy, David M., MD 312 Grammont St Ste 410 Monroe, LA 71201 (318) 966-6300 Brown-Folse Radiology 411 Main St Columbia, LA 71418 (318) 649-6111 Halsell, Anne, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Thomas, IV, Lovick P., MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 White, Robert K., MD 312 Grammont St Ste 410 Monroe, LA 71201 (318) 966-6500 Halsell, Robert D., MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Weeks, Jeffrey S., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 General Surgery Hindelang IIII, Floyd M., MD 706 Ross St Oak Grove, LA 71263 (337) 261-6000 Worley II, Emery Edward, MD 2408 Broadmoor Monroe, LA 71201 (318) 410-0002 7939 Hwy 165 S Columbia, LA 71418 (318) 649-6106 336 N Hood St Lake Providence, LA 71254 (318) 559-4023 165 Beech Springs Rd Jonesboro, LA 71251 (318) 259-4435 900 Johnson St Tallulah, LA 71282 (318) 574-2374 323 W Walnut Ave Bastrop, LA 71220 (318) 283-3600 409 1st St Bernice, LA 71222 (318) 285-9066 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 901 James Ave Farmerville, LA 71241 (318) 368-9751 706 Ross St Oak Grove, LA 71263 (318) 428-3237 Dang, Matthew K., MD 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Davidson, Dan B., MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Davis, John A., M.D. 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Johnson, David A., MD 1240 Richardson Rd. Calhoun, LA 71225 (318) 728-9988 Lapidus, Robert L., MD 706 Ross St Oak Grove, LA 71263 (318) 428-3237 LaPietra, Jesse, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 McDonald, Brenton, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 McGehee, Blake, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Porter, Chad T., MD 2106 Loop Rd Winnsboro, LA 71295 (318) 412-5268 Radiology Consultants 105 B McMillan Rd West Monroe, LA 71291 (318) 325-3838 1401 E. Vaughn Ave Ruston, LA 71270 (318) 283-3600 323 W Walnut Ave Bastrop, LA 71220 (318) 283-3600 Xiong, Lin, MD 1601 Lamy Ln Monroe, LA 71201 (318) 387-3453 Barr, J. Larry, MD 1655 Louisville Ave Monroe, LA 71201 (318) 388-8880 Butler, Greene S., MD 1118 S Farmerville St Ruston, LA 71270 (318)251-6335 Byrnes, Kerry, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 RHEUMATOLOGY Hull, John E., MD 3402 Magnolia Cv Monroe, LA 71203 (318) 388-5830 Mallepalli, Jyothi R., MD 3402 Magnolia Cv Monroe, LA 71203 (318) 388-5830 503 McMillan Rd West Monroe, LA 71291 (318) 329-4744 (Hospitalist Only) Robicheaux, Rochelle A., MD (Affinity Health Network) 1200 S Farmerville Rd Ruston, LA 71270 (318) 255-3690 SURGERY Cardiovascular/ Thoracic Surgery Borders, Blaine, MD 102 Thomas Rd Ste 205 West Monroe, LA 71291 (318) 329-1900 Donias, Harry W., MD 503 McMillan Rd West Monroe, LA 71291 (318) 329-3475 Callahan, Robert G., MD 254 Hwy 3048 Rayville, LA 71269 (318) 728-4181 Gutierrez, David, MD 2104 Loop Rd Ste E Winnsboro, LA 71295 (318) 435-4084 2106 Loop Rd Winnsboro, LA 7129 5 (318) 435-9411 Lee, James S., MD 100 Magnolia St Winnfield, LA 71483 (318)302-3602 Liles, William B., MD (Affinity Health Network) 410 Wood St Monroe, LA 71201 (318) 398-2984 Lolley, Russell T., MD 102 Thomas Rd Ste 203 West Monroe, LA 71291 (318) 329-8445 Long, Stephenie R., MD 312 Grammont St Ste 411 Monroe, LA 71201 (318) 966-6622 Marx, Daryl S., MD 2301 Justice St Monroe, LA 71201 (318) 398-9709 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 16 of 159 McClusky, Derek R., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Meyer, Kevin M., MD 517 Catalpa St Monroe, LA 71201 (318) 966-6500 Sanfiel, Francisco, MD 122 Professional Dr West Monroe, LA 71291 (318) 807-4611 Sartor, Frank B., MD 500 Hart St Monroe, LA 71201 (318) 322-0790 Sartor, Walter, MD (Affinity Health Network) 410 Wood St Monroe, LA 71201 (318) 398-2984 Thompson, Addison, MD 129 Christian Dr Rayville, LA 71269 (318) 728-7149 Zizzi, Henry C., MD 102 Thomas Rd Ste 203 West Monroe, LA 71291 (318)387-1812 Neurosurgery Alvernia-Silva, Jorge E., MD 122 Professional Dr West Monroe, LA 71291 (318) 807-4611 Cain, Marshall A., MD 2485 Tower Dr Ste 9 Monroe, LA 71201 (318) 600-4159 Plastic Surgery Lineaweaver, William, MD 1850 Chadwick Dr Ste 1427 Jackson, MS 39204 (601) 824-3977 3675 J Dewey Gray Cir Ste 300 Augusta, GA 30909 (706) 863-9595 Maguire, Herbert, MD 102 Thomas Rd Ste 119 West Monroe, LA 71291 (318) 338-3560 Oswald, Tanya M., MD 346 Crossgates Blvd Ste 202 Brandon, MS 39042 (601) 824-3977 3675 J Dewey Gray Cir Ste 300 Augusta, GA 30909 (706) 863-9595 Thoracic Surgery Nagem, Edmund, MD 503 McMillan Rd West Monroe, LA 71291 (318) 329-3475 Vascular Surgery Byrnes, Kerry, MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Ngofa, Nwosu O., MD 411 E Vaughn Ave Ste 200 Ruston, LA 71270 (318) 255-1212 UROLOGY Greer, Carlton Russ, MD 212 Walnut St Ste 110 Monroe, LA 71201 (318) 323-1809 Baker, Ashley S., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 McHugh, Bernie, Jr., MD 212 Walnut St Ste 110 Monroe, LA 71201 (318) 323-1809 Cage, John M., MD 312 Grammont St Ste 411 Monroe, LA 71201 (318) 966-4540 Neurosurgery - Pediatric Callaway, Mark W., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Bermudez, Jose A., MD 301 Hall St Monroe, LA 71203 (318) 966-6565 Cline, Kevin J., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Palmer, Thomas E., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Germany Jr., Raymond D., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Ranjitkar, Tika B., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Henderson, Ralph J. MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Henry, Gerard D., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Humble, Robert L., MD (Affinity Health Network) 2509 Broadmoor Blvd Ste A Monroe, LA 71201 (318)807-1390 Johnson, J. Bradley, MD (Affinity Health Network) 711 St. John St Monroe, LA 71201 (318) 387-9420 Liles, Arthur E., MD (Affinity Health Network) 711 St. John St Monroe, LA 71201 (318) 387-9420 Marx, Robert D., MD 102 Thomas Rd Ste 108 West Monroe, LA 71291 (318) 329-8464 Mook, Tommy M., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Moss, James L., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Noble, James R., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Norwood, Jeremy S., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Rutland, Edward, MD 102 Thomas Road Ste 111 West Monroe, LA 71291 (318) 329-8464 Spann, Alison S, MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Smith, Stanley J., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Spinazze, Ernesto A., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Stage, Adam C., MD 201 McMillan Rd West Monroe, LA 71291 (318) 683-0411 Tanner, Jr., C.W., MD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 ANCILLARY SERVICES AFTER HOURS TREATMENT American Stat Care Centers, PC Inc. 1107 Glenwood Dr. West Monroe, LA 71291 (318) 396-3800 730 Celebrity Dr. Ruston, LA 71270 (318) 255-2100 Affinity Walk-In Clinic 2408 Broadmoor Blvd Ste 2 Monroe, LA 71201 (318) 807-0525 Family Convenience Clinic 3101 Cypress St Ste 1 West Monroe, LA 71291 (318) 322-9252 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 17 of 159 Monroe Medical Clinic 100 S Second St Monroe, LA 71201 (318) 322-7836 Frieden, Richard, DC 610 Cypress St West Monroe, LA 71291 (318) 410-9919 Heath, William T., DMD 1107 Louisa St Rayville, LA 71269 (318) 728-9585 St. Francis Convenience Clinic 920 Oliver Rd Ste 1600 Monroe, LA 71201 (318) 966-6220 Grant, Gordon G., DC 3219 Sterlington Rd Monroe, LA 71203 (318)387-5388 Hooton, Edward J., DDS 2805 Armand St Ste A Monroe, LA 71201 (318) 388-4411 Gustinger, Karl, DC 2107 Justice St. Monroe, LA 71201 (318) 325-6325 John, Raymond H., DDS 2001 Forsythe Ave, Bldg 1 Monroe, LA 71201 (318) 322-1043 Harvey, Michael T., DC 1212 Stubbs Ave Monroe, LA 71201 (318) 325-6685 Koehler, Karen L., DDS 1215 Royal Ave Monroe, LA 71201 (318) 387-4050 Henderson, Alvin, DC 1115 McCreight Bastrop, LA 71220 (318) 281-2992 Matthews, Elizabeth S., DDS 406 Levee St. St. Joseph, LA 71366 (318) 766-9115 St. Francis Pediatric After Hours Clinic, LLC 3421 Medical Park Dr Monroe, LA 71203 (318) 966-6191 BEHAVORIAL ANALYST Boudloche Jr., Lloyd, BCBA 805 Stubbs Ave Ste C Monroe, LA 71201 (318) 605-2636 Nicholson, Benjamin T., SSP, LBA 1818 Avenue of America Monroe, LA 71201 (318) 998-2700 Peters, Kimberly A., BCBA 805 Stubbs Ave, Ste D Monroe, LA 71201 (318) 396-5210 CHIROPRACTORS Bryant, Steven B., DC 3219 Sterlington Rd Monroe, LA 71203 (318)387-5388 Crosby, Jonathan B., DC 608 N Marable Bastrop, LA 71220 (318) 281-0550 Eggleston, Michael, DC 3000 N Market Ave Ste C Fayetteville, AR 72703 (479) 575-0105 Frieden Chiropractic Clinic Dan Wiegand, DC 2204 N 7th St Ste A&B West Monroe, LA 71294 (318) 322-8535 Frieden, Lynette, DC 610 Cypress St West Monroe, LA 71291 (318) 410-9919 DIAGNOSTIC SERVICES Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 1285 Corporate Center Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 Cardiostaff Corporation 4014 Medical Pkwy Ste 200 Austin, TX 78756 (512) 419-1755 Delta Diagnostics 2408 Broadmoor St Monroe, LA 71201 (318) 388-8866 Higginbotham Chiropractic Clinic 712 N Trenton Ruston, LA 71270 (318) 251-2424 Rachal, Sherea L., DMD 804 Beech St Tallulah, LA 71282 (318)574-1453 Murphy, John L., DC 1010 N 4th St Monroe, LA 71201 (318) 325-6263 Rustom, Joseph A., DDS 425 W Lafayette St Winnfield, LA 71483 (318)302-3261 Rendina, Robert C., DC 103 W Georgia Ave Ruston, LA 71270 (318) 251-2243 Sampognaro, Charles M., DDS 1219 N 19th St Monroe, LA 71201 (318) 323-9277 LA Imaging Services LLC 806 N 31st St Ste B Monroe, LA 71201 (318) 473-9917 Stephens, S. Gray, DDS 2223 Justice St Monroe, LA 71201 (318) 323-0240 Md INR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 Wiegand, Dan W., DC 2204 N 7th St Ste A & B W. Monroe, LA 71291 (318) 322-8535 DENTISTS Corder, Phil M., DDS 117 Professional Dr West Monroe, LA 71291 (318) 387-8504 Crigler, Mary Kathryn, DDS 2001 Forsythe Ave Monroe, LA 71201 (318) 322-1043 Davis, Kristi T., DDS 2001 Forsythe Ave Bldg 1 Monroe, LA 71201 (318) 322-1043 Surles, Brant L., DDS 2406 Duval Dr Monroe, LA 71201 (318) 699-0101 Viator, Kerry J., DDS 1626 Arkansas Rd West Monroe, LA 71291 (318) 396-4600 White, David A., DDS 1626 Arkansas Rd West Monroe, LA 71291 (318) 396-4600 Williams, Don C., DMD 804 Beech St Tallulah, LA 71282 (318) 574-1453 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 25060 Ave Stanford Ste 270 Valencia, CA 91355 (800) 355-0691 72 Bonaventura San Jose, CA 95134 (661) 942-3296 Raytel Cardiac Services, Inc. 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 18 of 159 U Ruston Xray Services LLC 707 S Vienna St Ruston, LA 71270 (318)232-2544 Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 DIALYSIS TREATMENT CENTER U BMA Bastrop Dialysis Center 1006 N Washington St Bastrop, LA 71220 (318) 281-8181 BMA Farmerville Dialysis Center 108 Hill St Farmerville, LA 71241 (318) 368-3337 BMA Oak Grove Dialysis Center 711 E Jefferson St Oak Grove, LA 71263 (318) 428-1385 BMA Ouachita Dialysis 102 Thomas Rd Ste 306 West Monroe, LA 71291 (318) 387-2747 BMA Winnfield 601 W Court Winnfield, LA 71483 (318) 648-1222 BMA Winnsboro 3982 Front St Winnsboro, LA 71295 (318) 435-3511 Delhi Dialysis Center 307 Detroit St Delhi, LA 71232 (318) 878-9072 Dialysis Services Caldwell Parish 7720 US Hwy 165 Ste 3 Columbia, LA 71418 (318) 649-2113 FMC Farmerville Dialysis 108 Hill St Farmerville, LA 71241 (318) 368-3337 FMS of Ruston 760 S Farmerville Ruston, LA 71270 (318) 255-8666 Fresenius Medical Care North Monroe 2344 Sterlington Rd Monroe, LA 71203 (318) 699-0001 Fresenius Medical Care Union Parish 1012 Sterlington Hwy Farmerville, LA 71241 (318) 368-1314 Fresenius Medical Care West Monroe 401 Thomas Rd West Monroe, LA 71291 (318) 387-3188 Lincoln Kidney Center 219 Mills Ave Ruston, LA 71270 (318) 251-3730 Monroe Kidney Center 1501 Southern Ave Monroe, LA 71202 (318) 398-4181 Northern Louisiana Dialysis Center 711 Wood St Ste B Monroe, LA 71210 (318) 322-7565 RCG Delta 104 Railroad Ave Delta, LA 71233 (318) 633-9662 Renal Associates of NELA APMC 1908 Royal Ave Monroe, LA 71201 (318) 325-5435 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) Outpatient Medical Center 804 Beech St Tallulah, LA 71282 (318) 574-1453 Primary Health Services in Monroe 2915 Betin Ave Monroe, LA 71201 (318)651-9914 820 S 2nd St Monroe, LA 71202 (318)651-0041 Delhi HomeCare 509 Cincinnati St Delhi, LA 71232 (318) 878-5152 2913 Desiard St Monroe, LA 71201 (318)651-9914 Winn Community Health Center 431 W Lafayette St Winnfield, LA 71483 (318)648-0375 Delta Home Care 9 Crothers Dr Tallulah, LA 71282 (318) 574-5700 Family Life Home Health 209 Fair Ave Winnsboro, LA 71295 (318) 435-4366 425 W Lafayette St Winnfield, LA 71483 (318)302-3261 HEARING CENTER/ AUDIOLOGIST Acadian Hearing & Balance Center 107 Contempo Ave Ste 3 West Monroe, LA 71291 (318) 410-9095 Cowan, Deborah, AU 2101 Tower Dr West Monroe, LA 71201 (318) 812-1125 Haven Home Health 7726 Hwy 165 S Columbia, LA 71418 (318) 649-9840 Keahey, Brittany S., AuD 2802 Kilpatrick Blvd Monroe, LA 71201 (318) 855-6282 4327 Sterlington Rd Ste B Monroe, LA 71203 (318) 324-8632 Pettit, Lorra M, AuD 2802 Kilpatrick Blvd Monroe, LA 71201 (318) 855-6282 Alpha Care Home Health 1859 Ave of America Bldg 5 Ste A Monroe, LA 71201 (318)323-7097 Amedisys Specialized Medical Services LLC 1651 Louisville Ave., Ste. 118 Monroe, LA 71201-6039 (318) 324-0681 Best Home Health 728 Celebrity Dr Ruston, LA 71270 (318) 251-9300 3101 Cypress St Ste 4 West Monroe, LA 71291 (318) 323-5594 Glenwood Home Health Services 102 Thomas Rd #607 West Monroe, LA 71291 (318) 329-3737 Hancock Home Health Inc 711 Johnson St Tallulah, LA 71282 (318)574-2240 Frasier, Jerrilyn T., AuD 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 HOME HEALTH CARE 1211 Louisa St Rayville, LA 71269 (318) 728-8722 Haworth Home Health of LA 310 S. Chestnut St. Tullulah, LA 71284 (318) 574-5602 U HomeCare Resources, LLC 235 Desiard St Ste B Monroe, LA 71201 (318) 325-8500 1707 Warren St Winnsboro, LA 71295 (318) 435-3342 100 W Bayou St Ste 2 Farmerville, LA 71241 (318) 368-7108 711 E Main St Oak Grove, LA 71263 (318) 428-9818 Louisiana HomeCare of Monroe 3418 Medical Park Dr #6 Monroe, LA 71203 (318) 327-4500 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 19 of 159 Louisiana HomeCare/Ruston 201 E Reynolds Dr Ruston, LA 71270 (318) 255-2959 Mangham Home Care, Inc. 714 Broadway Mangham, LA 71259 (318) 248-2797 MediStar Home Health of Jackson Parish 403 Cooper Ave Jonesboro, LA 71251 (318) 259-8389 MediStar Home Health of Monroe 1808 Glenmar Monroe, LA 71201 (318) 340-0221 PrimeCare Network 130 DeSiard St Ste 401 Monroe, LA 71201 (318) 322-5461 400 S Bonner St Ruston, LA 71270 (318) 255-2600 7192 Hwy 165 Columbia, LA 71418 (318) 649-3235 Quality Home Health Inc 461 E Madison Ave Bastrop, LA 71220 (318) 281-4882 Restorative Home Health Care LLC 424 Desiard St Monroe, LA 71201 (318) 450-6131 Richardson Medical Center HomeCare 1612 Julia St Rayville, LA 71269 (318) 728-5397 Stat Home Health North, LLC 2017 Hudson Ln Monroe, LA 71201 (318) 410-1344 2602 Hwy 33 Ruston, LA 71270 (318) 251-5770 Supreme Home Health Services Inc 1110 Jackson St Monroe, LA 71201 (318)323-5489 Synergy Home Care Northeast Region 1605 Stubbs Ave Monroe, LA 71201 (318)805-0106 2201 N Service Rd E Ruston, LA 71270 (318)251-2559 TruCare Home Health, LLC 1800 Hudson Ln Ste 2C Monroe, LA 71201 (318) 654-8627 United Home Care, Inc. 213 Expo Cir West Monroe, LA 71292 (318) 329-9090 129 Elm St Bastrop, LA 71220 (318) 281-9090 6997 US Hwy 165 Columbia, LA 71418 (318) 649-0067 201 E Franklin Ste 1 Farmerville, LA 71241 (318) 368-4663 311 N Front St Oak Grove, LA 71263 (318) 428-8636 150 Christian Dr Rayville, LA 71269 (318) 728-9090 608 Belue Ln Ruston, LA 71270 (318) 513-2550 103 Watts St Jonesboro, LA 71251 (318) 259-9300 West Carroll Home Health 110 N Front St Oak Grove, LA 71263 (318) 428-9604 Winn Home Health Care Inc 206 N Bevill Winnfield, LA 71483 (318) 628-3807 HOSPICE Gamble Hospice Care Northeast LLC 510 Trenton St Ste 100 West Monroe, LA 71291 (318) 387-1115 Caring Hearts Hospice 513 Horace St Mangham, LA 71259 (318)248-2421 Crossroads Hospice, LLC 838 Broadway Sq Delhi, LA 71232 (318) 878-2182 Doctors Hospice Associates 215 Arkansas Ave Monroe, LA 71201 (318) 325-6695 First Choice Hospice 426 Desiard St Monroe, LA 71201 (318) 322-0049 Hospice Care Resources, LLC 207 Fair Ave Winnsboro, LA 71295 (318) 435-5323 Hospice Compassus 2213 Justice St Monroe, LA 71201 (318) 322-0062 Hospice Family Alliance 111 Hudson Ln Ste D Monroe, LA 71201 (318) 329-9300 Hospice of Caring Hearts 100 S Trenton St Ruston, LA 71270 (318) 255-2033 Louisiana Hospice & Palliative Care of LA, LLC 1101 Hudson Ln Ste D Monroe, LA 71201-6049 (318) 322-2235 Premier Hospice 1513 Texas Ave Bastrop, LA 71220 (318) 556-1999 Richland Hospice, LLC 161 Christian Drive Rayville, LA 71269 (318) 728-4633 SouthernCare Monroe 1810 Glenmar Ave Monroe, LA 71201 (318) 387-5165 St. Joseph Hospice & Palliative Care of Monroe 1890 Hudson Cir Ste 3 Monroe, LA 71201 (318) 387-2687 INFUSION THERAPY U Kay’s Hideaway Pharmacy Carepoint Partners 1101 Hudson Lane Ste B-1 Monroe, LA 71201 (844) 452-7747 Vital Care of Northeast LA 4140 Old Sterlington Rd Monroe, LA 71203 (318) 343-4663 Prescription Shoppe Vital Care 104 W Line Ave Ruston, LA 71270 (318) 255-7363 Professional Care Pharmacy 4106 DeSiard St Monroe, LA 71203 (318) 345-2891 Reliant Healthcare 1004 N 19th St Monroe, LA 71201 (318) 322-8326 LABORATORIES U Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75284 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 20 of 159 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 CRL of America 6198 Cypress St Bldg 4 West Monroe, LA 71291 (318)396-3143 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 Family Vital Care Stewart – Johnston, Inc 500 Alexander St Jonesboro, LA 71251 (318) 259-7334 Grace Medical Equipment & Supplies Inc 2665 Winnsboro Rd # 2 Monroe, LA 71202 (318) 322-3325 Hanger Prosthetics & Orthotics, Inc. 3007 Cypress St West Monroe, LA 71291 (318) 325-6415 Hanger Prosthetics & Orthotics, Inc. 15 River Bend Pl Ste B Jackson, MS 39232 (601) 939-2100 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 City Apothecary 312 Grammont St Ste 102 Monroe, LA 71201 (318) 388-4747 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Community Pharmacy, LLC 707 Coleman Ave West Monroe, LA 71292 (318) 398-2100 Hanger Prosthetics & Orthotics, Inc. 1111 N Frontage Rd Vicksburg, MS 39180 (601) 883-3341 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 Healthcare Warehouse, LLC 209 Expo Cir West Monroe, LA 71292 (888) 345-3905 Custom Healthcare Inc dba Numotion 1101 N 7th St West Monroe, LA 71291 (318) 410-9222 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 Cornerstone Hospital of West Monroe 6198 Cypress St West Monroe, LA 71291 (318) 396-5600 LabCorp of America 109 Circle Dr West Monroe, LA 71291 (318) 323-1800 Bayou Medical 1369 Hwy 867 Winnsboro, LA 71295 (318) 435-4140 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Green Clinic Laboratory 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 OPKO Lab 1450 Elm Hill Pk Nashville, TN 37210 (615) 874-0410 LONG TERM ACUTE CARE FACILITIES GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 AOSS Medical Supply, Inc. 4971-M Central Ave Monroe, LA 71201 (318) 325-8290 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 Allenmed, Inc 107 E Marshall St Gilmer, TX 75644 (903) 680-3113 Louisiana Extended Care Hospital of West Monroe 503 McMillan Rd 3rd Flr West Monroe, LA 71291 (318) 329-4300 Specialty Hospital 309 Jackson St 7th Flr Monroe, LA 71201 (318) 327-4600 MEDICAL EQUIPMENT A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 U Diabetic Experts of America 10800 N Congress Ave Kansas City, MO 64153-1228 (866) 500-7975 Premier HOPE Orthodic & Prosthetic Enterprises, LLC 1209 Royal Ave Monroe, LA 71201 (318) 812-0119 Dillingham Optical Inc 1812 Roselawn Ave Monroe, LA 71201 (318)387-1602 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 Dixie Medical Equipment 430 W South Ave Winnfield, LA 71483 (318) 628-6900 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Pk Twinsburg, OH 44087 (800) 321-0591 Just Like You 4900 Cypress St Ste 5 West Monroe, LA 71291 (318) 396-6789 Faillas Vital Care 110 Hwy 11 N Ste A Picayune, MS 39466 (601) 798-4830 Kay’s Hideaway Pharmacy Vital Care of Northeast LA 4140 Old Sterlington Rd Monroe, LA 71203 (318) 343-4663 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 21 of 159 Lee’s City Drugs 123 W Madison Bastrop, LA 71220 (318) 281-1344 Lincare, Inc. 308 Arkansas Ave Monroe, LA 71201 (318) 325-6467 612 Prairie St Winnsboro, LA 71295 (318)435-2579 408 W Mississippi Ruston, LA 71270 (318) 254-0260 Luffey’s Medical & Surgical Supply, Inc. 2000-B Tower Dr Monroe, LA 71201 (318) 388-4036 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 Margaret’s Healthcare Inc 419 W Court St Winnfield, LA 71483 (318) 628-2136 Marie’s Medical Supply, Inc. 103 Blanchard St Ste F West Monroe, LA 71291 (318) 338-3550 775 S Bonner St Ruston, LA 71270 (318) 255-3077 Matte’s Health Mart Pharmacy 314 Main St Marion, LA 71260 (318) 292-4570 Mayfield Inc dba FastServ Medical 112 Summer Ln West Monroe, LA 71291 (318) 396-3366 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 Medical Technology of LA 2401 Ferrand St Monroe, LA 71201 (318) 340-9090 Methodist Hospital Orthotic & Prosthetics 1607 Louisville Ave Monroe, LA 71201 (318) 410-6846 Samaritan Home Medical Equipment 112 S Trenton Ruston, LA 71270 (318) 251-8300 Mid South Medical Epuipment 107 Bridge St West Monroe, LA 71291 (318) 855-0411 Snells Limbs & Braces, LLC 211 Hall St Monroe, LA 71201 (318)388-3126 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 Mitchell’s Pharmacy 202 E Main St Jonesboro, LA 71251 (318) 259-7466 The Medicine Shoppe 1510 S 2nd St Monroe, LA 71202 (318) 323-2883 Northeast Louisiana Medical Supply 777 N Washington St Bastrop, LA 71220 (318) 239-3880 The Medicine Shoppe 411 E Main St Oak Grove, LA 71263 (318) 428-4205 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 Prescription Shoppe Vital Care 104 W Line Ave Ruston, LA 71270 (318) 255-7363 Professional Care Pharmacy 4106 DeSiard St Monroe, LA 71203 (318) 345-2891 Regional Medical Rental & Sales 1119 Forsythe Ave Monroe, LA 71201 (318) 325-4570 Reliant Healthcare 1004 N 19th St Monroe, LA 71201 (318) 322-8326 Tri-Care LLC DBA Sanocare 2123 Justice St Monroe, LA 71201 (318) 387-7553 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 MOBILE UNIT Fox, Crystal H., RD (Affinity Health Network) 109 Regency Pl West Monroe, LA 71291 (318) 812-9999 3400 Medical Park Dr Ste B Monroe, LA 71203 (318) 387-6803 1825 N 18th St Ste A Monroe, LA 71201 (318) 807-3700 St. Francis Outpatient Medical Nutrition Therapy 920 Oliver Rd Ste 1450 Monroe, LA 71201 (318) 327-5219 Wood, Amanda L., RD (Affinity Health Network) 109 Regency Pl West Monroe, LA 71291 (318) 812-9999 OPTOMETRISTS Avallone, Gary J., OD 911 Tech Dr Ruston, LA 71270 (318) 251-9095 Brogden, Neil W., OD 1200 S Farmerville Ruston, LA 71270 (318) 222-8421 Cagnolatti, Robert D., OD 1812 Roselawn Ave Monroe, LA 71201 (318) 387-9626 U Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 NUTRITIONAL COUNSELING Dean, Sara W., RD (Affinity Health Network) 109 Regency Pl West Monroe, LA 71291 (318) 812-999 3400 Medical Park Dr Ste B Monroe, LA 71203 (318) 387-6803 Eastman, Hannah L., OD 207 S St John Winnfield, LA 71483 (877) 861-7770 Eaton, Jim, OD 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 138 Christian Dr Rayville, LA 71269 (318) 728-2020 1801 Auburn Ave Monroe, LA 71201 (318) 812-1600 911 Tech Dr Ruston, LA 71270 (318) 251-9095 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 22 of 159 Floyd, Jennifer A., OD 303 N Trenton St Ruston, LA 71270 (318) 202-5845 Gandy, Jimmy, OD 107 Maxwell St Rayville, LA 71269 (318) 728-2299 311 Lake St Lake Providence, LA 71254 (318) 559-2464 Gandy, Stacy G., OD 107 Maxwell St Rayville, LA 71269 (318) 728-2299 311 Lake St Lake Providence, LA 71254 (318) 559-2464 Gilcrease, Edward, OD 1801 N 7th St Ste B West Monroe, LA 71291 (318) 325-4467 1010 Vienna St Ruston, LA 71270 (318) 255-9433 Gordon, William, OD 3000 Forsythe Ave Monroe, LA 71201 (318) 807-2020 Haynes, Michael, OD 2808 Forsythe Ave Monroe, LA 71201 (318) 323-4994 Legg, Melinda, OD 303 McMillan Rd West Monroe, LA 71291 (318) 387-7257 McNease, Meghan L., OD 1812 Roselawn Ave Monroe, LA 71201 (318) 387-1602 6091 Mer Rouge Rd Bastrop, LA 71220 (318) 281-1664 Moss, Joseph C., OD 2209 Forsythe Ave Monroe, LA 71201 (318) 387-5657 Nguyen, Monica P., OD 3000 Forsythe Ave Monroe, LA 71201 (318) 807-2020 Pierce, Robert, OD 116 Kilgore Rd Ste 1 Ruston, LA 71270 (318) 251-3626 Yeager, Dwayne M., OD 3805 Cypress St West Monroe, LA 71291 (318) 325-3937 Building Futures, LLC 1605 Stubbs Ave Monroe, LA 71201 (318) 388-8414 1804 N 7th St West Monroe, LA 71291 (318) 325-2610 OUTPATIENT CENTERS 1801 Auburn Ave Monroe, LA 71201 (318) 812-1600 ArkLaMiss Surgery Center 210 Layton Ave Monroe, LA 71201 (318) 807-0206 High Hopes Pediatric Therapy 2115 Forsythe Ave Monroe, LA 71201 (318) 388-1303 Russell, Richard R., OD 210 S Odom Bastrop, LA 71220 (318) 281-2200 Scogin, Jonathan E., OD 1804 N 7th St West Monroe, LA 71291 (318)325-2610 1801 Auburn Ave Monroe, LA 71201 (318)812-1600 108 Regency St West Monroe, LA 71291 (318)325-2610 138 Christian Dr Rayville, LA 71269 (318)728-2020 Stoker, Cheryl T., OD 207 S St John Winnfield, LA 71483 (877) 861-7770 Surles, W. Elvis, OD 2209 Forsythe Ave Monroe, LA 71201 (318) 387-5657 Trichel, Jessica, OD 1200 S Farmerville Rd Ruston, LA 71270 (318) 322-842 Walker, James R., OD 207 S St John Winnfield, LA 71284 (318) 628-7992 Walters, Richard M. OD 207 St John Winnfield, LA 71483 (318) 487-2020 Ware, Gary E., OD 404 S Washington Bastrop, LA 71220 (318) 281-6682 U Better Living Endoscopy Ctr 3000 Halls Ferry Rd Vicksburg, MS 39180 (601) 638-9800 Broussard Cataract and Eye Institute 1250 Pecanland Rd Monroe, LA 71203 (318) 387-2015 Premier Sleep Clinic LLC 2322 Sterlington Rd Monroe, LA 71203 (318) 537-9320 Sleep Center of Northeast LA 1207 Bancroft Dr Monroe, LA 71201 (318) 323-1770 Sunshine Pediatric Therapy 1890 Hudson Cir Ste 12 Monroe, LA 71201 (318) 855-3150 PHYSICAL THERAPY CENTERS Bolton, Megan, SLP 1605 Stubbs Ave Monroe, LA 71201 (318) 388-8414 Brown, Stacie N., SLP 1818 Ave of America Monroe, LA 71201 (318) 998-2700 Campbell, Christopher R., PT 1825 N 18th St Ste A Monroe, LA 71201 (318) 807-3700 261 Hwy 132 St. Francis Health & Wellness Mangham, LA 71259 Clinic (318) 248-2807 408 Hall St Carter, Kimberly, SLP Monroe, LA 71201 (318) 327-7165 1605 Stubbs Ave Monroe, LA 71201 Surgery Center of West (318) 388-8414 Monroe, LLC Dan Wood P.T., Inc. 102 Regency St West Monroe, LA 71291 3867 Bayou Acres Dr (318) 322-4888 Bastrop, LA 71220 (318) 283-2080 The Endoscopy Center Danni Jones Physical Therapy 316 S 6th St Monroe, LA 71201 108 N Monroe St (318) 327-3107 Ruston, LA 71270 (318) 251-2995 West Monroe Endoscopy Ctr Enlow, Brian T., PT 102 Thomas Rd Ste 506 (Affinity Health Network) West Monroe, LA 71291 (318) 388-8878 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 PEDIATRIC PHYSICAL THERAPY CENTERS ARCO’s Early Intervention Program 211 N 3rd St Monroe, LA 71201 (318) 322-8974 1825 N 18th St Monroe, LA 71201 (318) 807-3700 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 23 of 159 Glenwood Regional Outpatient Therapy Clinic – North Monroe 3995 Sterlington Rd Ste C Monroe, LA 71203 (318) 329-8850 Glenwood Regional Outpatient Therapy – Medical Mall 102 Thomas Rd Ste 501 West Monroe, LA 71291 (318) 329-4470 Glory Therapy LLC Kaufman, Karl J., PT 810 N 29th St Monroe, LA 71201 (318) 600-4260 Green Clinic Physical/Occupational Therapy 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Guillory’s Therapy Clinic 1014 N 4th St Monroe, LA 71201 (318) 323-1110 Holt, Christi D., SLP 810 N 29th St Monroe, LA 71201 (318) 600-4260 Jackson Parish Therapy Center 900 Pershing Hwy Jonesboro, LA 71251 (318) 259-9899 Lakewood Physical and Occupational Therapy 2409 Arkansas Rd West Monroe, LA 71291 (318) 396-2044 Lamb, Brian K., OT (Affinity Health Network) 1825 N 18th St Ste A Monroe, LA 71201 (318) 807-3700 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 Lincoln Outpatient Therapy 1923 Farmerville Hwy Ruston, LA 71270 (318) 255-9601 Lowery, Buford C., PT 1325 Louisville Ave Monroe, LA 71201 (318)807-1500 Majure Physical Therapy 3408 Medical Park Dr Monroe, LA 71203 (318)331-6911 Moore Physical Therapy 1605 Stubbs Ave Monroe, LA 71201 (318) 388-8414 Morris, Susan A., PT 312 Grammont St Ste 302 Monroe, LA 71201 (318) 323-6603 Orthopaedic Rehab 1501 Louisville Ave Monroe, LA 71201 (318) 323-8451 309 McMillan Rd West Monroe, LA 71291 Ouachita Physical Therapy 1138 Oliver Rd. Monroe, LA 71201 (318) 323-3031 Petrus, Wendy N., SLP 1605 Stubbs Ave Monroe, LA 71201 (318) 388-8414 Physical Therapy Inc of Monroe 2601 Ferrand St Monroe, LA 71201 (318) 387-4973 Rehab Resources dba Good Samaritan Physical Therapy 1005 Johnson St Tallulah, LA 71282 (318) 574-5273 Richland Therapy Services 160 Christian Dr Rayville, LA 71269 (318) 728-4088 RiverWest Physical Therapy 4920 Cypress St Units C & D West Monroe, LA 71291 (318) 397-3331 Sanford, Alison, PT (Affinity Health Network) 1825 N 18th St Ste A Monroe, LA 71201 (318) 807-3700 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 Shows Therapy Services 105 Professional Dr West Monroe, LA 71291 (318) 651-2086 Synergy Care Inc 114 Whately St Rayville, LA 71269 (318) 728-7964 Tubre, Ann B., OT 810 N 29Th St Monroe, LA 71201 (318) 600-4260 Wied Physical Therapy 1901 Roselawn Ave Ste A Monroe, LA 71201 (318) 322-7050 105 Blanchard St West Monroe, LA 71291 (318) 398-9940 1907 E Madison Ave Bastrop, LA 71220 (318) 283-8384 Winnsboro Physical Therapy 710 Prairie St Winnsboro, LA 71295 (318) 435-3882 WR Therapy, Inc. 1902 Stubbs Ave Monroe, LA 71201 (318) 381-5893 PODIATRY Nolan, Dionne R., DPM 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 Reeves, Jared, DPM 2106 N 7th St Ste 111 West Monroe, LA 71291 (318) 325-0183 PRIVATE DUTY NURSING PDN Nursing, Inc dba Nursing PRN 1859 Ave of America Bldg 5 Ste A Monroe, LA 71201 (318)323-7097 SKILLED NURSING FACILITY Cherry Ridge Skilled Nursing Facility 5980 Cherry Ridge Rd Bastrop, LA 71220 (318) 281-6933 Christus St. Joseph Home 2301 Sterlington Rd Monroe, LA 71203 (318)323-3426 Lagniappe Healthcare LLC 1408 Summerlin Ln Bastrop, LA 71220 (318) 281-5188 Landmark of West Monroe 1611 Wellerman Rd West Monroe, LA 71291 (318) 396-3313 U Anderson, Danier D., DPM 6198 Cypress St Bldg #2 West Monroe, LA 71291 (318) 397-6360 Gardner, David G., DPM 3101 Kilpatrick Blvd Monroe, LA 71201 (318) 322-5506 Hunter, Luke Joseph, DPM 2269 Arkansas Rd West Monroe, LA 71291 (318)397-1574 Lux, Jeffrey S., DPM 2220 Justice St Monroe, LA 71201 (318) 325-3668 Ridgecrest Community Care Center 1616 Wellerman Road West Monroe, LA 71291 (318) 387-2577 Riverside Nursing Home LLC dba Ouachita Healthcare 7950 Millhaven Rd Monroe, LA 71203 (318) 737-1117 Saint Francis Medical Center SNF 309 Jackson St Monroe, LA 71201 (318) 966-4000 Woodlawn Manor Inc DBA The Oaks 1000 McKeen Pl Monroe, LA 71201 (318)387-5300 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 24 of 159 SUBSTANCE ABUSE/PSYCH 850 S 2nd St Monroe, LA 71202 (318)651-0041 Allen, Sandra C., LPC 901 S Vienna St Ruston, LA 71270 (318) 255-5753 2915 Betin Ave Monroe, LA 71201 (318)651-9945 U Andrews, Jessica L., LPC 1505 N 7Th St West Monroe, LA 712091 (318) 737-7201 Aycock, Melanie J., LPC 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Bagley, Kathryn R., LPC 108 Filhiol Ave Monroe, LA 71203 (318) 345-5183 Bagley, Wylie J., LPC 901 S Vienna Ruston, LA 71270 (318) 255-5022 108 Filhiol Ave Monroe, LA 71203 (318) 345-5183 Baker, Rose M., LCSW 518 Durham St Bastrop, LA 71220 (318) 283-8887 108 N 16th St Mer Rouge, LA 71261 (318) 239-8030 1001 W Madison Ave Bastrop, LA 71220 (318) 281-8422 Blanchard, Nancy P., LPC 2517 N 7th St West Monroe, LA 71291 (318) 582-9973 Bounds, Karen R., LPC 1325 Louisville Ave Monroe, LA 71201 (318) 807-1500 Brown, Lori A., LPC 2913 Renwick St Monroe, LA 71201 (318)966-6625 Carney, Lori A., LMFT 2913 DeSiard St Monroe, LA 71201 (318)651-9914 Chauvin, Ida A., LPC 1300 Hudson Lane Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Clark, Melanie C., LPC 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Clark, Shermie, LPC 1900 Lamy Ln Ste O Monroe, LA 71201 (318) 322-9523 Coleman, Lola C., MSW 508 Broadway St Delhi, LA 71232 (318) 878-3737 Corkern, Lyla H., LPC 1505 North 7th St West Monroe, LA 71291 (318) 323-7575 Coutcher, Juanita M., LPC 1900 Lamy Ln Ste O Monroe, LA 71201 (318) 322-9523 Cummins, Damion R., LPC 206 E Reynolds Dr Ste E1 Ruston, LA 71270 (318) 255-2922 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 DeBord, Mark S., LCSW 212 Cypress St West Monroe, LA 71291 (318) 322-1427 109 Regency Place West Monroe, LA 71291 (318) 812-9999 Doublin, Deborah L., MSW 800 Washington St Ste B2 Monroe, LA 71201 (318) 325-8782 Driskill, Terry L., LPC 301 W Main St Room 214 Winnfield, LA 71483 (318) 394-8203 Dugas, Michelle S., LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Gagnon, Charles A., LPC 1300 Hudson Ste 10 Monore, LA 71201 (318) 680-0094 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 George, Donna, LPC 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Edwards, J, LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 Gibson, Florencetta, LMFT 300 Washington St Ste 208 Monroe, LA 71201 (318)322-8482 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Govener, David, Ph.D, LPC, LMFT 300 Washington St Ste 209-210 Monroe, LA 71201 (318) 388-8813 Dunlap, Patricia E., BCSW 2404 Duval Dr Monroe, LA 71201 (318) 329-3933 Durkee, Vicky, Ph.D, APRN 141 DeSiard St Ste 200 Monroe, LA 71201 (318) 322-8462 Eichelberger, Kathy D., LPC 7200 DeSiard St Monroe, LA 71203 (318) 345-8200 Edwards, John D., LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Govener, Molly, Ph.D. 300 Washington St Ste 209-210 Monroe, LA 71201 (318) 388-8813 Haneline, Jennifer, LCSW 2207 Louisville Ave Monroe, LA 71201 (318) 537-5023 Hartrick, Molly, LPC 7510 Crestview Dr Bastrop, LA 71220 (318) 647-3685 Harvey, Jamison D., LCP 1410 Royal Ave Monroe, LA 71201 (318)998-3511 Ferguson, John H., LPC 101 Reynolds Dr Ruston, LA 71270 (318) 255-9210 Holmes, Carla, LPC 604 Kimbrough Ave Bldg Q Tallulah, LA 71282 (318) 574-0098 Floyd, Tamala D., LCSW 110 N Franklin St Bastrop, LA 71220 (318) 805-7662 Hulsey, Sherry L., LPC 1818 Ave of America Monroe, LA 71201 (318) 998-2700 Free, Sherry L., LCSW 2105 University Ave Monroe, LA 71201 (318) 355-2761 Kilcoyne, Sharon, LPC, LMFT 901 S Vienna St Ruston, LA 71270 (318) 255-5753 Frost, Shaina R., LPC 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Killgore, Meda A., LCSW 124 Killgore Rd Ruston, LA 71270 (318) 251-1418 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 25 of 159 LeBlanc, Christopher, MSW (Affinity Health Network) 261 Hwy 132 Mangham, LA 71259 (318) 248-2807 LeBlanc, Lynne A., LCSW (Affinity Health Network) 109 Regency Pl West Monroe, LA 71291 (318) 812-9999 Liberty Healthcare Systems (IP & IOP) 4673 Eugene Ware Rd Bastrop, LA 71220 (318) 281-2448 (IOP only) 211 N Main St Farmerville, LA 71241 (318) 368-0112 (IOP only) 414 Pine St Monroe, LA 71201 (318) 699-8819 Lincecum, Joanna M., LPC 1410 Royal Ave Monroe, LA 71201 (318) 998-3511 Longenbaugh, Lisa, LMFT 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Loveless, Trisha G., LPC 407 N 7th St West Monroe, LA 71291 (318) 737-7407 810 N 29th St. Monroe, LA 71201 (318) 737-7407 403 Spencer St. Rayville, LA 71269 (318) 737-7407 Marshall, Stephanie, LPC 1816 Roselawn Ave Monroe, LA 71201 (318) 680-1643 New Day Recovery 1416 Natchitoches St West Monroe, LA 71291 (318) 855-8773 O’Neal, Michelle K., LPC 1410 Royal Ave Monroe, LA 71201 (318)998-3511 Orange, Elizabeth R., LPC 2913 Desiard St Monroe, LA 71201 (318) 651-9914 850 S 2ND Monroe, LA 71202 (318) 651-0041 2915 Betin Monroe, LA 71201 (318) 651-9914 Owen, Rita K., LCSW 2104 C Loop Rd Winnsboro, LA 71295 (318)435-6377 Parker, Cathy, Ph.D, LMFT, LPC 103 Davenport Ave Mer Rouge, LA 71261 (318) 647-5030 Rayville Recovery 307 Hayes Rayville, LA 71269 (318) 728-5488 Ray, Wendal A., Ph.D, LPC, LCSW 300 Washington St Ste 209-210 Monroe, LA 71201 (318) 388-8813 Richman, Leslie J., LPC 407 N 7th St West Monroe, LA 71291 (318) 737-7407 810 N 29th St. Monroe, LA 71201 (318) 737-7407 403 Spencer St. Rayville, LA 71269 (318) 737-7407 Riddle, William H., LPC 7200 DeSiard St Monroe, LA 71203 (318) 345-8200 280 Taylor Ave Winnsboro, LA 71295 (318) 345-8200 Riggs, Sonya D., LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 Sanderlin, Melissa T., LPC 1917 Stubbs Ave Monroe, LA 71201 (318) 323-7575 Serenity Springs Specialty Hospital (IP Only) 1495 Frazier Rd Ruston, LA 71270 (318) 202-3860 (IOP Only) 2929 Hwy 33 Ruston, LA 71270 (318) 251-9097 (IOP Only) 2100 Oliver Rd Monroe, LA 71201 (318) 322-0301 Shelby, Scott A., Ph.D, LMFT, LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Sher, Jeannie, LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 332-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Senn, P. Lynn., LCSW 2404 Duval Dr Monroe, LA 71201 (318) 329-3933 Simmons, Bethany L., LMFT 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Smith, Michael B., LPC 407 N 7th St West Monroe, LA 71291 (318) 737-7407 810 N 29th St. Monroe, LA 71201 (318) 737-7407 403 Spencer St. Rayville, LA 71269 (318) 737-7407 Solutions Behavioral Health 2404 Duval Dr Monroe, LA 71201 (318) 322-0640 Cornerstone Community Mental Health Center 1705 Washington St Monroe, LA 71201 (318) 325-8048 Spence, Terri L., LCSW 2104-C Loop Rd Winnsboro, LA 71295 (318) 435-9411 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 St. Patrick’s Psych Hospital 3411 Medical Center Dr Monroe, LA 71203 (318) 327-4686 Stephenson, Bobby, Ph.D 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Sylvester, Andrea, LMFT 817 Parish Line Rd Delhi, LA 71232 (318) 488-1261 Taylor, Phyllis A., LPC 1904 Royal Ave Monroe, LA 71201 (318) 323-1505 Thigpen, Sally E, PHD 1818 Avenue of America Monroe, LA 71201 (318) 998-2700 Thomas, Terry O., PhD 1818 Ave of America Monroe, LA 71201 (318) 998-2700 Thomason, David D., Ph.D. 1888 Hudson Cir Ste 8 Monroe, LA 71201 (318) 322-0770 Thompson, Sara R., LPC 1818 Ave of America Monroe, LA 71201 (318) 998-2700 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 26 of 159 Ticheli, Christy M., LCSW 2106 Loop Rd Winnsboro, LA 71295 (318) 435-6377 2104 C Loop Rd Winnsboro, LA 71295 (318) 435-6377 Trussell, Lisa L., LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Valentine, Jodi, LMFT, LPC 407 N 7th St West Monroe, LA 71291 (318) 737-7407 810 N 29th St. Monroe, LA 71201 (318) 737-7407 403 Spencer St. Rayville, LA 71269 (318) 737-7407 Vetrano, Elizabeth P., LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 Waggoner, Gay G., LPC 2913 Desiard St Monroe, LA 71201 (318) 651-9914 850 S 2ND Monroe, LA 71201 (318) 651-0041 2915 Betin Monroe, LA 71201 (318) 651-9914 Walker, Whitney C., LPC 1300 Hudson Ln Ste 10 Monroe, LA 71201 (318) 322-6500 607 Willow Glen Dr Ruston, LA 71270 (318) 255-2922 Wallace, Nicholas P., LPC 1505 N 7TH St West Monroe, LA 71291 (318) 737-7201 White, Andrea, LPC 407 N 7th St West Monroe, LA 71291 (318) 737-7407 Angelo, Michael, MD 2539 Viking Dr Bossier City, LA 71111 (318) 747-8100 810 N 29th St. Monroe, LA 71201 (318) 737-7407 One Saint Mary Pl Shreveport, LA 71101 (318) 424-4008 Barksdale, Wayne S., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 403 Spencer St. Rayville, LA 71269 (318) 737-7407 Wilburn, Olivia C., LCSW 1300 Hudson Lane Ste 10 Monroe, LA 71201 (318) 322-6500 206 Reynolds Dr Ste E1 Ruston, LA 71270 (318) 255-2922 Bell, Gregory, MD 1633 Marvel St Coushatta, LA 71019 (318) 932-2170 1635 Marvel Coushatta, LA 71019 (318) 932-2150 Williams, Calvin C., LPC 1818 Ave of America Monroe, LA 71201 (318) 998-2700 3342 Bienville Rd Ringgold, LA 71068 (318) 897-9611 Williams, David J., Ph.D 1410 Royal Ave Monroe, LA 71201 (318) 998-3511 Bernard, T. Jeffrey, MD 9425 Healthplex Dr #101 Shreveport, LA 71106 (318) 683-5171 Wilson, Katherine, LMFT, LPC 2600 Tower Dr Ste 406 Monroe, LA 71201 (318) 361-9299 Bolger, Joseph E., MD 101 Office Park Dr Minden, LA 71055 (318) 377-7118 REGION 2 Includes Caddo, Bossier, Red River, Bienville, Claiborne, Webster, and DeSoto Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is referring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE U Abshire, Samuel, MD 926 Frances Dr Haynesville, LA 71038 (318) 624-0554 Alinejad, Nima A., MD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 (Hospitalist Only) Boyd, Carter J., MD 1518 Doctors Dr Bossier City, LA 71111 (318) 746-1094 Butler, Clint, MD 926 Frances Dr Haynesville, LA 71038 (318) 624-0554 Cason, Joshua, MD 1110 Ringgold Ave Ste B Coushatta, LA 71019 (318) 932-2081 1633 Marvel St Coushatta, LA 71019 (318) 932-2081 3342 Bienville Rd Ringold, LA 71068 (318) 894-9611 Chance, Jody D., MD 1003 S Spruce St. Vivian, LA 71082 (318) 375-3239 1000 S Spruce St. Vivian, LA 71082 (318) 375-3235 Chandler, John, MD 2001 Doctors Dr Springhill, LA 71075 (318)539-1000 (Hospitalist Only) Chanler, Michael S., MD 3 Medical Pz Minden, LA 71055 (318) 377-7134 Coleman, Wyche T., MD 1633 Marvel St Coushatta, LA 71019 (318) 932-9980 Cordova, Fredy H., MD 2 Medical Plaza Pl Minden, LA 71055 (318) 377-6500 Deere, Patrick H., MD 2539 Viking Dr Ste 101 Bossier City, LA 71111 (318) 747-8100 Carr, R. Shane, MD 1811 E Bert Kouns Industrial Loop Ste 400 Shreveport, LA 71105 (318)212-3810 Dixon, Tymwa D., MD 7356 Hwy 509 Mansfield, LA 71052 (318)871-1633 Carter, Martin J., MD 1633 Marvel St Coushatta, LA 71019 (318) 932-9980 Earnhardt, Christopher, MD 3 Medical Pz Minden, LA 71055 (318) 377-7134 Cash, Marion N., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 Evans, Jeffrey, MD 130 Jefferson St Mansfield, LA 71052 (318) 872-2700 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 27 of 159 Fleming, John C., MD 208 Morris Dr Minden, LA 71055 (318) 377-8260 Flowers, Anthony T, MD 2539 Viking Dr Ste 101 Bossier City, LA 71111 (318) 747-8100 Gardner, Terry B., MD 1175 Pine St Ste 100 Arcadia, LA 71001 (318) 263-7970 Green Clinic - Arcadia 1285 Pine St Arcadia, LA 71001 (318) 263-4420 German, Jeffrey A., MD 9425 Healthplex Dr Ste 101 Shreveport, LA 71106 (318) 683-5181 9425 Healthplex Dr Ste 102 Shreveport, LA 71106 (318) 683-3800 Germany, Nancy, MD 1860 Fairfield Ave Shreveport, LA 71101 (318) 675-1313 Grantham, Kirk, MD 401 11th NE Springhill, LA 70175 (318) 539-1700 2001 Doctors Dr Springhill, LA 70175 (318) 539-1000 Grayson, Patrick C., MD 1175 Pine St Ste 200 Arcadia, LA 71001 (318) 263-4700 (Hospitalist Only) Halim, Neil., MD 1860 Fairfield Ave Shreveport, LA 71101 (318) 675-1313 Hamic, Clifton, MD 8383 Millicent Way Shreveport, LA 71115 (318) 797-6661 Haynes, Donald K., MD 912 W Main St Homer, LA 71040 (38) 927-3571 Haynes, John H., MD 1003 S Spruce St. Vivian, LA 71082 (318) 375-3239 1000 S Spruce St. Vivian, LA 71082 (318) 375-3235 112 N Forrest St. Plain Dealing, LA 71064 (318) 326-7272 Haynes, William M., MD 912 W Main St Homer, LA 71040 (318) 927-3571 Henderson, George C., MD 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 12763 Lay St Gilliam, LA 71029 (318) 296-4287 1514 Doctors St Bossier City, LA 71111 (318) 549-2500 128 Homer Rd Minden, LA 71055 (318) 377-1454 Hines, Carl H., MD 1114 Homer Rd Minden, LA 71055 (318) 371-1395 Holladay, Jr., Samuel, MD 401 11th St NE Springhill, LA 71075 (318) 539-1701 369 Muddy Bottoms Dr. Sarepta, LA 71071 (318) 539-5688 Hudnall, Elizabeth O., MD 8383 Millicent Way Shreveport, LA 71115 (318) 797-6661 Irizarry, Carlos A., MD 2 Medical Pz Minden, LA 70155 (318) 377-8400 Jones, Ricky L., MD 8383 Millicent Way Shreveport, LA 71115 (318) 797-6661 Kerr, Katie B., MD 8383 Millicent Way Shreveport, LA 71115 (318)797-6661 Kinstrey, Thomas E., MD 2120 Bert Kouns Ste M Shreveport, LA 71118 (318) 688-0319 Koduru, Suneetha, MD 12763 Lay St Gilliam, LA 71029 (318) 296-4287 1514 Doctors St Bossier City, LA 71111 (318) 549-2500 128 Homer Rd Minden, LA 71055 (318) 377-1454 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 Landry, Ann R., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 Law, David, MD 401 11th St NE Springhill, LA 71075 (318) 539-5812 Lee, Jennifer C., MD 382 N Main St Sibley, LA 71073 (318) 382-0909 Lococo, Vincent., MD 401 11th St. NE Springhill, LA 71075 (318) 539-1700 369 Muddy Bottoms Dr. Sarepta, LA 71071 (318) 539-1000 Maranto, William F., MD 2539 Viking Dr Ste 101 Bossier City, LA 71111 (318) 747-8100 Mathis, Timothy E., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 May, Walker C., MD 1003 S Spruce St. Vivian, LA 71082 (318) 375-3239 McCommon, Nicole A., MD 112 N Forrest St Plain Dealing, LA 71064 (318) 326-7272 1000 S Spruce St. Vivian, LA 71082 (318) 375-3235 McFarland, Mairus, MD 3331 Youree Dr Ste C Shreveport, LA 71105 (318) 868-6555 7505 Pines Rd Ste 1250 Shreveport, LA 71129 (318) 686-3770 McGann, Kevin, MD 9425 Healthplex Dr Ste 101 Shreveport, LA 71106 (318) 683-5171 Mercer, Sherin Y., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 Mills, Bryan H., MD 7225 Fern Ave Ste 600 Shreveport, LA 71105 (318) 629-3630 Moses Wendy, MD 1811 E Bert Kouns Industrial Loop Ste 400 Shreveport, LA 71105 (318)212-3810 Murphy, Kevin W., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 Ndi, Julius S., MD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 (Hospitalist Only) Nida, Joseph R., MD 1111 Homer Rd Minden, LA 71055 (318) 377-7500 Palmer, April C., MD 1453 E Bert Kouns Ste 221 Shreveport, LA 71105 (318) 681-5580 Pardue, Michelle L., MD 401 11th St NE Springhill, LA 71075 (318) 539-1700 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 28 of 159 Patton, Charles Scott, MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 Phillips, G. Scott, MD 382 N Main St Sibley, LA 71073 (318) 382-9401 Sessions, Jerry, MD 401 11th St NE Springhill, LA 71075 (318) 539-1700 369 Muddy Bottoms Dr. Sarepta, LA 71071 (318) 539-1000 Pistorius, Michael L., MD 208 Morris Dr Minden, LA 71055 (318) 377-8260 Shah, Sanjaykumar, MD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1056 (Hospitalist Only) Pope, John, MD 9425 Healthplex Dr Ste 101 Shreveport, LA 71106 (318) 683-5171 Smith, Cheryl A., MD 1666 E Bert Kouns Ste 225 Shreveport, LA 71105 (318) 524-9101 Ragsdale, Eiel EP, MD 1003 S Spruce St Vivian, LA 71082 (318)375-3239 Stell, Gerald Max, MD 102 Office Park Dr Minden, LA 71055 (318) 377-2885 Rainwater, Dirk T., MD 2120 Airline Dr Bossier City, LA 71111 (318) 742-6900 Tadikonda, Srinivasa, MD 1175 Pine St Ste 200 Arcadia, LA 71001 (318) 263-4700 (Hospitalist Only) Ranz, Jennifer, MD 401 11th St NE Springhill, LA 71075 (318) 539-1700 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 369 Muddy Bottoms Dr Sarepta, LA 71071 (318) 539-1000 Rinderle, Theresa L., MD 8383 Millicent Way Shreveport, LA 71105 (318) 797-6661 Salmon, Clifton W., MD 104 Morris Cir Homer, LA 71040 (318) 927-6777 Saucier, Robert Kirk, MD 2539 Viking Dr Bossier City, LA 71111 (318) 747-8100 Sawyer, Douglas C., MD 130 Jefferson St Mansfield, LA 71052 (318) 872-2700 Taylor, Stephen G., MD 1003 S Spruce St Vivian, LA 71082 (318)375-3239 Wafer, Martha R., MD 1860 Fairfield Ave Shreveport, LA 71101 (318) 675-1313 Webb, Denise A., MD 401 11th St. NE Springhill, LA 71075 (318) 539-1700 369 Muddy Bottoms Dr. Sarepta, LA 71071 (318) 539-1000 101 Murrell St Ste 2 Minden, LA 71055 (318) 377-3585 Zurn, Christine F., NP 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 12763 Lay St Gilliam, LA 71029 (318) 296-4287 1514 Doctor’s Dr Bossier City, LA 71111 (318) 549-2500 Fitzgerald III, Kenneth, MD 8001 Youree Dr #720 Shreveport, LA 71115 (318) 798-9881 1285 Homer Rd Minden, LA 71055 (318) 377-1545 INTERNAL MEDICINE U Barnum, Otis R., DO 1400 E Bert Kouns Industrial Shreveport, LA 71105 (318) 238-6001 Bergeron, Jacie A., NP 8805 Line Ave Shreveport, LA 71106 (504) 495-9757 Blake-McMahon, Andrea, MD 1007 Gould Dr Bldg 1 Ste 1 Bossier City, LA 71111 (318) 402-4547 Borne, Alan, MD 1811 E Bert Kouns Ste 440 Shreveport, LA 71105 (318) 222-9205 Brown, Mark A., MD 1449 E Bert Kouns Shreveport, LA 71105 (318) 629-0220 4900 Medical Dr Bossier City, LA 71112 (318) 747-9500 Carlisle, Kelly M., MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-7185 (Hospitalist Only) Chico, Gavin F., MD 1635 Marval St Coushatta, LA 71019 (318) 932-2247 Clayton, Tonya M., MD 6821 Pines Rd Ste 200 Shreveport, LA 71129 (318) 671-9309 Deel, Brenda M., NP 8805 Line Ave Shreveport, LA 71106 (504) 495-9757 Del Mundo, Venerando R., MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318)681-1630 (Hospitalist Only) 2751 Albert Bicknell Dr 2C Shreveport, LA 71103 (318) 631-9190 Flenniken, Roan, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4577 Ford, Janice L., MD 1251 Hazel St Arcadia, LA 71001 (318) 263-7003 Gandhi, Rajendra T., MD 2551 Greenwood Rd #200 Shreveport, LA 71103 (318) 635-9855 Hammer, Kaissy B., NP 1560 Irving Pl Shreveport, LA 71101 (318) 212-1194 Haynes, Donald S., MD 912 W Main St Homer, LA 71040 (318) 927-3571 Haynie Jr., William H. MD 1449 E Bert Kouns Ste 100 Shreveport, LA 71105 (318) 629-0220 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Ike, Ugochukwu B., MD 2001 Doctors Dr Springhill, LA 71075 (318)539-1000 (Hospitalist Only) Irby, Cherise, MD 1905 Fairfield Ave Shreveport, LA 71101 (318) 629-4729 Jones, Joseph C., MD 1800 Irving Place Shreveport, LA 71101 (318)425-6096 2525 Viking Dr Bossier City, LA 71111 (318)841-2525 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 29 of 159 Kamberov, Denis F., MD 130 Jefferson St Mansfield, LA 71052 (318) 872-2700 2751 Albert Bicknell Dr Ste 2C Shreveport, LA 71103 (318) 631-9190 110 Main St Logansport, LA 71049 (318) 697-2273 Maxwell, Stephen R., MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 681-7185 (Hospitalist Only) Kamphuis, DeAnna C., NP 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4577 Kemp, Susan E., MD 1453 E. Bert Kouns Ind Loop Ste 221 Shreveport, LA 71101 (318) 681-5580 Khanna, Rajan, MD 1449 E Bert Kouns Ind Loop Ste 102 Shreveport, LA 71105 (318) 841-7932 Kilaru, Asha, MD 8730 Youree Dr Ste A Shreveport, LA 71115 (318) 681-1600 Kiser, Henry J., MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-7185 (Hospitalist Only) Kompelli, Ashok R., MD 2751 Albert Bicknell Dr Ste 2C Shreveport, LA 71103 (318) 631-9190 8001 Youree Dr #720 Shreveport, LA 71115 (318) 798-9881 Kurban, William, MD One St. Mary Pl Shreveport, LA 71101 (318) 681-7185 (Hospitalists Only) Liu, Wen, MD 8001 Youree Dr Ste 880 Shreveport, LA 71115 (318) 798-3328 Matriano-Lim, Allan, MD 8001 Youree Dr #720 Shreveport, LA 71115 (318) 798-9881 McCarty, Emma E., MD 1455 E Bert Kouns Ste 102 Shreveport, LA 71105 (318) 798-4670 Mekelburg, Kenneth J., MD 1800 Irving Pl Shreveport, LA 71101 (318) 425-4096 (Hospitalist Only) Michael, Richard J., MD 1453 E Bert Kouns Shreveport, LA 71115 (318) 681-7185 (Hospitalist Only) Miller, Craig L., MD 1449 E Bert Kouns Shreveport, LA 71105 (318) 629-0220 Murdock, Cristina C., MD One St. Mary Pl Shreveport, LA 71101 (318) 681-7185 (Hospitalist Only) Persson, David, MD 1453 E Bert Kouns Ste 221 Shreveport, LA 71105 (318) 681-5580 Rachal, Graham W., NP 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4488 Roohani, Peyman, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-7185 (Hospitalist Only) Rushing, Paul, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4488 Sangha, Bhupinder S., MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 681-6677 (Hospitalist Only) Seicshnaydre, Craig A., MD 8805 Line Ave Shreveport, LA 71106 (504) 495-9757 Sidhu, Ischwinder, MD One St. Mary Pl Shreveport, LA 71101 (318) 681-6766 (Hospitalist Only) Singh, Krishna, MD 6047 Five Oaks Dr Ste D Shreveport, LA 71129 (318) 686-5255 Smith, Eric W., MD 1449 E Bert Kouns Ste 100 Shreveport, LA 71105 (318) 629-0220 Torrence, Leamon, MD 401 11th St NE Springhill, LA 71075 (318) 539-1700 369 Muddy Bottoms Dr. Sarepta, LA 71071 (318) 539-1000 Trawick, Jr., T. Steen, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-7185 (Hospitalist Only) Tynes, Joseph R., MD 2539 Viking Dr Ste 101 Bossier City, LA 71111 (318) 747-8101 Tynes, Russell, MD 460 Ashley Ridge Blvd Ste 500 Shreveport, LA 71106 (318) 213-1610 Underwood, John G., MD 1801 Fairfield Ave Ste 408 Shreveport, LA 71101 (318) 848-2830 Werner, Charles P., MD 2508 Bert Kouns Lp Ste 400 Shreveport, LA 71118 (318) 673-8320 Wheat, Alissa R., NP 8805 Line Ave Shreveport, LA 71106 (504) 495-9757 Willis Jr., Fred S., MD 1560 Irving Pl Shreveport, LA 71101 (318) 212-1194 Woldie, Agmasie, MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 681-7185 (Hospitalist Only) Yerrapragada, Sreedevi, MD 2508 Bert Kouns Lp Ste 400 Shreveport, LA 71118 (318) 673-8320 Zando, Iram, MD 1400 E Bert Kouns Ste 104 Shreveport, LA 71105 (318) 797-0009 7505 Pines Rd Ste 1250 Shreveport, LA 71129 (318) 686-3770 U PEDIATRICS U Anne, Pratibha MD 1514 Doctors St Bossier City, LA 71111 (318) 549-2500 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 12763 Lay St Gilliam, LA 71029 (318) 296-4287 128 Homer Rd Minden, LA 71055 (318) 377-1454 Veluvolu, Anuja, MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 681-7185 (Hospitalist Only) Atchison, Sharye L., MD 2225 Line Ave Shreveport, LA 71104 (318) 221-2225 Wall, Wendell E., MD 1801 Fairfield Ave Ste 200 Shreveport, LA 71101 (318) 675-1800 Barnett, Darrell S., MD 1549 E 70th St Ste 300 Shreveport, LA 71105 (318) 681-4896 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 30 of 159 Clayton, Tonya M., MD 6821 Pines Rd Ste 200 Shreveport, LA 71129 (318) 671-9309 Cockrell, Jennifer P., MD 2225 Line Ave Shreveport, LA 71104 (318) 222-2225 Cush-John, Angela, MD 2225 Line Ave Shreveport, LA 71104 (318) 221-2225 Desalu, Olabode, MD 2508 Bert Kouns Ind Lp Ste 300 Shreveport, LA 71118 (318)828-2210 6930 Fern Ave Ste 150 Shreveport, LA 71105 (318) 290-3673 Gardner, Megan E., MD 2400 Hospital Dr Ste 120 Bossier City, LA 71111 (318) 742-6710 Harper, Marie M., MD 1025 Hwy 80 E Haughton, LA 71037 (318) 949-0539 Haynie, Robert, MD 2225 Line Ave Shreveport, LA 71104 (318) 221-2225 Hobson, Emily, MD 2225 Line Ave Shreveport, LA 71104 (318) 221-2225 Hughes, Frank B., MD 2400 Hospital Dr Ste 120 Bossier City, LA 71111 (318) 742-6710 Kampert, Amanda B., MD 6930 Fern Ave Ste 150 Shreveport, LA 71105 (318) 290-3673 2508 Bert Kouns Ind Lp Ste 300 Shreveport, LA 71118 (318)828-2210 Kendrick, Terry W., MD 1549 E 70th St Ste 300 Shreveport, LA 71105 (318) 681-4896 One Saint Mary Pl Shreveport, LA 71101 (318) 681-7185 Kirby, Cristal C., MD 1232 Sheppard St Minden, LA 71055 (318) 371-7733 Latiolais, Thomas G., MD 1025 Hwy 80 E Haughton, LA 71037 (318) 949-0539 Manchandia, Bharti, MD 870 Olive St Shreveport, LA 71104 (318) 222-2229 Manchandia, Manohar, MD 2706 Shed Rd Bossier City, LA 71111 (318) 747-5272 Matriano-Lim, Allan, MD 8001 Youree Dr #720 Shreveport, LA 71115 (318) 798-9881 2751 Albert Bicknell Dr Ste #2C Shreveport, LA 71103 (318) 631-9190 McCarty, Emma E., MD 1455 E Bert Kouns Ste 102 Shreveport, LA 71105 (318) 798-4670 McConnell, Natalie, MD 2518 Bert Kouns Ind Lp Shreveport, LA 71118 (318) 212-5437 Milner, Lauren D., MD 2400 Hospital Dr Ste 120 Bossier City, LA 71111 (318) 742-6710 Pace, David, MD 2225 Line Ave Shreveport, LA 71104 (318) 221-2225 Petterway, Gretchen G., MD 1549 E 70th St Ste 300 Shreveport, LA 71105 (318) 681-4896 Phillips, Elizabeth A., MD 607 Fleming Ln Minden, LA 71055 (318) 371-2229 Ritch, Scott, MD 2225 Line Ave Shreveport, LA 71104 (318) 221-2225 Sanders, Zack Galen, MD 2400 Hospital Dr Ste 120 Bossier City, LA 71111 (318) 742-6710 Singh, Shalinee M., MD 2400 Hospital Dr Ste 120 Bossier City, LA 71111 (318) 742-6710 Sparks, Stacey D., MD 1025 Hwy 80 E Haughton, LA 71037 (318) 949-0539 128 Homer Rd Minden, LA 71055 (318) 377-1454 Willis, Melinda, MD 600 Factory Outlet Dr #12 Arcadia, LA 71001 (318) 263-4701 1232 Sheppard St Minden, LA 71055 (318) 377-7116 Zurn, Christine F., NP 1514 Doctor’s Dr Bossier City, LA 71111 (318) 549-2500 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 Suh, Hester MD 1514 Doctors Dr Bossier, LA 71111 (318) 549-2500 12763 Lay St Gilliam, LA 71029 (318) 296-4287 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 1285 Homer Rd Minden, LA 71055 (318) 377-1545 12763 Lay St Gilliam, LA 71029 (318) 296-4287 128 Homer Rd Minden, LA 71055 (318) 377-1454 SPECIALTY CARE PHYSICIANS ALLERGY AND IMMUNOLOGY U U Togun, Kikelomo I., MD 6224 Hearne St Ste A Shreveport, LA 71108 (318) 869-2181 Ulich, Michael J., MD 1232 Sheppard St Minden, LA 71055 (318) 377-7116 Walker, Susannah, MD 1549 E 70th St Ste 300 Shreveport, LA 71105 (318) 681-4896 Webb, NaQuita L., MD 1514 Doctors Dr Bossier City, LA 71111 (318) 549-2500 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 12763 Lay St Gilliam, LA 71029 (318) 296-4287 Boggs, Peter B., MD 463 Ashley Ridge Blvd Ste 100 Shreveport, LA 71106 (318) 221-3584 Johnson, Lori, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4573 Washburne, Willard, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4544 Whited, Steven, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4573 U ANESTHESIOLOGY Adair, Jeffery D., MD 1453 E Bert Kouns Ind Lp Ste 314 Shreveport, LA 71105 (318) 798-4448 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 31 of 159 AHP of Northwestern Louisiana LLC 385 Bert Kouns Ind Lp Ste 300 Shreveport, LA 71106 (866) 951-5247 Anesthesia Services of Shreveport Bossier 1500 Line Ave Shreveport, LA 71101 (318) 797-1743 Baker, Christopher G., MD 255 Bert Kouns Ind Lp Shreveport, LA 71106 (318)683-0411 Larson, Andrew W, MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Mosura, Matthew S., MD 2005 Landry Dr Bossier City, LA 71111 (318)752-7850 1500 Line Ave Ste 202 Shreveport, LA 71101 (318)629-5505 Noles, Franklin, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 Crosby, John C., MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 255 Bert Kouns Ind Lp Shreveport, LA 71106 (318) 683-0411 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Norton, Paul C., MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 Daniel, Lynnell, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 255 Bert Kouns Shreveport, LA 71106 (318) 603-5471 CARDIOLOGY U Baucum III, Ralph W., MD 1811 E Bert Kouns Ste 100 Shreveport, LA 71115 (318) 222-3695 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Blum, Stuart, MD 1453 E Bert Kouns Ind Lp Ste 12 Shreveport, LA 71105 (318) 681-5240 Brown, Thomas A., MD 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 Chhabra, Anil, MD 1811 E Bert Kouns Ste 100 Shreveport, LA 71105 (318) 222-3695 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 745 Olive St Ste 100 Shreveport, LA 71104 (318)227-1163 Cole, Paul G., MD 2300 Hospital Dr Ste 450 Bossier City, LA 71111 (318) 752-2328 745 Olive St Ste 100 Shreveport, LA 71104 (318)227-1163 Rama, Rathmony, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 Danzell, Jerome D., MD 8001 Youree Dr Ste 740 Shreveport, LA 71115 (318) 797-2328 Deas, David, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Gill, Gary, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 Robertson, Robert, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Kistler, Ernest, MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 Stuermann, Russell T., MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Davis, Jonathan M., MD 1453 E Bert Kouns Ste 112 Shreveport, LA 71101 (318) 681-5240 Davis, Paul C., MD 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Eaves, II, William B., MD 2300 Hospital Dr #450 Bossier City, LA 71111 (318) 752-2328 Fileccia, Russell S., MD 2727 Hearne Ave, Ste 300 Shreveport, LA 71103 (318) 798-9400 Futrell, Michael G., MD 8001 Youree Dr Ste 740 Shreveport, LA 71115 (318) 797-2328 Gooszen, Michael H., MD 1811 E Bert Kouns Ste 100 Shreveport, LA 71115 (318) 222-3695 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Haynie, Wiliam, MD 1811 East Bert Kouns Ste 100 Shreveport, LA 71115 (318) 222-3695 Holt, Jeffrey W., MD 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Kasabali, Basel, MD 2727 Hearne Ave Ste 301 Shreveport, LA 71103 (318) 631-6400 Krause, Albert N., MD 1811 E Bert Kouns Ste 100 Shreveport, LA 71115 (318) 222-3695 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Martin, Robert T., MD 1453 E Kouns Ind Lp Ste 112 Shreveport, LA 71105 (318) 681-5240 Master, Herbert B., MD 1811 E Bert Kouns Ste 100 Shreveport, LA 71115 (318) 222-3695 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 1800 E 70th St Shreveport, LA 71105 (318) 798-9400 Reeves, Eric R., MD 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 U Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 32 of 159 Rozeman, Phillip, MD 2727 Hearne Ave Ste 301 Shreveport, LA 71103 (318) 631-6400 102 Monroe St Minden, LA 71055 (318) 631-6400 Shah, Amber M., MD 8001 Youree Dr Ste 740 Shreveport, LA 71115 (318) 797-2328 Singh, Iqbal, MD 1453 E Kouns Ind Lp Ste 112 Shreveport, LA 71105 (318) 681-5240 Smith, James F., MD 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 Smith, Ray D., MD 2727 Hearne Ave Ste 300 Shreveport, LA 71103 (318) 798-9400 Smith, Thomas M., MD 2300 Hospital Dr Ste 450 Bossier City, LA 71111 (318) 752-2328 Stafford, Paul R., MD 1453 E Kouns Ind Lp Ste 112 Shreveport, LA 71105 (318) 681-5240 Tummala, Ajaya, MD 2727 Hearne Ave Ste 301 Shreveport, LA 71103 (318) 631-6400 Veerareddy, Srikar, MD 2727 Hearne Ave Ste 300 Shreveport, LA 71135 (318) 798-9400 Walton, Michael G., MD 1800 E 70th St Shreveport, LA 71105 (318) 798-9800 White III, Frederick J, MD 2727 Hearne Ste 301 Shreveport, LA 71103 (318) 631-6400 8001 Youree Dr Ste 740 Shreveport, LA 71115 (318) 797-2328 104 Morris Cir Homer, LA 71040 (318) 631-6400 Wiggins, Sherman S., MD 2727 Hearne Ave Shreveport, LA 71103 (318) 798-9400 Zhang, Wenwu, MD 2727 Hearne Ave Ste 301 Shreveport, LA 71103 (318) 631-6400 1003 S Spruce Vivian, LA 71082 (318) 631-6400 Rushing, Donna J., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4488 Resneck, Jack S., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 Skowsky, Walter R., MD 1801 Fairfield Ave Ste 307 Shreveport, LA 71101 (318) 841-2820 Romero, Jason J., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 GASTROENTEROLOGY Aguilar, Humberto, MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 Winder, Paul R., MD 742 Pierremont Rd Shreveport, LA 71106 (318) 865-4631 102 Monroe St Minden, LA 71055 (318) 337-3425 DERMATOLOGY Posner, Donald I., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 8383 Millicent Way Ste B Shreveport, LA 71115 (318) 631-9121 EMERGENCY MEDICINE 2400 Hospital Dr Ste 380 Bossier City, LA 71111 (318) 631-9121 U Bergeron, James R., MD 2751 Albert Bicknell Ste 2-D Shreveport, LA 71103 (318) 221-2623 Bracey, Paul C., MD 6841 Fern Ave Ste 100 Shreveport, LA 71106 (318)868-2273 Bryan, Anne B., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 Carroll, Eldredge L., Jr., MD 2001 Doctors Dr Springhill, LA 70175 (318) 539-1000 Clemons, David J., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 Coushatta ER Physicians 1635 Marvel St Coushatta, LA 71019 (318) 932-9980 Cooksey, David, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4677 Tadikonda, Srinivasa, MD 1175 Pine St Ste 200 Arcadia, LA 71001 (318) 263-4700 Clemons, Elizabeth L., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318)222-3278 Texas Trail Emergency Physicians One Saint Mary Pl Shreveport, LA 71101 (318) 681-4500 Haynie, Laura S., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 Heard, Steven C., MD 9007 Ellerbe Rd Shreveport, LA 71106 (318) 222-3278 Keane, James C., MD 8575 Business Park Dr Shreveport, LA 71105 (318) 524-8022 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Dies, David F., MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 2400 Hospital Dr Ste 380 Bossier City, LA 71111 (318) 631-9121 1453 E Bert Kouns Shreveport, LA 71105 (318)798-4300 Tyler, Harold, D., MD 620 E College St Homer, LA 71040 (318) 927-2024 Chico, Michelle, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4422 Cox, Natravis R., MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 8383 Millicent Way Ste B Shreveport, LA 71115 (318) 631-9121 1453 East Bert Kouns Shreveport, LA 71105 ENDOCRINOLOGY 1453 E Bert Kouns Shreveport, LA 71105 (318)798-4300 U Glassell, Edwin C., MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 Hobley, James Chin, MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 33 of 159 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Jaganmohan, Sathya, MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 8383 Millicent Way Ste B Shreveport, LA 71115 (318) 631-9121 2400 Hospital Dr Ste 380 Bossier City, LA 71111 (318) 631-9121 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Johnson, Lawrence, MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 2400 Hospital Dr #380 Bossier City, LA 71111 (318) 549-0790 1453 E Bert Kouns Shreveport, LA 71105 (318)798-4300 8383 Millicent Way Ste B Shreveport, LA 71115 (318) 631-9121 Philips, David M., MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 8383 Millicent Way Ste B Shreveport, LA 71115 (318) 631-9121 2400 Hospital Dr Ste 380 Bossier City, LA 71111 (318) 631-9121 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Poch, Arthur L., MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Provenza, John M., MD 8383 Millicent Way Ste B Shreveport, LA 71115 (318) 631-9121 10600 Industrial Dr Minden, LA 71055 (318) 798-4616 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 Massingill, Robert, MD One St Mary Pl Shreveport, LA 71101 (318) 681-4138 Boniol, Steven Scott, MD 2539 Viking Dr. Bossier City, LA 71111 (318) 848-2970 Rimmer, Douglas E., MD 2400 Hospital Dr Ste 380 Bossier City, LA 71111 (318) 631-9121 Quinney Jr, Ben, MD 301 Bert Kouns Minden, LA 71055 (318) 213-0380 Garavaglia, Philip J., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 1453 E Bert Kouns Shreveport, LA 71105 (318)798-4300 , Patricia D., MD 1514 Doctors Dr Bossier City, LA 71111 (318) 549-2500 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Sastry, Simhadri, MD 2508 Bert Kouns Ind Lp Ste 304 Shreveport, LA 71118 (318) 671-8880 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 Johnson, Marisa T., MD 1801 Fairfield Ave Ste 306 Shreveport, LA 71101 (318) 221-2707 GYN ONCOLOGY Snead, Christopher, MD One Saint Mary Pl Shreveport, LA 71101 (318) 449-2673 Kaskas, Marwan, MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2539 Viking Dr. Bossier City, LA 71111 (318) 848-2970 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 Owers, Ricky L., MD 1455 E Burt Kouns Ste 300 Shreveport, LA 71105 (318) 798-4554 HEMATOLOGY/ ONCOLOGY Boniol, Steven S., MD One Saint Mary Pl Shreveport, LA 71101 (318) 449-2673 2539 Viking Dr. Bossier City, LA 71111 (318) 848-2970 Chintapalli, Neelima, MD One Saint Mary Pl Shreveport, LA 71101 (318) 449-2673 2539 Viking Dr. Bossier City, LA 71111 (318) 848-2970 Delrie Jr., Ronald, D., MD 301 Bert Kouns Shreveport, La 71106 (318) 213-0380 Dhawan, Manish, MD 301 Bert Kouns Shreveport, LA 71106 (318) 213-0380 Koticha, Kirtan N, MD 301 Bert Kouns Shreveport, LA 71106 (318) 213-0380 Walker, Donna A., MD 301 Bert Kouns Shreveport, LA 71106 (318) 213-0380 Kilpatrick, J. Stephen, MD 745 Olive St Ste 200 Shreveport, LA 71104 (318) 226-0809 NEPHROLOGY Lynn, Melissa L., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 Abro, Zulqarnain A., MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 681-7185 (Hospitalist Only) Adgeh, Cherinet S., MD 1453 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 681-7185 (Hospitalist Only) Alla, Sreedhara B., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 Barz, Arnold E., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 McCoy, Robert N., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 Noble, Sylvia D., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 34 of 159 Parimoo, Nakul, MD 1800 Buckner Ave Ste C120 Shreveport, LA 71101 (318) 227-8899 Moufarrej, Nabil, MD 2205 E 70th St Shreveport, LA 71105 (318) 797-1585 LaBarre, Jacque, MD 8001 Youree Dr Ste 900 Shreveport, LA 71115 (318) 797-0101 3300 A.L. Bicknell Ste 9 Shreveport, LA 71103 (318) 631-1584 Scaltsas, Irene, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4458 OB/GYN Pizarro, Antonio R., MD 1453 E Bert Kouns Industrial Ste 313 Shreveport, LA 71105 (318) 221-0021 (GYN Only) Bauman, Dale, MD 2300 Hospital Dr Ste 310 Bossier City, LA 71111 (318) 752-1502 Popwell, Benny M., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4400 Bellmann, Maria C., MD 8001 Youree Dr Ste 900 Shreveport, LA 71115 (318) 797-0101 Rembert, Paula E., MD 1453 E Bert Kouns Ste 221 Shreveport, LA 71105 (318) 681-5580 (GYN Only) Patton, Stephen R., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 Rokaw, Michael D., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 U Boyd, James, MD 2551 Greenwood Ste 310 Shreveport, LA 71103 (318) 212-6270 White, Randall G., MD 745 Olive St Ste 200 Shreveport, LA 71104 (318) 226-0809 Burlison, Russell D., MD 7941 Youree Dr Shreveport, LA 71105 (318) 797-7941 Zabaneh, Raja I., MD 1800 Buckner St Ste C120 Shreveport, LA 71101 (318) 227-8899 Byrd, Jr., Edwin, MD 7941 Youree Dr Shreveport, LA 71105 (318) 797-7941 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 NEUROLOGY Carter, John, MD 2400 Hospital Dr Ste 240 Bossier City, LA 71111 (318) 742-5800 Robertson, J. Scott, MD 2449 Hospital Dr Ste 260 Bossier City, LA 71111 (318) 212-7840 Robinson, E.B., MD 7941 Youree Dr Shreveport, LA 71105 (318) 797-7941 Russell, Robert, MD 431 Homer Rd Minden, LA 71055 (318) 377-8855 427 Homer Rd Minden, LA 71055 (318)377-8855 U Coleman, Stephen C., DO 1801 Fairfield Ave Ste 401 Shreveport, LA 71101 (318) 681-7320 Tynes, Kerry W., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4400 207 Jefferson St Mansfiled, LA 71052 (318) 872-4610 Crawford, Paul G., MD 8001 Youree Dr Ste 300 Shreveport, LA 71115 (318) 212-3800 Upton, Latashia, MD 431 Homer Rd Minden, LA 71055 (318) 377-8855 Harris, Meghan K., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4458 Dean, Katherine, MD 2400 Hospital Dr Ste 240 Bossier City, LA 71111 (318) 742-5800 427 Homer Rd Minden, LA 71055 (318) 377-8855 Kumar, Suresh, MD 3555 Youree Dr Shreveport, LA 71105 (318) 865-1200 Friedrich, Marsha, MD 7941 Youree Dr Shreveport, LA 71105 (318) 797-7941 McWilliams, Mary E., MD 4300 Youree Dr Ste 250 Shreveport, LA 71105 (318) 861-0895 Johnson, Glenda, MD 2400 Hospital Dr Ste 240 Bossier City, LA 71111 (318) 742-5800 Gurwara, Dharam, MD 6047 Five Oaks Dr Ste D Shreveport, LA 71129 (318) 752-2890 Waterfallen, John W., MD 7941 Youree Dr Shreveport, LA 71105 (318) 797-7941 West, Jr., Warren, MD 7941 Youree Dr Shreveport, LA 71105 (318) 797-7941 Williams, Amanda, A., MD 431 Homer Rd Minden, LA 71055 (318) 377-8855 427 Homer Rd Minden, LA 71055 (318) 377-8855 OPHTHALMOLOGY U Au, Yue-Kong, MD 2910 Shed Rd Ste B Bossier City, LA 71111 (318) 742-3399 Baber, Wilson, MD 734 N Ashley Ridge Lp Shreveport, LA 71106 (318) 221-3403 806 Medical Dr #400 Longview, TX 75605 (903) 248-2300 Berg, M. Ellen, MD 471 Ashley Ridge Blvd Ste 100 Shreveport, LA 71106 (318) 795-4770 Bryan, David D., MD 1666 E Bert Kouns Ste 235 Shreveport, LA 71105 (318) 524-2222 7607 Youree Dr Shreveport, LA 71105 (318) 212-3937 2611 Greenwood Rd Shreveport, LA 71103 (318) 631-2020 Bundrick, Jr, Claude Y., MD 471 Ashley Ridge Blvd Shreveport, LA 71106 (318)798-4606 Carmody, John B., MD 1801 Fairfield Ave Ste 103 Shreveport, LA 71101 (318) 841-3937 Clemons, Carol, MD 471 Ashley Ridge Blvd #300 Shreveport, LA 71106 (318) 861-4009 Clemons, Mary C., MD 471 Ashley Ridge Blvd Shreveport, LA 71106 (318)861-4009 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 35 of 159 Cooper, Stephan, MD 471 Ashley Ridge Blvd Ste 100 Shreveport, LA 71106 (318) 795-4770 Drummond, John Paul, MD 471 Ashley Ridge Blvd Ste 300 Shreveport, LA 71106 (318) 861-4009 Faludi, Jeffrey, MD 471 Ashley Ridge Blvd #300 Shreveport, LA 71106 (318) 861-4009 Garrett, Geoffrey, MD 471 Ashley Ridge Blvd Ste 100 Shreveport, LA 71106 (318) 795-4770 Gosslee, Jeffrey M., MD 734 N Ashley Lp Shreveport, LA 71106 (318) 221-3403 806 Medical Dr Ste 400 Longview, TX 75605 (903) 248-2300 Henderson, Bruce, MD 471 Ashley Ridge Blvd Ste 100 Shreveport, LA 71106 (318) 795-4770 Hinrichsen, John D., MD 1400 E Bert Kouns Ste 103 Shreveport, LA 71105 (318) 222-8402 Kirchner, F. Randall, MD 471 Ashley Ridge Blvd #300 Shreveport, LA 71106 (318) 861-4009 Lusk, Bryan, E., MD 451 Ashley Ridge Blvd Shreveport, LA 71106 (318) 222-5555 #3 Medical Plaza Minden, LA 71055 (318) 222-5555 Lusk, James E., MD 451 Ashley Ridge Blvd Shreveport, LA 71106 (318) 222-5555 #3 Medical Pz Minden, LA 71055 (318) 222-5555 Lusk, Jeffrey D., MD 451 Ashley Ridge Blvd Shreveport, LA 71106 (318) 222-5555 #3 Medical Plaza Minden, LA 71055 (318) 371-9512 Lyon, Charles E., MD 836 Olive St Shreveport, LA 71104 (318) 222-8421 5402 Summerhill Rd Texarkana, TX 75501 (800) 521-7218 Nawas, Wally R., MD 2300 Hospital Dr Ste 140 Bossier City, LA 71111 (318) 746-2020 815 S Pine Vivian, LA 71082 (318) 746-2020 Van Norman, Russell, MD 471 Ashley Ridge Blvd Ste 300 Shreveport, LA 71106 (318) 861-4009 Vekovius, Bryan J., MD 450 Ashley Ridge Blvd Shreveport, LA 71105 (318) 675-3733 Zaffater, Jr., Norman, MD 2449 Hospital Dr Ste 460 Bossier City, LA 71111 (318) 747-5838 OPHTHALMOLOGY – PEDIATRIC Richards, Alan, M.D. 1400 E Bert Kouns Ste 103 Shreveport, LA 71105 (318) 222-8402 ORTHOPAEDICS U Acurio, Michael T., MD 2005 Landry Dr Bossier City, LA 71111 (318) 752-7850 Ren, David H., MD 7330 Fern Ave Ste 702 Shreveport, LA 71105 (318) 798-6699 Anglin, Edward, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4410 Shelby, Christopher, MD 7607 Youree Dr Shreveport, LA 71115 (318) 212-3937 Atchison, Steven M., MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Sipes, Ashley W., MD 7607 Youree Dr Shreveport, LA 71105 (318) 212-6307 2611 Greenwood Rd Shreveport, LA 71103 (318) 631-2020 Swearingen, James P., MD 7607 Youree Dr Shreveport, LA 71105 (318) 212-3937 Texada, Donald, MD 471 Ashley Ridge Blvd #300 Shreveport, LA 71106 (318) 861-4009 Houtz, Carlton G., MD 1455 E Bert Kouns Ste 210 Shreveport, LA 71105 (318) 795-4760 Irion, Val H., MD 2005 Landry Dr Bossier City, LA 71111 (318) 752-7850 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 U Planchard, Thomas A., MD 2400 Hospital Dr Ste 100 Bossier City, LA 71111 (318) 212-7860 2611 Greenwood Rd Shreveport, LA 71103 (318) 631-2020 Haynie, Gary M., MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Auer, P. Britain, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4623 Cox, Stephen L., MD (Foot & Ankle) 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Gleason, Austin W., MD 1500 Line Ave Ste 200 Shreveport, LA 71101 (318) 629-5555 Goodman, Carl, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4623 Googe, John D., MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Jones, Lewis C., MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Kerr, Eubulus III, MD 1500 Line Ave Ste 200 Shreveport, LA 71101 (318) 629-5555 Lillich, James S., MD (Foot & Ankle) 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Mead, Gordon, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4625 Milstead, Marion, MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Nunley, Pierce D., MD 1500 Line Ave Ste 200 Shreveport, LA 71101 (318) 629-5555 Overdyke, William L., MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 Springmeyer, Craig, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4404 Talbert, Timothy W., MD 1455 E Bert Kouns, Ste. 210 Shreveport, LA 71105 (318) 798-4623 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 36 of 159 Waddell, David D., MD (Knee) 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 OTOLARYNGOLOGY/ EAR, NOSE, & THROAT Hollier, Henry, MD 2121 Line Ave Shreveport, LA 71104 (318) 226-9441 8001 Youree Dr #520 Shreveport, LA 71115 (318) 798-0759 Ifeanyi, Chuka V., MD 1455 E Bert Kouns Ste 206 Shreveport, LA 71105 (318)798-4464 Parker, J. William, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4565 Pou, David, MD 2121 Line Ave Shreveport, LA 71104 (318) 226-9441 8001 Youree Dr #520 Shreveport, LA 71115 (318) 798-0759 Rice, Clifford, H., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4464 Smith, Keitha R., MD 101 Murrell St Ste 3 Minden, LA 71055 (318) 382-4777 Thornton, Robert, MD 2121 Line Ave Shreveport, LA 71104 (318) 226-9441 8001 Youree Dr #520 Shreveport, LA 71115 (318) 798-0759 Watkins, Juan, MD 2121 Line Ave Shreveport, LA 71104 (318) 226-9441 8001 Youree Dr #520 Shreveport, LA 71104 (318) 798-0759 Watkins, William, MD 2121 Line Ave Shreveport, LA 71104 (318) 226-9441 8001 Youree Dr #520 Shreveport, LA 71115 (318) 798-0759 PAIN MANAGEMENT Letchuman, Rama, MD 1500 Line Ave, Ste 202 Shreveport, LA 71101 (318) 629-5505 Majors, Kathleen K., MD 1500 Line Ave Ste 202 Shreveport, LA 71101 (318)629-5505 Mosura, Matthew S., MD 2005 Landry Dr Bossier City, LA 71111 (318)752-7850 1500 Line Ave Ste 202 Shreveport, LA 71101 (318)629-5505 Nelson, Ross, MD 1500 Line Ave Ste 202 Shreveport, LA 71101 (318) 629-5505 Tanga, Sudar, MD 8730 Youree Dr Ste C Shreveport, LA 71105 (318) 752-7960 Whyte, II, William, MD 457 Ashley Ridge Blvd Shreveport, LA 71106 (318) 861-7246 One Medical Pz Minden, LA 71055 (318) 861-7246 PATHOLOGY Gonzalez, Enrique, MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 Feeney, Daniel, MD 1002 Highland Ave Ste 200 Shreveport, LA 71101 (318) 222-6226 PHYSICAL MEDICINE/ REHAB Guthrie, Joseph C., MD 1006 Highland Ave Shreveport, LA 71101 (318) 678-7500 Adams, David, MD 1500 Line Ave Ste 204 Shreveport, LA 71101 (318) 629-5555 Bicknell, J. Eric, MD 7823 Youree Dr Shreveport, LA 71105 (318) 798-6833 Courtney, Jenness, MD 1801 Fairfield Ave #411 Shreveport, LA 71101 (318) 424-4224 Henderson, Leigh E., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4458 Shah, Mrunalini B., MD 8001 Youree Dr Shreveport, LA 71115 (318) 212-3200 (Hospitalist Only) Whyte, II, William, MD 457 Ashley Ridge Blvd Shreveport, LA 71106 (318) 861-7246 One Medical Pz Minden, LA 71055 (318) 861-7246 PSYCHIATRY Booker, James Gary, MD 851 Olive St Shreveport, LA 71104 (318) 227-9600 U Delta Pathology Group, LLC 2915 Missouri Ave Shreveport, LA 71109 (318) 621-8820 One Saint Mary Pl Shreveport, LA 71101 (318) 681-4471 Gable, Carl, MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 Boswell, Linda A., MD 1006 Highland Ave Shreveport, LA 71101 (318) 949-0882 Brannon, Guy, MD 1002 Highland Ave #200 Shreveport, LA 71101 (318) 222-6226 Dopson, Cecil C., MD 610 Herndon Ave Shreveport, LA 71101 (318) 424-3867 Harrold, James, MD 2924 Knight St Bldg 4 Ste 434 Shreveport, LA 71105 (318) 631-1122 Hollier, Janice W., MD 1002 Highland Ave Ste 201 Shreveport, LA 71101 (318) 675-1300 Kaza, Basavapunna R., MD 9540 Hwy 79 Haynesville, LA 71038 (318) 624-3665 620 E College Dr. Homer, LA 71040 (318) 927-2024 (Hospitalist Only) Kessel, Keith, MD 745 Olive St #109 Shreveport, LA 71104 (318) 221-6070 Phifer, Travis J., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 795-4774 Sadaf, Javaid MD 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 1514 Doctors Dr Bossier City, LA 71111 (318) 549-2500 Stevens, Lee, MD 1002 Highland Ave Ste 300 Shreveport, LA 71101 (318) 221-8525 Valiulis, Mary B., MD 9425 Healthplex Dr Ste 101 Shreveport, LA 71106 (318) 683-5171 Wagner, John, MD 1002 Highland Ave Ste 200 Shreveport, LA 71101 (318) 222-6226 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 37 of 159 Wakefield, Sarah M., MD 1006 Highland Ave Shreveport, LA 71101 (318) 222-6226 Williamson, Larrie A., MD 1514 Doctors Dr Bossier, LA 71111 (318) 549-2500 1625 David Raines Rd Shreveport, LA 71107 (318) 425-2252 Yusufji, Ruchika S., MD 1006 Highland Ave Shreveport, LA 71101 (318) 222-6226 PULMONARY MEDICINE Desai, Himanshu, MD 7829 Youree Dr Shreveport, LA 71115 (318) 797-8777 Green, David, MD 7829 Youree Dr Shreveport, LA 71105 (318) 797-8777 Holladay, Robert C., MD 463 Ashley Ridge Ste 100 Shreveport, LA 71106 (318)221-3585 Kamm Jr., Richard C., MD 7829 Youree Dr Shreveport, LA 71115 (318) 797-8777 Lunn II, William, MD 1455 E Bert Kouns # 202 Shreveport, LA 71105 (318) 798-4484 Murray, Howard N., MD 620 E College St Homer, LA 71040 (318) 251-8316 #3 Medical Plz Minden, LA 70155 (318) 251-8316 Schuler, Paul, MD 7829 Youree Dr Shreveport, LA 71105 (318) 797-8777 RADIATION ONCOLOGY 1453 E Bert Kouns Shreveport, LA 71106 (318) 681-4500 Chan, Rosecoe H., MD One Saint Mary Pl Shreveport, LA 71101 (318) 681-4126 207 Jefferson St Mansfield, LA 71052 (318) 872-4610 Durci, Michael L., MD One St. Mary Pl Shreveport, LA 71101 318) 681-4126 Katz, Sanford, MD 2600 Kings Hwy Shreveport, LA 71103 (318) 212-4639 Krentel, Rod, MD 301 Bert Kouns Shreveport, LA 71106 (318) 682-4590 Rosen, Lane, MD 2600 Kings Hwy Shreveport, LA 71103 (318) 212-4639 RADIOLOGY Black, Ginger A., MD 708 N Ashley Ridge Blvd #400 Shreveport, LA 71106 Brown-Folse Radiology 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 Campbell, Jason L., MD 855 Pierremont Ste 105 Shreveport, LA 71106 (318) 861-7413 Edwards, Robert L., MD 401 11th St. Springhill, LA 71075 (318) 539-1700 Gallman, III, William H., MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 Grozinger, Kurt T., MD 2105 Airline Dr Bossier City, LA 71111 (318) 848-8078 Hebert, II, John R., MD One St. Mary Pl Shreveport, LA 71101 (318) 681-6450 620 E College St. Homer, LA 71040 (318) 927-2024 Kong, Lipu, MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 Kraemer, Mark D., MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 Leopard, Patrick B., MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 Milner, Joseph W., MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 Sarcar, Manash, MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 Wagner, Diane B., MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 White, Kelly E., MD 1800 Buckner Sq Ste B100 Shreveport, LA 71101 (318) 222-1149 RHEUMATOLOGY Broadwell, Larry, MD 820 Jordan St Ste 201 Shreveport, LA 71101 (318) 221-0399 Cotter, Nicole M., MD 820 Jordan St Ste 201 Shreveport, LA 71101 (318) 221-0399 Goodman, Robert E., MD 740 Jordan St Shreveport, LA 71101 (318) 424-9240 Kampert, Kurt, W., MD 1455 Bert Kouns Shreveport, LA 71105 (318) 798-4500 Lokitz, Kyla L., MD 457 Ashley Ridge Blvd Ste C Shreveport, LA 71106 (318) 219-7704 Pressly, Thomas A., MD 2751 Albert Bicknell Ste 2E Shreveport, LA 71103 (318) 635-5682 Walton, Mary K., MD 1455 E Bert Kouns Ste 210 Shreveport, LA 71105 (318) 798-4515 SLEEP MEDICINE Moufarrej, Nabil, MD 2205 E 70th St Shreveport, LA 71105 (318) 797-1585 Scaltsas, Irene, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4458 SURGERY Colon & Rectal Surgery Cole, Philip A., MD 1811 E Bert Kouns Ste 430 Shreveport, LA 7115 (318) 424-8373 Grimes, W. Reid, MD 1811 E Bert Kouns Ste 430 Shreveport, LA 71115 (318) 424-8373 Stratton, Michael D., MD 1811 E Bert Kouns Ste 430 Shreveport, LA 71115 (318) 424-8373 Warrick, JoAnn E., MD 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 1453 E Bert Kouns Shreveport, LA 71105 (318) 798-4300 Werner, Andrew M., MD 1811 E Bert Kouns Ste 430 Shreveport, LA 71115 (318) 424-8373 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 38 of 159 General Surgery Surgery - Hand Bozeman, Martin C., MD 8001 Youree Dr Ste 820 Shreveport, LA 71115 (318)212-3826 Cooper, Ellis O., MD 1500 Line Ave Ste 100 Shreveport, LA 71101 (318) 635-3052 2001 Youree Dr Springhill, LA 71075 (318) 539-1000 Burke, James B., MD 2751 Albert Bicknell Dr Ste 3A Shreveport, LA 71103 (318) 636-9905 Dockendorf, Brian, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4600 Eugene, Edwidg., MD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 Jones, Kenneth B., MD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 Knight, Jr., Charles, MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-469 Malireddy, Kishroe MD 102 Monroe St Ste B Minden, LA 71058 (318) 377-4534 Mook, Julie A., MD 1400 E Bert Kouns Ste 100 Shreveport, LA 71105 (318) 524-9565 Norwood, William, MD 2751 Albert Bicknell Ste 3A Shreveport, LA 71103 (318) 636-9905 Riston, Dennis D., MD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1000 Sasaki, Larry, MD 1512 Doctors Dr Bossier City, LA 71111 (318) 746-7272 Soleto, Erin E., MD 608 Fleming Ln Minden, LA 71055 (318) 382-9020 McAlister, Clinton G., MD 2005 Landry Dr Bossier City, LA 71111 (318) 752-7850 Ritter, Michelle MD 385 Bert Kouns Ind Lp Ste 500 Shreveport, LA 71106 (318) 686-9986 Sockrider, Christopher, MD 1400 E Bert Kouns Ind Lp Ste 100 Shreveport, LA 71105 (318) 524-9565 Wall, Forrest, MD 385 Bert Kouns Ind Lp Bldg 100 Shreveport, LA 71106 (318) 221-1629 Wall, Holly C., MD 8600 Fern Ave Shreveport, LA 71105 (318) 795-0801 255 Bert Kouns Ind Lp Shreveport, LA 71106 (318) 683-0411 Henderson, R. Jonathan, MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Henry, Gerard, MD 255 Bert Kouns Ind Lp Shreveport, LA 71106 (318) 683-0411 Surgical Oncology Neurosurgery Cavanaugh, David A., MD 1500 Line Ave Ste 200 Shreveport, LA 71101 (318) 629-5555 LSU Dept of Neurosurgery 1501 Kings Hwy Shreveport, LA 71103 (318) 813-1576 Utter, Philip A., MD 1500 Line Ave Ste 200 Shreveport, LA 71101 (318)629-5555 Marler, Kevin C., MD 8001 Youree Dr #840 Shreveport, LA 71115 (318) 795-9100 Vascular Surgery Barrett, Robert L., MD 8001 Youree Dr Ste 570 Shreveport, LA 71115 (318) 212-3870 White, Stephen C., MD 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4484 Plastic Surgery UROLOGY Davis, Paul M., MD 1666 E Bert Kouns Ste 145 Shreveport, LA 71105 (318) 797-9199 Knight, Daniel R., MD 8711 Line Ave Shreveport, LA 71106 (318) 698-8711 Lee, Michael R., MD 8600 Fern Ave Shreveport, LA 71105 (318) 795-0801 Ramey, Stephen J., MD 1505 E Bert Kouns Ste 101 Shreveport, LA 71105 (318) 681-7480 Sanders, Kenneth W., MD 8711 Line Ave Shreveport, LA 71106 (318) 698-8711 Baker, Ashley S., MD 255 Bert Kouns Shreveport, LA 71106 (318)683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318)741-6077 Callaway, Mark, MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Cline, Kevin, MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Germany, Jr., Raymond, MD 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Mook, Tommy M., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Moss, James L., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Noble, James R., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 One Medical Plaza Place Minden, LA 71055 (318) 683-0411 Norwood, Jeremy S., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, La (318) 741-6077 One Medical Plz Minden, LA 71055 (318) 371-7875 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 39 of 159 620 E College St Homer, LA 71040 (318) 683-0411 1100 Doctors Dr Springhill, LA 71075 (318) 683-0411 Palmer, Thomas E., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr, Ste 105 Bossier City, LA 71111 (318) 741-8166 Smith, Stanley J., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 One Medical Plaza Place Minden, LA 71055 (318) 683-0411 Spann, Alison S, MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Spinazze, Ernesto, MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Bossier City, 71111 (318) 741-6077 Stage, Adam C., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 Van Savage, John G., MD 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 2539 Viking Dr Ste 105 Bossier City, LA 71111 (318) 741-6077 ANCILLARY SERVICES AFTER HOURS TREATMENT First Care of Shreveport/Bossier 9425 Healthplex Dr Ste 102 Shreveport, LA 71106 (318) 681-7877 2539 Viking Dr Ste 100 Bossier City, LA 71111 (318) 848-2970 Shreveport Family Medicine Clinic, Inc. 7505 Pines Rd Ste 1250 Shreveport, LA 71129 (318) 686-3770 CHIROPRACTORS Brigola, Gregory O., DC 672 Bert Kouns Indust Loop Shreveport, LA 71118 (318) 686-3152 Clawson, Patrick, S., DC 727 W Main Homer, LA 71040 (318) 927-2320 Erickson, Lorenzo C, DC 820 Jordan St Ste 110 Shreveport, LA 71101 (318) 929-1517 Guice, Mark, D., DC 7645 Pines Rd Shreveport, LA 71129 (318) 683-0300 Johnston, Paul F., DC 9141 Walker Rd Shreveport, LA 71118 (318) 687-9671 Johnson, Wayne H., DC 8805 Line Ave Shreveport, LA 71106 (504) 495-9757 Ledet, Chad T., DC 6723 Pines Rd Ste 112 Shreveport, LA 71129 (318) 687-4671 Swart, Gary H., DC 404 Fincher Rd Minden, LA 71055 (318) 371-0558 DENTIST Jobe, Darrel I., DDS 2533 Bert Kouns #107 Shreveport, LA 71118 (318) 688-1040 Kumar, Monika, DDS 3330 Youree Dr Shreveport, LA 71105 (318) 861-9227 Palmer, Jr., Robert A., DDS 6150 Line Ave Shreveport, LA 71106 (318)868-5726 DIAGNOSTIC SERVICES Advanced Diagnostics 855 Pierremont Rd Ste 105 Shreveport, LA 71106 (318) 861-7413 Biomedical Research Foundation of NW LA PET Imaging Center 1505 Kings Hwy Shreveport, LA 71103 (318) 675-4000 Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 1285 Corporate Center Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 Cardiostaff Corporation 4014 Medical Pkwy Ste 200 Austin, TX 78756 (512) 419-1755 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 25060 Ave Stanford Ste 270 Valencia, CA 91355 mdINR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 72 Bonaventura San Jose, CA 95134 (661) 942-3296 Mobile X-Ray Services of Shreveport Bossier Inc 9376 Mansfield Rd Shreveport, LA 71118 (318) 687-6861 Northwest Imaging, LLC 1460 E Bert Kouns #708 Shreveport, LA 71105 (318) 425-1001 Raytel Cardiac Services, Inc. 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 DIALYSIS TREATMENT CENTER BMA Desoto Parish 1410 MacArthur Dr Mansfield, LA 71052 (318) 871-8700 BMA Minden 610 Fleming Ln Minden, LA 71055 (318) 371-1532 Bossier Regional Dialysis Center 2907 Plantation Dr Bossier City, LA 71111 (318) 746-8440 FMC Dialysis Services Coushatta 501 Wilkinson St Coushatta, LA 71019 (318) 932-5378 FMC Dialysis Services East Minden 10000 Industrial Dr Minden, LA 71055 (318) 371-9400 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 40 of 159 FMC South Bossier 3087 Stafford St Bossier City, LA 71112 (318) 741-5157 FMC Dialysis Services of South Shreveport 410 Ashley Ridge Blvd Shreveport, LA 71106 (318) 868-8320 HEARING CENTER/ AUDIOLOGY Waguespack, Glenn M., MS 1455 E Bert Kouns #206 Shreveport, LA 71105 (318) 798-4442 HOME HEALTH CARE FMCNA Dialysis Services of West Shreveport 4338 Pines Rd Shreveport, LA 71119 (318) 621-0750 Advantage Home Health Care, Inc. 1810 Front St Coushatta, LA 71019 (318) 932-6877 Fresenius Medical Care of Homer 3680 Hwy 79 Homer, LA 71040 (318) 927-8987 Amedisys Louisiana LLC dba Amedisys Home Health 425 Ashley Ridge Blvd Ste 246 Shreveport, LA 71106-7226 (318) 865-8865 North Shreveport Dialysis Center 990 Aero Dr Shreveport, LA 71107 (318) 425-7371 Shreveport Regional Dialysis Center 1800 Buckner St Bldg A Ste 100A Shreveport, LA 71101 (318) 227-9765 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) David Raines Community Health Clinic 1625 David Raines Rd Shreveport, LA 71107 (318)425-2252 1514 Doctors Blvd Bossier City, LA 71111 (318)549-2500 12763 Lay St Gilliam, LA 71029 (318)296-4287 1953 E Main St Haynesville, LA 71038 (318)624-1995 128 Homer Rd Minden, LA 71055 (318)377-1545 3021 W 70th St Shreveport, LA 71106 (318)507-3140 MediStar Home Health of Shreveport-Bossier 4442 Viking Dr Ste 400 Bossier City, LA 71111 (318) 742-4026 United Home Health of Shreveport 9400 Village Green Dr Shreveport, LA 71115 (318)798-7777 Minden Medical Center Home Health Agency 346 Homer Rd Minden, LA 71055 (318) 377-4663 HOSPICE National HomeCare Services 4211 Youree Dr Shreveport, LA 71105-2939 (318) 869-2655 119 S Main St. Springhill, LA 71075 (318) 539-4300 Ark-LA-Tex Home Health 2090 Stockwell Rd Bossier City, LA 71111 (318) 747-6180 Red River Home Health Care Inc 1701 Old Minden Rd Ste 33B Bossier City, LA 71111 (318) 752-4662 CHRISTUS Home Care 1700 Buckner Sq #200 Shreveport, LA 71101 (318) 681-7200 Stat Homehealth of NWLA 252 N Main St. Sibley, LA 71073 (318) 371-3673 Claiborne Home Health 620 E. College Homer, LA 71040 (318) 927-9121 Synergy Home Care Northwest Region 622 Rush St Coushatta, LA 71019 (318)932-4442 Louisiana HomeCare 301 Jefferson St Mansfield, LA 71052 (318) 872-0821 Louisiana HomeCare/ Minden 926 Homer Rd Minden, LA 71055 (318) 377-0800 Louisiana HomeCare / Shreveport 920 Pierremont Rd #220 Shreveport, LA 71106 (318) 219-9549 Louisiana HomeCare / Springhill 1112 Doctors Dr Springhill, LA 71075 (318) 539-5980 Magnolia Home Health Care, Inc. 1285 Pine St Ste 100 Arcadia, LA 71001 (318) 263-2100 129 Industrial Ave Natchitoches, LA 71457 (318)356-5902 2533 Bert Kouns Ind Lp Ste 117 Shreveport, LA 71118 (318)550-0285 Thompson Home Health 8654 Business Park Dr Shreveport, LA 71105 (318)797-9392 502 Texas St Mansfield, LA 71052 (318) 871-5101 Trinity Home Health Care Inc 1124 Homer Rd Minden, LA 71055 (318)371-9989 Amedisys Hospice LLC 425 Ashley Ridge Boulevard Suite 240 Shreveport, LA 71106 (318) 868-8788 Christus Hospice & Palliative Care – Shumpert 1700 Buckner Sq, Ste 200 Shreveport, LA 71101 (318) 448-6764 Circle of Life Hospice Inc 920 E 70th St Ste B Shreveport, LA 71106 (318)869-4012 Gamble Hospice Care Central LLC 203 Pearl St Minden, LA 71055 (318) 371-1140 Gamble Hospice Care Northwest LLC 8950 E Kings Hwy Shreveport, LA 71115 (318) 861-2150 Hospice of Shreveport/Bossier 3829 Gilbert Shreveport, LA 71104 (318) 865-7177 SouthernCare Shreveport 401 Market St Ste 260 Shreveport, LA 71101 (318) 227-9160 St. Joseph Hospice of Shreveport, LLC 668 Jordan St Shreveport, LA 71101 (318) 222-8723 INFUSION THERAPY Carepoint Partners LLC 4859 Shed Rd Ste 300 Bossier City, LA 71111 (318) 747-5080 1796 E Bert Kouns Ind Loop Shreveport, LA 71105 (318) 747-5080 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 41 of 159 Vital Care RX II 2015 Fairfield Ave Ste E Shreveport, LA 71104 (318) 673-8360 WellNecessities Pharmacy 8835 Line Ave Ste 500B Shreveport, LA 71106 (318) 861-7541 INPATIENT REHAB HOSPITAL U Pathway Rehabilitation Hospital 4900 Medical Dr Bossier City, LA 71112 (318) 841-5555 LABORATORIES Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75244 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 Delta Pathology Group 2915 Missouri Ave Shreveport, LA 71109 (318) 621-8820 One Saint Mary Place Shreveport, LA 71101 (318) 681-4471 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 ProPath Services, LLP 1355 River Bend Dr Dallas, TX 75247 (214) 631-6721 Quest Dignostics 820 Jordan Ste 102 Shreveport, LA 71101 (318) 678-1505 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 LONG TERM ACUTE CARE FACILITIES GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 Cornerstone Hospital of Bossier City 4900 Medical Dr Bossier City, LA 71112 (318) 747-9500 LabCorp of America 2920 Knight St Ste 108 Shreveport, LA 71105 (318) 869-2855 MEDICAL EQUIPMENT Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 Omega Diagnostics, LLC One Saint Mary Pl Shreveport, LA 71101 (318) 621-8820 OPKO Lab 1450 Elm Hill Pk Nashville, TN 37210 (615) 874-0410 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 Arnold Orthotics & Prosthetics, Inc. 619 Jordan St Shreveport, LA 71101 (318) 425-2400 Associated Medical & Oxygen Equipment 8870 Youree Dr Ste 107 Shreveport, LA 71115 (318) 798-6004 Butterfly Boutique 1950 E 70th St Shreveport, LA 71105 (318) 798-5991 Certified Limb & Brace 3227 Portland Ave Shreveport, LA 71103 (318) 636-9145 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 Custom Healthcare Inc dba Numotion 1701 Old Minden Rd Ste 6 Bossier City, LA 71111 (318) 752-2273 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Pk Twinsburg, OH 44087 (800) 321-0591 A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 Accucare Medical 9011 Linwood Ave Shreveport, LA 71106 (318) 687-1444 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 Allenmed, Inc 107 E Marshall St Gilmer, TX 75644 (903) 680-3113 In Home Respiratory, LLC 3825 Gilbert Dr Ste 123 Shreveport, LA 71104 (318) 797-0471 Apria Healthcare, Inc. 5201 Interstate Dr Ste 1 Shreveport, LA 71109 (318) 631-6701 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 42 of 159 Kelly Pharmacy Inc 302 E Palmetto Plain Dealing, LA 71064 (318) 326-4229 Lincare, Inc. 1520 N Hearne Ave #120 Shreveport, LA 71107 (318) 226-0555 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 Mall Pharmacy LLC 531 S Main St Springhill, LA 71075 (318) 539-3622 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 Medco Respiratory Inst Inc 2625 Line Ave Shreveport, LA 71104 (318) 703-3163 Medical Technology of LA 8860 Quimper Pl Ste 200 Shreveport, LA 71105 (318) 798-2140 Minden Homecare Equipment & Uniforms 106 Ryans Way Minden, LA 71055 (318) 382-8500 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 National Pharmacy 8860 Quimper Pl Ste 100 Shreveport, LA 71105 (318) 797-9517 OrthoRx, Inc. 7925 Youree Dr #230 Shreveport, LA 71105 (318) 798-5583 1455 E Bert Kouns Ste 204 Shreveport, LA 71105 (318) 798-9833 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 Physicians Choice Home Medical & Diabetic Supply 1509 Doctors Dr Bossier City, LA 71111 (318) 746-6288 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 2255 Woodard Ave Shreveport, LA 71103 (318) 429-0161 Red Ball Medical Supply, Inc. 1020 N Market St Shreveport, LA 71107 (318) 424-8393 Regional Medical Rental & Sales 9422 Kingston Rd Shreveport, LA 71118 (318) 797-1864 Samaritan Home Medical Equipment 2801 Northside Dr Ste 11 Bossier City, LA 71111 (318) 752-2112 Smalls Medical Supply LLC 3803 Cleveland Ave Shreveport, LA 71109 (318) 828-2111 Snells Limbs & Braces, LLC 1833 Line Ave Shreveport, LA 71101 (318)424-4167 Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 MOBILE UNIT Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 NUTRITIONAL COUNSELING Walker, Leah J., RD 2001 Doctors Dr Springhill, LA 71075 (318) 539-1001 Wright, Peggy, RD 1800 Buckner Sq Ste c-120 Shreveport, LA 71101 (318) 227-8899 2501 Greenwood Rd Shreveport, LA 71103 (318) 631-1584 OPTOMETRISTS Bradford, Ashley E., OD 421 Homer Rd Minden, LA 71055 (318) 377-4246 Branton, Jon L., OD 451 Ashley Ridge Blvd Shreveport, LA 71106 (318) 222-5555 #3 Medical Plz Minden, LA 71055 (318) 371-9512 Brogden, Neil W., OD 836 Olive St Shreveport, LA 71104 (318) 222-8421 5402 Summerhill Rd Texarakana, TX 75503 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 Coburn, Amy, OD 1400 E Bert Kouns Ste 103 Shreveport, LA 71105 (318) 222-8402 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 Donald, Susan G., OD 451 Ashley Ridge Blvd Shreveport, LA 71106 (318) 222-5555 Wellnecessities DME 8835 Line Ave Shreveport, LA 71106 (318) 222-0885 #3 Medical Plaza Minden, LA 71055 (318) 371-9572 Hsu, Amy S., OD 451 Ashley Ridge Rd Shreveport, LA 71106 (318) 222-5555 3 Medical Plz Minden, LA 71055 (318) 371-9512 Keator, Randall D., OD 405 Polk St Mansfield, LA 71052 (318) 872-0747 Pham, Lawrence H., OD 405 Polk St Mansfield, LA 71052 (318) 872-0747 Spurlock, II, Derrell R., OD 421 Homer Rd Minden, LA 71055 (318) 377-4246 Trichel, Jessica, OD 836 Olive St Shreveport, LA 71104 (318) 222-8421 Wardell, Pete D., OD 405 Polk St Mansfield, LA 71052 (318) 872-0747 OUTPATIENT CENTERS Eye Surgery Center 445 Ashley Ridge Blvd Shreveport, LA 71106 (318) 869-1130 Highland Clinic Surgery Center, LLC 1455 E Bert Kouns Shreveport, LA 71105 (318) 798-4596 Outpatient Surgery Center 385 Bert Kouns Ind Lp Bldg 300 Shreveport, LA 71106 (318) 212-0552 Red River Surgery Center 708 N Ashley Ridge Lp Bldg 400 Shreveport, LA 71106 (318) 698-7000 Regional Urology Surgical Center 255 Bert Kouns Shreveport, LA 71106 (318) 683-0411 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 43 of 159 Shreveport Endoscopy Ctr. 3217 Mabel St Shreveport, LA 71103 (318) 631-9121 Sleep Diagnostics, Inc. 2800 Youree Dr Ste 110 Shreveport, LA 71104 (318) 861-7533 Wellnecessities 8835 Line Ave Shreveport, LA 71119 (318) 222-0885 Tri-State Physical Therapy #1 1610 E Bert Kouns Ind Lp Shreveport, LA 71105 (318) 631-7999 2906 Plantation Dr Bossier City, LA 71111 (318) 746-5295 Vivian Physical Therapy 202 South Ave Vivian, LA 71082 (318) 375-5500 PODIATRY PHYSICAL THERAPY CENTERS Bayou State Therapy 457 Ashley Ridge Blvd Ste B Shreveport, LA 71106 (318) 219-7737 Brewer Physical Therapy & Associates 663 Jordan St Shreveport, LA 71101 (318) 222-8892 Cornerstone Rehabilitation 2205 E 70th St Ste 102 Shreveport, LA 71104 (318) 671-8772 Helping Hands Physical Therapy 385 Bert Kouns Ste 500 Shreveport, LA 71106 (318) 683-4600 Jeb Willard Physical Therapy & Rehabilitation Services Inc 206 Reynolds St Springhill, LA 71075 (318) 539-4006 Performance Physical Therapy of Minden 906 Homer Rd Minden, LA 71055 (318) 371-6666 River City Physical Therapy 2204 Benton Road Bossier City, LA 71111 (318) 747-2200 The Edge Physical Therapy 2950 Fairfield Ave Shreveport, LA 71104 (318) 841-0696 Ertz, Stephen, DPM 9308 Mansfield Rd Ste 100 Shreveport, LA 71101 (318) 687-6266 1521 Doctors Dr Bossier City, LA 71111 (318) 747-5200 Havens, Richard, DPM 9308 Mansfield Rd Ste 100 Shreveport, LA 71118 (318) 687-6266 1521 Doctors Dr Bossier City, LA 71112 (318) 747-5200 Lorincz, Stefan P., DPM 101 Murrell St., Ste 1 Minden, LA 71055 (318) 377-5000 2001 Doctors Dr. Springhill, LA 71075 (318) 377-5000 Morreale, Angelo, DPM 1400 E Bert Kouns Ind Lp Ste 105 Shreveport, LA 71105 (318) 797-3668 Randolph, Bryan, DPM 7821 Youree Dr Shreveport, LA 71105 (318) 213-3668 2300 Hospital Dr Ste 110 Bossier City, LA 71111 (318) 629-3668 Toups, Jerry, DPM 7821 Youree Dr Shreveport, LA 71105 (318) 213-3668 2300 Hospital Dr Ste 110 Bossier City, LA 71111 (318) 629-3668 SKILLED NURSING FACILITY Carrington Place of Springhill LLC 215 1st St NE Springhill, LA 71075 (318) 539-3527 Guest Care at Spring Lake 8622 Line Ave Shreveport, LA 71106 (318)868-4126 Irving Place Associates dba NurseCare of Shreveport 1736 Irving Pl Shreveport, LA 71101 (318) 221-1983 Riverview Care Center LLC 4820 Medical Dr Bossier City, LA 71112 (318) 747-1857 SUBSTANCE ABUSE/PSYCH Abrams, Carlye A., LPC 1002 Highland Ave #200 Shreveport, LA 71101 (318) 222-6226 Anneken, Holly E., LPC 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Frith, Sandra, LMFT, LPC 820 Jordan St Ste 510E Shreveport, LA 71101 (318) 655-1259 207 Jefferson St Mansfield, LA 71052 (318) 655-1259 12 Ensy St Springhill, LA 71075 (318) 655-1259 Frontaura-Duck, Sarannette, LPC 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Grayson, Linda I., LCSW 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Gucker, Gale T., LPC, LFMT 820 Jordan St Ste 570 Shreveport, LA 71101 (318) 424-0315 Holland, Laura L., LPC 1513 Line Ave Ste 250 Shreveport, LA 71101 (318) 617-5333 3018 Old Minden Rd Ste 1202 Bossier, LA 71112 (318) 617-5333 Baker, Carlton Casey, LPC 1002 Highland Ave Ste 300 Shreveport, LA 71105 (318) 226-8090 Humphreys, Sandy, LPC, LFMT 7330 Fern Ave Shreveport, LA 71105 (318) 797-0084 Brentwood, A Behavioral Health Company 1006 Highland Ave Shreveport, LA 71101 (318) 222-6226 McBride-Williams, Patti, LPC 820 Jordan St Ste 475 Shreveport, LA 71101 (318) 424-4271 Cascio, Emily R., LPC 321 Southfield Rd Ste 104 Shreveport, LA 71105 (318) 861-0862 Comeaux, Andrew, LCSW 2625 Line Ave Ste 106 Shreveport, LA 71104 (318) 560-3458 Danzell, Jacqueline, LCSW 910 Pierremont Rd Ste 410 Shreveport, LA 71106 (318) 861-8625 McClelland, Kimberly, LCSW 950 Ockley Shreveport, LA 71106 (318) 703-3710 McMillian, David C., LPC 1407 E 70th St Shreveport, LA 71105 (318) 227-9002 Middlebrook, Amanda, LCSW 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 44 of 159 Moncla, Shari L., LPC 1407 E 7th St Shreveport, LA 71105 (318) 227-9002 Thomas, Melissa M., LPC 4321 Youree Dr Ste 400 Shreveport, LA 71105 (318) 865-0866 Baldridge, Kathy H, FNP 3351 Masonic Dr Alexandria, LA 71301 (318) 448-6800 Coney, William, MD 904 First St Jonesville, LA 71343 (318) 339-8387 Monsour, Jennifer, LPC, LMFT 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Valentine, Jodi, LMFT, LPC 5910 Paige Rd Ste D The Colony, TX 75056 (214) 494-6287 Bevels, Gregory, MD 3802 Prescott Rd Alexandria, LA 71301 (318) 487-6060 Darg-Quinones, Ruth, MD 150 Jefferson Davis Blvd Ste 130 Natchez, MS 39120 (601)445-4616 Vauclin, Lynn B., LPC 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Blake, Amy E., NP 3351 Masonic Dr Alexandria, LA 71301 (318) 448-6800 Watts, Linda R., LPC 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Breazeale, Archie, MD 108 Touline St Natchitoches, LA 71457 (318) 352-3804 URGENT CARE TREATMENT Brouillette, Beau P., MD 5541 Hwy 1 Marksville, LA 71351 (318) 240-7240 Nyman, O. Quinn, PHD 8924 Jewella Ave Sheveport, LA 71118 (318) 550-7781 O’Brien, Leigh Ann, LCSW 7330 Fern Ave Ste 404 Shreveport, LA 71105 (318) 797-0084 Peregoy, Leigh P., MSW 3018 Old Minden Rd Ste 1117-A Bossier City, LA 71112 (318) 746-5775 Pharr, Andrea D., PhD 409 Meadowview Dr Minden, LA 71055 (318) 584-4429 Porter, Beth R., LCSW 820 Jordan St Ste 475 Shreveport, LA 71101 (318) 424-4271 Pruett, F. Carole, LCSW 820 Jordan St Ste 485 Shreveport, LA 71101 (318) 424-5001 Romero, Kara W., LPC 7330 Fern Ave Ste 404 Shreveport, LA 71105 (318)797-0084 Salley, Marguerite, LCSW 707 Southfield Rd Shreveport, LA 71106 (318) 869-1632 Staats, Thomas, Ph.D 4300 Youree Dr Ste 200 Shreveport, LA 71105 (318) 861-0194 Velocity Care 7045 Youree Dr Shreveport, LA 71105 (318) 798-3763 9300 Mansfield Rd Ste 110 Shreveport, LA 71118 (318) 629-3763 2151 Airline Dr Ste 700 Bossier City, LA 71111 (318) 550-2178 REGION 3 Includes Sabine, Natchitoches, Vernon, Rapides, Concordia, Avoyelles, Catahoula, LaSalle, and Grant Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is referring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE Street, Jeanne, Ph.D 610 Herndon Ave Shreveport, LA 71101 (318) 424-3867 Anderson, Jeffrey R., DO 54 Seargent Prentiss Dr. Natchez, MS 39120 (601) 442-9654 (Hospitalist only) Taylor, Charlene L., LPC 820 Jordan St Ste 530 Shreveport, LA 71101 (318) 424-5001 Baker, Sharifa, MD 3802 Prescott Rd Alexandria, LA 71301 (318) 487-6060 Buck, Michael, MD 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 473-4500 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Campbell, Raven M, NP 3351 Masonic Dr Alexandria, LA 71301 (318) 448-6800 Chung, Hung, MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Churchman, Nichole M., MD 1201 W Fertitta Blvd Leesville, LA 71446 (337) 238-4511 910 Fisher Rd Many, LA 71449 (318) 256-0402 18570 Johnny B Hall Rd Rosepine, LA 70659 (337) 238-4511 Clement, Dixie G, MD 4218 Hwy 1192 Marksville, LA 71351 (318) 240-1959 Dawkins, Walter, MD 150 Jefferson Davis Blvd Ste 140 Natchez, MS 39120 (601)445-4616 Depa, Sreekanth MD 506 S 6th St Leesville, La 71446 (337) 239-2234 1017 W Fertitta Blvd Leesville, LA 71446 (337) 238-5773 Dixit, Prashant P., MD 151 Thomas Ave Bay St. Louis, MS 39520 (228) 467-1320 801 Williams Ave Picayune, MS 39466 (228) 467-1320 Downs, Stephen, MD 3704 North Blvd Ste C Alexandria, LA 71301 (318) 443-4576 Elkins, Brian, MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Erickson, Mathew, C., MD 180 Ninth St Jena, LA 71342 (318) 992-9268 2801 Fourth St Jonesville, LA 71343 (318) 339-9990 Fair, Jack D., MD 615 Bienville St Natchitoches, LA 71457 (318) 352-6800 Forester, Jonathan S., MD 2809 Donahue Ferry Rd Pineville, LA 71360 (318) 641-0865 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 45 of 159 Founds, Gregory P., MD 395 S Capitol St Many, LA 71449 (318) 256-2000 Ingram, Johhny K., MD 1154 Logan Sewell Dr Vidalia, LA 71373 (318) 336-8166 Lord, Gregory, MD 301 W Fertitta Blvd Ste 1 Leesville, LA 71446 (337) 238-0167 Moore, Robert W., MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Gallaher, Lori L., MD 65 Medical Blvd Ste104 Pinvelle, LA 71360 (318) 445-6363 Jobe Sr., Brian C., MD 821 Elliott St Alexandira, LA 71301 (318) 441-1030 Luster, William B., MD 2389 LA Hwy 28 E Pineville, LA 71360 (318) 487-1925 Moss, Melissa, MD 1201 Fertitta Blvd Leesville, LA 71446 (337) 392-6007 Garcia, Fernando G., MD 4239 Hwy 1192 Ste 100 Marksville, LA 71351 (318) 253-0866 (Hospitalists Only) Johnson, Kenneth T. Jr., MD 101 Medical Park Blvd Ste C Pineville, LA 71360 (318) 445-9538 3800 Jackson St Alexandria, LA 71303 (318) 767-9015 Nelson, Kay L., MD 12060 Texas Hwy Many, LA 71449 (318) 256-6465 Gauthier Jr, Newell E, MD 338 Moreau St Ste B Marksville, LA 71351 (318) 253-2299 Kalifey, Edmond, MD 5541 Hwy 1 Marksville, LA 71351 (318) 240-7240 Gibson Jr, Herman, MD 204 Serio Blvd Ferriday, LA 71334 (318) 757-8010 Kendrick, Robert, T., MD 180 Ninth St Ste J Jena, LA 71342 (318) 992-4275 Gregory, Chesley L., MD 395 S Capitol St Many, LA 71449 (318) 256-2000 Knecht, James, MD 1029 Keyser Ave Ste J Natchitoches, LA 71457 (318) 352-5650 Gremillion, Maurice J., MD 200 Serio Blvd Ferriday, LA 71334 (318) 757-2000 Lacaze, Erin L, NP 1405 Metro Dr Bldg L Alexandria, LA 71306 (318) 767-1543 Griffin, Amy B., MD 145 Yorktown Dr Alexandria, LA 71303 (318) 445-8380 Griffin, Christopher M., MD 145 Yorktown Dr Alexandria, LA 71303 (318) 445-8380 Guillot, David, MD 9372 Hwy 165 S Woodworth, LA 71485 (318) 484-9588 Hogg, John E., MD 615 Bienville St Natchitoches, LA 71457 (318) 352-6800 Holton, J. Carole, MD 65 Medical Park Blvd Ste 104 Pineville, LA 71360 (318) 445-6363 Homer, Dana B, NP 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 445-9823 180 Ninth St Jena, LA 71342 (318) 992-6311 3351 Masonic Dr Alexandria, LA 71301 (318) 448-6800 3601 Jackson St Alexandria, LA 71303 (318) 787-6877 LaRavia, Dennis, MD 900 Carter St Vidalia, LA 71373 (318) 336-4780 Lau, Chi-Tai Peter, MD 1015 Obrie St Zwolle, LA 71486 (318) 645-6161 Lee, Sarah, MD 100 Lincoln Ave Ferriday, LA 71334 (318) 757-7000 Madden, Michael, MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Norwood, Charles, MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Mallory, Vincent D., MD 3330 Masonic Dr Alexandria, LA 71303 (318) 449-2673 (Hospitalist Only) Palombo, Benjamin, MD 1135 Exwy Dr Ste 200A Pineville, LA 71360 (318)561-0001 Mauterer Jr, Kenneth P., MD 1049 B N Pine Rd Olla, LA 71465 (318) 495-3175 Picou, Bryan A., MD 1029 Keyser Ave Ste G Natchitoches, LA 71457 (318) 352-2971 Mays, Dana C., MD 821 Eliiott St Alexandria, LA 71301 (318) 441-1030 Picou, Marguerite B., MD 1029 Keyser Ave Ste G Natchitoches, LA 71457 (318) 352-2971 3330 Masonic Dr Alexandria, La 71301 (318) 449-2673 (Hospitalist Only) McBride III, William M., MD 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 445-9823 Mclendon Jr., Ronald C., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Michel, Richard R., MD 110 LA Rue Medecine Marksville, LA 71351 (318) 253-6564 Milder, Peter, MD 2108 Texas Ave Ste 3080 Alexandria, LA 71301 (318) 442-5758 Moak, Huey, MD 112 Serio Blvd Ferriday, LA 71334 (318) 757-3696 Pinfold, Anne, MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Plauche, Warren J. MD 4231 Hwy 1192 Marksville, LA 71351 (318) 253-0866 (Hospitalist Only) Pothem, Prashanth, MD 1020 W Fertitta Blvd Leesville, LA 71446 (337) 239-9041 Renois, Daniel, MD 1337 Centre Ct Alexandria, LA 71303 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Roberts, Lynda R., MD 1640 Breazeale Springs St Natchitoches, LA 71457 (318)352-9299 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 46 of 159 Sawyer, Douglas C., MD 2026 Obrie St Zwolle, LA 71486 (318) 645-6013 Screpetis, Michael J., MD 1587 N Bolton Ave Ste 1100 Alexandira, LA 71303 (318) 445-9823 Sinegal-Daniel, Dametria A., MD 3351 Masonic Dr. Alexandria, LA 71301 (318) 448-6800 Slaughter, Clois, MD 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Smith, Brian M., MD 1049 A N Pine Rd Olla, LA 71465 (318) 495-7979 Sonnier, Christian M. MD 2389 LA Hwy 28 East Pineville, LA 71360 (318) 487-1925 3800 Jackson St Alexandria, LA 71303 (318) 767-9015 Tasneem, Nuzhath, MD 2108 Texas Ave Ste 3080 Alexandria, La. 71301 (318) 442-5758 Thomas, Margo L., MD 2108 Texas Ave Ste 3080 Alexandria, LA 71301 (318)442-5758 Turrengano, Frances M., NP 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 445-9823 Verma, Rajinder, MD 6118 Monroe Hwy Ste A Ball, LA 71405 (318) 640-4949 821 Elliott St Alexandria, LA 71301 (318) 441-1030 Verucchi, Matthew T., MD 46 Sgt S. Prentiss Dr Ste 203 Natchez, MS 39120 (601) 445-7773 Waddill, James R., MD 151 Jefferson Davis Blvd Ste H Natchez, MS 39120 (601) 445-1715 129 Jefferson David Blvd Natchez, MS 39120 (601) 445-6200 (Hospitalist Only) 315 John R. Junkin Dr. Natchez, MS 39120 (601) 445-1715 Walker, Joan, MD 1640 Breazeale Springs St Natchitoches, LA 71457 (318)352-9299 1603B Boone St Leesville, LA 71446 (337)239-2225 Bordelon, Kevin, MD 4239 Hwy 1192 Ste 200 Marksville, LA 71351 (318) 253-8600 Brar, Ravinderjit S., MD 3425 North Blvd Ste A Alexandria, LA 71301 (318) 473-1921 Broussard, Blaine M., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Buckalew, Zack, MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 Walter, Lua, MD 2108 Texas Ave Ste 3080 Alexandria, LA 71301 (318) 442-5758 Chaudry, Riaz M., MD 11809 Hwy 84 W Jena, LA 71342 (318) 992-4133 White, Christina R, FNP 3351 Masonic Dr Alexandria, LA 71301 (318) 448-6800 Daly, Edward F., MD 54 Seargent Prentiss Dr. Natchez, MS 39120 (601) 442-9654 (Hospitalist only) Wolfe, Scott J., MD 46 Sgt S. Prentiss Dr., Ste 203 Natchez, MS 39120 (601) 445-7773 INTERNAL MEDICINE Akinwale, Akinremi A., MD 126 Jefferson Davis Blvd Natchez, MS 39120 (601) 445-6295 (Hospitalist Only) Alammar, Hussein A., MD 1760 S 5th St Leesville, LA 71446 (337) 238-5700 Babineaux, Michael J., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2673 (Hospitalist Only) Barnum, Otis R., MD 1029 Keyser Ave Natchitoches, LA 71457 (318) 352-9880 Donald, Donna, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Donelon, Shawn E, MD 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 473-4500 Euler Jr., Donald S., MD 3311 Prescott Rd Ste 315 Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Foret, Jr., Gerald L., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2673 (Hospitalist Only) Fouche, Joseph E., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2673 (Hospitalist Only) Garcia, Ernesto J., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Garcia, Jose R., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Garcia, Roberto J., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Kautz, Kathleen E., MD 1029 Keyser St Natchitoches, LA 71457 (318) 238-6001 Landry, Jason, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Larimer, Robert S., MD 3330 Masonic Dr Alexandria, LA 71303 (318) 487-9878 (Hospitalist Only) Letsinger, Kelly R., MD (Palliative Care) 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2480 Liu, Hong, MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 3330 Masonic Dr Alexandria, LA 71301 (855) 463-2038 (Hospitalist Only) Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 47 of 159 Long, Mary I., MD 114 E 5th St Natchitoches, LA 71457 (318) 354-9348 Lubbos, Hanna, MD 201 W Arkansas St Leesville, LA 71446 (337) 239-7227 Malik, Mohammad Z., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Mayeux, C. Michelle, MD 114 E 5th St Natchitoches, LA 71457 (318) 354-9348 McLemore, Aaron D., MD 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Mensah-Armoo, Elsie J., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 487-1122 (Hospitalist Only) Mire, Blane A., MD 54 Seargent Prentiss Dr. Natchez, MS 39120 (601) 442-9654 (Hospitalist only) Moore, Rodney R., MD 3351 Masonic Dr Alexandria, La. 71301 (318) 448-6800 Morrison, Robert C., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 Mounayar, Elias R., MD 338 Moreau St Ste D Marksville, LA 71351 (318)253-5600 Olatinwo, Oluwatoyin, MD 740 Keyser Ave Ste F Natchitoches, LA 71457 (318) 238-5050 Opere, Caxton A., MD 3311 Prescott Rd Ste 315 Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Reed, Alphonse M., MD 3330 Masonic Dr Alexandria. LA 71301 (318)487-9878 (Hospitalist Only) Seki, Ibrahim MD 1812 Carter St Vidalia, LA 71373 (318) 336-7072 Singla, Rohini, MD 3311 Prescott Rd Ste 315 Alexandria, LA 71301 (318) 487-9878 (Hospitalist Only) Smith, Gary, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 483-4090 (Intensivist Only) Smith Jr., John M 3311 Prescott Rd Ste 112 Alexandria, LA 71301 (318) 767-0960 3351 Masonic Dr Alexandria, LA 71301 (318) 448-6800 Smith, John W., MD 204 Serio Blvd Ferriday, LA 71334 (318) 757-8010 Smith, Robert Clay, MD 2908 Jackson St Alexandria, LA 71301 (318) 442-6237 3311 Prescott Rd Alexandria, LA 71301 (318) 442-6767 Soudan, Khaldoun MD 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Srivastava, Mohit MD 109 N Lexington Ave Bunkie, LA 71322 (318) 346-7283 Stubbs, Kenneth W., MD 54 Seargent Prentiss Dr. Natchez, MS 39120 (601) 442-9654 (Hospitalist only) Tillman, Barry F., MD 107 Front Street Vidalia, LA 71373 (318)336-2216 800 Audubon Dr Jonesville, LA 71343 (318) 339-4112 54 Seargant S Prentiss Dr Natchez, MS 39120 (601) 443-2100 Tillman, Clifford R., MD 107 Front St Vidalia, LA 71373 (318) 336-2216 Thumma, Vijay B., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2673 (Hospitalist Only) Verma, Devinder K., MD 6118-B Monroe Hwy Ball, LA 71405 (318) 640-7366 Vikramaditya, Dulam , MD 54 Seargent Prentiss Dr. Natchez, MS 39120 (601) 442-9654 (Hospitalist only) Williams, Prune, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2673 (Hospitalist Only) PEDIATRICS Abou-Turk, Chirine, MD 42124 Veterans Ave Ste A Hammond, LA 70403 (985) 543-0565 Adeleye, Olusegun, MD 405 Bienville St Natchitoches, LA 71457 (318) 356-7211 Ahmed, Tariq S., MD 1049 N Pine Rd Ste E Olla, LA 71465 (318) 495-0755 Beg, Mirza, MD 935 Verone Terrace Leesville, LA 71446 (337) 238-6952 Bergstedt, Jennette S., MD 340 Webb Smith Dr. Colfax, LA 71417 (318) 627-5021 Bhargava, Manu, MD 101 Medical Park Blvd Ste A Pineville, LA 71360 (318) 561-0295 Bonomo, Carrie, MD 104 Louisiana Ave Ferriday, LA 71334 (318) 757-3006 Chinagozi, Sonji, MD 3807 Prescott Rd Alexandria, LA 71301 (318)528-8902 Clark, Johnnie L., MD 180 Ninth St Ste A Jena, LA 71342 (318) 992-6311 3351 Masonic Dr Alexandria, LA 71301 (318)448-6800 1405 Metro Dr Bldg L Alexandria, LA 71301 (318) 767-1543 Danivas, Anil, MD 501 Medical Ctr Dr Ste 100 Alexandria, L A71301 (318) 487-1358 65 Medical Park Blvd Pineville, LA 71360 (318)487-1358 Grant, Toni B., MD 501 Medical Ctr Dr Ste.3A Alexandria, LA 71301 (318) 484-3899 338 Moreau St Ste C Marksville, LA 71351 (318) 253-7022 192 Stilley Rd Pineville, LA 71360 (318) 484-3401 2226 Worley Dr Alexandria, LA 71301 (318) 561-0003 Mansoor, Shahid, MD 501 Medical Ctr Dr Ste 3A Alexandria, LA 71301 (318)484-3899 192 Stilley Rd Pineville, LA 71360 (318)484-3401 338 Moreau St Ste C Marksville, LA 71351 (318)253-7022 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 48 of 159 2226 Worley Dr Alexandria, LA 71301 (318)561-0003 Marzullo, Michael, MD 37 Calvert Dr Alexandria, LA 71303 (318) 443-9634 Mitchell, Marcia E., MD 221 Pecan Park Ave Alexandria, LA 71303 (318) 487-1602 Rhodes, John, MD 37 Calvert Dr Alexandria, LA 71303 (318) 443-9634 Smith, John W., MD 204 Serio Blvd Ferriday, LA 71334 (318) 757-8010 Sukerek, Husam H., MD 210 Highland Dr. Many, LA 71449 (318) 256-5722 Wicker-Brown, Kai A., MD 501 Medical Ctr Dr Ste 3A Alexandria, LA 71301 (318) 484-3899 192 Stilley Rd Pineville, LA 71360 (318) 484-3401 2226 Worley Dr Alexandria, LA 71301 (318) 561-0003 338 Moreau St Ste C Marksville, LA 71351 (318) 253-7022 SPECIALTY CARE PHYSICIANS ALLERGY AND IMMUNOLOGY Alla, Raghavarao, MD 3832 Independence Dr Alexandria, LA 71301 (318) 442-4100 1101 Port Arthur Terrace Leesville, LA 71446 (337) 239-3399 ANESTHESIOLOGY Dunn, Jack, MD 54 Seargent Prentiss Dr Natchez, MS 39120 (601) 442-9654 Natchitoches Anesthesia Associates LLC 501 Keyser Avenue Natchitoches, LA 71457 (318) 214-4200 CARDIOLOGY Britten, Dennis, M., MD 501 Keyser Dr Natchitoches, LA 71457 (318) 214-4200 Chaudhry, Ilyas, MD 201 Fourth St Ste 4A Alexandria, LA 71301 (318) 442-8698 180 Ninth St, Ste D Jena, LA 71342 (318) 992-6311 Chhabra, Anil, MD 240 Highland Dr Many, LA 71449 (318) 222-3695 Davis, Wesley, W., MD 201 4th St Ste 4A Alexandria, LA 71301 (318) 442-8698 Freedman, Robert J., MD 3311 Prescott Rd Ste 112 Alexandria, LA 71301 (318) 238-2328 Hanley, Henry G., MD 3311 Prescott Rd Ste 112 Alexandria, LA 71301 (318) 767-0960 Hawthorne, Harry R., MD 2108 Texas Ave Ste 2061 Alexandria, LA 71301 (318) 448-0858 2108 Texas Ave Ste 3062 Alexandria, LA 71301 (318) 448-1041 Ingram, Christopher, MD 501 Keyser Ave Natchitoches, LA 71457 (318) 214-4550 Jaffrani, Naseem A., MD 501 Medical Center Ste 250 Alexandria, LA 71301 (318) 473-4613 EAR, NOSE, & THROAT/ OTOLARYNGOLOGY Kaimal, P. K., MD 501 Medical Ctr Dr #250 Alexandria, LA 71301 (318) 473-4613 Badeaux, Joseph, MD 2108 Texas Ave Ste 3061 Alexandria, LA 71301 (318) 443-8380 Landreneau, Joseph, MD 201 4th St Ste 4A Alexandria, LA 71301 (318) 442-8698 Gozaine, Teofilo, MD 506 S 6th St Leesville, LA 71446 (337) 239-2234 Meadaa, Reymond, MD 1106A Port Arthur Terrace Leesville, LA 71446 (337) 392-1871 Guillory, Paul A., MD 221 Windermere Blvd Alexandria, LA 71303 (318)443-9773 Nijjar, Vikram S., MD 1049 N Pine Rd Olla, LA 71465 (318) 495-3131 Pearce, Albert C., MD 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 443-8090 Shah, Amber M., MD 1029 Keyser Ave Ste N Natchitoches, LA 71457 (318) 238-2328 Tummala, Ajaya K., MD 1029 Keyser Ave Natchitoches, LA 71457 (318) 631-6400 Younes, Alaa H., MD 3311 Prescott Rd Ste 112 Alexandria, LA 71301 (318) 767-0960 CRITICAL CARE Honeycutt, Wayne T., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 483-4090 (Hospitalist Only) Soliven, Juan C., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 483-4090 (Hospitalist Only) 1049 N Pine Rd Olla, LA 71465 (318) 495-7979 Pate, James T., MD 4124 Jackson St Ext Alexandria, LA 71303 (318) 445-3653 Sewell, Steven K., MD 1608 S 5th St Leesville, LA 71446 (337) 392-1000 Warshaw, Lesley, MD 2108 Texas Ave Ste 3061 Alexandria, LA 71301 (318) 443-8380 Webb, Renick P., MD 221 Windermere Blvd Alexandria, LA 71303 (318)443-9773 1049 N Pine Rd Olla, LA 71465 (318) 495-7979 White, John A., MD 107 Front St Vidalia, LA 71373 (318) 336-2214 Wold, Christian J., MD 221 Windermere Blvd Alexandria, LA 71303 (318)443-9773 1049 N Pine Rd Olla, LA 71465 (318) 495-7979 Close, Benjamin B., MD 201 Pecan Park Ave Alexandria, LA 71303 (318) 445-6221 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 49 of 159 EMERGENCY MEDICINE Mississippi Emergency Physician Services, LLC 129 Jefferson Davis Blvd Natchez, MS 39120 (877) 693-5700 Wold, Howard, MD 605B Medical Cntr Dr Alexandria, LA 71301 (318) 442-2232 Hajmurad, M. Riad, MD 1010 Bayou Trace Dr Alexandria, LA 71301 (318) 473-8304 Ingalls, Amanda, MD 3311 Prescott Rd Ste 410 Alexandria, LA 71301 (318) 442-2400 INFECTIOUS DISEASE Hidalgo, Gonzalo, MD 3311 Prescott Rd Ste 216 Alexandria, LA 71301 (318) 443-0490 Love, Beverly R. MD 46 Sgt. Prentiss Dr 201 Natchez, MS 39120 (601) 442-3702 GASTROENTEROLOGY Abou-Faycal, Halim S., MD 3330 Masonic Dr Alexandria, La 71301 (318) 449-2673 (Hospitalist Only) Gosserand, John, MD 3311 Prescott Rd Ste 411 Alexandria, LA 71301 (318) 448-5310 McLemore, Aaron D., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 Morrison, Maury K., MD 3311 Prescott Rd Ste 411 Alexandria, LA 71301 (318) 448-5310 Varoqua, Sabah, MD 405 3rd St Alexandria, LA 71301 (318) 443-4744 Naalbandian, Arsham, MD 1010 Bayou Tracr Dr Alexandria, LA 71303 (318) 448-8304 GERIATRICS NEPHROLOGY Olatinwo, Omotayo M., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 449-2673 From, Kendall T., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 Ugokwe, Charles, MD 2223 Worley Dr Alexandria, LA 71301 (318) 473-0773 HEMATOLOGY/ ONCOLOGY O’brien, John P., MD 131 Jefferson Davis Blvd, Ste D Natchez, MS 39120 (601) 442-9117 Abi-Rached, Bassam, MD 605B Medical Ctr Dr Alexandria, LA 71301 (318) 442-2232 Berko, Ebenezer, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 448-6917 Ince, Christine, MD 605B Medical Cntr Dr Alexandria, LA 71301 (318) 442-2232 Saccaro, Steven J., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 448-6917 Ule, Ulla J., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 448-6917 Upadhyay, Kanchan, MD 931 Verone St Leesville, LA 71446 (318) 238-3475 Saikali, Jocelyne, MD 201 West Arkansas St Leesville, LA 71446 (337) 239-7227 Soudan, Khaldoun MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 Wilson, Mark M., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 NEUROLOGY Antezana-Antezana, Ariel O., MD 3311 Prescott Rd Ste 216 Alexandria, LA 71301 (318) 443-0490 1049 N Pine Rd Olla, LA 71465 (318) 495-7979 3330 Masonic Dr Alexandria, LA 71301 (318) 487-1122 1049 N Pine Rd Olla, LA71465 (318) 495-7979 3330 Masonic Dr Alexandria, LA 71301 (318) 487-1122 3330 Masonic Dr. Alexandria, LA 71301 (318) 487-1122 Zeibo, Mohammed, MD 301 4th St Ste F Alexandria, LA 71301 (318) 484-3535 OB/GYN Ali, Kaneez F., MD 3311 Prescott Rd Ste 211 Alexandria, LA 71301 (318) 442-2400 Aviles, Martin, MD 627 Bienville Cir Natchitoches, LA 71457 (318) 352-9595 Bieber, Barry J., MD 3302 Masonic Dr Ste 4002 Alexandria, LA 71301 (318) 445-3636 Bowers, Gordon S., MD 501 Medical Center Dr Alexandria, LA 71301 (318) 443-6336 Gates, James L., MD 3302 Masonic Dr Ste 4002 Alexandria, LA 71301 (318) 445-3636 Olatinwo, Moshood O., MD 617 A Bienville St Natchitoches, LA 71457 (318) 352-1108 Rabie, Khaleb Fouad, MD 404 6TH St Alexandria, LA 71301 (318) 442-2121 Ramirez, Minerva, MD 1110 Port Arthur Terr Leesville, LA 71446 (337) 392-2360 Spence, David Lee, MD 3311 Prescott Rd Ste 211 Alexandria, LA 71301 (318) 442-2400 Tran, Kimngan P., MD 1112 Port Arthur Ter Leesville, LA 71446 (337)392-0015 Walker, Latoya R., MD 46 Sgt Prentiss Dr Ste 201 Natchez, MS 39120 (601) 442-3701 OPHTHALMOLOGY Breaud, Stephen, MD 301 Fourth St Alexandria, LA 71301 (318) 442-8242 Irshad, Farhan, MD 4300 Parliament Dr Alexandria, LA 71303 (318) 448-4488 4110 Parliament Dr Alexandria, LA 71303 (318) 448-4488 946 Keyser Ave Natchitoches, LA 71457 (318) 357-8194 Laird-Russo, Karren E., MD 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 50 of 159 1055 Parkway Dr Natchitoches, LA 71457 (318) 352-0444 Luke, Celeste, MD 108 Medic Ave Marksville, LA 71351 (318) 253-9766 Reish, Eric R., MD 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 Green, Terry G., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 466-6180 1102 N Pine Rd Urania, LA 71480 (318) 495-0747 Hubler, Lloyd D, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 466-6180 Lyon, Charles E., MD 1055 Parkway Dr Ste B Natchitoches, LA 71457 (800) 521-7218 Smith, Lloyd D., MD 10 Vision Ln. Natchez, MS 39120 (601) 445-5884 Norton, Thomas, MD 231 Windermere Blvd Alexandria, LA 71301 (318) 487-2020 ORTHOPAEDICS 210 Serio Blvd Ferriday, LA 71334 (877) 861-7770 1008 S 6th St Leeseville, LA 71446 (337) 392-1994 201 Fritz St Jonesville, LA 71343 (877) 861-7770 Patty III, Bernard, MD 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 Ralston, James G, MD 65 Medical Park Blvd Ste 101 Pineville, LA 71360 (318) 473-9958 Redmond, Michael, MD 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 1403 Metro Dr Bldg G Alexandria, LA 71301 (318) 445-7770 Redmond, Patrick R., MD 1055 Parkway Dr., Ste B Natchitoches, LA 71457 (318) 487-2020 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 395 S. Capitol Many, LA 71449 (318) 487-2020 Anand, Ashish, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 561-4111 (Hospitalist Only) Bruse Gehrig, Laura M., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 561-4111 (Hospitalist Only) Creekmore, Tina L., MD 3330 Masonic Dr. Alexandria, LA 71301 (318) 561-4111 (Hospitalist Only) Delapp, John D., MD 500 S. 6th St Leeseville, LA 71446 (337) 239-8000 Drury, Benjamin T., MD 1049 N Pine Rd Ste C Olla, LA 71465 (318) 495-3131 Fairbanks, John, MD 107 Front St Vidalia, LA 71373 (318) 336-2212 Fenn Jr, Paul E., MD 5415 Jackson St Ste 100 Alexandria, LA 71303 (337) 534-0653 Frentz, Bryan G., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 561-4111 (Hospiatlist Only) Granger, Shawn P., MD 506 S 6th St Leesville, LA 71446 (337) 392-2330 Kautz. Steven, MD 1029 Keyser St Ste A Natchitoches, LA 71457 (318)352-7768 McCallum, Daniel M., MD 46 Sgt Prentiss Dr Ste 103 Natchez, MS 39120 (601) 442-9654 Passman, Jr., John C., MD 46 Sgt Prentiss Dr Ste 103 Natchez, MS 39120 (601) 442-9654 Sandifer, John, MD 213 Hwy 1 S Natchitoches, LA 71457 (318) 352-6120 Traina, Jeffrey, MD 3330 Masonic Dr Alexandria, LA 71301 (318)561-4111 500 S 6th St Ste A Leesville, LA 71446 (337) 239-8000 103 W University Pkwy Leesville, LA 71446 (337) 404-7204 ORTHOPAEDICPEDIATRIC Anand, Ashish, MD 3330 Masonic Dr Alexandria, LA 71301 (318) 561-4111 (Hospitalist Only) PATHOLOGY Delta Pathology Group, LLA 211 Fourth St. Box 30113 Alexandria, LA 71301 (318) 769-3219 PAIN MANAGEMENT Firmin, Melanie C., MD 1587 N Bolton Ave, Ste 1200 Alexandria, LA 71303 (318) 473-9267 Rapp, Jeffrey, MD 233 Pecan Park Dr Ste B Alexandria, LA 71303 (318) 427-8090 Steed, Scott F., MD 55 Sgt S Prentiss Dr Ste 6 Natchez, MS 39120 (601)442-6579 Whyte, II, William S., MD 138 E 5th St Natchitoches, LA 71457 (318) 861-7246 PHYSICAL MEDICINE Dhulipala, Vasudeva V., MD 104 N Third St Alexandria, LA 71301 (318) 449-8334 Khan, Farheen A., DO 3330 Masonic Dr Alexandria, LA 71301 (318) 448-6822 Stehr, Sean C, MD 3311 Prescott Rd Ste 311 Alexandria, LA 71301 (318) 441-1111 Taylor, Robert, MD 3311 Prescott Rd Ste 203 Alexandria, LA 71301 (318) 442-6814 Wheat, Stephen W., MD 138 E 5th St Natchitoches, LA 71457 (318) 352-4477 Whyte, II, William S., MD 138 E 5th St Natchitoches, LA 71457 (318) 861-7246 PSYCHIATRY Benghozi, Tawfik M., MD 5920 Coliseum Blvd Alexandria, LA 71303 (318) 443-9339 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 51 of 159 Folarin, Oladapo, MD 5615 Jackson St Ste D Alexandria, LA 71303 (318) 442-9999 Emrick, Fred G., MD 307 Highland Ave Natchez, MS 39120 (601) 442-5042 Stelly, Marcus V., MD 240 Highland Dr Many, LA 71449 (318) 256-7480 Ball Jr., William A., MD 740 Keyser Ave Ste D Natchitoches, LA 71457 (318) 354-2555 Gad, Nabil M., MD 5920 Coliseum Blvd Alexandria, LA 71303 (318) 443-9339 Higgins, John, MD 4231 Hwy 1192 Marksville, LA 71351 (337) 942-1915 RHEUMATOLOGY Bledsoe, Samuel, MD 3311 Prescott Rd Ste 201 Alexandria, LA 71301 (318) 442-6767 Hill, John, MD 109 Yorktown Dr Ste B Alexandria, LA 71303 (318) 487-9895 Lafleur, Dianne, MD 4231 Hwy 1192 Marksville, LA 71351 (337) 942-1915 Levy, Winston I., MD 1640 Breazeale Springs St Natchitoches, LA 71457 (318) 352-9299 Urbi, Edwin, MD 5920 Coliseum Blvd Alexandria, LA 71303 (318) 443-9339 PULMONARY MEDICINE Ardoin, Gregory J., MD 201 Fourth St Ste 1A Alexandria, LA 71301 (318) 769-5864 Younes, Maan, MD 3311 Prescott Rd Ste 318 Alexandria, LA 71301 (318) 449-8882 RADIATION ONCOLOGY Hnatov, Alex, MD 211 Medical Dr Natchitoches, LA 71457 (318)283-3322 427 Evergreen St Bunkie, LA 71322 (337) 942-1915 Lum, Gary, MD 240 Highland Dr Many, LA 71449 (318) 256-7480 54 Sgt Prentiss Dr Natchez, MS 39120 (601) 443-2714 McCoy, Victor, MD 240 Highland Dr Many, LA 71449 (318) 256-7480 Partington, Curtis, MD 240 Highland Dr Many, LA 71449 (318) 256-7480 54 Sgt Prentiss Dr Natchez, MS 39120 (601) 443-2714 RADIOLOGY Radiology Associates of Southwest Louisiana d/b/a Access Radiology 3704 North Blvd Ste 1 Alexandria, LA 71301 (318) 442-8399 Akkaraju, Vidyadhar, MD 240 Highland Dr Many, LA 71449 (337) 593-5420 Rankin, Joe, MD 1020 Fertitta Blvd Leesvile, LA 71446 (337) 239-5148 Brown, Raymond L., MD 307 Highland Blvd Natchez, MS 39120 (601) 442-5042 Reed, Jr., Joseph R., MD 4231 Hwy 1192 Marksville, LA 71351 (337) 942-1915 Burns, Rodney, MD 240 Highland Dr Many, LA 71449 (318) 256-7480 427 Evergreen St Bunkie, LA 71322 (318) 346-6681 Garcia, Miguel A., MD 1337 Centre Ct Alexandria, LA 71301 (318) 445-9331 80 Versailles Blvd Ste A Alexandria, LA 71303 (318) 473-1711 Shbeeb, Mohammad, MD 3311 Prescott Rd Ste 211 Alexandria, LA 71301 (318) 767-8393 SURGERY Cardiovascular/Thoracic Surgery DeWitt, R. Chance, MD 3311 Prescott Rd Ste 202 Alexandria, LA 71301 (318) 442-0106 Jones, Gary P., MD 3311 Prescott Rd Ste 202 Alexandria, LA 71301 (318) 442-0106 Jumah, Rose L., MD 3330 Masonic Dr Alexandria, LA 71301 (318) 483-4090 Knoepp, James D., MD 3330 Masonic Dr Alexandria, LA 71303 (318) 487-1122 (Hospitalist Only) Colon and Rectal Surgery Marrazzo, Joseph, MD 501 Medical Ctr Dr Ste 410 Alexandria, LA 71301 (318) 487-8181 Bordelon, Jr., James L., MD 4239 Hwy 1192 Ste 300 Marksville, LA 71351 (318) 253-7767 Butler Jr., Greene S., MD 1049 C N Pine Rd Olla, LA 71465 (318) 495-3880 Cole II, Philip A., MD 3311 Prescott Rd Ste 201 Alexandria, LA 71301 (318) 442-6767 800 S 3rd St Leesville, LA 71446 (337) 239-1980 815 S 10th St Leesville, LA 71446 (337) 392-5088 Conerly, James, MD 3311 Prescott Rd Ste 201 Alexandria, LA 71301 (318) 442-6767 Crace, Phillip P., MD 204 Serio Blvd Ferriday, LA 71334 (318) 757-8010 Flattman, Geoffrey J., MD 142 A-Jeff Davis Blvd Natchez, MS 39120 (601) 445-8667 Gagic, Predrag M., MD 313 Center St Marksville, LA 71351 (318) 253-8655 General Surgery Ganji, Jyoti, MD 3311 Prescott Rd Ste 312 Alexandria, LA 71301 (318) 445-8181 Aguilar, Darryl, MD 3311 Prescott Rd Ste 201 Alexandria, LA 71301 (318) 442-6767 Ghanta, Guru P., MD 1015 W Fertitta Blvd Leesville, LA 71446 (337) 239-4130 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 52 of 159 Ghorab, Khaled, MD 700 S 6th St Leesville, LA 71446 (337) 238-6161 240 Highland Dr Many, LA 71449 (318) 256-0777 Kaplan, Meyer, MD 201 4th St Ste 3A Alexandria, LA 71301 (318) 445-5109 Hand Surgery Kautz, Steven M., MD 1029 Keyser St Ste A Natchitoches, LA 71457 (318) 352-7768 McCabe, John, MD 301 4th St Box 30150 Alexandria, LA 71301 (318) 445-9306 Fraser, Francis A., MD 700 S 6th St Leesville, LA 71446 (337) 238-0620 Creel, Walter, DC 180 Ninth St Ste F Jena, LA 71342 (318) 992-2022 Lowentritt, Jr., Leo L., MD 3311 Prescott Rd Ste 100 Alexandria, LA 71301 (318) 442-3384 Faircloth, Kelly B., DC 3620 Bayou Rapides Rd Alexandria, LA 71303 (318) 448-8462 Neurological Surgery 201 4th St Ste 3-F Alexandria, LA 71301 (318) 442-3384 Kuiper, Hendrik K., MD 46 Sgt Prentiss Dr Ste 100 Natchez, MS 39120 (601) 442-5388 Dowd, Gregory, MD 3704 North Blvd Ste C Alexandria, LA 71301 (318) 443-4576 Palmer, Thomas E., MD 424 Dixie Plaza Natchitoches, LA 71457 (318) 683-0411 McClure III, Allen, MD 4231 Hwy 1192 Marksville, LA 71351 (318) 253-8611 Drerup, Michael, MD 3704 North Blvd Ste C Alexandria, LA 71301 (318) 443-4576 Sleeper, Joshua P., MD 3311 Prescott Rd Ste 100 Alexandria, LA 71301 (318)442-3384 McGinity, John M., MD 2129 Jackson St Alexandria, LA 71301 (318) 448-7063 Vaughn, Troy, MD 3704 North Blvd Ste C Alexandria, LA 71301 (318) 443-4576 201 4th St Ste 3F Alexandria, LA 71301 (318)442-3384 Parrish, James, MD 3311 Prescott Rd Ste 201 Alexandria, LA 71301 (318) 442-6767 Plastic Surgery/ Reconstructive Surgery Rayburn, Bruce, MD 390 Griffith St Pineville, LA 71360 (318) 443-6323 Rayburn, Dave, MD 390 Griffith St Pineville, LA 71360 (318) 443-6323 Remedios, David M., MD 5615 Jackson St Bldg E Alexandria, LA 71303 (318) 442-6989 Watkins, Wayne, MD 3311 Prescott Rd Ste 201 Alexandria, LA 71301 (318) 442-6767 York, Robert S., MD 4239 Hwy 1192 Ste 300 Marksville, LA 71351 (318) 253-7767 Zeichner, William D., MD 651 Bienville Cir Natchitoches, LA 71457 (318) 357-1200 McCabe, John, MD 301 4th St Box 30150 Alexandria, LA 71301 (318) 445-9306 McLure, Thomas C., MD 501 Medical Center Dr Alexandria, LA 71301 (318) 449-1666 Wright, John E., MD 131 Jefferson Davis Blvd Ste A Natchez, MS 39120 (601)443-9060 ANCILLARY SERVICES AUDIOLOGY UROLOGY Lammons, Ashley, Au.D 1408 Metro Dr Alexandria, LA 71301 (318) 445-6998 Bass, Robert A., MD 3311 Prescott Rd Ste 100 Alexandria, LA 71301 (318) 442-3384 Pierce, Catherine, Au.D 1408 Metro Dr Alexandria, LA 71301 (318) 445-6998 201 4th St Ste 3-F Alexandria, LA 71301 (318) 442-3384 Fontane, Robert L., MD 3311 Prescott Rd Ste 100 Alexandria, LA 71301 (318) 442-3384 201 4th St Ste 3-F Alexandria, LA 71301 (318) 442-3384 1049 N Pine Rd Olla, LA 71465 (318) 495-7979 Robert, Terry, AuD 4007 Parliament Dr Alexandria, LA 71303 (318) 442-9812 CHIROPRACTORS Arceneaux, James B., DC 102 South Dr Natchitoches, LA 71457 (318) 357-0270 Boisvert, Robert A., DC 5501 Coliseum Blvd Alexandria, LA 71303 (318) 442-8838 Fenoli, Anthony M., DC 1136A N Pine Rd Olla, LA 71465 (318) 495-3131 Gramlich-Mabou, Karri, DC 2660 Hwy 28 E Pineville, LA 71360 (318) 442-7831 Kirzner, Bradley, DC 1133 Macarthur Dr Ste B Alexandria, LA 71303 (318) 561-6250 Manuel, Melissa, DC 180 9th St Ste F Jena, LA 71342 (318) 992-2022 McGraw, John D., DC 565 Main St Many, LA 71449 (318) 256-6767 DENTIST Bates, Virginia C., DDS 1603B Boone St Leesville, LA 71446 (337) 238-1658 Jones, Bobby D., DDS 1640 Breazeale Springs St Natchitoches, LA 71457 (318)352-9299 Leckie, William G, DDS 33 Calvert Dr Alexandria, LA 71303 (318) 442-6062 Rachal, Sherea L., DMD 1640 Breazeale Springs St Natchitoches, LA 71457 (318)352-9299 1603B Boone St Leesville, LA 71446 (337)239-2225 Rustom, Joseph A., DDS 340 Webb Smith Dr Colfax, LA 71417 (318)627-5021 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 53 of 159 DIAGNOSTIC SERVICES Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 1285 Corporate Ctr Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 Riverpark Imaging Center 107 Front Street, Ste. 1200 Vidalia, LA 71373 (318) 336-2220 Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 DIALYSIS TREATMENT CENTER Cardiostaff Corporation 4014 Medical Pkwy Ste 200 Austin, TX 78756 (512) 419-1755 BMA Bunkie 102 Standard Bunkie, LA 71322 (318) 346-6349 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 BMA East Natchitoches 111 Masonic Dr Natchitoches, LA 71458 (318) 354-1170 25060 Ave Stanford Ste 270 Valencia, CA 91355 LA Imaging Services LLC 2209 North Bolton Ave Alexandria, LA 71301 (318) 473-9917 mdINR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 72 Bonaventura San Jose, CA 95134 (661) 942-3296 Natchitoches Outpatient Services/Natchitoches Imaging 105 E 5th St Natchitoches, LA 71457 (318) 214-4650 Raytel Cardiac Services, Inc. 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 BMA Pineville 151 Sandifer Ln Pineville, LA 71360 (318) 443-7131 FMC Dialysis Services of South Alexandria 1915 Beatrice St Alexandria, LA 71301 (318) 487-8333 Fresenius Medical Care Many 100 Devera Dr Many, LA 71449 (318) 256-3122 Mervin W. Perdue Kidney Center 225 N Bolton Ave Alexandria, LA 71301 (318) 487-1055 Natchitoches Dialysis Center 700 Keyser Ave Natchitoches, LA 71457 (318) 352-1960 RCG Natchez 312 Highland Boulevard Natchez, MS 39120 (601) 446-8060 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) Intensive Home Healthcare 1633 Carter St Vidalia, LA 71373 (318) 336-9030 Outpatient Medical Center 1640 Breazeale Springs St Natchitoches, LA 71457 (318) 352-9299 LaSalle Home Health 212 Ninth St Jena, LA 71342 (318) 992-9250 1603 Boone St Ste B Leesville, LA 71446 (318) 238-1274 Grant Community Health Ctr 340 Webb Smith Dr Colfax, LA 71417 (318)627-5021 Louisiana HomeCare of Alexandria 1308 Dorchester Dr Alexandria, LA 71303 (318) 427-7756 HOME HEALTH CARE Louisiana HomeCare / Jonesville 820 First St Jonesville, LA 71343 (318) 339-1280 Better Care Home Health Inc 2735 Culpepper Rd Alexandria, LA 71301 (318) 473-4676 Louisiana HomeCare of MissLou 201 EE Wallace Blvd N #1 Ferriday, LA 71334 (318) 757-6153 Bunkie HomeCare 1123 Shirley Rd Bunkie, LA 71322 (318) 346-3312 Louisiana HomeCare / Vidalia 1642 Carter St Ste 3 Vidalia, LA 71373 (318) 336-2323 Central Louisiana Home Health 940 W Bon Temp St Marksville, LA 71351 (318) 253-9988 Louisiana HomeCare / Zwolle 2523 Obrie St Zwolle, LA 71486 (318) 645-7022 1535 Jackson St Alexandria, LA 71301 (318) 443-5155 Marksville HomeCare 338 Moreau St #B Marksville, LA 71351 (318) 253-7993 Four Rivers Home Health of LA 2801 4th St Ste 1 Jonesville, LA 71343 (318) 339-6020 MediStar Home Health of Marksville 599 Tunica Dr W Marksville, LA 71351 (318) 253-8978 Harmony Home Health, Inc. 5770 Hwy 1 Bypass Natchicoches, LA 71457 (318) 357-1990 Quality Home Health I LLC 1913 Carter St., Ste A Vidalia, LA 71373 (318) 253-5143 Haven Home Health 1193 N Pine Rd Urania, LA 71480 (318) 495-5102 Home Health of Alexandria dba Amedisys Home Health Services 5803 Coliseum Blvd., Ste. C Alexandria, LA 71303-3579 (318) 445-2846 Stat Home Health Central 101 Yorktown Dr Alexandria, LA 71303 (318) 561-7778 240 S Washington St Marksville, LA 71351 (318) 253-7557 113 South Dr Ste 5 Natchitoches, LA 71457 (318) 352-2677 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 54 of 159 Synergy Home Care Central Region 137 Yorktown Dr Alexandria, LA 71303 (318)487-6700 930 N Main St Marksville, LA 71351 (318)253-9292 Thompson Home Health 1125 W Mississippi Ave Ste C Many, LA 71449 (318) 590-2722 1111 S 5th St Ste D Leesville, LA 71446 (337) 239-4779 1115 Washington St Natchitoches, LA 71457 (318) 352-9609 1401 Texas Ave Ste A Alexandria, LA 71301 (318) 442-2197 320 Acton Rd Marksville, LA 71351 (318) 253-7601 Vernon Home Health 213 Alexandria Hwy Leesville, LA 71446 (337) 238-0506 HOSPICE Christus Hospice & Palliative Care – St. Frances Cabrini 4801 Jackson St Ste B Alexandria, LA 71303-2508 (318)448-6764 Gamble Hospice Care of CENLA 3805 Hasley St Ste C Alexandria, LA 71301 (318)619-9457 Hospice Compassus 1500 A Lee St Alexandria, LA 71301 (318) 442-5002 St. Joseph Hospice of Cenla, LLC 716 Versailles Blvd Alexandria, LA 71303 (318) 561-0100 INFUSION THERAPY Carepoint Partners 1403 Metro Dr Bldg A Alexandria, LA 71301 (318) 767-5893 Causey’s Pharmacy Inc 407 Bienville St Natchitoches, LA 71457 (318) 352-3141 Phoenix Home Medical 100 E Fertitta Blvd Ste B Leesville, LA 71446 (337) 238-5114 Vital Care of Miss/Lou 131 Doctor’s Dr Ferriday, LA 71334 (318) 757-4114 LABORATORIES Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75244 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 LONG TERM ACUTE CARE FACILITIES 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 Louisiana Extended Care Hospital of Natchitoches 501 Keyser Ave 4th Flr Natchitoches, LA 71457 (318) 354-2044 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 OPKO Lab 1450 Elm Hill Pk Nashville, TN 37210 (615) 874-0410 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 MEDICAL EQUIPMENT A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 Aggressive Health Solutions, LLC 1405 Metro Dr Bldg J-1 Alexandria, LA 71301 (318) 445-4733 Allenmed, Inc 107 E Marshall St Gilmer, TX 75644 (903) 680-3113 Apria Healthcare Inc 21A Heyman Ln Alexandria, LA 71303 (318) 442-1133 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 Causey’s Pharmacy Inc 411 Bienville St Natchitoches, LA 71457 (318) 357-1303 ProPath Services, LLP 1355 River Bend Dr Dallas, TX 75247 (214) 631-6721 Central LA Medical Supply 125 Rue De Medecine Marksville, LA 71351 (318) 240-7369 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 Colvin’s Pharmacy & Medical Supply 114 Serio Blvd Ferriday, LA 71334 (318)757-4114 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 55 of 159 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Pk Twinsburg, OH 44087 (800) 321-0591 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 Hanger Prosthetics & Orthotics, Inc. 104 B Constitution Blvd Alexandria, LA 71303 (318) 473-2404 Hanger Prosthetics & Orthotics, Inc. 304 Highland Blvd Ste C Natchez, MS 39120 (601) 883-3341 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 Hope Medical 103 Gayven Dr Pineville, LA 71405 (318) 640-0616 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Kirby’s Family Pharmacy 1305 Windsor Pl Alexandria, LA 71303 (318) 445-2575 LA Mobility of Central LA 5508 Monroe Hwy Ball, LA 71405 (318) 640-0988 Lincare Alexandria 1630 N MacArthur Dr Alexandria, LA 71303 (318) 442-6467 Lincare Natchitoches 200 South Dr Ste C Natchitoches, LA 71457 (318) 356-9664 Magnolia Medical 304 Highland Blvd Natchez, MS 39120 (601) 442-6493 Medical Technology of LA 1301 Wimbledon Dr Alexandria, LA 71303 (318) 484-3991 Meredian Medical Supply 1005 Fisher Rd Many, LA 71449 (318) 590-2273 1029 Keyser Ave Natchitoches, LA 71457 (318) 238-7351 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 Phoenix Home Medical 100 E Fertitta Blvd Ste B Leesville, LA 71446 (337) 238-5114 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 Regional Medical Rental & Sales 3003 N MacArthur Dr Alexandria, LA 71301 (318) 449-4510 Samaritan Home Medical Equipment 321 South Dr Natchitoches, LA 71457 (318) 357-1266 Snells Limbs & Braces, LLC 1401 Jackson St Alexandria, LA 71301 (318)443-6391 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 Van Mol Family Pharmacy 9374 Hwy 165 S Woodworth, LA 71485 (318) 443-7073 MOBILE UNIT Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 OPTOMETRY Brogden, Neil W., OD 740 Keyser Ave Ste A-3 Natchitoches, LA 71457 (318) 222-8421 Eastman, Hannah L., OD 1008 S 6th St Leesville, LA 71446 (337) 392-1994 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 1055 Parkway Dr Ste B Natchitoches, LA 71457 (318) 352-0444 210 Serio Blvd Ferriday, LA 71334 (318) 757-3440 201 Fritz St. Jonesville, LA 71343 (318) 339-9455 1102 N Pine Rd Urania, LA 71480 (877) 861-7770 Stoker, Cheryl T., OD 1008 S 6th St Leesville, LA 71446 (337) 392-1994 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 1055 Parkway Dr Ste B Natchitoches, LA 71457 (318) 352-0444 210 Serio Blvd Ferriday, LA 71334 (318) 757-3440 201 Fritz St. Jonesville, LA 71343 (318) 339-9455 1102 N Pine Rd Urania, LA 71480 (877) 861-7770 Goudeau, Christie C., OD 108 Medic Ave Marksville, LA 71351 (318) 253-9766 Gregory, Chesley L, OD, MD 395 S Capitol St Many, LA 71449 (318) 256-2000 Harvey, Toni C., OD 2148 N Mall Dr Alexandria, LA 71301 (318)442-0243 Jeanfreau, Bryan, OD 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 1102 N Pine Rd Urania, LA 71480 (318) 495-0747 1055 Parkway Dr Natchitoches, LA 71457 (318) 352-0444 1106 Port Arthur Terrace Leesville, LA 71446 (318) 487-2020 Keator, Randall D., OD 946 Keyser Ave Natchitoches, LA 71457 (318) 357-8194 220 Highland Dr Ste B Many, LA 71449 (318) 256-0330 LaPoint, Paul B., OD 1221 NW Main St Ste 5 Bunkie, LA 71322 (318) 346-7208 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 56 of 159 Pham, Lawrence H., MD 946 Keyser Ave Natchitoches, LA 71457 (318) 357-8194 220 Highland Dr Ste B Many, LA 71449 (318) 256-0330 Stoker, Cheryl T., OD 1008 S 6th St Leesville, LA 71446 (337) 392-1994 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 1055 Parkway Dr Ste B Natchitoches, LA 71457 (318) 352-0444 210 Serio Blvd Ferriday, LA 71334 (318) 757-3440 201 Fritz St Jonesville, LA 71343 (318) 339-9455 1102 N Pine Rd Urania, LA 71480 (877) 861-7770 Trichel, Jessica, OD 1055 Parkway Ste B Natchitoches, LA 71457 (318) 222-8421 Walters, Richard, OD 231 Windermere Blvd Alexandria, LA 71303 (318) 487-2020 1106 Port Arthur Terrace Leesville, LA 71446 (337) 392-1994 1102 N Pine Rd Urania, LA 71480 (318) 495-0747 Wardell, Pete D., OD 946 Keyser Ave Natchitoches, LA 71457 (318) 357-8168 220 Highland Dr Ste B Many, LA 71449 (318) 256-0330 405 Polk St Mansfield, LA (318) 872-0747 Whitaker, Dick S, OD 210 Serio Blvd Ferriday, LA 71334 (318) 757-3440 Kaiser, Michelle B., PT 46 Sgt Prentiss Dr Ste 103 Natchez, MS 39120 (601) 442-9654 Lombardo, Michael, DPM 212 Pecan Park Ave Ste A Alexandria, LA 71303 (318) 445-9259 OUTPATIENT CENTERS Awakening Sleep Center, LLC 1608 South 5th St Ste B Leesville, LA 714046 (337) 392-5910 Louisiana Physical Therapy Centers of Pineville, LLC 1135 Exwy Dr Ste 100B Pineville, LA 71360 (318) 487-6525 Morreale, Angelo P., DPM 422 Dixie Plaza Natchitoches, LA 71457 (318) 357-9559 CHRISTUS Cabrini Surgery Center 3436 Masonic Dr Alexandria, LA 71301 (318) 427-6500 Mayo Physical Therapy LLC 12023 Hwy 84 Jena, LA 71342 (318) 992-1443 Red River Sleep Center Inc 221 Windermere Blvd Alexandria, LA 71303 (318)443-1684 Miller P. T. Services 3912 Parliament Dr Alexandria, LA 71303 (318) 487-0211 Riverpark Ambulatory Surgery Center 107 Front St Vidalia, LA 71373 (318) 336-2218 Natchez Medical Foundation, Inc. Clayton, Jessica M., PT 46 Sgt Prentiss Dr Ste 103 Natchez, MS 39120 (601) 442-9654 Wallace Laser and Surgery Center 4100 Parliament Dr Alexandria, LA 71303 (318) 487-8342 Passman, Marcia K., PT 46 Sgt Prentiss Dr Ste 103 Natchez, MS 39120 (601) 442-9654 PHYSICAL THERAPY CENTERS Avoyelles Physical Therapy 510 Cottonwood St Bunkie, LA 71322 (318) 346-2682 Broussard Physical Therapy Clinic 295 Highland Dr Many, LA 71449 (318) 256-6285 Elite Physical Therapy Group Inc. 3446 Masonic Dr Alexandria, LA 71301 (318) 443-3311 Guidroz Physical Therapy 132 E 5th St Natchitoches, LA 71457 (318) 352-9643 Injury Management Services LLC 3446 Masonic Dr Alexandria, LA 71301 (318) 880-0058 Prism II, LLC 120 S Williams Ave Natchitoches, LA 71457 (318) 214-0088 1005 Fisher Rd Many, LA 71449 (318) 256-0800 Quad C Physical Therapy 326 Fisher Rd Many, LA 71449 (318) 256-0660 Therapy Center of Avoyelles, LLC 5435 Hwy 1 Marksville, LA 71351 (318) 253-8846 Wimberly, Michael, PT 107 Front St Vidalia, LA 71373 (318) 336-2212 PODIATRY Green, Gachavis M., DPM 34 Franklin Rd. Hattiesburg, LA 39402 (601) 268-0400 Myers, Jr., Richard, DPM 122-A 5th Ave McComb, MS 39648 (601) 249-0247 116 Jefferson Davis Blvd Natchez, MS 39120 (601) 446-9850 Saucier, Maria N., DPM 1049 N Pine Rd Olla, LA 71465 (318) 495-7979 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 445-9823 Sunderhaus, Paul T., DPM 1587 N Bolton Ave Ste 1100 Alexandria, LA 71303 (318) 445-9823 SKILLED NURSING FACILITY Bayou Vista Community Care Center 323 Evergreen Highway Bunkie, LA 71322 (318) 346-2080 Columns Community Care Center 3025 Fourth Street Jonesville, LA 71343 (318) 339-4344 Natchitoches Community Care Center 720 Keyser Avenue Natchitoches, LA 71457 (318) 352-8296 Oaks Care Center 50 Pinecrest Dr Pineville, LA 71360 (318) 640-9656 Oak Haven Community Care Center 1515 Highway 107 Center Point, LA 71323 (318) 253-4601 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 57 of 159 River De Soleil 7408 Highway 1 Mansura, LA 71350 (318) 964-2198 Evans, Brandi F., LCSW 5920 Coliseum Blvd Alexandria, LA 71303 (318) 443-9339 Riverland Medical Center Swing Bed 1700 EE Wallace Blvd Ferriday, LA 71334 (318) 757-6551 Frazier, Jennifer, LCSW 1049 N Pine Rd Olla, LA 71465 (318) 495-3131 Tioga Community Care Center 5201 Shreveport Highway Pineville, LA 71360 (318) 640-3014 SUBSTANCE ABUSE/PSYCH Arnold, Robin N, LPC 3818A Bayou Rapides Alexandria, LA 71303 (318) 449-8571 Clark, Lynn D., LCSW 5505 John Eskew Dr Alexandria, LA 71303 (318) 767-0651 Compass Behavioral Center of Alexandria, Inc. 6410 Masonic Dr Alexandria, LA 71301 (318) 473-0035 Cook, William S., MD 54 Seargent Prentiss Dr Natchez, MS 39120 (601) 442-9654 Crossroads Regional Hospital d/b/a Longleaf Hospital 44 Versailles Blvd Alexandria, LA 71303 (318) 445-5111 Durbin, David, LCSW 2550 Monroe Hwy Pineville, LA 71360 (318)641-6050 220 Amulet St Natchitoches, LA 71457 (318) 283-7587 Edwards, Belinda K., LPC 620 S 3rd St Leesville, LA 71446 (318)355-1067 Escandell, Vincent A., Ph.D. 6016 Navaho Trail Alexandria, LA 71301 (318) 451-1110 Fultz, Jessica L, LCSW 5920 Coliseum Blvd Alexandria, LA 71303 (318) 443-9339 Kochinsky, Doris M., SW 1640 Breazeale Springs St Natchitoches, LA 71457 (318)352-9299 Lachney, Marie E., LPC, LMFT 2012 Andrews St Alexandria, LA 71301 (318) 473-1954 Misita, Catherine, LCSW 107 Front St 2134 Vidalia, LA 71373 (318) 366-2212 Pugh, Sharon A., Ph.D. 5505 John Eskew Dr Alexandria, LA 71303 (318) 767-0651 Roy, Lydia, T., LPC 3921 Independence #101 Alexandria, LA 71303 (318) 528-8717 Sheppard, Paula, LPC 2201 Melrose Pineville, LA 71360 (318) 623-1711 Wagley, James M., LCSW 1640 Breazeale Springs St Natchitoches, LA 71457 (318)352-9299 URGENT CARE TREATMENT Premier Urgent Care 3601 Jackson St Alexandria, LA 71303 (318) 787-6877 Rapides After Hours Clinic 2389 LA Hwy 28 East Pineville, LA 71360 (318) 487-1925 3800 Jackson Street Ext Alexandria, LA 71303 (318) 767-9015 REGION 4 Includes Beauregard, Allen, Calcasieu, Cameron, and Jefferson Davis Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is referring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE Ahee, Christoher J., MD 1322 Elton Rd Ste F Jennings, LA 70546 (337) 824-1111 Adeosun, Anthony, MD 333 Dr. Michael Debakey Dr Ste 120 Lake Charles, LA 70601 (337) 493-8480 Agendia, Jude A., MD 4150 Nelson Rd, Bldg E, Ste 4 Lake Charles, LA 70605 (337) 564-6722 Allemand, Peggy A., MD 208 6th Ave Ste 5 Kinder, LA 70648 (337) 738-2713 Barootes, Bryan G., MD 1525 Oak Park Blvd Lake Charles, LA 70601 (337) 494-6767 Bougie, Regina L., NP 6240 Gulf Beach Hwy Johnson Bayou, LA 70631 (337) 569-2245 1020 Main St Hackberry, LA 70645 (337) 762-3762 1611 Hampton St Vinton, LA 70668 (337) 589-5957 Byrne, Laci H., NP 1322 Elton Rd Ste F Jennings, LA 70546 (337) 824-8868 Cavanaugh, Lacey M., MD 1611 Hampton St Vinton, LA 70668 (337) 589-5951 Chadha, Nandita, MD 140 W 4th St Dequincy, LA 70633 (337) 786-5007 237 Sam Houston Pkwy Lake Charles, LA 70611 (337) 855-7574 Cherian, Shery, MD 524 Dr. Michael DeBakey Dr Lake Charles, LA 70601 (337) 430-4455 (Hospitalist Only) Conner, Phillip S., MD 1960 Tybee Ln Lake Charles, LA 70605 (337) 421-0090 4820 Lake St Ste 2 Lake Charles, LA 70605 (337) 310-7378 Courville, Matthew R., MD 208 6th Ave, Ste 4 Kinder, LA 70648 (337) 738-3500 Davies, Andrew T., MD 921 1st Ave Sulphur, LA 70663 (337) 527-6385 Davis, Jr., Thomas J., MD 105 N Hospital Dr Oakdale, LA 71463 (318) 335-4320 Devillier, Marne E., MD 3702 Maplewood Dr Sulphur, LA 70663 (337) 625-5459 Fletcher, Dennis W., MD 711 Dr Michael DeBakey Dr Ste 200 Lake Charles, LA 70601 (337) 436-6100 Fowler, Tolvert E., MD 4150 Nelson Rd Bldg G Ste 5 Lake Charles, LA 70605 (337)562-3761 10071 Hwy 385 Lake Charles, LA 70607 (337)905-2151 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 58 of 159 Fuqua, Jason, MD 920 1st Ave Sulphur, LA 70663 (337) 528-7469 Mitchell, Tammy, MD 301 S. Cities Services Hwy Sulphur, LA 70663 (337) 527-6414 Fuqua, Kelly, MD 920 1st Ave Sulphur, LA 70663 (337) 528-7472 Nguyen, Dang D., MD 3702 Maplewood Dr Sulphur, LA 70663 (337) 625-5459 Galley, Julie W., NP 1020 Main St. Hackberry, LA 70645 (337) 762-3762 Null, Danette B., MD 1525 Oak Park Blvd Lake Charles, LA 70601 (337) 494-6767 Gamborg, Brian L., MD 1114 Stelly Ln Sulphur, LA 70663 (337) 527-7087 Oler, Michael J, MD 2000 Opelousas St Lake Charles, LA 70601 (337) 439-9983 George, Jody R, MD 2345 Sampson St Westlake, LA 70669 (337) 527-6530 Olson, Connie, MD 412 South Pine St. DeRidder, LA 70634 (337) 462-5700 Guillermo, Andres J., MD 301 S Washington St Ste A Deridder, LA 70634 (337) 460-7688 Pham, Tuananh M., MD 1525 Oak Park Blvd Lake Charles, LA 70601 (337) 494-6767 Heinen, David, MD 1960 Tybee Ln Lake Charles, LA 70605 (337) 421-0090 Poe, Maureen, NP 1204 West Prien Lake Rd Lake Charles, LA 70601 (337) 562-8100 Holley, Kelley, DO 711 Dr. Michael Debakey Dr Ste 100 Lake Charles, LA 70601 (337) 436-6100 Jacobs, Eric F., MD 102 E Fourth St Dequincy, LA 70633 (337) 786-3030 Klumpp, Jamie A., NP 921 First Ave Sulphur, LA 70663 (337)527-6385 Lacomb, Amanda M., MD 1322 Elton Rd Ste F Jennings, LA 70546 (337) 824-8868 Lebato, Alan L., MD 1525 Oak Park Blvd Lake Charles, LA 70601 (337) 494-6767 McNally, James E., MD 1322 Elton Rd Ste F Jennings, LA 70546 (337) 824-1111 921 1st Ave Slulphur, LA 70663 (337) 527-6385 501 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 312-8284 Ramos, Liwliwa, MD 2770 Third Ave Ste 225 Lake Charles, LA 70605 (337) 478-2573 Segura, John P., MD 1636 Elton Rd Ste 204 Jennings, LA 70546 (337) 824-7833 Soileau, Earl J., MD 1525 Oak Park Blvd Lake Charles, LA 70601 (337) 494-6767 Taylor, Flynn, MD 501 S Pine St DeRidder, LA 70634 (337) 463-9890 Thompson-Soileau, Amy S., MD 622 Cypress St Sulphur, LA 70663 (337) 527-2491 1020 Main St Hackberry, LA 70645 (337) 528-2749 Traub, Michael A., MD 711 Dr. Michael DeBakey Dr Ste. 200 Lake Charles, LA 70601 (337) 436-6100 Waldmeier, Lance R., NP 1611 Hampton St. Vinton, LA 70668 (337) 589-5951 1020 Main St. Hackberry, LA 70645 (337) 527-6530 INTERNAL MEDICINE Anzalone, Justin, PA 1700 Kaliste Saloom Rd Bldg 2 Ste 200 Lafayette, LA 70508 (337) 981-5085 3800 NE Evangeline Thruway Carencro, LA 70520 (337) 565-2675 1821 Rees St Breaux Bridge, LA 70520 (337) 442-6959 Benoit, Michael J., MD 1322 Elton Rd Ste D Jennings, LA 70546 (337) 824-1111 Breaux, Adrienne, MD 711 Dr. Michael DeBakey Dr Ste 600 Lake Charles, LA 70601 (337) 491-7072 Broussard, Yang-Tze Y., MD 711 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 439-2200 524 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 430-7199 (Hospitalist Only) Chadha, Jagjit S., MD 140 W 4th St Dequincy, LA 70633 (337) 786-5007 237 Sam Houston Pkwy Lake Charles, LA 70611 (337) 855-7574 Figueroa, Glenn R., MD 600 S Pine St DeRidder, LA 70634 (337) 462-7100 (Hospitalist Only) Jones, Susan A., MD 2750 Aster St Lake Charles, LA 70601 (337) 480-8900 Joseph, Binitha, MD 107 Hospital Dr Oakdale, LA 71463 (318) 335-449 Kaough, Maureen A., MD 1960 Tybee Ln Lake Charles, LA 70601 (337) 421-0090 Kufoy, Ernesto A., MD 311 S Pine St DeRidder, LA 70634 (337) 463-3500 Nguyen, Hung H., MD 524 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 430-4455 (Hospitalist Only) Pandya, Mahesh R., MD 603 S Pine St DeRidder, LA 70634 (337) 463-2172 Qureshi, Nauman, MD 333 Dr. Michael Debakey Dr Ste 250 Lake Charles, LA 70601 (337) 721-9992 Ramos, Liwliwa, MD 2770 3rd Ave Ste 225 Lake Charles, LA 70605 (337) 478-2573 Ramos Jr., Rodolfo, MD 2770 3rd Ave Ste 225 Lake Charles, LA 70601 (337) 478-2573 Romero, Quentin D., MD 1615 Johnson St Ste B Jennings, LA 70546 (337) 246-3556 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 59 of 159 Roy, Anand K., MD 760 E Bayou Pines Rd Lake Charles, LA 70601 (337) 433-0313 Ughovwa, Ejiro E., MD 108 6th Ave Kinder, LA 70648 (337) 738-9494 Wang, Wei, MD 524 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 430-4455 (Hospitalist Only) Zhan, Maocheng, MD 524 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 430-4455 (Hospitalist Only) PEDIATRICS Adeosun, Anthony, MD 333 Dr. Michael Debakey Dr Ste 120 Lake Charles, LA 70601 (337) 493-8480 Broussard, Yang-Tze Y., MD 711 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 439-2200 524 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 430-7199 (Hospitalist Only) Chatters, Rachel Z., MD 1935 Southwood Dr Lake Charles, LA 70605 (337) 475-9009 Ghanta, Madhusudana, MD 115 Hospital Dr Oakdale, LA 71463 (318) 335-4393 Goh, Lucy Mee Lan, MD 2000 Opelousas St. Lake Charles, LA 70601 (337) 439-9983 Kanesan, Krishnakumari, MD 2000 Opelousas St Lake Charles, LA 70601 (337) 439-9983 SPECIALTY CARE PHYSICIANS CARDIOLOGY Manuel, C. V., MD 913 E Seventh Ave Oakdale, LA 71463 (318) 335-4200 Nguyen, Lam D., MD 1322 Elton Rd Ste E Jennings, LA 70546 (337)824-6835 Yue, Robin, MD 101 W 6th St DeRidder, LA 70634 (337) 460-1353 DERMATOLOGY Williams, R. Mark, MD 501 Dr. Michael Debakey Dr Lake Charles, LA 70601 (337) 477-6172 HEMATOLOGY / ONCOLOGY 1000 Walters St. Lake Charles, LA 70607 (337) 475-8687 Farmer, Mark N., MD 301 S Washington St. Ste A Deridder, LA 70634 (337) 463-4777 301 S. Cities Hwy Sulphur, LA 70663 (337) 527-6416 Goolsby III, Henry J., MD 780 Bayou Pines Dr Ste E Lake Charles, LA 70601 (337) 312-8234 Khan, Mohammad, MD 401 Dr. Micahel DeBakey Dr Ste 200 Lake Charles, LA 70601 (337) 491-7598 Cormier, Michael E., MD 2000 Tybee Ln Lake Charles, LA 70605 (337) 433-7272 INFECTIOUS DISEASES Ford, Brian P., MD 2000 Tybee Ln Lake Charles, LA 70605 (337) 433-7272 Haman, Timothy, MD 217 Sam Houston Jones Pkwy Lake Charles, LA 70611 (337) 430-4262 Guidry, Kevin A., MD 2000 Tybee Ln Lake Charles, LA 70605 (337) 433-7272 Miller, Lee M., MD 2000 Tybee Ln Lake Charles, LA 70605 (337) 433-7272 Smith, Shondra, MD 3635 Nelson Rd Lake Charles, LA 70605 (337) 477-0011 EAR, NOSE, & THROAT/ OTOLARYNGOLOGY Bienvenu, Harold G, MD 1327 Stelly Ln Ste 3 Sulphur, LA 70663 (337) 439-2040 Hebert II, Richard L., MD 1636 Elton Rd. Ste 205 Jennings, LA 70546 (337) 824-9119 Bergstedt, Scott E., MD 1200 Stelly Ln. Sulphur, LA 70663 (337) 312-1000 NEPHROLOGY Colligan, John L., MD 2000 Opelousas St. Lake Charles, LA 70601 (337) 439-9983 Darby, Edward B, MD 1200 Stelly Ln Sulphur, LA 70605 (337)312-1000 301 S Cities Services Hwy Sulphur, LA 70663 (337) 527-6416 Grimshaw, Armand C., MD 1890 W Gauthier Rd Ste 200 Lake Charles, LA 70605 (337) 474-5519 Jasani, Rojina H., MD 2000 Opelousas St Lake Charles, LA 70601 (337) 439-9983 AbuShamat, Abdel F., MD 333 Dr. Michael DeBakey Dr Ste 140 Lake Charles, LA 70601 (337) 494-7090 Jones, David L, MD 206 W 5th St Deridder, LA 70634 (337) 463-5582 Leung, Tony W., MD 105 Dr. Michael DeBakey Dr Lake Charles, LA 70601 (337) 497-0366 McCann, Jennifer R., MD 206 W 5th St DeRidder, LA 70634 (337) 463-5582 NEUROLOGY Rudd Jr., James R., MD 206 W 5th St DeRidder, LA 70634 (337) 463-5582 Best, Timothy R., MD 707 Dr Michael Debakey Dr. Lake Charles, LA 70601 (337) 433-0762 Shamieh, Fayez K., MD 707 Dr Michael Debakey Dr. Lake Charles, LA 70601 (337) 433-0762 OB/GYN Bailey, G. Vincent, MD 805 N State St Jennings, LA 70546 (337) 824-6150 Rudd Sr., James R., MD 206 W 5th St DeRidder, LA 70634 (337) 463-5582 Vaughn, Lisa A., DO 2000 Opelousas St. Lake Charles, LA 70601 (337) 439-9983 West, Kushatha Y., DO 206 W 5th St DeRidder, LA 70634 (337) 463-5582 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 60 of 159 OPHTHALMOLOGY Bravin, Don A., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 801 S Pine St DeRidder, LA 70634 (337) 462-3937 277 Hwy 171 N Ste 4 Lake Charles, LA 70611 (337) 310-0775 Blem, Robert I., MD 1717 Oak Park Blvd Lake Charles, LA 70601 (337) 264-1011 Crawford Jr., Patrick M., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 Falgoust, Donald, MD 1980 Tybee Ln Lake Charles, LA 70605 (337) 477-0963 Hart, William B., MD 1920 W Sale Rd Bldg F Ste 3 Lake Charles, LA 70605 (337) 439-4014 Iglinsky, William L., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulpher, LA 70663 (337) 625-8948 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 Kufoy, Ernesto A., MD 311 S Pine St DeRidder, LA 70634 (337) 463-3500 Lacoste, Alan D., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 801 S Pine St DeRidder, LA 70634 (337) 462-3937 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 Mikulla, Brian J., MD 1980 Tybee Ln Lake Charles, LA 70605 (337) 477-0963 Mixon, William A., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 801 S Pine St DeRidder, LA 70634 (337) 462-3937 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 Murray, IV, Lewis V., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 801 S Pine St DeRidder, LA 70634 (337) 462-3937 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 O’Byrne, Alvaro J., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 Redmond, Patrick R., MD 414 E. 7th Ave Oakdale, LA 71463 (318) 487-2020 Stewart, Larry, MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 Thompson, Charles L., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 801 S Pine St Deridder, LA 70634 (337) 462-3937 277 Hwy 171 N Ste 4 Lake Charles, LA 70601 (337) 310-0775 Yokubaitis, Jon A., MD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 801 S Pine St DeRidder, LA 70634 (337) 462-3937 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 ORTHOPAEDICS Hinton, Michael A., MD 230 W Sale Rd. Lake Charles, LA 70605 (337) 477-5252 PAIN MANAGEMENT Allen, Joshua A, MD 215 W Prien Lake Rd Lake Charles, LA 70601 (337) 477-9019 PATHOLOGY Burton, Regina S., MD 830 Bayou Pines Dr Lake Charles, LA 70601 (337) 436-9557 Delta Pathology Group LLC 1701 Oak Park Blvd Lake Charles, LA 70601 (337) 494-3000 Richard, Stephanie, MD 830 Bayou Pines Dr Lake Charles, LA 70601 (337) 436-9557 Rumsey, Robert L., MD 830 Bayou Pines Dr Lake Charles, LA 70601 (337) 436-9557 Townsend, Gault H., MD 830 Bayou Pines Dr Lake Charles, LA 70601 (337) 436-9557 VanHoose, John M., MD 830 Bayou Pines Dr Lake Charles, LA 70601 (337) 436-9557 PHYSICAL MEDICINE/ REHAB Laborde, Thomas C., MD 401 Dr. Michael DeBakey Dr Ste 210 Lake Charles, LA 70601 (337) 430-3270 Lopez, Frank W., MD 3505 Fifth Ave Ste A1 Lake Charles, LA 70607 (337) 475-1028 PSYCHIATRY Buttross, III, David, MD 333 Dr. Michael DeBakey Dr Ste 220 Lake Charles, LA 70601 (337) 478-9331 Cantu, Said H., MD 2829 4th Ave Ste 150 Lake Charles, LA 70601 (337) 447-7091 Mahony Jr, Peter M MD 333 S Ryan St Ste 220 Lake Charles, LA 70601 (337) 478-9331 Matthews, Paul, DO 3501 5th Ave Ste A Lake Charles, LA 70607 (337) 310-0153 Millin, Horatio A., MD 2000 Opelousas St. Lake Charles, LA 70601 (337) 439-9983 Eapen, Paula D., MD 830 Bayou Pines Dr Lake Charles, LA 70601 (337) 436-9557 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 61 of 159 Patel, Jayendra K., MD 333 Dr. Michael DeBakey Dr Ste 220 Lake Charles, LA 70601 (337) 478-9331 PULMONARY MEDICINE Kaimal, Jana P., MD 4820 Lake St Ste 2 Lake Charles, LA 70605 (337) 310-7378 217 Sam Houston Jones Pkwy Ste 102 Lake Charles, LA 70611 (337) 310-7378 RADIATION ONCOLOGY Kelsey, Judith, MD 600 S Pine St DeRidder, LA 70634 (337) 462-7375 1000 Walters St Lake Charles, LA 70607 (337) 475-8100 Knox, Bruce R., MD 3114 Lake St Lake Charles, LA 70601 (337) 474-3333 Louviere, Gerald, MD 1000 Walters St Lake Charles, LA 70607 (337) 475-8100 600 S Pine St DeRidder, LA 70634 (337) 462-7100 Chang, David S., MD 524 Dr. Michael DeBakey Dr Lake Charles, LA 70601 (337) 491-7569 Nutter, Kathryn M., MD 3114 Lake St Lake Charles, LA 70601 (337) 474-3333 Maze, James W., MD 1701 Oak Park Blvd Lake Charles, LA 70601 (337) 494-2121 RADIOLOGY Radiology Associates of Southwest Louisiana d/b/a Access Radiology 1800 Ryan St Ste 105 Lake Charles, LA 70601 (337) 439-4706 Carbajal, Scott A., MD 600 S Pine St DeRidder, LA 70634 (337) 462-7375 Reina, Ro Risa, MD 110 W 4th St Dequincy, LA 70633 (877)284-9984 1000 Walters St Lake Charles, LA 70607 (337) 475-8100 Engert Jr., Erwin, MD 600 S Pine St DeRidder, LA 70634 (337) 462-7100 1000 Walters St Lake Charles, LA 70607 (337) 475-8100 Gallien, Jerome, MD 1634 Elton Rd Jennings, LA 70546 (337) 824-4403 Hindelang III, Floyd M., MD 600 S Pine St DeRidder, LA 70634 (337) 462-7375 103 Hospital Dr Oakdale, LA 71463 Rozas III, Aldes J., III, MD 1634 Elton Rd Jennings, LA 70546 (337) 824-4403 Schumacher, Robert C., MD 1634 Elton Rd Jennings, LA 70546 (337) 824-4403 RHEUMATOLOGY Lyman, Justin S., MD 608 W McNeese St Lake Charles, LA 70605 (337) 477-8757 SURGERY Cardiovascular/Thoracic Surgery Mousset, Xavier R., MD 1605 Foster St Lake Charles, LA 70601 (337) 439-5800 600 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 439-5800 Newton, Baron B., MD 1920 W Sale Rd Bldg F Ste 7 Lake Charles, LA 70605 (337) 436-5233 General Surgery Castleberry, Stephen, MD 914 Cypress St Sulphur, LA 70663 (337) 527-6363 Chung, Keith MD 4150 Nelson Rd Ste B6 Lake Charles, LA 70605 (337) 433-1303 Doumite, Darin F., MD 1636 Elton Rd Ste 201 Jennings, LA 70546 (337) 824-8282 Ellington, Amanda S., MD 1636 Elton Rd Ste 201 Jennings, LA 70546 (337) 824-8282 Ghorab, Khaled, MD 412 S Pine St Deridder, LA 70634 (337) 462-5700 Ledet Jr., Walter, MD 914 Cypress St Sulphur, LA 70663 (337) 527-6363 Newton, Baron B., MD 1920 W Sale Rd Bldg F Ste 7 Lake Charles, LA 70605 (337) 436-5233 O’Donnell, Joseph, MD 914 Cypress St Sulphur, LA 70663 (337) 527-6363 Rossowski, Thomas M., MD 401 Dr. Michael DeBakey Dr Ste 210 Lake Charles, LA 70601 (337) 421-0044 Plastic Surgery Smoot, Ernest C., MD 4150 Nelson Rd Bldg A Ste 2 Lake Charles, LA 70605 (337) 478-5577 UROLOGY Alderson, Thomas P., MD 1327 Stelly Ln Ste 2 Sulphur, LA 70663 (337) 528-7898 Kwok, Chuen K., MD 316 W Seventh St DeRidder, LA 70634 (337) 462-1400 ANCILLARY SERVICES CHIROPRACTORS Deese, Charles J., DC 217 W Plaquemine St. Jennings, LA 70546 (337) 824-1731 Duhon, David M., DC 2118 E Prien Lake Rd Lake Charles, LA 70601 (337) 474-7700 Racca, Brandon L., DC 730 E Bayou Pines Lake Charles, LA 70601 (337) 433-7551 Rider, Shaine E., DC 601 W College St Lake Charles, LA 70605 (337)480-0027 DENTIST Jones, Andrew, DDS 2000 Opelousas St Lake Charles, LA 70601 (337) 783-5519 Miller, LaFaith C., DMD 2000 Opelousas St. Lake Charles, LA 70601 (337) 439-9983 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 62 of 159 Prato, Esperanza, DDS 2812 1st Ave Lake Charles, LA 70601 (337) 437-7107 Ragas, Paul H., DDS 2000 Opelousas St Lake Charles, LA 70601 (337) 439-9983 Varghese, Seema M., DDS 2000 Opelousas St Lake Charles, LA 70601 (337) 439-9983 Raytel Cardiac Services, Inc. 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 DIAGNOSTIC SERVICES Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 DIALYSIS TREATMENT CENTER 1285 Corporate Center Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 Cardiostaff Corporation 4014 Medical Pkwy Ste 200 Austin, TX 78756 (512) 419-1755 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 25060 Ave Stanford Ste 270 Valencia, CA 91355 mdINR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 72 Bonaventura San Jose, CA 95134 (661) 942-3296 Open Air MRI of Lake Charles 3114 Lake St Lake Charles, LA 70601 (337) 474-3333 PET Imaging of SWLA LLC 600 Bayou Pines E Ste A Lake Charles, LA 70601 (337) 493-5310 Jennings Dialysis Center 1906 Johnson St Jennings, LA 70546 (337) 824-5353 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) Southwest Louisiana Center of Health Services 2000 Opelousas St Lake Charles, LA 70616 (337) 439-9983 112 N Sixth St Oberlin, LA 70655 (337) 439-9983 HEARING CENTER/ AUDIOLOGIST Headington, Kara, AuD 1919A Southwood Dr Lake Charles, LA 70605 (337) 474-3880 HOME HEALTH CARE Amedisys Louisiana LLC dba Amedisys Home Health 4015 Common Street Lake Charles, LA 70607-2942 (337) 477-9820 Beauregard Memorial Hospital Home Health Agency 1808 Hwy 190 W Ste G DeRidder, LA 70634 (337) 462-7188 Christus Home Care 4444 Lake St Lake Charles, LA 70605 (337) 430-5498 Home Health Agency of LCMH 1801 Oak Park Blvd Lake Charles, LA 70601 (337) 494-6444 Jeff Davis Home Health 1322 Elton Rd Ste B Jennings, LA 70546 (337) 824-1188 305 S Palmer Welsh, LA 70591 (337) 734-4278 MD Homecare Network Jennings 233 N Main St Jennings, LA 70546 (337) 616-0115 Southern Home Health 3417 Patrick St Lake Charles, LA 70605 (337) 479-2233 810 E 4th St DeQuincy, LA 70633 (337) 786-8231 Southern Home Health of Moss Bluff 1435 Sam Houston Jones Pkwy #C Lake Charles, LA 70611 (337) 855-1287 Southern Home Health of Sulphur 2223 Maplewood Dr Sulphur, LA 70663 (337) 626-4663 Synergy Homecare Acadiana Region 422 Kade Rd Ste 3 Jennings, LA 70546 (337)616-3077 1717 E Prien Lake Rd Ste 2 Lake Charles, LA 70601 (337)433-4077 Thompson Home Health 305 W 7th St Ste B DeRidder, LA 70634 (337) 462-5980 Tri-Parish Community HomeCare 134 N 10th St Oakdale, LA 71463 (318) 335-2166 HOSPICE Amedisys Hospice LLC 4017 Common Street Lake Charles, LA 70607 (337) 562-3200 Christus Hospice & Palliative Care – St. Patrick 4444 Lake St Lake Charles, LA 70605 (337)395-5600 SouthernCare Lake Charles 1717 E Prien Lake Rd Ste 4 Lake Charles, LA 70601 (337) 474-3743 LABORATORIES Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75244 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 63 of 159 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 Quest Diagnostics 4421 Nelson Rd Lake Charles, LA 70605 (337) 480-4195 Carepoint Partners 550 W McNeese St Lake Charles, LA 70605 (337) 310-2100 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 Carmichaels Cashway Pharmacy Lake Charles 1725 W Sale Rd Lake Charles, LA 70605 (337) 474-7000 Lincare, Inc. 3113 Ryan St Ste 5 Lake Charles, LA 70601 (337)491-9999 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 LONG TERM ACUTE CARE FACILITIES Cornerstone Hospital of Southwest Louisiana 703 Cypress St Sulphur, LA 70663 (337) 310-6033 Extended Care of SW LA 2837 Ernest St Bldg B Lake Charles, LA 70601 (337) 494-8990 LabCorp of America 4407 Nelson Rd Lake Charles, LA 70605 (337) 479-0264 MEDICAL EQUIPMENT/INFUSION THERAPY Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 Advanced Medical Equipment & Supplies LLC 1013-B East McNeese Street Lake Charles, LA 70607 (337) 656-2568 OPKO Lab 1450 Elm Hill Pk Nashville, TN 37210 (615) 874-0410 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 ProPath Services, LLP 1355 River Bend Dr Dallas, TX 75247 (214) 631-6721 Allenmed, Inc 107 E Marshall St Gilmer, TX 75644 (903) 680-3113 Apria Healthcare Inc 1830 Ryan St Ste E Lake Charles, LA 70601 (337) 433-5206 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 DeRidder Medical Equipment Supply LLC 709 Mahlon St DeRidder, LA 70634 (337) 202-1911 Dynamic Orthotic Services 1327 Enterprise Blvd Lake Charles, LA 70601 (337) 421-1667 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Pk Twinsburg, OH 44087 (800) 321-0591 Hanger Prosthetics & Orthotics, Inc. 509 S Pine St DeRidder, LA 70634 (337) 463-4011 1715 Ethel St Lake Charles, LA 70601 (337) 439-3369 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 Medical Technologies, Inc. 401 W College St Lake Charles, LA 70605 (337) 491-1100 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 Health Mart of Jennings LLC 1322 Elton Rd Ste A Jennings, LA 70546 (337) 824-2000 SleepOx, LLC 3201 Center St Ste B Lake Charles, LA 70601 (337) 477-7731 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 Home Medical Equipment 2000 2013 Oak Park Blvd Ste 210 Lake Charles, LA 70601 (337)480-0045 Taylor Home Health Supply 4901 Common St Lake Charles, LA 70605 (337) 479-1079 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 The Medical Shop 203 N 16th St Oakdale, LA 71463 (318) 335-3329 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 64 of 159 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 Vernon Medical Care 111 W Harriet St Leesville, LA 71446 (337)238-5409 Walson, Inc. 3221 Common St Lake Charles, LA 70601 (337) 433-3360 MOBILE UNIT Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 NUTRITIONAL COUNSELING Authement, Jennifer, RD 524 Dr. Michael DeBakey Dr Lake Charles, LA 70601 (337) 491-7199 277 Hwy 171 N Ste 4 Lake Charles, LA 70611 (337) 310-0775 801 S Pine St Deridder, LA 70634 (337) 462-3937 Eastman, Hannah L., OD 414 E 7th Ave Oakdale, LA 71463 (877) 861-7770 1322 Elton Rd Ste J Jennings, LS 70546 (337) 824-0040 Fontenot, Patrick M., OD 4315 Lake St Ste 2 Lae Charles, LA 70605 (337) 478-4733 Fontenot, Shane B., OD 1702 Johnson St Jennings, LA 70546 (337) 824-1112 Gehrig, Melvin M., OD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 801 S Pine St DeRidder, LA 70634 (337) 462-3937 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 277 Hwy 171 N Ste 4 Lake Charles, LA 70611 (337) 310-0775 Richard, Jacqueline B., RD 401 Dr. Michael DeBakey Dr Lake Charles, LA 70601 (337) 478-2650 Gerdes Jr., Gerald G., OD 414 E 7th Ave Oakdale, LA 71463 (318) 355-3275 1960 Tybee Ln Lake Charles, LA 70605 (337) 421-0090 Hankin, Jeffrey S., OD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 OPTOMETRY East, Steven Chad, OD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 801 S Pine St DeRidder, LA 70634 (337) 462-3937 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 1322 Elton Rd Ste J Jennings, LA 70546 (337) 824-0040 277 Hwy 171 N Ste 4 Lake Charles, LA 70611 (337) 310-0775 Kindler, Rebecca A., OD 1717 Oak Park Blvd Ste 1 Lake Charles, LA 70601 (337) 478-3810 2100 Maplewood Dr Sulphur, LA 70663 (337) 625-8948 277 Hwy 17 N Ste 4 Lake, Charles, LA 70611 (337) 310-0775 Menard, Keith, OD 4315 Lake St Ste B Lake Charles, LA 70605 (337) 478-4733 Stoker, Cheryl T., OD 414 E 7th Ave Oakdale, LA 71463 (877) 861-7770 OUTPATIENT CENTERS Imperial Calcasieu Surgical Ctr 1757 Imperial Blvd Lake Charles, LA 70605 (337)310-2832 Southwest LA Sports & Rehab 208 W McNeese Lake Charles, LA 70605 (337) 475-1053 Stelly Physical & Occupational Therapy LLC 522 Cypress St Sulphur, LA 70663 (337) 533-8410 Thibodeaux, Albro & Touchet Therapy Group 1322 Elton Rd Ste I Jennings, LA 70546 (337) 824-5488 Thrive Physical Therapy 4150 Nelson Rd Bldg C Ste 12 Lake Charles, LA 70605 (337) 990-5621 X-Cel Therapy Group 217 Sam Houston Jones Pkwy Ste 103 Moss Bluff, LA 70611 (337) 217-0997 PODIATRY Surgicare of Lake Charles 2100 Lake Street Lake Charles, LA 70601 (337) 436-6941 PHYSICAL THERAPY CENTERS Beauregard Physical Therapy 309 S. Washington Ave. DeRidder, LA 70634 (337) 462-6097 Calcasieu Rehab & Sports Therapy 2100 Oak Park Blvd Lake Charles, LA 70601 (337) 310-5116 Iowa Therapy Group 605 N Thompson St Iowa, LA 70647 (337) 582-4242 Lake Physical Therapy 1709 W Prien Lake Rd Ste B Lake Charles, LA 70601 (337)474-5201 Arango, Roberto A., DPM 1717 Oak Park Blvd 2nd Flr Lake Charles, LA 70601 (337) 479-2200 Eleyae, Oghale, DPM 913 E 7th Ave Oakdale, LA 71463 (318) 335-3668 Garber, Vernon L., DPM 651 Dr Michael DeBakey Dr Lake Charles, LA 70601 (337) 433-3338 Hall IV, Daniel T, DPM 212 W McNeese St Lake Charles, LA 70605 (337) 474-2233 Przybylski, Mallory M, DPM 212 W McNeese St Lake Charles, LA 70605 (337) 474-2233 Trotter, Melvin, DPM 2000 Opelousas St Lake Charles, LA 70601 (337) 439-9983 Partners in Physical Therapy 3221 Ryan St Ste D Lake Charles, LA 70601 (337) 439-3344 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 65 of 159 PRIVATE DUTY NURSING SUBSTANCE ABUSE/PSYCH All Family Care LLC 2896 Hwy 171 North Lake Charles, LA 70611 (337) 905-6610 Allen Behavioral Health Clinic 402 Industrial Dr Oberlin, LA 70655 (337)639-3001 PUBLIC HEALTH UNIT Allen Parish Environmental Health 507 W 7th St Oberlin, LA 70655 (337)639-4186 Allen Parish Health Unit 145 Hospital Dr Oakdale, LA 71463 (318)335-1147 Beauregard Parish Health Unit 216 Evangeline St DeRidder, LA 70634 (337)463-4486 Beauregard Behavioral Health Clinic 106 W Port St DeRidder, LA 70634 (337)462-1641 Ifland, Mark D., LPC 701 S Royal St DeRidder, LA 70634 (337) 469-4900 Lake Charles Behavioral Health Clinic 4105 Kirkman St Lake Charles, LA 70607 (337)475-8022 Calcasieu Parish Health Unit Lake Charles 3236 Kirkman St Lake Charles, LA 70601 (337)478-6020 Lake Charles Behavioral Health Clinic – Children’s Outreach Services 3505 5th Ave Ste c1 Lake Charles, LA 70607 (337)475-4950 Calcasieu Parish Health Unit Sulphur 201 Edgar St Sulphur, LA 70663 (337)478-6020 Monic, Michael F., LPC, LMFT 714 N Main St Ste B Jennings, LA 70546 (337) 824-5595 Cameron Parish Health Unit 107 Recreation Ln Cameron, LA 70631 (337)775-5368 Royer, Sheryl L., LCSW 140 West 4th St DeQuincy, LA 70633 (337) 786-5007 Cameron Health Unit – Environmental Health 707A E Prien Lake Rd Lake Charles, LA 70601 (337)475-3200 Williams, Marilyn, LPC 900 Ryan St Ste 405 Lake Charles, LA 70601 (337) 990-5308 Jefferson Davis Parish Health Unit 403 Baker St Jennings, LA 70546 (337)824-7492 SKILLED NURSING FACILITY Beauregard Memorial Hospital Swing Bed 600 S Pine St DeRidder, LA 70634 (337)462-7100 URGENT CARE TREATMENT Lake Charles Urgent Care 1905 Country Club Rd Lake Charles, LA 70605 (337) 990-8000 REGION 5 Includes Evangeline, Acadia, Vermilion, Lafayette, St. Mary, Terrebonne, St. Landry, Iberia and St. Martin Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is referring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE Abraham, Matthew, MD 100 Asma Blvd Bldg 1 Ste 205 Lafayette, LA 70508 (337) 289-5605 Alexander, Lisa B., NP 4540 Ambassador Caffery Pkwy Ste B 130 Lafayette, LA 70508 (337) 981-8486 401 Youngsville Hwy Ste 100 Lafayette, LA 70508 (337) 330-0031 2308 E Main St Ste G New Iberia, LA 70560 (337) 367-2001 Ancelet, Jean C., MD 202 Westgate Rd Lafayette, LA 70506 (337) 232-1802 Bourgeois, Leonard, MD 1409 Church St Jeanerette, LA 70544 (337) 276-6018 Breaux, Lisa A., NP 613 John F. Kennedy Dr. Crowley, LA 70526 (337) 783-5519 Broussard, Alan P., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6690 Burnell, Michael L, MD 827 N Union St Opelousas, LA 70570 (337) 948-1802 Caletri, David K, MD 4809 Ambassador Caffery Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 5000 Ambassador Caffery Pkwy Lafayette, LA 70508 (337) 769-8800 1201 David Dr Morgan City, LA 70380 (985) 385-1533 3975 I49 S Service Rd #106 Opelousas, LA 70570 (337) 942-7609 Cannon, Stephen R., MD 1325 Wright Ave, Ste A Crowley, LA 70526 (337) 783-5900 Cestia, Wayne B., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6673 Clark, Gordan H., MD 500 Patterson St. Lafayette, LA 70501 (337) 769-9451 Collin, Elizabeth C., MD 127Acorn Dr Ste B Sunset, LA 70584 (337)662-4075 Collins, Jamie L., MD 127 Acorn Dr Ste B Sunset, LA 70584 (337) 662-4075 Cousin, George B., MD 2309 E Main St Ste 400 New Iberia, LA 70560 (337) 367-0271 Crackower, Sydney H., MD 701 Robley Dr Ste 100 Lafayette, LA 70503 (337) 988-4116 Daigle, Randy J, MD 990 Napoleon Ave Sunset, LA 70584 (337) 662-7290 Darbonne, Brandi F., NP 1270 Attakapas Dr Ste 501 Opelousas, LA 70570 (337) 942-4453 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 66 of 159 Deshotel, Allison M., NP 1200 Hospital Dr Ste 2 Opelousas, LA 70570 (337) 942-4453 Heinen, Jade, MD 151 Leon Ave Eunice, LA 70535 (337) 457-8166 Menard, Darrin D., MD 202 Westgate Rd Lafayette, LA 70506 (337) 232-1802 Romero, Brock J., NP 411 South Main St Loreauville, LA 70552 (337) 229-4214 Ellender, Lee, MD 2967 S Union St Opelousas, LA 70570 (337) 594-8958 Hines, Richard, A., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Menard, Michelle, MD 2309 E Main St Ste 400 New Iberia, LA 70560 (337) 367-0271 Roy, Sudipta, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Elliott, Kirk E., MD 410 Olive St Arnaudville, LA 70512 (337) 754-7254 Humble, Kent W., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6690 Metoyer, Derek, MD 204 W North St Opelousas, LA 70570 (337) 948-4445 Sanchez, Luris, MD 828 Creswell Ln Opelousas, LA 70570 (337) 942-8088 Fandal, Freddie J., MD 17695 Hwy 190 Port Barre, LA 70577 (337) 585-7898 Kennedy, Michael P., MD 111 Saint Charles Carencro, LA 70520 (337)886-1200 Metoyer, Lana A., MD 204 W North St Opelousas, LA 70570 (337) 948-4445 Segar, Reginald, MD 631 W Maple Ave Eunice, LA 70535 (337) 546-0424 Faulk, Randall J., MD 802 N Monceaux Kaplan, LA 70548 (337) 643-3800 LaHaye, Nicholas, MD 4940 Vidrine Rd Ville Platte, LA 70586 (337) 506-3500 Mire, Geoffrey A., MD 202 Westgate Rd Lafayette, LA 70506 (337) 232-1802 Sibille, John S., MD 990 Napoleon Ave Sunset, LA 70584 (337) 662-5248 Felton, Michael A., MD 814 S Broadway St Church Point, LA 70525 (337) 684-3178 LaHaye, Wayne, MD 4940 Vidrine Rd Ville Platte, LA 70586 (337) 506-3500 Mire, Louis, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Silar, David L., MD 207 Milton Rd Maurice, LA 70555 (337) 898-6516 Fontenot, Charles E., MD 1535 W Main St Ste 6 Ville Platte, LA 70586 (337) 363-5521 Leblanc, Kim E., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6673 Moore, Patrick D., MD 3414 Moss St Ste F Lafayette, LA 70507 (337) 706-8986 Garcia, Jesus R., MD 613 Rue de Onetta New Orleans, LA 70563 (337) 367-6776 Legros III, Jimmy, APRN 990 Napoleon Ave Sunset, LA 70584 (337) 662-5248 Mullen, Ellen S., MD 2308 E Main St Ste A New Iberia, LA 70560 (337) 364-8566 Gillespie, Patrick, MD 414 N Main St Washington, LA 70589 (337) 826-8044 Marshall, Marilyn D., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6690 Oge, Linda, MD University Medical Ctr 2390 W Congress St Lafayette, LA 70506 (337) 261-6831 Greene, Craig H., MD 2967 S Union St Opelousas, LA 70570 (337) 594-8958 Mata, Jose A., MD 2309 E Main St Ste 400 New Iberia, LA 70560 (337) 367-0271 Harmon, Richard W., MD 827 N Union St Opelousas, LA 70570 (337)978-1802 Mayeaux, Stacey, MD 17695 Hwy 190 Port Barre, LA 70577 (337) 585-7898 Hatfield, Rodney J., MD 827 N Union St Opelousas, LA 70570 (337) 948-1802 McCormick, Louis H., MD 606 Haifleigh St Franklin, LA 70538 (337) 828-4440 Heinen, Brian, MD 151 Leon St Eunice, LA 70535 (337) 457-8166 2390 W Congress St Lafayette, LA 70506 (337) 261-6655 Pavich, Russell, MD 200 S 7th St Eunice, LA 70535 (337) 457-1599 Reed, Donald J., MD 600 E Gloria Switch Rd Lafayette, LA 70507 (337) 235-6211 Robin, Gabe Scott, NP 410 Olive St Arnaudville, LA 70512 (337) 754-7254 Rosson, Kathleen L., MD 2390 W. Congress St Lafayette, LA 70506 (337) 261-6000 2419 Alonzo St. Abbeville, LA 70510 (337) 892-0630 Stearns, Zebediah A., MD 450 Moosa Blvd #B Eunice, LA 70535 (337) 546-6646 Tassin, Adam John, MD 1535 W Main St Ste 1 Ville Platte, LA 70586 (337) 363-5591 Thibodeaux, John, MD 2390 W Congress St Lafayette, LA 70506 (337) 937-5803 Viator, Timothy A., MD 2308 E Main St Ste A New Iberia, LA 70560 (337) 364-8566 2390 W Congress Lafayette, LA 70506 (337) 261-6381 Walker, Nancy B., MD 1325 Wright Ave, Ste A Crowley, LA 70526 (337) 783-5900 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 67 of 159 Ware, David B., MD 281 Moosa Blvd Eunice, LA 70535 (337) 457-2200 Curry, Karen G., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Katira, Mulraj N., MD 576 North Ave G Crowley, LA 70526 (337) 788-1733 White, Calvin, MD 1119 Prudhomme Cir Opelousas, LA 70570 (337) 942-1320 Degeyter, Kyle J., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6381 Kosnosky, David P., DO 500 Patterson St Lafayette, LA 70501 (337) 769-9451 INTERNAL MEDICINE Falterman, Jr., James, MD 2313 E Main St New Iberia, LA 70560 (337) 365-9602 Kothapalli, Shankaraiah, MD 134 Hospital Dr Lafayette, LA 70503 (337) 266-5592 Aertker III, Robert J., MD 1325 Wright Ave Ste A Crowley, LA 70526 (337)783-4043 Alvarez, Eduardo, MD 504 Jack Miller Rd Ste 9 Ville Platte, LA 70586 (337) 363-7228 Alvarez, Michael L., MD 520 N Lewis St Ste 204 New Iberia, LA 70563 (337) 364-0408 Aswell, Charles III, MD 503 Jack Miller Rd Ste A Ville Platte, LA 70586 (337) 363-7474 Bates, Karen, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Benoit, Tina M., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6110 Blanchard, Gary W., MD 1270 Attakapas Dr Ste 502 Opelousas, LA 70570 (337) 942-9977 Blappert, Bradley M., MD 1101 S College Rd Ste 206 Lafayette, LA 70503 (337) 456-9250 Cefalu Jr., William A., MD 1151 Marguerite St Ste 200A Morgan City, LA 70380 (985) 384-7288 Charlemagne, Mistie A., MD 1234 David Dr. Ste C Morgan City, LA 70380 (985) 329-2200 Clarke, Andrew F., MD 1100 Andre St Ste 204 New Iberia, LA 70563 (337) 364-7700 2390 W Congress St Lafayette, LA 70506 (337)261-6381 Fontenot, Anna T, NP 1008 W Main St Ville Platte, LA 70586 (337) 363-5531 Fontenot, James B., MD 421 Jack Miller Ville Platte, LA 70586 (337) 363-4499 800 E Main St Ville Platte, LA 70586 (337) 363-5684 (Hospitalist Only) Good, David E., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Guidry, John W., MD 149 Ventre Blvd Ste 8 Opelousas, LA 70570 (337) 948-4019 Guidry, Lonn E., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6789 Hutchinson, Myriam MD 121 E Saint Victor St Abbeville, LA 70510 (337) 893-0810 Jaikishen, Jay P., MD 155 Hospital Dr Ste 406 Lafayette, LA 70503 (337) 232-1171 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Lafleur, Jeffrey J., MD 503 Jack Miller Rd Ste B Ville Plate, LA 70586 (337) 363-7036 Lakshmiprasad, Leela P., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6000 Lamarche, Maximo B., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 LeBean, Bryan A., MD 2930 Moss St Ste B Lafayette, LA 70501 (337) 261-0059 Leleux Jr., Patrick D., MD 202 N Jackson St Kaplan, LA 70548 (337) 643-1655 Melancon, Eric, MD 1151 Marguerite St Ste 200A Morgan City, LA 70380 (985) 384-7288 Miller, Randal P., MD 351 Moosa Blvd Eunice, LA 70535 (337) 550-6963 Moncada, Lainie V., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6381 Nseir, Bacel, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6789 LSUHN Billing 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Okechukwu, Vitalis C., MD 1233 Wayne Gilmore Cir Opelousas, LA 70570 (337) 407-1955 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Olivier, Leah D., MD 1200 Hospital Dr Ste 4 Opelousas, LA 70570 (337) 948-7090 Pichardo-Lafontaine, Gabriela, MD 3975 I-49 Service Rd Ste 105 Opelousas, LA 70570 (337) 594-3881 Ritter, Jr., Kenneth A., MD 2313 E Main St New Iberia, LA 70560 (337) 365-0005 Robinson, Juliet A., MD 3521 Hwy 190, Ste V Eunice, LA 70535-3635 (337) 550-0405 Robles, Hector A., MD 501 W Saint Landry Blvd Lafayette, LA 70506 (337) 237-7997 Rodriguez, Oscar, MD 1413 Seventh St Ste B Mamou, LA 70554 (337) 468-3306 Saini, Satinder, MD 1455 Wright Ave Ste B Crowley, LA 70526 (337) 514-0900 Salopek, Stephen MD 155 Hospital Dr Ste 301 Lafayette, LA 70503 (337) 232-1010 Schexnaider, Kerry M., MD 4210 US Hwy 167 Maurice, LA 70555 (337) 893-8490 Vincent, Chad, MD 1325 Wright Ave Ste A Crowley, LA 70526 (337)783-4043 PEDIATRICS Abdel-Sayed, Myriam, MD 401 Youngsville Hwy Ste 100 Lafayette, LA 70508 (337) 330-0031 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 68 of 159 Ahmad, Mounaf G., MD 408 N Lewis St Ste 100 C New Iberia, LA 70563 (337) 365-0268 295 Indest St New Iberia, LA 70563 (337) 365-5437 Al-Boustani, Rita A., MD 1119 N Main St St. Martinville, LA 70582 (337) 394-7774 Eikel, Henry, MD 520 N Lewis St Ste 200 New Iberia, LA 70563 (337) 256-5466 Hatfield, Allison S., MD 1270 Attakapas Dr Ste 501 Opelousas, LA 70570 (337) 942-4453 Faugot, Allison C., MD 401 Youngsville Hwy, Ste 100 Lafayette, LA 70508 (337) 330-0031 Hebert, Charice M., MD 3521 Hwy 190 Ste S Eunice, LA 70535 (337) 550-8530 4141 N. Univ Ave Carencro, LA 70520 (337) 565-2704 Atwi, Jibran Elias, MD 401 Youngsville Hwy Ste 100 Lafayette, LA 70508 (337) 330-0031 Faugot, Maurice B., MD 295 Indest St New Iberia, LA 70563 (337) 365-5437 Bakare, Meena, MD 1008 6th St Mamou, LA 70554 (337) 468-2515 Ferrer, Bernard J., MD 8120 Main St Ste 300 Houma, LA 70360 (985) 872-6405 Bandaru, Ravali, MD 2308 E. Main St., Ste G New Iberia, LA 70560 (337) 367-2001 401 Youngsville Hwy Ste 100 Lafayette, LA 70508 (337) 365-3050 Barner, Kimberley J., MD 8120 Main St Ste 300 Houma, LA 70360 (985) 872-6405 4266 W Main St Ste 500 Gray, LA 70359 (985) 873-5437 Beslin, Maria, MD 431 E Evergreen St Lafayette, LA 70501 (337) 806-9910 Clarke, Robert W., MD 8120 Main St Ste 300 Houma, LA 70360 (985) 872-6405 4266 W Main St Ste 500 Gray, LA 70359 (985) 873-5437 Cocke, Kelli M., MD 6800 Ambassador Caff Pkwy Broussard, LA 70518 (337) 330-4525 Dahr, Nahla, MD 500 Patterson St Lafayette, LA 70501 (337) 769-9451 4266 W Main St Ste 500 Gray, LA 70359 (985) 873-5437 Howes, Richard F., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6381 Janumpally, Krishna C., MD 2308 E Main St Ste G New Iberia, LA 70563 (337) 367-2001 Kamalanathan, Anitha, MD 401 Youngsville Hwy, Ste 100 Lafayette, LA 70508 (337) 330-0031 Fortier, Hollan D., NP 1119 N Main St St Martinville, LA 70582 (337) 394-7774 Kasindula, Ramakrishna, MD 401 Youngsville HwySte 100 Lafayette, LA 70508 (337) 330-0031 401 Youngsville Hwy Ste 100 Lafayette, LA 70508 (337) 330-0031 4540 Ambassador Caffery Pkwy Ste B130 Lafayette, LA 70508 (337) 981-8486 Papp, Laszlo, MD 401 Youngsville Hwy Ste 100 Lafayette, LA 70508 (337) 330-0031 Pullin, Todd H., MD 3521 Hwy 190 E Ste N Eunice, LA 70535 (337) 550-1175 Rader, Allison Z., MD 408 N Lewis St Ste 100 C New Iberia, LA 70563 (337) 365-0268 295 Indest St New Iberia, LA 70563 (337) 365-5437 Rholdon Jr., Roger D., NP 6100 Cameron St Scott, LA 70583 (337) 289-6770 4141 N University Ave Carencro, LA 70520 (337) 565-2692 Saleme, Mary C., MD 6100 Cameron St Scott, LA 70583 (337) 289-6770 Scott III, Walter I., MD 2308 E Main St Ste H New Iberia, LA 70560 (337) 560-5005 Foster, Suzanne P, MD 500 Patterson St Lafayette, LA 70501 (337) 769-9451 Latiolais, Sarah K., MD 1270 Attakapas Dr Ste 501 Opelousas, LA 70570 (337) 942-4453 Gallagher, Ruthanne, MD 8120 Main St Ste 300 Houma, LA 70360 (985) 872-6405 Lejeune, Geneva M., MD 1270 Attakapas Dr Ste 501 Opelousas, LA 70570 (337)942-4453 Simon, Emily F., MD 1200 Hospital Dr Ste 2 Opelousas, LA 70570 (337) 942-4453 Manuel, Powlin V., MD 2405 Alonzo St Abbeville, LA 70510 (337) 893-3722 Srigiriraju, Hyndhavi MD 2308 N Main St Ste G New Iberia, LA 70560 (337) 367-2001 4266 W Main St Ste 500 Gray, LA 70359 (985) 873-5437 Gandhi, Mohan D., MD 1281 W Tunnel Blvd Houma, LA 70360 (985) 876-2323 Golan, Tomas, MD 2308 E Main St Ste H New Iberia, LA 70560 (337) 560-5005 104 Genevieve Dr Lafayette, LA 70503 (337) 984-0110 Nervez, Cecilia, MD University Medical Ctr 2390 W Congress St Lafayette, LA 70506 (337) 261-6565 2308 E Main St Ste G New Iberia, LA 70560 (337) 367-2001 Sugeng, Budi, MD 1049 W Summer Dr Abbeville, LA 70510 (337) 422-6240 Thompson, Shelly K., MD 2308 E Main St Ste G New Iberia, LA 70560 (337) 367-2001 2315 E Main St New Iberia, LA 70560 (337) 374-7589 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 69 of 159 Totina, Albert J., MD 8120 Main St Ste 300 Houma, LA 70360 (985) 872-6405 4266 W Main St Ste 500 Gray, LA 70359 (985) 873-5437 Gros, Albert, MD 1268 Attakapas Dr Ste 103 Opelousas, LA 70570 (337) 407-4512 539 E Prudhomme St Opelousas, LA 70570 (337)948-5120 Toups, Lori L., MD 2308 E Main St Ste G New IIberia, LA 70560 (337) 367-2001 Guillory, Robert K., MD 3501 Hwy 190 Eunice, LA 70535 (337) 457-5240 Yerasi, Srinivasa, MD 555 Lakes Blvd Breaux Bridge, LA 70517 (337) 332-3971 Karge Jr, Michael, MD 539 E Prudhomme Ln Opelousas, LA 70570 (337) 948-5120 SPECIALTY CARE PHYSICIANS ALLERGY & IMMUNOLOGY Prather, Jonathan B, MD 2949 S Union St Opelousas, LA 70570 (337) 948-9606 200 Petroleum Dr Lafayette, LA 70508 (337) 988-9999 Pratt, Erin T, MD 200 Petroleum Dr Lafayette, LA 70508 (337) 988-9999 2949 S Union St Opelousas, LA 70570 (337) 948-9606 ANESTHESIA Eunice Anesthesiology Group, LLC 3501 Hwy 190 Eunice, LA 70535 (337) 468-2767 Faul, Robert K., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Fontenot, Jason, MD 1268 Attakapas Dr Ste 103 Opelousas, LA 70570 (337) 407-4512 Michael, Arshavir I., MD 1305 Crowley Rayne Hwy Crowley, LA 70526 (337) 783-3222 Parish Anesthesia of Lafayette 2309 E Main St #300 New Iberia, LA 70560 (337) 560-9622 1214 Coolidge St Lafayette, LA 70503 (337) 289-7991 1000 W Pinhook Rd Lafayette, LA 70503 (337) 289-8095 Sherwood, Cynthia D., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 CARDIOLOGY Abel, Peter M., MD 912 Marguerite St Morgan City, LA 70380 (985)221-5321 Allie, David E., MD 4212 W Congress St Ste 2100 Lafayette, LA 70506 (337) 456-6523 4940 Vidrine Rd Ville Platte, LA 70586 (337) 456-6526 108 S 2nd St Eunice, LA 70535 (337) 456-6526 Ayalloore, Siby G., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Lathia, Viral N., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6100 Barker, Esmond A., MD 4212 W Congress St Ste 1800A Lafayette, LA 70506 (337) 981-7677 Levine, Eli S., MD 2313 E Main St Ste C New Iberia, LA 70560 (337) 364-1734 Chen, Yu-Cheng, MD 4809 Ambassador Caffery Pkw, Ste 490 Lafayette, LA 70508 (337) 981-8131 Daniels, Christopher L., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6747 Dibbs, Michael, MD 121 Rue Louis XIV Bldg 4 Ste B Lafayette, LA 70508 (337) 984-9355 Fazal-Ur-Rehman, Syed, MD 4906 Ambassador Caffery Ste 1400 Lafayette, LA 70508 (337) 988-9003 717 Curtis Dr Rayne, LA 70578 (337) 988-9003 800 Charity St Abbeville, LA 70510 (337) 988-9003 Gulotta Jr., Paul H., MD 2313 E Main St Ste C New Iberia, LA 70560 (337) 364-1734 Ingraldi, Agostino, MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6747 Lakshmiprasad, Padumane, MD 1211 Coolidge Blvd Ste 203 Lafayette, LA 70503 (337) 233-2535 2390 W Congress Lafayette, LA 70506 (337) 261-6381 Lodha, Ankur, MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6797 May, Wade B., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6747 McElderry, Michael W., MD 2390 W. Congress St. Lafayette, LA 70506 (337) 261-6747 Mickey, John J., MD 110 Hospital Dr Lafayette, LA 70503 (337) 232-2900 Monier, Charles S., MD 504 Jack Miller Rd Ste 7 Ville Platte, LA 70586 (337) 363-5150 Mounir, Mike (Mnayer), MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6747 Nagendran, Krishna, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6102 Salvaggio, Louis A., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6747 Welch, Patrick J., MD 200 Beaullieu Dr Bldg 1 Lafayette, LA 70508 (337) 289-6808 CARDIOLOGY – PEDIATRIC Brumund, Michael, MD 3521 Hwy 190 Suite Q Eunice, LA 70535 (337) 457-1800 539 E Prudhomme St Opelousas, LA 70570 (337) 948-5120 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 70 of 159 Crapanzano, Michael, MD 3521 Hwy 190 Ste Q Eunice, LA 70535 (337) 457-1800 EAR, NOSE, & THROAT/ OTOLARYNGOLOGY Hixon III, Rufus L., MD 3521 Hwy 190 Ste Q Eunice, LA 70535 (337) 457-1800 Barry, Robin J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 CRITICAL CARE Bidstrup, Richard, J., MD 4049 I-49 S Srvc Rd Opelousas, LA 70570 (337) 942-2674 Ardoin, Brent C., MD 728 Poinciana Ave Mamou, LA 70554 (337) 468-0267 801 Poinciana Ave Mamou, LA 70554 (337) 468-5261 DERMATOLOGY Daigle, Michael J., MD 1101 S College Rd Ste 302 Lafayette, LA 70503 (337) 233-8843 Drew, Lien Kim Bui, MD 91 Settlers Trace Blvd Bldg 3 Lafayette, LA 70508 (337) 524-1700 Dupree, Daniel G., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Rholdon, Frankie, MD 91 Settlers Trace Blvd Bldg 3 Lafayette, LA 70508 (337) 524-1700 Patout, Venetia M., MD 602 N Lewis St Ste 600 New Iberia, LA 70563 (337) 560-1200 Speeg, Emily M, MD 91 Settlers Trace Blvd Bldg 3 Lafayette, LA 70508 (337) 524-1700 Wiltz, Katy L., MD 91 Settlers Trace Blvd Bldg3 Lafayette, LA 70508 (337) 524-1700 Chastant, Bradley, MD University Medical Ctr 2390 W Congress St Lafayette, LA 70506 (337) 261-6831 Dakin, Kim L., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6381 Duplechain, Gregory, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Duplechain, Jesse K., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6381 Durel, Jason J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6415 Hebert, II, Richard, MD 3521 Hwy 190 Ste S Eunice, LA 70535 (337) 550-8530 Joseph, Jeffrey J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 EAR, NOSE, & THROAT/ OTOLARYNGOLOGYPEDIATRIC Simon, Lawrence, MD 3521 Hwy 190 Ste S Eunice, LA 70535 (337)550-8530 ENDOCRINOLOGY Baquet, Bennett T., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 GASTROENTEROLOGY Abshire, Stephen, MD 1211 Coolidge Blvd Ste 303 Lafayette, LA 70503 (337) 232-6697 Ahluwalia, Jatinder P., MD 4400A Ambassador Caff # 287 Lafayette, LA 70508 (337) 205-7474 Alvarez, Luis E., MD 1100 Andre St Ste 301 New Iberia, LA 70563 (337) 364-9225 1101 S College Rd Lafayette, LA 70503 (337) 993-3404 Arterburn, James, MD 1211 Coolidge Blvd Ste 303 Lafayette, LA 70503 (337) 232-6697 Boagni, C. Scott, MD 331 S Main St Opelousas, LA 70570 (337) 942-7155 Montgomery, Denbo H., MD University Medical Center 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Stueben, Eugene T., MD 2390 W. Congress St Lafayette, LA 70506 (337) 261-6543 Noel, Phillip E., MD 2390 W. Congress St Lafayette, LA 70506 (337) 261-6145 Toups, Justin P., MD 403 Corporate Dr., Ste C Houma, LA 70360 (985) 446-1958 Rizzo, Monty J., MD 2308 E Main St Ste B New Iberia, LA 70560 (337) 365-3541 Trawick, Eric, MD 1211 Coolidge Blvd Ste 303 Lafayette, LA 70503 (337) 232-6697 GERIATRIC MEDICINE Ardoin, Brent C., MD 728 Poinciana Ave Mamou, LA 70554 (337) 468-0267 801 Poinciana Ave Mamou, LA 70554 (337) 468-5261 Guidry, Lonn E., MD 2390 W Congress St Lafayette, La 70506 (337) 261-6789 Lagraize, Tami T., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6381 HEMATOLOGY/ ONCOLOGY Brierre, Joseph E., MD 4809 Ambassador Caff Pkwy Ste 110 Lafayette, LA 70508 (337) 235-7898 627 Prudhomme St Ste 2 Opelousas, LA 70570 (337) 942-7898 2309 E Main St Ste 301 New Iberia, LA 70560 (337) 364-4415 1325 Wright Ave Ste J Crowley, LA 70526 (337) 783-4774 Charbonnet, Mark, MD 602 N Lewis #600 New Iberia, LA 70563 (337) 560-5510 Cole, James L., MD 4809 Ambassador Caff Pkwy Ste 110 Lafayette, LA 70508 (337) 235-7898 627 Prudhomme St Ste 2 Opelousas, LA 70570 (337) 942-7898 2309 E Main St Ste 301 New Iberia, LA 70560 (337) 364-4415 Donald, Chancellor, MD 4809 Ambassador Caff Ste 110 Lafayette, LA 70508 (337) 235-7898 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 71 of 159 627 E Prudhomme St Ste 2 Opelousas, LA 70570 (337) 942-7898 Malad, Salman, MD 2390 W Congress St. Lafayette, LA 70162 (337) 261-6381 Rinaldi, David A., MD 4809 Ambassador Caff Pkwy Ste 110 Lafayette, LA 70508 (337) 235-7898 627 Prudhomme St Ste 2 Opelousas, LA 70570 (337) 942-7898 2309 E Main St Ste 301 New Iberia, LA 70560 (337) 364-4415 Roden, Karen B., MD 4809 Ambassador Caff Pkwy Ste 110 Lafayette, LA 70508 (337) 235-7898 627 Prudhomme St Ste 2 Opelousas, LA 70570 (337) 942-7898 2309 E Main St Ste 301 New Iberia, LA 70560 (337) 364-4415 1325 Wright Ave Ste J Crowley, LA 70526 (337) 783-4774 INFECTIOUS DISEASE Borrero, Elizabeth, MD 2390 W Congress St Lafayette, LA 70506 (337)261-6100 Lopez, Alfredo A., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Okechukwu, Vitalis, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Sells, Nicholas R., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6100 Taylor, Stephanie N., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6789 Barnes, Jr., Donald W., MD 3521 Hwy 190 Ste W Eunice, LA 70535 (337) 550-3740 Heinen, Monty, MD 3448 Hwy 190 Eunice, LA 70535 (337) 546-6237 NEPHROLOGY Barnhill, Danny R., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6657 Hill Jr., Lewis W., MD 2390 Congress St Lafayette, LA 70506 (337) 261-6381 Brown, Kenneth E., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6657 Jarnagin, Thomas R., MD 1270 Attakapas Dr Ste 101 Opelousas, LA 70570 (337) 942-8975 Cardinale, Francis J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Jurgelsky, Debbie, MD 4540 Ambassador Caff Pkwy Ste A200 Lafayette, LA 70508 (337) 988-2929 Ashkar, Ziad M., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6381 Higginbotham, Raphael J., MD 927 E Prudhomme St Opelousas, LA 70570 (337) 594-0675 111 Saint Louis St Lafayette, LA 70506 (337) 456-5500 Zeik, Juan C., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6381 NEUROLOGY Gervais, Donald S., MD 8120 Main St Ste 400 Houma, LA 70360 (985) 917-3007 1126A Marguerite St Morgan City, LA 70380 (985) 917-3007 Haight, Edward S., MD 8120 Main St Ste 400 Houma, LA 70360 (985) 917-3007 1126A Marguerite St Morgan City, LA 70380 (985) 917-3007 Thibodeaux, Lisa, MD 1126A Marguerite St Morgan City, LA 70360 (985) 917-3007 8120 Main St Ste 400 Houma, LA 70360 (985) 917-3007 OB/GYN Albrecht, Christine D., MD 869 Verret St Houma, LA 70360 (985)873-0112 Chesson Jr, Ralph R., MD 2390 West Congress Lafayette, LA 70506 (337) 261-6381 Dibbs, Paul K., MD 3975 I-49 S Srvc Rd #103 Opelousas, LA 70570 (337) 942-1151 105 Corporate Blvd Lafayette, LA 70508 (337) 593-9099 Elias, Darryl L. MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Elias Jr, Darryl, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6657 Fabacher, Philip J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Fogleman, Trent J., MD 1119 N Main St St. Martinville, LA 70582 (337) 394-7774 500 Patterson St Lafayette, LA 70501 (337) 769-9451 2602 North Dr Abbeville, LA 70510 (337) 893-1101 Fontenot, Kayla R., MD 151 Hill St Ste 3 Eunice, LA 70535 (337)446-7246 Kerkhoff, Louis A., MD 1268 Attakapas Dr Ste 102 Opelousas, LA 70570 (337) 948-1711 Kulkarni, Upendra, MD 805 Cherry St Mamou, LA 70554 (337) 468-9011 119 N Hospital Dr Oakdale, LA 71463 (318) 335-0260 Nevils, Bobby G., MD 2390 W. Congress St Lafayette, LA 70506 (337) 261-6657 Nolan, Thomas E., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Peacock, Lisa M., MD University Medical Center 2390 W Congress St Lafayette, LA 70506 (337) 261-6580 Pinac III, Andre L., MD 816 Creswell Ln Ste 1 Opelousas, LA 70570 (337) 942-2112 Provost, Holly C, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6657 Soules, Karen A., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6391 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 72 of 159 Williams, Valerie L., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6657 OCCUPATIONAL MEDICINE Phillips Savoy, Amanda R, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 OPHTHALMOLOGY Arceneaux, Richard L., MD 268 Corporate Dr Houma, AL 70360 (985)879-2393 1301 Victor II Bvld Morgan City, LA 70380 (985)385-5745 1500 Northwest Blvd Franklin, LA 70538 (337)828-3651 Arora, Satish, MD 268 Corporate Dr Houma, LA 70360 (985) 879-2393 Aviner, Zvi, MD 4313 I-49 S Srvc Rd Opelousas, LA 70570 (337) 942-2024 201 Rue Iberville Ste 800 Lafayette, LA 70508 (337) 235-2149 Azar Jr., Paul J., MD 516 St. Landry St Lafayette, LA 70506 (337) 233-5672 2390 W Congress St. Lafayette, LA 70506 (337) 261-6673 Azar, Susan E., MD 516 St. Landry St Lafayette, LA 70506 (337) 233-5672 2390 W Congress St. Lafayette, LA 70506 (337) 261-6673 Billingsley, Clarence B., MD 4313 I-49 S Srvc Rd Opelousas, LA 70570 (337) 942-2024 201 Rue Iberville Ste 800 Lafayette, LA 70508 (337) 235-2149 Blem, Robert I., MD 1000 W Pinhook Ste 301 Lafayette, LA 70503 (337) 264-1011 4313 I-49 S Service Rd Opelousas, LA 70570 (337) 942-2024 Borne, Claire, L, MD 105 St Julien St Lafayette, LA 70506 (337) 262-2500 Bourgeois, Richard, MD 1000 W Pinhook Rd Ste 300 Lafayette, LA 70503 (337) 264-1390 Broussard, Emile D., MD 204 N Magdalen Sq Abbeville, LA 70510 (337) 893-4452 Brown, Kerry M., MD 204 N Madgalen Sq Abbeville, LA 70510 (337) 893-4452 Casanova, III, Thomas H., MD 515 E 6th St Crowley, LA 70506 (337) 783-3073 516 Saint Landry St. Lafayette, LA 70506 (337) 235-7791 2390 W Congress St. Lafayette, LA 70506 (337) 261-6381 Cohen, Gerald, MD 603 Dunn St Houma, LA 70360 (504) 895-3961 712 Belanger St Houma, LA 70360 (504) 895-3961 446 Corporate Dr Houma, LA 70360 (504) 895-3961 Cousins, Gwen, MD 712 Belanger St Houma, LA 70360 (985) 868-6420 603 Dunn St Houma, LA 70360 (985) 876-6980 446 Corporate Dr Houma, LA 70360 (504) 895-3961 Culotta, Frank J., MD 1101 S College Rd Ste 304 Lafayette, LA 70503 (337) 232-2710 Falgoust, Quentin, MD 268 Corporate Dr Houma, LA 70360 (985) 879-2393 1500 Northwest Blvd Franklin, LA 70538 (337) 828-3651 1301 Victor II Blvd Morgan City, LA 70380 (985) 385-5744 Foreman, Julie Larkin, MD 2390 W Congress St Lafayette, LA 70506 (337)261-2500 Gauthreaux, Scott T., MD 1101 S College Rd Ste 304 Lafayette, LA 70503 (337) 232-2710 Gitter, Kurt, MD 712 Belanger St Houma, LA 70360 (985) 868-6420 603 Dunn St Houma, LA 70360 (985) 876-6980 Graul, Edward E. Jr., MD 251 Moosa Blvd Eunice, LA 70535 (337) 457-1638 516 St. Landry St Lafayette, LA 70506 (337) 235-7791 Hall III, Frederick D., MD 516 St. Landry St Lafayette, LA 70506 (337) 233-5672 2390 W Congress St. Lafayette. LA 70506 (337) 261-6673 Kosmidis, Alexander P., MD 1978 industrial Blvd Houma, LA 70363 (985) 873-1265 LaHaye, Leon C., MD 4313 I-49 S Srvc Rd Opelousas, LA 70570 (337) 942-2024 201 Rue Iberville Ste 800 Lafayette, LA 70508 (337) 235-2149 LeBlanc, Kirk S., MD 1000 W Pinhook Rd Ste 303 Lafayette, LA 70503 (337) 234-8533 Mears, Katrina A., MD 401 St. Julien St. Lafayette, LA 70506 (337) 262-2500 Murray, Lewis V., IV, MD 2390 W Congress Lafayette, LA 70506 (337) 261-6381 Neu, Cheryl L., MD 516 St. Landry St Lafayette, LA 70506 (337) 233-5672 2390 W Congress St Lafayette, LA 70506 (337) 261-6673 Piccione, Richard J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Reish, Eric R., MD 206 Jack Miller Rd Ville Platte, LA 70586 (337) 506-2121 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Smith, Lionel, MD 4313 I-49 S Srvc Rd Opelousas, LA 70570 (337) 942-2024 201 Rue Iberville Ste 800 Lafayette, LA 70508 (337) 235-2149 Stahel, Jr., Edward E., MD 268 Corporate Dr Houma, LA 70360 (985) 879-2393 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 73 of 159 1301 Victor II Blvd Morgan City, LA 70380 (985) 385-5745 1500 Northwest Blvd Franklin, LA 70538 (337) 828-3651 Steigner, J. Bruce, MD 712 Belanger St Houma, LA 70360 (985) 868-6420 Thurston, Jared S., MD 1120 8th St. Ste B Morgan City, LA 70380 (985) 380-5688 Willson, Ronald, MD 712 Belanger St Houma, LA 70360 (504) 895-3961 603 Dunn St Houma, LA 70360 (504) 895-3961 446 Corporate Dr Houma, LA 70360 (504) 895-3961 Young, III, Robert J., MD 327 Iberia St, Ste 6 Youngsville, LA 70510 (337) 857-5567 Zhuk, Stanislav A., MD 603 Dunn St Houma, LA 70360 (504) 895-3961 712 Belanger St Houma, LA 70360 (504) 895-3961 446 Corporate Dr Houma, LA 70360 (504) 895-3961 ORTHOPAEDICS Baronne II, Lon M, MD 108 Rue Louis XIV Lafayette, LA 70508 (337) 235-8007 Duval, Michael J., MD 108 Rue Louis XIV Lafayette, LA 70508 (337) 235-8007 Fenn Jr, Paul E., MD 301 Rue Beauregard Ste C Lafayette, LA 70508 (337) 534-0653 Foster, Walter S., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6038 Burch, Howard, MD 1214 Coolidge Street Lafayette, LA 70503 (337) 289-7991 Leddy III, Michael J, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Carney, Joel, MD 1214 Coolidge Street Lafayette, LA 70503 (337) 289-7991 Mayeux, Mary A., MD 1000 W Pinhook Rd Ste 305 Lafayette, LA 70503 (337)235-1600 Delta Pathology Group, LLC 4801 Ambassador Caffery Pkwy Lagayette, LA 70508 (337) 470-2172 Melancon, Keith P., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Nason, Stephen S., MD 4940 Vidrine Rd Ville Platte, LA 70586 (337) 506-3560 Perry, Adam T., MD 108 Rue Louis XIV Lafayette, LA 70508 (318) 235-8007 Rich, Christopher, MD 2390 W. Congress St Lafayette, LA 70506 Gombos, Zoltan, MD 1214 Coolidge Street Lafayette, LA 70503 (337) 289-7689 Hayden, Dorothy V., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6381 Santiago, Kerri B., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6212 (337) 261-6038 PHYSICAL MEDICINE & REHABILITATION Romero, Neil C., MD 108 Rue Louis XIV Lafayette, LA 70508 (318) 235-8007 Alfonso, Lacie A., MD 110 Travis St Ste 122 Lafayette, LA 70503 (337)233-7977 Yerger, Edward S., MD 2390 W Congress St. Lafayette, LA 70506 (337) 261-6381 Bozzelle Jr., Joseph R., MD 3975 I49 S Svc Rd Ste 103 Opelousas, La 70563 (337) 942-2822 PAIN MANAGEMENT Wyble, Stephen, MD 3983 I49 S Srvc Rd Opelousas, LA 70570 (337) 407-4512 PATHOLOGY 602 N Lewis St Ste 200 New Iberia, LA 70563 (337) 492-5552 1319 W Pinhook Rd Ste 251 Lafayette, La 70503-2902 (337) 234-5541 Barre, Gregg, MD 1214 Coolidge Street Lafayette, LA 70503 (337) 289-7991 Franklin, Robert JR., MD 101 B Energy Pkwy Lafayette, LA 70508 (337)264-9363 Bozner, Peter, MD 1214 Coolidge Street Lafayette, LA 70503 (337) 289-7991 Kishner, Stephen, MD 1978 Industrial Blvd Houma, LA 70363 (985) 873-2200 Lasseigne, Kevin J., MD 4809 Ambassador Caff Pkwy Ste 420 Lafayette, LA 70508 (337) 572-9750 108 Rue Louis XIV Lafayette, LA 70508 (337) 325-8007 Mathai, Mary, MD 1978 Industrial Ave Houma, LA 70363 (985) 873-2200 Moses, Donald, MD 1214 Coolidge Blvd Lafayette, LA 70503 (337) 289-7991 Smith, Carolyn Y., MD 850 N Pierce St Ste C Lafayette, LA 70501 (337) 289-5668 Zimmerman, Peter, MD 3975 I-49 S Srvc Rd Ste 103 Opelousas, LA 70570 (337) 942-2822 501 W St Mary Blvd Ste 110 Lafayette, LA 70506 (337) 233-8887 PSYCHIATRY Bishop Baier, Margaret J., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Bramlet, Jr., Charles E., MD 119 Rue Fontaine Lafayette, LA 70508 (337) 991-9162 Carter, Desiree M., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 Hamm, Barbara L., MD 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Landry, Philip A., MD 216 Robin Ln Opelousas, LA 70570 (337) 942-5815 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 74 of 159 McCoy, Kristoffer G., MD 800 Kaliste Saloom Rd Lafayette, LA 70508 (337) 233-2400 Hales, James D., MD 2309 E Main St Ste 202 New Iberia, LA 70560 (337) 364-8500 McClenahan, Eben L., MD 500 Roderick St, Ste B Morgan City, LA 70380 (985) 380-2460 Kitakule, Moses M., MD 2309 E Main St Ste 202 New Iberia, LA 70560 (337) 364-8500 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 2390 W Congress Lafayette, LA 70506 (337)261-6381 Muller, Betty A., MD 500 Roderick St., Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Parsa, Daren D., MD 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Pulakhandam, Sreelatha R., MD 1526 North Ave I Crowley, LA 70526 (337) 788-3330 4801 Ambassador Caff Pkwy Lafayette, LA 70508 (337) 470-2000 Vega, Melanie, MD 5599 Hwy 311 Houma, LA 70360 (985) 857-3706 500 Roderick St. Ste B Morgan City, LA 70380 (985) 380-2460 Winston, Bob, MD 1526 North Ave I Crowley, LA 70526 (337) 788-3380 PULMONARY MEDICINE Malek, Fadi Y., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 4212 W Congress Ste 2350 Lafayette, LA 70506 (337) 364-8500 Stueben, Roger E., MD 100 Asma Blvd Bldg 1 Ste 205 Lafayette, LA 70508 (337) 289-5605 RADIATION ONCOLOGY Anderson, John F., MD 4809 Ambassador Caff Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 1201 David Dr Morgan City, LA 70380 (985) 385-1533 3975 I-49 S Service Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 1108 E 8th Street Crowley, LA 70526 (337) 788-3334 917 General Mouton Lafayette, LA 70501 (337) 237-2057 Castle, Katherine O., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Fields, Robert S., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Harwood, Andrew R., MD 4809 Ambassador Caff Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 1201 David Dr Morgan City, LA 70380 (985) 385-1533 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 3975 I-49 S Service Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 1201 David Dr Morgan City, LA 70380 (985) 385-1533 1108 E 8th Street Crowley, LA 70526 (337) 788-3334 3975 I-49 S Service Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 917 General Mouton Lafayette, LA 70501 (337) 237-2057 1108 E 8th Street Crowley, LA 70526 (337) 788-3334 Bermudez, Richard S., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Caletri, David K., MD 4809 Ambassador Caff Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 917 General Mouton Lafayette, LA 70501 (337) 237-2057 Henkelmann, Gregory C., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Johnson, Sheldon A., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 King, Jr., Maurice L., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Krawczyk, Julian, MD 4809 Ambassador Caff Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 1201 David Dr Morgan City, LA 70380 (985) 385-1533 3975 I-49 S Service Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 1108 E 8th Street Crowley, LA 70526 (337) 788-3334 917 General Mouton Lafayette, LA 70501 (337) 237-2057 Levine, Renee A., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Lo, Kenneth K., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Long, Jeffrey P., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Mahoney, Brent, MD 803 Poinciana Ave Mamou, LA 70554 (337) 468-3099 Prellop, Perri B., MD 4809 Ambassador Caff Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 75 of 159 917 General Mouton Ave Lafayette, LA 70501 (337) 237-2057 917 General Mouton Ave Lafayette, LA 70501 (337) 237-2057 1201 David Dr Morgan City, LA 70380 (985) 385-1533 1201 David Dr Morgan City, LA 70380 (985) 385-1533 3975 I-49 S Srvc Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 3975 I-49 S Srvc Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 1108 E 8th St Crowley, LA 70526 (337) 788-3334 1108 E 8th St Crowley, LA 70526 (337) 788-3334 5000 Amb Caffery Pkwy Bldg 4 Lafayette, LA 70508 (337) 706-8960 Reinninger, Charles MD 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 4809 Ambassador Caffery Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 917 General Mouton Lafayette, LA 70501 (337) 237-2057 3975 I49 S Service Rd Ste 106 Opelousas, LA 70570 (337) 942-7609 1201 David Dr Morgan City, LA 70380 (985) 385-1533 8th 1108 E St Crowley, LA 70526 (337) 788-3334 Sanders, Mary Ella, MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 Wilt, Stephen R., MD 4809 Ambassador Caff Pkwy Ste 100 Lafayette, LA 70508 (337) 769-8660 525 N Lewis St New Iberia, LA 70563 (337) 364-1131 Wood, Charles G., MD 8166 Main St Ste 101 Houma, LA 70360 (985) 876-9045 RADIOLOGY Akkaraju, Vidyadhar, MD 2311 Kaliste Saloom Rd Lafayette, LA 70508 (337) 231-5776 Ballanco, Jr., Gerard A., MD 539 E Prudhomme St Opelousas, LA 70570 (337) 942-6883 Burns, Rodney, MD 3501 Hwy 190 E Eunice, LA 70535 (337) 580-7856 Gierbolini, Mayte, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 McCoy, Victor, MD 3501 Hwy 190 E Eunice, LA 70535 (337) 580-7856 Gonzales-Roman, Arturo D., MD 2390 W Congress St Lafayette, LA 70506 (337)261-6098 McReynolds, Robert C, MD 539 E Prudhomme St Opelousas, LA 70570 (337) 942-6883 Hindelang III, Floyd M., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Kelsey, Judith, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Lafleur, Dianne, MD 800 E Main St Ville Platte, LA 70586 (337) 942-1915 810 S Broadway St Church Point, LA 70525 (337) 942-1915 Lapidus, Robert L., MD 1310 W 7th St Kaplan, LA 70548 (337) 643-8300 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Carbajal, Scott A., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Lastrapes, Richard, MD 539 E Prudhomme St Opelousas, LA 70570 (337) 942-6883 Engert, Erwin, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Lum, Gary, MD 3501 Hwy 190 E Eunice, LA 70535 (337) 580-7856 Fakier, David R., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Marcantel, Kara B., MD 4212 W Congress St Ste 2100 Lafayette, LA 70506 (337) 456-6523 Gervais, Wendy S., MD 8120 Main St Ste 400 Houma, LA 70360 (985) 917-3007 1126A Marguerite St Morgan City, LA 70380 (985) 917-3007 120 Rue Louis XIV Lafayette, LA 70508 (337)769-7779 4940 Vidrine Rd Ville Platte, LA 70586 (337) 456-6526 2nd 108 S St Eunice, LA 70535 (337) 456-6526 Partington, Curtis, MD 3501 Hwy 190 E Eunice, LA 70535 (337) 580-7856 Reed, Jr., Joseph R., MD 800 E Main St Ville Platte, LA 70586 (337) 942-1915 810 S Broadway St Church Point, LA 70525 (337) 684-5435 4321 Hwy 1192 Opelousas, LA 70571 (337) 942-1915 Reina, Ro Risa, MD 801 Poinciana Ave Mamou, LA 70554 (877)284-9984 Rivero, Jose, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6000 Sharkey, Paula, MD 539 E Prudhomme St Opelousas, LA 70570 (337) 942-6883 Stelly, Marcus, V., MD 3501 Hwy 190 E Eunice, LA 70535 (337) 580-7856 Willett, Edward D., MD 539 E Prudhomme St Opelousas, LA 70570 (337) 942-6883 RADIOLOGY – ONCOLOGY Long, Jeffrey P., MD 8120 Main St Ste 102A Houma, LA 70360 (985) 876-9045 Shumadine, Jason T., MD 120 Rue Louis XIV Lafayette, LA 70508 (337)769-7779 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 76 of 159 RHEUMATOLOGY Malin, Jennifer K., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 SURGERY Cardiovascular Thoracic Surgery Allam, Mohamad A., MD 5000 Ambassador Caff Pkwy Ste 14A Lafayette, LA 70508 (337) 234-7779 Dearman, Richard M., MD 5000 Ambassador Caff Pkwy Ste 14A Lafayette, LA 70508 (337) 234-7779 Tedesco, Victor E., MD 5000 Ambassador Caff Pkwy Ste 14A Lafayette, LA 70508 (337) 234-7779 General Surgery Amy, Eric P., MD 703 E Prudhomme Opelousas, LA 70570 (337) 942-7192 Barrios III, Dave J., MD 200 Beaullieu Dr Bldg 3B Lafayette, LA 70508 (337)261-9004 Chappuis Jr., Charles W., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6831 Thibodeaux, Kerry T., MD 1233 Wayne Gilmore Cir Ste 250B Opelousas, LA 70570 (337)943-4362 Colomb, Keith A., MD 200 Beaullieu Dr Bldg #5 Lafayette, LA 70508 (337) 267-4336 Vazquez, Salvador H., MD 703 E Prudhomme St Opelousas, LA 70570 (337) 942-7192 Dauterive, Edward W., MD 1100 Andre St Ste 101 New Iberia, LA 70563 (337) 369-9309 Surgery – Vascular Surgery Fontenot, Christopher, MD 200 Beaullieu Bldg 7 Lafayette, LA 70508 (337) 232-4555 Ghanami, Racheed J, MD 155 Hospital Dr Ste 410 Lafayette, LA 70503 (337) 289-9700 LaHaye, Marcellus E., MD 4940 Vidrine Rd Ville Platte, LA 70586 (337)506-3540 LaGraize, Christopher, MD 155 Hospital Dr Ste 410 Lafayette, LA 70503 (337) 289-9700 Neusetzer, Scott M., MD 1016 Coolidge Blvd Lafayette, LA 70503 (337)233-6665 Miller, Weston P., MD 2620 North Dr Abbeville, LA 70510 (337) 898-1520 Roth, William B., MD 1000 W Pinhook Rd Ste 304 Lafayette, LA 70503 (337)289-9155 Savoy, Gregory M., MD 1508 Cajun Dr Ste C Mamou, LA 70554 (337) 468-5309 Shuffler, Samuel H., MD 1000 W Pinhook Rd Ste 304 Lafayette, LA 70503 (337)289-9155 Eschete, Jr, Dennis J., MD 1000 W Pinhook Rd Ste 310 Lafayette, LA 70503 (337) 233-9900 Frey, Daniel J, MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6657 Gachassin, Philip, MD 1000 W Pinhook Rd Ste 310 Lafayette, LA 70503 (337)233-9900 Harkrider, Jr., William, MD University Medical Ctr 2390 W Congress St Lafayette, LA 70506 (337) 261-6831 Minardi,Jr, Andrew J., MD 809 Cherry St Mamou, LA 70554 (337)468-5399 2390 W Congress Street Lafayette, LA 70506 (337) 261-6000 Morvant, Jason, MD 2309 E Main St Ste 200 New Iberia, LA 70560 (337) 364-7226 Berry, Thomas C, MD 1302 Lakewood Dr Ste 202 Morgan City, LA 70380 (985) 384-3433 O’Brien, Kurt B., MD 2309 E Main St Ste 200 New Iberia, LA 70560 (337) 364-7226 Birriel, Tomas, MD 1151 Marguerite St Ste 100 Morgan City, LA 70380 (985) 387-7173 Sabbaghian, Bahman B., MD 1307 Crowley Rayne Hwy Ste D Crowley, LA 70526 (337) 783-3624 Bolin, John A., MD 4630 Ambassador Caff Pkwy Ste 308 Lafayette, LA 70508 (337) 989-8770 Castille, Thomas A., MD 703 E Prudhomme St Opelousas, LA 70570 (337) 942-7192 Stirling, Carl T., MD 600 Haifleigh St Franklin, LA 70538 (337) 828-1456 UROLOGY Bacque`, Frank R., MD 602 St. Landry St Lafayette, LA 70506 (337)235-1200 Bourque, Thad A., MD 2390 W Congress St Lafayette, LA 70506 (337) 261-6381 1103 Kaliste Saloom Rd Ste 200 Lafayette, LA 70508 (337) 998-1803 703 E Prudhomme Opelousas, LA 70570 (337) 942-7192 Breaux, Edward F., MD 1016 Coolidge Blvd Lafayette, LA 70503 (337)233-6665 Chassaignac, Jeanette M., MD 1016 Coolidge Blvd Lafayette, LA 70503 (337)233-6665 Chesson Jr, Ralph R., MD 2390 West Congress Lafayette, LA 70506 (337) 261-6381 Ducote, Martin J., MD 200 Beaullieu Lafayette, LA 70508 (337)232-4555 Speeg, Jeremy S., MD 1016 Coolidge Blvd Lafayette, LA 70503 (337)233-6665 Thibodeaux, Jeffrey, MD 200A Energy Pkwy Lafayette, LA 70508 (337) 233-9546 Vallee, John P., MD 1926 S Union St Opelousas, LA 70570 (337)594-2025 ANCILLARY SERVICES CHIROPRACTORS Barczyk, David James, DC 204 Petroleum Dr Lafayette, LA 70508-3723 Carr, Michelle M., DC 105 Westmark Blvd Lafayette, LA 70506 (337) 993-2277 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 77 of 159 Cavanaugh, Matthew J., DC 105 Independence Blvd Ste 3 Lafayette, LA 70506 (337) 984-5852 Cavanaugh, Michael, DC 105 Independence Blvd #3 Lafayette, LA 70506 (337) 984-5852 Grimsley, Connie, DC 105 Independence Blvd #3 Lafayette, LA 70506 (337) 984-5852 Hamilton, Carissa, DC 155 Odd Fellows Rd Crowley, LA 70526 (337)783-3334 Tiel, Jason, J., DC 2801 Kaliste Saloom Rd Ste 200 Lafayette, LA 70508 (337) 984-8605 Turk, Joe E., DC 610 W Walnut Ave Eunice, LA 70535 (337) 457-0734 Vidrine, Ryan J., DC 724 S Lewis St New Iberia, LA 70560 (337)369-7011 204 Petroleum Dr Lafayette, LA 70508 (337)266-9949 DENTIST-GENERAL PRACTICE Lindsly, John, DDS 6450 LA Hwy 1 Innis, LA 70747 (225) 492-3775 Nguyen, Nga H., DMD 500 Patterson St Lafayette, LA 70501 (337) 769-9451 Ricciardone, Joshua, DMD 500 Patterson St Lafayette, LA 70508 (337) 769-9451 Ricciardone, Tania, DMD 613 John F Kennedy Dr Crowley, LA 70526 (337) 783-5519 DIAGNOSTIC SERVICES 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 Advancaed Imaging of Lafayette, LLC 935 Camelia Blvd Ste 101 Lafayette, LA 70508 (337) 984-2036 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 1285 Corporate Center Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 Cardiostaff Corporation 4014 Medical Pkwy Ste 200 Austin, TX 78756 (512) 419-1755 Envision Imaging of Acadiana 856B Kaliste Saloom Rd Lafayette, La 70508 (337) 593-9500 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 25060 Ave Stanford Ste 270 Valencia, CA 91355 mdINR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 72 Bonaventura San Jose, CA 95134 (661) 942-3296 OGH Imaging 1341 I-49 S Srvc Rd Grand Coteau, LA 70541 (337) 662-0033 Raytel Cardiac Services 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 DIALYSIS TREATMENT CENTER BMA Franklin 1604 Cynthia St Franklin, LA 70538 (337) 828-4747 BMA New Iberia 609 Rue de Brille New Iberia, LA 70560 (337) 364-1185 Crowley Dialysis Center 625 E 8th St Crowley, LA 70526 (337) 783-0013 FMC Dialysis Services Breaux Bridge 100 Champagne Blvd Bldg A Breaux Bridge, LA 70517 (337) 332-6813 FMC Dialysis Services Mamou 801 Poinciana Ave. Mamou, LA 70554 (337) 468-2245 Fresenius Medical Care East Lafayette 1340 Surrey St Lafayette, LA 70501 (337) 264-1265 Fresenius Medical Care of Morgan City 7552 A Hwy 182 E Morgan City, LA 70380 (985) 385-3338 North Lafayette Dialysis Center 910 Martin Luther King Dr Lafayette, LA 70501 (337) 234-0084 Opelousas Artificial Kidney Center 528 E Vine St Opelousas, LA 70570 (337) 948-1550 Southern Dialysis Services 800 Point St Houma, LA 70360 (985) 868-0989 Vermillion Parish Dialysis Center 904 N John M. Hardy Rd Abbeville, LA 70510 (337) 893-7577 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) Evangeline Family Medicine 505 E Lincoln Rd Ville Platte, LA 70586 (337)363-0605 FMC Dialysis Services Sunset 115 Acorn Dr Sunset, LA 70584 (337) 662-3702 Northside Community Health Center 1800 Louisiana Ave Lafayette, LA 70501 (337)232-6787 FMC Dialysis Services of Ville Platte 616 Jack Miller Rd Ville Platte, LA 70586 (337) 363-1275 Southwest Louisiana Center of Health Services 613 John F Kennedy Crowley, LA 70526 (337) 439-9983 FMC Dialysis Services West Lafayette 2804 Ambassador Caff Pkwy Lafayette, LA 70506 (337) 984-7299 FMC Eunice 1101 Nile St Eunice, LA 70535 (337) 550-6585 500 Patterson St Lafayette, LA 70501 (337) 439-9983 Southwest Louisiana Primary Health Care Ctr 8762 Hwy 182 Opelousas, LA 70570 (337)942-2005 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 78 of 159 HEARING CENTER/AUDIOLOGY Thom, Ashley B., AuD 3521 Hwy 190 Ste S Eunice, LA 70535 (337) 550-8530 HOME HEALTH CARE Acadia-St. Landry Home Health Agency 133 Robert St Church Point, LA 70525 (337) 684-6683 Acadian HomeCare 515 Verot School Rd Ste A Lafayette, LA 70508 (337) 235-8185 Acadian HomeCare/ Abbeville 302 North Hospital Dr Abbeville, LA 70510 (337) 892-0805 Acadian HomeCare/ Acadia Parish 714 N Ave K Crowley, LA 70526 (337) 785-8080 Acadian HomeCare/ New Iberia 110 French St New Iberia, LA 70560 (337) 367-1882 Acadian HomeCare of New Iberia 2313 E Main St Ste D New Iberia, LA 70560 (337) 364-4422 Amedisys Louisiana LLC dba Amedisys Home Health 1201 Camellia Blvd., Ste. 201 Lafayette, LA 70508-7228 (337) 989-6913 2341 Larkspur Ln., Ste. 3 Opelousas, LA 70570-8664 (337) 948-3223 1403 St Charles St, Ste 101 Houma, LA 70360 (985) 872-1955 Central Louisiana Home Health 615 S Court St Opelousas, LA 70570 (337) 407-1002 Community Home Health 327 Iberia St Unit 5 Youngsville, LA 70592 (337) 857-2580 St. Landry HomeCare 816 Creswell Ln Ste 3 Opelousas, LA 70570 (337) 943-2664 Concepts of Care Home Health, Inc. 100 General Mouton Ave Lafayette, LA 70501 (337) 289-9688 St. Landry HomeCare 828 Creswell Ln Opelousas, LA 70570 (337) 235-8185 420 W Lastie St Erath, LA 70533 (337) 937-5378 Evangeline Home Health 1424 Fusilier Ave Basile, LA 70515 (337) 432-5986 Franklin HomeCare 613 Second St Franklin, LA 70538 (337) 828-2929 Innovative Home Health Services Inc 1101 East Admiral Doyle Dr Ste 404 New Iberia, LA 70560 (337) 365-7770 Kaplan HomeCare 800 N Monceaux Kaplan, LA 70548 (337) 643-8207 Louisiana HomeCare of Lafayette 1501 Kalliste Saloom Rd Unit L Lafayette, LA 70508 (337) 406-2539 Louisiana HomeCare of Mamou 302 Main St Mamou, LA 70554 (337) 468-3277 Louisiana Home Health of Houma 200 Lapalco Blvd Gretna, LA 70056 (504) 394-0102 Medical Team, Inc. 4722 Hwy 311 Houma, LA 70360 (985) 872-6666 Nursing Care 11102 N Victor II Blvd Morgan City, LA 70380 (985) 384-3478 Stat Home Health, LLC 6104 W Park Ave Houma, LA 70364 (985) 872-2422 Stat Home Health West, LLC 101 S Main St Breaux Bridge, LA 70517 (337) 332-0163 840 S Washington St Lafayette, LA 70501 (337) 235-8566 224 N Lewis Ave New Iberia, LA 70563 (337) 364-6603 Synergy Home Care Acadiana Region 4023 Ambassador Caff Pkwy Ste 420 Lafayette, LA 70503 (337)216-9740 2410 Jake Dr Ste 1 Opelousas, LA 70570 (337)407-1887 Synergy Home Care Capitol Region 801 S Lewis St Ste 4 New Iberia, LA 70560 (337)364-7970 H L Haydel Memorial Hospice 1297 Saint Charles St Ste H Houma, LA 70360 (985) 655-1020 Hospice of Acadiana Inc. 2600 Johnston St Ste 200 Lafayette, LA 70503 (337) 232-1234 Hospice Compassus 302 La Rue France Ste 200 Lafayette, LA 70508 (337) 235-8690 SouthernCare Houma 1234 St. Charles St Ste B Houma, LA 70360 (985) 873-7424 SouthernCare Lafayette 109 Abigayle’s Row Scott, LA 70583 (337) 291-1818 St. Joseph Hospice of Acadiana, LLC 1003 S Hugh Wallis Rd Ste F2 Lafayette, LA 70508 (337) 233-1131 INFUSION THERAPY Carepoint Partners 4661 West Park Ave Ste C Houma, LA 70364 (985) 223-4884 913 S College Rd Ste 106 Lafayette, LA 70503 (337) 264-6455 Synergy Home Care Southeastern Region 216 Mystic Blvd Ste H Houma, LA 70360 (985)223-4321 Carmichael’s Cashway Pharmacy, Inc. 1002 N Parkerson Crowley, LA 70526 (337) 783-7263 Ville Platte Home Health Agency 1562 W Main St Ville Platte, LA 70586 (337) 363-9442 INPATIENT REHAB HOSPITAL HOSPICE Amedisys Hospice LLC 100 Asma Blvd., Ste. 265 Lafayette, LA 70508 (337) 265-3724 U Lafayette Physical Rehabilitation Hospital 307 Polly Ln Lafayette, LA 70508 (337) 314-1111 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 79 of 159 LABORATORIES Acadiana Pathology Services 1307 Crowley Rayne Hwy Ste D Crowley, LA 70526 (337) 948-8206 Advanced Medical Laboratories Inc 847 Stewart St Lafayette, LA 70501 (337) 268-9346 Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75244 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Eunice Medical Laboratory 450 Moosa Blvd Ste C Eunice, LA 70535 (337) 457-5562 Evangeline Diagnostic Center 503 Jack Miller Rd, Ste C Ville Platte, LA 70586 (337) 363-8048 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 LabCorp of America 1102 E Admiral Doyle Dr Suite 11 New Iberia, LA 70560 (337) 365-8392 826 School St Houma, LA 70364 (985) 876-7913 4906 Ambassador Caff Ste C-1 Lafayette, LA 70508 (337) 406-2618 217 La Rue France Lafayette, LA 70508 (337) 233-5711 1216 Victor Blvd Ste 300 Morgan City, LA 70380 (985) 384-7174 Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 Iberia Extended Care Hospital 2315 E Main St 3rd Flr New Iberia, LA 70560 (337) 369-1100 OPKO Lab 1450 Elm Hill Pike Nashville, TN 37210 (615) 874-0410 Louisiana Extended Care Hospital of Lafayette 1214 Coolidge Blvd 8th Flr Lafayette, LA 70503 (337) 289-8180 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 ProPath Services, LLP 1355 River Bend Dr Dallas, TX 75247 (214) 631-6721 Quest Diagnostics 855 Belanger St Ste 105 Houma, LA 70360 (985) 917-0424 119 ½ Arnold Blvd Lafayette, LA 70506 (337) 988-2002 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 LONG TERM ACUTE CARE FACILITIES Eunice Extended Care Hospital 3879 Hwy 190 Eunice, LA 70535 (337) 546-0024 Evangeline Extended Care Hospital 801 Poinciana 2nd Flr Mamou, LA 70554 (337) 468-4203 Houma AMG Specialty Hospital 629 Dunn Street Houma, LA 70360 (985) 274-0001 LTAC of Louisiana LLC 310 Youngsville Hwy Lafayette, LA 70508 (337) 839-9880 2810 Ambassador Caffery Pkwy 4th Flr Lafayette, LA 70508 (337) 314-1111 4811 Ambassador Caffery Pkwy 4th Floor Lafayette, LA 70508 (337) 456-8201 Post Acute Specialty Hospital of Lafayette LLC 204 Energy Parkway Lafayette, LA 70508-3816 (337) 232-1905 St. Landry Extended Care Hospital 539 E Prudhomme St 6th Flr Opelousas, LA 70570 (337) 948-5184 MEDICAL EQUIPMENT A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 Allenmed, Inc 107 E Marshall St Gilmer, TX 75644 (903) 680-3113 Apria Healthcare Inc 2419 S College Rd Lafayette, LA 70508 (337) 269-4666 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 Assured Home Medical 1004 Sixth St Mamou, LA 70554 337-468-3722 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 80 of 159 Bellards Home Medical Equipment 621 W Maple Ave Ste. B Eunice, LA 70535 (337) 550-8924 Carmichael’s Cashway Pharmacy, Inc. 1002 N Parkerson Crowley, LA 70526 (337) 783-7263 1472 S College Ste 102 Lafayette, LA 70506 (337)234-0085 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 Delaune’s Pharmacy & Home Medical 308 N Lewis St New Iberia, LA 70563 (337)364-7671 Dynamic Orthotic Services 103 E Pinhook Rd Lafayette, LA 70501 (337) 291-1016 1100 8th St Morgan City, LA 70380 (985) 385-2614 410 W Main St New Iberia, LA 70560 (337) 364-7393 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Park Twinsburg, OH 44087 (800) 321-0591 Hanger Prosthetics & Orthotics, Inc. 940 Kaliste Saloom Rd Lafayette, LA 70508 (337) 235-9070 421 S Main St Opelousas, LA 70570 (337) 948-1278 1033 Andre St Ste B New Iberia, LA 70563 (337) 364-0047 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 Personal Reflections 1202 Heather Dr Opelousas, LA 70570 (337)942-3544 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 Ken’s Thrifty Pharmacy & Home Medical Inc. 333 Heymann Blvd Lafayette, LA 70503 (337) 266-4621 Lincare, Inc. 1118 General Mouton Lafayette, LA 70501 (337) 289-5979 402 Barrow St Houma, LA 70360 (985) 580-1577 120 Amedee Dr Scott, LA 70583 (337) 234-7228 210 Enterprise Dr Houma, LA 70364 (985) 872-1596 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 National Seating & Mobility 1000B Albertson Pkwy Ut 7 & 8 Broussard, LA 70518 (337) 837-5310 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 Patients Care Medical Supply, Inc. 603 Jefferson Terrace Blvd Ste B New Iberia, LA 70560 (337) 365-9262 Premier Medical Equipment 453 Bertrand Dr Lafayette, LA 70506 (337) 237-1130 Regional Medical Rental & Sales 700 Poinciana Ave Mamou, LA 70554 (337) 468-2162 Sleep Management, LLC 1325 Eraste Landry R. Lafayette, LA 70506 (337) 504-3802 Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 Taylor Home Health Supply 401 W 2nd St Broussard, LA 70518 (337) 837-1277 Tri Parish Medical 947 Creswell Ln Opelousas, LA 70570 (337)948-7802 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 MOBILE UNIT Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 NUTRITIONAL CONSELING Price, Ray A., RD 600 Polk St Houma, LA 70360 (985) 857-3601 1200 David Dr Morgan City, LA 70380 (985) 380-2441 OPTOMETRY Eastman, Hannah L., OD 206 Jack Miller Rd Ville Platte, LA 70586 (337) 506-2121 Myers, Sue E., OD 4313 I-49 S Srvc Rd Opelousas, LA 70570 (337) 942-2024 201 Rue Iberville Ste 800 Lafayette, LA 70508 (337) 235-2149 Nguyen, Hong T., OD 1552 Martin Luther King Blvd Ste 5225 Houma, LA 70360 (985)274-0413 Sicard, Laurie A., OD 516 St Landry St Lafayette, LA 70506 (337)235-7791 Stoker, Cheryl T., OD 206 Jack Miller Rd Ville Platte, LA 70586 (337) 506-2121 OUTPATIENT CENTERS GI Diagnostic Center 1100 Andre St Ste 300 New Iberia, LA 70563 (337) 365-6591 Lafayette General Endoscopy Ctr 1211 Coolidge Blvd Lafayette, LA 70503 (337)289-8249 Laser & Surgery Center of Acadiana 514 Saint Landry St Lafayette, LA 70506 (337) 234-2020 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 81 of 159 LeBean Sleep Center LLC 2930 Moss St Ste C Lafayette, LA 70501 (337) 889-5416 Sleep Solutions of New Iberia, LLC 1100 Andre St Ste 200B New Iberia, LA 70563 (337) 606-0041 PHYSICAL THERAPY CENTERS Active Physical Therapy 1605 7th St Ste B Mamou, LA 70554 (337) 468-4685 Crowley Physical Therapy Clinic dba Select Physical Therapy 1455 Wright Avenue, Ste. A Crowley, LA 70526 (337) 788-1480 Crowley Therapy Group 720 N Ave K Crowley, LA 70526 (337) 783-7100 Daigle, Himel, Daigle P. T. Center 1321 Grand Caillou Rd Houma, LA 70363 (985) 876-1155 La Jonction Rehabilitation & Therapy, Inc. 235 Canal St Arnaudville, LA 70512 (337) 754-7777 Moreau Physical Therapy 4027 I-49 S Srvc Rd Opelousas, LA 70570 (337) 948-4214 McLeod--Trahan P. T. Services 1220 N Berard St Ste B Breaux Bridge, LA 70517 (337) 332-6120 2115 Dulles Dr Lafayette, LA 70506 (337) 981-9182 327 Iberia St Youngsville, LA 70592 (337) 856-1717 Moreau Physical Therapy 16309 Hwy 190 Port Barre, LA 70577 (337) 585-3780 Orthopedic & Sports P.T. of Lafayette 245 N College Rd Lafayette, LA 70506 (337) 232-5301 Physical Therapy Plus of Vermilion 524 S Washington St Abbeville, LA 70510 (337) 893-0474 Physical Therapy South 112 Republic Ave, Ste E Lafayette, LA 70508 (337) 988-7777 Precision Rehabilitation 3524 Kaliste Saloom Rd Bldg 2 Lafayette, LA 70508 (337) 993-2766 401 N College Rd Ste 1B Lafayette, LA 70506 (337) 993-2766 P. T. Clinic of Carencro 204 E St Peter Carencro, LA 70520 (337) 896-6686 P. T. Clinic of Lafayette 1432 S College Rd Lafayette, LA 70503 (337) 232-7080 P. T. Clinic of Rayne 500 W Branche Rayne, LA 70578 (337) 334-9207 Physical Therapy Clinic of Sunset 923 Napoleon Ave Sunset, LA 70584 (337) 896-6686 Rehab Xcel of Eunice 441 Moosa Blvd Eunice, LA 70535 (337) 457-8164 Renaissance Rehabilitation Center 1322 St. Charles St Houma, LA 70360 (985) 876-9555 Scott Physical Therapy 101 Park West Ste B Scott, LA 70583 (337) 769-1556 Scott Hollier Phys. Therapy 2645 South Dr Abbeville, LA 70510 (337) 893-3354 St. Martinville Physical Therapy Clinic 400 S Main Ste D St. Martinville, LA 70582 (337) 394-3757 Toni Guillory Physical Therapy 240 E Laurel Ave Ste B Eunice, LA 70535 (337) 466-3593 1455 Wright Ave Cowley, LA 70526 (337) 783-8387 Smith, George R., DPM 2848 S Union St Opelousas, LA 70570 (337) 942-7567 1455 Wright Ave Crowley, LA 70526 (337) 783-8387 155 Hospital Dr Ste 302 Lafayette, LA 70503 (337) 269-9993 Tri-City Physical Therapy 233 Doucet Rd Ste B2 Lafayette, LA 70503 (337)991-9972 Trotter, Melvin, DMP 8762 Hwy 182 Opelousas, LA 70570 (337) 942-2005 Vermilion Physical Therapy 2626 North Dr Abbeville, LA 70510 (337) 893-4500 Ziegenbusch, Adam J., DPM 1302 Lakewood Dr Ste 102 Morgan City, LA 70380 (985) 385-2616 5439 Johnston St Lafayette, LA 70503 (337) 704-2380 Whitney Atchetee P.T. Clinic 317 Odea St Abbeville, LA 70510 (337) 893-3258 PODIATRY Baronne, Lon M., DPM 2848 S Union St Opelousas, LA 70570 (337) 942-7567 1455 Wright Ave Crowley, LA 70526 (337) 783-8387 155 Hospital Dr Ste 302 Lafayette, LA 70503 (337) 269-9993 Leonards, Andrea J. DPM 1302 Lakewood Dr Ste 102 Morgan City, LA 70380 (985) 385-2616 Maraist, David, DPM 2848 S Union Opelousas, LA 70570 (337) 942-7567 155 Hospita Dr Ste 302 Lafayette, LA 70503 (337) 269-9993 SKILLED NURSING FACILITY Lady of the Oaks Retirement Manor 1005 Eraste Landry Rd Lafayette, LA 70506 (337) 232-6370 Nexion Health at Kaplan 1300 W 8th St Kaplan, LA 70548 (337)643-7302 Nexion Health at New Iberia 1803 Jane St New Iberia, LA 70562 (337)365-2466 SUBSTANCE ABUSE/PSYCH Beacon Behavioral Hospital 5789 Hwy 311 Ste 9 Houma, LA 70360 (985)607-0290 Belanger, Lori A., LCSW 500 Roderick St, Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 82 of 159 Belle, Rhonda, LCSW 5599 Hwy 311 Houma, LA 70360 (985) 857-3706 Harness, Shannae N., PhD 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 Schilling, Karen, LCSW 5599 Hwy 311 Houma, LA 70360 (985) 857-3706 500 Roderick St. Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 500 Roderick St. Ste B Morgan City, LA 70380 (985) 380-2460 Christian, Lori C., LCSW 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 Harris, Rita M., LCSW 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 Soignier, Deanie J., LCSW 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Compass Behavioral Center 1526 North Ave I Crowley, LA 70526 (337) 788-3380 310B Youngsville Hwy Lafayette, LA 70508 (337) 534-4655 710 N Foote Ave Kaplan, LA 70548 (337) 643-7333 1510 Napoleon St Mamou, LA 70554 (337) 468-2333 1015 Saint John St Lafayette, LA 70501 (337) 269-5000 Compass Behavioral Center of Houma 4701 W Park Ave Houma, LA 70364 (985) 876-1715 Gaines, Michael, LCSW 5760 Monticello St St. Gabriel, LA 70776 (225) 642-9676 3285 Hwy 75 St. Gabriel, LA 70776 (225) 642-9911 1825 Hwy 30 St. Gabriel, LA 70776 (225) 642-9676 Gibbens, Katie, LCSW 5599 Hwy 311 Houma, LA 70360 (985) 857-3706 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Greenwood, Tracy M., LAC 500 Roderick St, Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Hardin, Teresa, LCSW 500 Roderick St, Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Landry, David Nelson, PHD 203 W Main St, Ste 204 New Iberia, LA 70560 (337) 374-1952 Mayrand, Gloria, LPC 1271 Belleview St Morgan City, LA 70380 (985) 399-3330 Richoux, Clinell M., LCSW 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Ring, Renee, LCSW 500 Roderick St, Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Tucker, Herman D., LCSW 500 Roderick St Ste B Morgan City, LA 70380 (985) 380-2460 5599 Hwy 311 Houma, LA 70360 (985) 857-3615 Woodlake Addiction Recovery Center 1314 North LaFitte Abbeville, LA 70510 (337) 893-5588 URGENT CARE TREATMENT Lourdes After Hours 1700 Kaliste Saloom Rd Bldg 2 Ste 200 Lafayette, LA 70508 (337) 981-5085 3824 NE Evangeline Thruway Carencro, LA 70520 (337) 565-2675 1821 Rees St Breaux Bridge, LA 70517 (337)442-6959 REGION 6 Includes Livingston, Assumption, West Feliciana, East Feliciana, Iberville, St. Helena, St. James, East Baton Rouge, West Baton Rouge, Pointe Coupee and Ascension Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is referring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE Albrecht, Robert C., MD 147 Central Ave Reserve, LA 70084 (985) 536-2605 Amacker, Micheal K., MD 2335 Church St Ste E Zachary, LA 70791 (225) 654-3607 Anderson, Derek J., MD 8490 Picardy Ave Ste 100 Baton Rouge, LA (225) 819-1170 Arcuri, III, Dominic, MD 429 W Airline Dr, Ste B LaPlace, LA 70068 (985) 652-3344 Attuso, Marie, MD 11990 Jackson St Clinton, LA 70722 (225) 683-5292 12126 Liberty St Clinton, LA 70722 (225) 683-8877 3501 Hwy 10 Jackson, LA 70748 (225) 634-7145 751 Court St Port Allen, LA 70767 (225) 389-1311 Awad, Stephanie, MD 8490 Picardy Ave Ste 100 Baton Rouge, LA 70809 (225) 819-1170 500 Roderick St. Ste B Morgan City, LA 70380 (985) 380-2460 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 83 of 159 Barrett, Bryan, MD 11055 Shoe Creek Dr Baton Rouge, LA 70818 (225) 261-4493 Chasuk, Robert Mark, MD 3801 North Blvd Baton Rouge, LA 70806 (225) 381-6620 Gravois, Wayne D., MD 3801 North Blvd Baton Rouge, LA 70806 (225) 381-6620 Batie, Donnie, MD 3401 North Blvd Ste 130 Baton Rouge, LA 70806 (225) 381-2727 Cosse, Michelle F., MD 2335 Church St Ste E Zachary, LA 70791 (225) 654-3607 Guidry, Jimmy N., MD 8742 Goodwood Blvd Baton Rouge, LA 70806 (225) 231-7070 Bella, Timothy, MD 10127 Florida Blvd Baton Rouge, LA 70815 (225) 272-0106 Curtis, Elizabeth B., MD 17505 Old Jefferson Hwy Prairieville, LA 70769 (225) 673-8983 Bolotte, Charles P. 141 Hwy 402 Napoleonville, LA 70390 (985) 369-6027 Daigle, Renee C., MD 5428 Stumberg Ln Ste A Baton Rouge, LA 70816 (225) 756-4100 Breaux, Jeryl F., MD 3041 Fordoche Rd Livonia, LA 70755 (225) 637-3535 Daniel, Chaillie, MD 5326 Oak St St Francisville, LA 70775 (225) 635-5848 6450 LA Hwy 1 Innis, LA 70747 (225) 492-3775 Brown, Andrea, MD 23845 Church St Plaquemine, LA 70764 (225) 687-2828 Campanella, Brent O., MD 5131 Essen Ln Baton Rouge, LA 70809 (225) 769-0043 Caro, Richard, MD 609 E Worthey Rd Gonzales, LA 70737 (225) 647-6533 Edwards, Mark O., MD 5428 Stumberg Ln Baton Rouge, LA 70816 (225) 756-4100 Elkins, Reagan E., MD 2335 Church St Ste E Zachary, LA 70791 (225) 654-3607 Esters, Tanisha, FNP 6450 La. Hwy 1 Batchelor, LA 70715 (225) 492-3775 3041 Fordoche Rd Livonia, LA 70755 (225) 637-3535 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 8737 Newfield Dr Livonia, LA 70755 (225) 637-3535 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 8434 Pointe Coupee Rd Morganza, LA 70759 (225) 638-3767 Caro, Uyen S., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225)387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) Flood, Ericka J., MD 17520 Old Jefferson Hwy Ste B Prairieville, LA 70769 (225) 673-8983 Gaspard, Brad J., MD 8595 Picardy Ave Ste 100 Baton Rouge, LA 70809 (225) 763-4900 3235 Perkins Rd Baton Rouge, LA 70808 (225) 387-3030 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Hines, III, James E., MD 5760 Monticello St St. Gabriel, LA 70776 (225) 642-9676 1707 Gardere Ln, Ste E Baton Rouge, LA 70820 (225) 642-9676 Gupta, Alok K., MD 3600 Florida Blvd Ste 1010 Baton Rouge, LA 70806 (225) 387-7900 Ibekwe, Ruby A., MD 3923 Convention St Baton Rouge, LA 70806 (225) 381-6474 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Jones, Stacy D., MD 3401 North Blvd Ste 130 Baton Rouge, LA 70806 (225) 381-2727 Hall, Corey M., MD 2013 Central Rd SteB Baton Rouge, LA 70807 (225) 774-1120 153 N 17th St Baton Rouge, LA 70802 (225) 343-9086 Haney, Ahlecia, FNP 6450 Louisiana Hwy 1 Innis, LA 70747 (225) 492-3775 3041 Fordoche Rd Livonia, LA 70755 (225) 637-3535 8434 Pointe Coupee Rd Morganza, LA 70759 (225) 638-3767 8737 Newfield Dr Livonia, LA 70755 (225) 637-2323 Keller, Trina M., NP 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Labtut, Dwayne NP 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Lee, Luke P., MD 59295 Riverwest Dr Ste C Plaquemine, LA 70764 (225) 687-2001 Harrell, Brian R., MD 8490 Picardy Ave Bldg 100 Ste A Baton Rouge, LA 70809 (225) 819-1170 Lemoine, John E., MD 6450 LA Hwy 1 Batchelor, LA 70715 (225) 492-3775 Higgins, Brian P., MD 402 N Vaughan St. Brusly, LA 70719 (225) 749-2645 Lindsey, Timothy, MD 5326 Oak St St Francisville, LA 70775 (225) 635-5848 Hill, Heather S., MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) Lipscomb, Neva W., NP 1401 N Foster Baton Rouge, LA 70806 (225) 987-9000 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 84 of 159 Manalac, Rodolfo M., MD 3034 Ray Weiland Dr Baker, LA 70714 (225) 775-8500 May, Jr., Billy A., MD 6555 Perkins Rd Ste 100 Baton Rouge, LA 70808 (225) 766-1840 Mays, Stan J., MD 4242 Gus Young Ave Baton Rouge, LA 70802 (225) 926-2258 McCulloh, April, MD 1286 Del Este Ave Denham Springs, LA 70726 (225)667-3100 McCulloh, Stephen P. MD 1286 Del Este Ave Denham Springs, LA 70726 (225)667-3100 Mixon, Tarisha R., MD 3401 North Blvd Ste 200A Baton Rouge, LA 70806 (225) 387-0851 Montgomery, Larry L., MD 8342 Perkins Rd Ste M Baton Rouge, LA 70810 (225) 218-4044 Montegut, Christian L., MD 429 W Airline Dr, Ste B LaPlace, LA 70068 (985) 652-3344 Montegut, Christy A., MD 429 W Airline Dr, Ste B LaPlace, LA 70068 (985) 652-3344 Monteyne, Peter, MD 609 E Worthy St Gonzales, LA 70737 (225) 647-6533 Moore, Lauren, MD 13960 Florida Blvd Livingston, LA 70754 (225) 686-0158 Mughal, Tanveer H., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Murphree, Paul D., DO 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Munson-Whetstone, Vicki, MD 3401 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 387-0851 Murphy, Christi K., NP 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Nanjappa, Nagaraj, MD 29565 S Montpelier St Albany, La 70711 (888) 414-7247 490 Sitman St Greensburg, La 70441 (888) 414-7247 6351 Main St Zachary, La 70791 (888) 414-7247 7198 Hwy 1042 Greensburg, La 70441 (888) 414-7247 1590 Hwy 1042 Greensburg, La 70441 (888) 414-7247 14340 Hwy 37 Greensburg, La 70441 (888) 414-7247 Nguyen, Vincent T., MD 2645 O’Neal Ln Baton Rouge, LA 70816 (225) 751-0234 17520 Old Jefferson Hwy Ste B Prairieville, LA 70769 (225)673-8983 Padgett, Philip, MD 610 N. Jefferson Ave Port Allen, LA 70767 (318) 267-6626 Schneider, Lawrence B., MD 10289 Gould Dr St. Francisville, LA 70775 (225) 635-3269 Parkman, Allison, MD 6351 Main St Zachary, LA 70791 (888) 414-7247 Shaw, Vincent Jr., MD 8490 Picardy Ave Ste 600D Baton Rouge, LA (225) 819-1170 490 Sitman St Greensburg, LA 70441 (888) 414-7247 29565 S Montpelier St Albany, LA 70711 (888) 414-7247 7198 Hwy 1042 Greensburg, LA 70441 (888) 414-7247 1590 Hwy 1042 Greensburg, LA 70441 (888) 414-7247 14340 Hwy 37 Greensburg, LA 70441 (888) 414-7247 Prempeh, Osei B., MD 4560 North Blvd, Ste 101 Baton Rouge, LA 70806 (225) 341-5901 3801 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 381-6620 Smith, Smitty MD 19115 Florida Blvd Ste A Albany, LA 70711 (225) 567-7150 St. Amant, Robert, MD 8888 Summa Ave Baton Rouge, LA 70809 (225) 819-1160 Taylor, James MD 3401 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 686-0158 Thomas, Marykutty, MD 9241 Bluebonnet Blvd Baton Rouge, LA 70810 (225) 757-6031 4560 North Blvd Baton Rouge, LA 70806 (225) 341-5901 Tilley, Brandon K., MD 5326 Oak St St Francisville, LA 70775 (225) 635-5848 Raina, Gunjan, MD 8595 Picardy Ave Ste 100 Baton Rouge, LA 70809 (225) 763-4900 Tonore, J. Louis Jr., MD 170 McGehee Dr Baton Rouge, LA 71815 (225) 275-7770 Rathbone, Richard, MD 11323 Church St Clinton, LA 70722 (225) 683-3377 Valentine, Desi R., MD 3401 North Blvd Ste 200A Baton Rouge, LA 70806 (225) 387-0851 Reddy, Nagaratna C., MD 217 Railroad Ave Donaldsonville, LA 70346 (225) 473-3200 Varnado, Anjanette, MD 6214 Hwy 10 Greensburg, LA 70441 (225) 222-3206 58725 Belleview Rd A-5 Plaquemine, LA 70764 (225) 687-6200 3407 Hwy 70 Pierre Part, LA 70339 (985) 252-1000 2985 Bowie St White Castle, LA 70788 (225) 545-3631 Varnado, Jimmie, MD 6214 Hwy 10 Greensburg, LA 70441 (225) 222-3206 Vinayagam, Vasanthi, MD 3401 North Blvd Ste 130 Baton Rouge, LA 70806 (225) 381-2727 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 85 of 159 Waguespack Jr., Ronald S., MD 1108 St. James St. Vacherie, LA 70090 (225) 265-4087 Walker, Edwin, MD 8369 Florida Blvd Ste 8 Denham Springs, LA 70726 (225) 665-5149 51991 Hwy 16 Denham Springs, LA 70706 (225) 791-3092 Wood, Robert Clay, MD 3401 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 381-6620 Yorek, Michael W., MD 17520 Old Jefferson Hwy Ste B Prairieville, LA 70769 (225) 673-8963 8595 Picardy Ave Ste 100 Baton Rouge, LA 70809 (225) 763-4900 29565 Hwy 63 Livingston, LA 70754 (225) 686-1114 Young Jr., Henry, MD 1286 Del Este Ave Denham Springs, LA 70726 (225) 667-3100 34870 La Hwy 1019 Denham Springs, LA 70726 (225) 791-2000 ***Zheng, Yihong, MD 1401 N Foster Dr Baton Rouge, LA 70806 (225) 987-9000 Weaver, Kaycee, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 Werner, Sharon L., MD 1401 N Foster Dr Baton Rouge, LA 70805 (225)987-9000 3041 Fordoche Rd Livonia, LA 70755 (225) 637-3535 Whitty, Angelle V, FNP 6450 LA Hwy 1 Batchelor, LA 70715 (225) 492-3775 3041 Fordoche Rd Livonia, LA 70755 (225) 637-3535 8737 Newfield Dr Livonia, LA 70755 (225) 637-3535 8434 Pointe Coupee Rd Morganza, LA 70759 (225) 638-3767 Wissner, Rachel D., MD 170 McGehee Dr Baton Rouge, LA 71815 (225)275-7770 Wood, Leslie J., NP 19115 Florida Blvd, Ste A Albany, LA 70711 (225) 567-7150 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Banda, Venkat R., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Brown, Clayton, MD 2335 Church St Suite F Zachary, LA 70791 (225) 654-0027 INTERNAL MEDICINE Bruce, Zackary P., MD 5131 ODonovan Dr Ste 500 Baton Rouge, LA 70808 (225) 374-0110 Aaron, Rachel A., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 Campo, Nicholas J., MD 3401 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 387-0851 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 Abdallah, Mokhtar MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) Atallah, Rabih, MD 3600 Flordia Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Ausef, Amir Hibiollah, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Cannatella, Marla C., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Carlisle, Casey B., MD 5131 ODonovan Dr Ste 500 Baton Rouge, LA 70808 (225) 374-0110 Chalasani, Lalitha, MD 8110 Summa Ave Baton Rouge, LA 70809 (225) 771-8380 Cooley, Richard T., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225)387-7070 (Hospitalist Only) Day Jr., Harry K., MD 5439 Airline Hwy Baton Rouge, LA 70802 (225) 358-2280 DeJesus, Guido V., MD 5825 Airline Hwy Baton Rouge, LA 70805 (318) 358-1000 DeJohn, Michael A., MD 11315 Liberty St Clinton, LA 70722 (225) 683-3358 Dixon III, Henry C., MD 3401 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 387-0851 Dobreva-Yakimova, Violetta, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Doucet, Donald W., MD 230 Roberts Dr Ste I New Roads, LA 70760 (225) 638-4585 77695 Wagley Rd Maringouin, LA 70757 (225) 625-2313 2202 False River Dr New Roads, LA 70760 (225) 638-6331 Duet, Jess N., MD 5131 O’Donovan Dr., Ste 500 Baton Rouge, LA 70808 (225) 374-0120 Folse, T’lane M., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Fowlkes, Justin D., MD 5131 O’Donovan Dr. Ste 500 Baton Rouge, LA 70805 (225) 374-0110 Foy, Matthew, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225)358-1000 Gboloo, David K., MD 2425 Phillippe Ave Gonzales, LA 70737 (225) 644-1990 Gonugunta, Kalyan, MD 8110 Summa Ave Baton Rouge, LA 70809 (225) 771-8380 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 86 of 159 Gummadi, Subhakar, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Johnson, Angela C., MD 5131 O’Donovan Dr Ste 500 Baton Rouge, LA 70810 (225) 374-0035 5000 Hennessey Dr Baton Rouge, LA 70808 (225) 765-6565 Kahn, Jeffrey, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 Kakarala, Venu Babu, MD 19850 Old Scenic Hwy Ste 300 Zachary, LA 70791 (225) 612-4344 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Kellum, William K., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Lauret, Dean G., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Lieux, Theodore Richard, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Mason, Charles W., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) May, Katherine E., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Mayeaux, Jack J., NP 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 McKnight, George T., MD 751 Court St Port Allen, LA 70767 (225) 389-1311 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 11990 Jackson St Clinton, LA 70722 (225) 683-5292 Kemp, Ted P., MD 315 Veterans Blvd Denham Springs, LA 70726 (225) 667-5110 Medina, Juan C., MD 4727 W Park Dr Ste A Zachary, LA 70791 (225) 658-8111 King, Robreka H., NP 3401 North Blvd Ste 200A Baton Rouge, LA 70806 (225)387-0851 Mitchell, Miranda F., MD 5131 O’Donovan Dr Ste 500 Baton Rouge, LA 70808 (225) 374-0110 Lafleur, Angele S., DO 502 Rue de Sante Ste 203 Laplace, LA 70068 (985) 652-3500 Mouton, Mark C., MD 12880 Plank Rd Baker, LA 70714 (225) 774-7111 Murphree, Paul D., DO 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Negulescu, Catalina, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Njoku, Patrick O., MD 3401 North Blvd Ste 300 Baton Rouge, LA 70806 (225) 930-4517 Nwabueze, Nnamdi, MD 3050 Charles Dr Jackson, LA 70748 (225) 634-3517 10292 Gould Dr Jackson, LA 70748 (225) 784-3475 O’Neal, Catherine S., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Pakanati, Krishna MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Petcu, Oana M., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) Reddy, Karthik K., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Reddy, Santhosh K., MD 970 N Alexander Ave Port Allen, LA 70767 (225) 383-6363 Rhodes, Kent M., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Risal, Bijay, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225)387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Rolfsen, Michael L., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Say, George D., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Sefa, Akwasi A. MD 4750 North Blvd Baton Rouge, LA 70806 (225) 925-2331 4686 Groom Rd Ste A Baker, LA 70714 (225) 778-3999 Shah, Manzoor A., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 87 of 159 Shamlin, Kenyatta, MD 3401 North Blvd Ste 200 Baton Rouge, LA 70806 (225) 763-4900 8585 Picardy Blvd Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Shamlin, Tasha, MD 8595 Picardy Ave Ste 100 Baton Rouge, LA 70809 (225) 763-4900 ***Thibodaux, Robert J., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Smith, Bradford J., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Thompson Jr., Ernest G. MD 12902 Plank Rd Baker, LA 70714 (225) 774-3883 Smothers, Ruth L., MD 2013 Central Rd Ste B Baton Rouge, LA 70807 (225) 774-1120 Torres-Cabrera, Felix, MD 17199 Spring Ranch Rd Livingston, LA 70754 (225) 686-4930 153 N 17th St Baton Rouge, LA 70802 (225) 343-9086 Speeg, Stephen W., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Stuart, Michael O., MD 1401 N Foster Dr Baton Rouge, LA 70805 (225)987-9000 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Stumpf, Michael, MD 5000 Hennessy Blvd. Baton Rouge, LA 70808 (225) 765-6565 5131 ODonovan Ste 500 Baton Rouge, LA 70808 (225) 374-0110 Subedee, Anup, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Blvd Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) Tati, Vasudev, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225)387-7070 (Hospitalist Only) Ochsner Medical Center 17000 Medical Center Dr Baton Rouge, LA 70816 (225) 752-2470 (Hospitalist Only) Wahid, Darakhshan, MD 3401 North Blvd Ste 130 Baton Rouge, LA 70809 (225) 381-2727 Wahid, Saiyid, R., MD 1962 O’Neal Ln Ste H-1 Baton Rouge, LA 70816 (225) 755-0095 4802 Jones Creek Baton Rouge, LA 70817 (225) 755-0096 Davis, Wesley L., MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 Despinasse, Brian P., MD 730 Colonial Dr. Baton Rouge, LA 70806 (225) 924- 7343 Drake, Laura L., MD 9775 Highway 190 Ste F Walker, LA 70785 (225) 243-7716 Elkins, Kathryn, MD 59325 River West Dr Ste D Plaquemine, LA 70764 (225) 687-3055 28050 Walker South Rd Ste L Walker, LA 70785 (225) 664-2111 Wang, Wilson L., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Elofson, II, Rodger, MD 8040 Goodwood Blvd Baton Rouge, LA 70806 (225) 928-0867 Tumminello, Vincent, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Williams, Dustyn E, MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) Evans, Natalie E., MD 7777 Hennessy Blvd #103 Baton Rouge, LA 70808 (225) 767-6700 (Hospitalist Only) Vatsavai, S. Raju, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Vellanki, Anu P., MD 827 N Pine St Gramercy, LA 70052 (225) 869-9200 502 Rue De Sante, Ste 301 LaPlace, LA 70068 (985) 652-5475 Vellanki, Vijaya, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Blvd Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) PEDIATRICS Armstrong, Jada, MD 1401 N Foster Dr Baton Rouge, LA 70806 (225) 987-9000 Asbahi, M. Badi, MD 303 Veterans Blvd Ste C Denham Springs, LA 70726 (225) 664-8010 Bostick, Leslie L., MD 8595 Picardy Ave Ste 200 Baton Rouge, LA 70809 (225) 767-5520 Chevalier, Tiffanny, MD 8786 Goodwood Blvd #105 Baton Rouge, LA 70806 (225) 927-7480 Cook, Lori M., MD 8040 Goodwood Blvd Baton Rouge, LA 70806 (225) 928-0867 Fakouri, Dana A., MD 8040 Goodwood Blvd Baton Rouge, LA 70806 (225) 928-0867 Folse, T’lane M., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Giarrusso, Brad, MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 11424 Sullivan Rd Bldg A Ste C Baton Rouge, LA 70818 (225) 774-7320 Hauck, Erin R., MD 7777 Hennessy Blvd #103 Baton Rouge, LA 70808 (225) 767-6700 Iheagwara, Kelechi N., MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70809 (225) 767-6700 (Hospitalist Only) Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 88 of 159 Jones, Clay T., MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70809 (225) 767-6700 (Hospitalist Only) Karani, Loreen C., MD 2419 Alonzo St Abbeville, LA 70510 (337) 898-3120 Kemmerly, Shaun, MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70809 (225) 767-6700 (Hospitalist Only) Louden, Henrynne A, MD 1175 Del Este Ave Ste A Denham Springs, LA 70726 (225) 791-7337 9775 Hwy 190 Ste F Walker, LA 70785 (225) 243-4416 Murrill, Melvin M., MD 4560 North Blvd Ste 108 Baton Rouge, LA 70806 (225) 928-0695 Nanjappa, Nagaraj, MD 29565 S Montpelier St Albany, La 70711 (888) 414-7247 490 Sitman St Greensburg, La 70441 (888) 414-7247 6351 Main St Zachary, La 70791 (888) 414-7247 7198 Hwy 1042 Greensburg, La 70441 (888) 414-7247 1590 Hwy 1042 Greensburg, La 70441 (888) 414-7247 14340 Hwy 37 Greensburg, La 70441 (888) 414-7247 Patterson, F. Douglas, MD 9775 Hwy 190 Ste F Walker, LA 70785 (225) 243-7716 Quinn, Michael M., MD 59325 River West Dr Ste D Plaquemine, LA 70764 (225) 687-3055 Ray, Keren E., MD 1175 Del Este Ave Ste A Denham Springs, LA 70726 (225) 791-7337 Rhodes, Kent M., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Rome, Courtney M., MD 5151 Plank Rd Ste 160 Baton Rouge, LA 70805 (225) 778-7599 1175 Del Else Ave Ste A Denham Springs, LA 70726 (225) 791-7337 Shah, Neel, MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4670 Slaughter, Rosalyn, MD 7750 Greenwell Springs Rd Baton Rouge, LA 70814 (225) 928-9550 Smith, Bradford J., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Speeg, Stephen W., MD 6516 E Myrtle Ave Baker, LA 70714 (225) 774-7320 Thomas, Veronica M., MD 8786 Goodwood Blvd #107 Baton Rouge, LA 70806 (225) 810-4785 Thompson, Mikah, MD 5151 Plank Rd, Ste 160 Baton Rouge, LA 70805 (225) 778-7599 1175 Del Else Ave Denham Springs, LA 70726 (225) 791-7337 SPECIALTY CARE PHYSICIANS ALLERGY AND IMMUNOLOGY Abel, Peter M., MD 3517 Hwy 70 S Pierre Part, LA 70339 (985)221-5321 Gaudin, Louis B., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Bernstein, Marc, MD 502 Rue de Sante LaPlace, LA 70068 (985) 651-2334 Yalamanchili, Jay N., MD 2524 Phillippe Ave Ste B Gonzales, LA 70737 (225) 644-7878 155 Del Orleans Ave Denham Springs LA 70726 (225) 664-1230 ANESTHESIOLOGY Advanced Management Services 9118 Bluebonnet Center Blvd Baton Rouge, LA 70809 (225) 368-2330 Anderson, Kevin J, MD 7310 Perkins Rd Baton Rouge, LA 70808 (225)236-3100 Lee, Steven E., MD 59355 Riverwest Dr Plaquemine, LA 70764 (225) 687-9222 Parish Anesthesia of Baton Rouge, LLC 8585 Picardy Avenue Baton Rouge, LA 70806 (225) 387-7000 3600 Florida Blvd Baton Rouge, LA 70809 (225) 763-4000 6615 Perkins Road Baton Rouge, LA 70808 (225) 906-2576 Patty, Robin H., MD 7310 Perkins Rd Baton Rouge, LA 70808 (225) 236-3100 BREAST HEALTH Perilloux, Brannon, MD 8040 GoodWood Blvd Baton Rouge, LA 70806 (225) 928-0867 CARDIOLOGY Elliott, Mary C., MD 17050 Medical Ctr Dr #400 Baton Rouge, LA 70816 (225) 755-3070 Daberkow II, Dayton MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4764 (Hospitalist Only) 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) Ennis, Bruce, MD 502 Rue de Sante LaPlace, LA 70068 (985) 651-2334 Hickey, Keith G., MD 502 Rue de Sante LaPlace, LA 70068 (985) 651-2334 Hollman, Jay Lynn, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 3401 North Blvd. Baton Rouge, LA 70806 (225) 381-2755 5131 O’Donovan Ste 400 Baton Rouge, LA 70810 (225) 358-1000 Iteld, Bruce J., MD 502 Rue de Sante LaPlace, LA 70068 (985) 651-2334 Kelley, Steven E., MD 7777 Hennessy Blvd Ste 8000 Baton Rouge, LA 70808 (225) 767-1151 20103 Old Scenic Hwy Zachary, LA 70791 (225) 654-7575 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 89 of 159 Lamotte, Lance C., MD 7777 Hennessy Blvd Ste 8000 Baton Rouge, LA 70808 (225) 767-1151 20103 Old Scenic Hwy Zachary, LA 70791 (225) 654-7575 8888 Summa Ave Baton Rouge, LA 70809 (225) 819-1160 3600 Florida Blvd Baton Rouge, LA 70809 (225) 819-1160 3401 North Blvd Baton Rouge, LA 70806 (225) 819-1160 8595 Picardy Ave Baton Rouge, LA 70809 (225) 819-1160 Newsome, Nakia, MD 7777 Hennessy Blvd Ste 8000 Baton Rouge, LA 70808 (225) 767-1151 20103 Old Scenic Hwy Bldg 5 Zachary, LA 70791-7386 (225) 654-7575 Parris, Cordel, MD 236 Wabash Ave Baton Rouge, LA 70806 (225) 757-6700 Petty, Fred H., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Schabelman, Sergio E., MD 501 Rue de Sante #12 LaPlace, LA 70068 (985) 651-0030 Silverstein, Jay R., MD 502 Rue de Sante Ste 208 LaPlace, LA 70068 (985) 651-2334 CARDIOLOGY – PEDIATRIC Brumund, Michael, MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 Crapanzano, Michael, MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 Hixon, Rufus Lester, MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 Papizan, Stephen, MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 CRITICAL CARE/ PEDIATRIC Binck, Brian W., MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 (Hospitalist Only) Chheda, Hitesh, MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4670 (Hospitalist Only) Dela Rosa, Reynaldo S, MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4670 (Hospitalist Only) Frantz, Melinda M., MD 3401 North Blvd Ste 100 Baton Rouge, LA 70806 (225) 381-2650 Laique, Firdous, MD 7777 Hennessy Blvd Ste 103 Baton Rouge, LA 70808 (225) 767-6700 DERMATOLOGY Voelker III, Frank, MD 502 Rue de Sante LaPlace, LA 70068 (985) 651-2334 Brantley, John B., MD 5220 Flanders Ave Baton Rouge, LA 70808 (225) 766-5151 Vorhoff, Gregory, MD 501 Rue de Sante #12 LaPlace, LA 70068 (985) 651-0030 Burglass, Harry, MD 5326 O'Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 Byrd, Lori, MD 5326 O’Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 500 Rue de la Vie Ste 500 Baton Rouge, LA 70817 (225) 769-7546 Dickerson, Mary, MD 10154 Jefferson Hwy Baton Rouge, LA 70809 (225) 927-5663 Dobson, Mary M., MD 5326 O'Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 Gately, Leonard, MD 9032 Perkind Rd Baton Rouge, LA 70810 (225) 768-5700 Hall, Lindsey K., MD 5326 O’Donovan Dr. Baton Rouge, LA 70808 (225) 769-7546 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 Jackson, Scott M., MD 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Johnson, Jr, Franklin R, MD 10154 Jefferson Hwy Baton Rouge, LA 70809 (225) 927-5663 1014 W St. Clair Blvd Ste 1040 Gonzales, LA 70737 18901 Greenwell Springs Rd Greenwell Springs, LA 70739 Massengale, William T., MD 1401 N Foster Dr Baton Rouge, LA 70805 (225) 987-9000 Matherne, Ryan J., MD 1731 Lutcher Ave Lutcher, LA 70071 (225) 258-5930 Mathis, Nicole D., MD 5326 O’Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 McEwen, Christopher J., MD 5220 Flanders Dr Baton Rouge, LA 70808 (225)766-5151 Meek Jr., Tom J., MD 5326 O’Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 Patterson, Connor A., MD 5220 Flanders Ave Baton Rouge, LA 70808 (225) 766-5151 Poche, George W., MD 5326 O'Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Shannon, Amie B., MD 5326 O'Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 Thorla, Ira H., MD 10154 Jefferson Hwy Baton Rouge, LA 70809 (225) 927-5663 1014 W St. Clare Blvd Gonzales, LA 70737 (225) 927-5663 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 90 of 159 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5723 Whatley, Jordan, MD 5326 O’Donovan Dr. Baton Rouge, LA 70808 (225) 769-7546 1041 N Foster Dr. Baton Rouge, LA 70806 (225) 987-9000 500 Rue de le Vie Ste 513 Baton Rouge, LA 70817 (225) 769-7546 5000 O’Donovan Dr Ste 315 Walker, LA 70785 (225) 769-7546 DERMATOPATHOLOGY Allison, Ashley W., MD 5326 O’Donovan Dr Baton Rouge, LA 70808 (225) 769-7546 EAR, NOSE, & THROAT/ OTOLARYNGOLOGY Arriaga, Moises A., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1550 Boone, Ryan T., MD 5258 Dijon Dr Baton Rouge, LA 70808 (225) 769-1090 Brickman, Todd M., MD 2025 Gravier St 3rd Fl New Orleans, LA 70112 (504) 903-5700 2025 Gravier St 3rd Floor New Orleans, LA 70112 (504) 903-5700 200 Henry Clay Ave New Orleans, LA 70160 (504) 899-9511 LeBlanc, Charles A., MD 5258 Dijon Dr Baton Rouge, LA 70808 (225) 769-1090 Mitchell, Charles F., MD 5258 Dijon Dr Baton Rouge, LA 70808 (225) 769-1090 Nuss, Daniel W., MD 3401 North Blvd Baton Rouge, LA 70806 (225) 381-2755 Peden, Robert, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 9032 Perkins Rd Baton Rouge, LA 70805 (225) 768-5700 Pou, Anna M., MD 3401 North Blvd Ste 400 Baton Rouge, LA 70806 (225) 381-2755 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 EMERGENCY MEDICINE Professional Emerg Phy Assoc. LLC 7777 Hennessy Blvd Ste 211 Baton Rouge, LA 70808 (225) 765-7163 5000 O’Donovan Blvd Walker, LA 70785 ENDOCRINOLOGY ***Johnson, Jolene K., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 ***3401 North Blvd Dr Baton Rouge, LA 70806 (225) 381-2755 Fourrier, David G., MD 7777 Hennessy Blvd Ste 407 Baton Rouge, LA 70808 (225) 767-2070 Kilpatrick, Robin E., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Hall, Christian A., MD 5258 Dijon Dr Baton Rouge, LA 70808 (225)769-1090 Pedroza, Escipion, MD 1700 Cannes Dr LaPlace, LA 70068 (985) 652-1689 GASTROENTEROLOGY GASTROENTEROLOGYPEDIATRIC Barrilleaux, Christopher, MD 502 Rue de Sante LaPlace, LA 70068 (985) 652-1126 Alonso, Elizabeth, MD 3401 North Blvd Ste 325 Baton Rouge, LA 70806 (225) 381-2610 720 Connell Park Lane Baton Rouge, LA 70806 (225) 216-3047 Cauble, Stephanie M., MD 5000 Hennessy Dr Baton Rouge, LA 70808 (225) 765-6565 GYN ONCOLOGY 5131 O’Donovan Dr Ste 500 Baton Rouge, LA 70808 (225) 374-0120 Fort, Milton G., III, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 HEMATOLOGY/ ONCOLOGY Faruqui, Shaban, MD 6615 Perkins Rd Baton Rouge, LA 70808 (225) 906-2570 Barnett, Brian G., MD 17050 Medical Ctr Dr Ste 400 Baton Rouge, LA 70816 (225) 755-3070 Fusilier, Gregory, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Faruqui, Shaista H., MD 5320 Dijon Dr Baton Rouge, LA 70808 (225) 769-2161 Harrington, John N., MD 502 Rue de Sante LaPlace, LA 70068 (985) 652-1126 HEMATOLOGY/ ONCOLOGYPEDIATRIC Howell, Joseph K., MD 5131 O’Donovan Dr Ste 400 Baton Rouge, LA 70808 (225) 374-0110 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Lacayo, Leonel, MD 6615 Perkins Rd Baton Rouge, LA 70808 (225) 819-1190 Lamendola, Oleana N., MD 6615 Perkins Rd Baton Rouge, LA 70808 (225) 906-2570 McNeely, Paul D., MD 6615 Perkins Rd Baton Rouge, LA 70806 (225) 906-2570 Velez, Maria C., MD 1401 N Foster Baton Rouge, LA 70806 (225) 926-7200 INFECTIOUS DISEASE Azmeh, Waref, MD 4890 Bluebonnet Blvd Baton Rouge, LA 70809 (225) 769-3922 Heck, Madeleine C., MD 1401 N Foster Dr Baton Rouge, LA 70806 (225) 987-9147 O’Neal, Catherine S., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Saavedra, Tatiana, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 91 of 159 MATERNAL FETAL MEDICINE Fontenot, Michael MD 8595 Picardy Ave Ste 305 Baton Rouge, LA 70809 (225)763-4438 Neumann, Duane E., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Newman, Mark G., MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8338 Veillon, Edward, W., MD 9000 Airline Hwy Ste 370 Baton Rouge, LA 70815 (225) 924-8338 NEONATALPERINATAL MEDICINE Albrecht, Dianne, MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4670 3600 Florida Blvd Baton Rouge, LA 70806 (225)763-4670 Tran, Lynn T., MD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4670 3600 Flordia Blvd Baton Rouge, LA 70806 (225) 763-4670 NEPHROLOGY Barefield, Darren W., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Jack, Avanelle V., MD 5948 Airline Hwy Baton Rouge, LA 70805 (225) 357-9055 McKnight, Melanie, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 (Hospitalist Only) 8585 Picardy Ave. Baton Rouge, LA 70809 (225) 763-4000 (Hospitalist Only) Morse, Stephen A., DO 5948 Airline Hwy Baton Rouge, LA 70805 Reisin, Efrain, MD 5948 Airline Hwy Baton Rouge, LA 70805 (225) 357-9055 NEUROLOGY Awad, Amer M., MD 3600 Florida Blvd Baton Rouge, LA 70806 225-381-2670 Barkemeyer, Charles A., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Smith, Arthur N., MD 2223 Quail Run Dr Ste D1 Baton Rouge, LA 70808 (225) 766-9404 OB/GYN Abrams Jr., Mathew, MD 500 Rue De La Vie St Ste 410 Baton Rouge, LA 70817 (225) 929-7070 Barrios, JoAnne, MD 8595 Picardy Ave Ste 320 Baton Rouge, LA 70809 (225)237-1880 3401 North Blvd Ste 100 Baton Rouge, LA 70806 (225) 237-1880 Brannon-Goedeke, Angelique, MD 8595 Picardy Ave Ste 320 Baton Rouge, LA 70809 (225) 387-1880 Childress-McKeithen, Taylar, MD 8595 Picardy Ave Ste 320 Baton Rouge, LA 70809 (225) 237-1880 Dupuy, Tammy M., MD 500 Rue De La Vie, Ste 414 Baton Rouge, LA 70817 (225) 215-7960 Futayyeh, Susan, MD 7476 Highland Rd Baton Rouge, LA 70808 (225) 766-6622 (GYN Only) Gelman, Vadim R., MD 2840 Airline Hwy Ste D LaPlace, LA 70068 (985) 536-1038 Hayes, Evelyn, MD 8595 Picardy Ave Ste. 320 Baton Rouge, LA 70809 (225)237-1880 1943-A S Burnside Ave Gonzalez, LA 70737 (225) 647-2294 Henderson, Francis H., MD 500 Rue De La Vie Ste 410 Baton Rouge, LA 70817 (225) 929-7070 Heroman, Gregory, MD 500 Rue de la Vie Ste 411 Baton Rouge, LA 70817 (225) 751-1234 Lewis, Lydia D. MD 4819 W Park Dr Zachary, LA 70791 (225) 658-8868 Neathamer-Guillory, Kimberly, MD 8595 Picardy Ste 320 Baton Rouge, LA 70809 (225) 237-1880 3401 North Blvd Ste 100 Baton Rouge, LA 70806 (225) 237-1880 Neumann, Duane E., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Roussett, Kirk Michael, MD 100 Womans Way Baton Rouge, LA 70817 (225) 927-1300 500 Rue De La Vie Ste 413 Baton Rouge, LA 70817 (225) 215-7960 Taylor, Alicia C., MD 8595 Picardy Ave Ste 220 Baton Rouge, LA 70809 (225) 763-4237 OPHTHALMOLOGY Acierno, Marie D., MD 9032 Perkins Rd Ste 2020 Baton Rouge, LA 70810 (225) 381-2755 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Afeman, Charles E., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 Bessent, Richard, MD 222 Veterans Blvd Denham Springs, LA 70726 (225) 791-2020 Black, Andrew C., MD 5220 Flanders Dr Baton Rouge, LA 70808 (225) 766-3437 Black, Bradley C., MD 5220 Flanders Dr Baton Rouge, LA 70808 (225) 766-3437 Breaud, Stephen, MD 7698 Goodwood Blvd Baton Rouge, LA 70806 (225) 927-8141 2304 S Burnside Gonzales, LA 70737 (225) 450-6019 Collins, Candace C., MD 7777 Hennessy Blvd Ste 4000 Baton Rouge, LA 70808 (225) 766-7441 Couvillion, John T., MD 10202 Jefferson Hwy Ste D Baton Rouge, LA 70809 (225) 768-8833 Dimitri, George J., MD 3025 Hwy 51 LaPlace, LA 70068 (985) 651-2332 Dragon, David M., MD 7777 Hennessy Blvd #5000 Baton Rouge, LA 70808 (225) 768-7777 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 92 of 159 Ehrlich, Philip D., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 Haley Jr., Henry M., MD 10423 Old Hammond Hwy Baton Rouge, LA 70816 (225) 923-0960 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Heigle, Thomas J., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 Fargason, Crayton A., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 Fargason, David, MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 11424 Sullivan Rd Bldg A Ste A Central, LA 70818 (225) 262-8141 Fivgas, George D., MD 7777 Hennessy Blvd Ste 4000 Baton Rouge, LA 70808 225) 766-7441 5000 O’Donovan Blvd Ste 407 Walker, LA 70785 (225) 665-1777 Franklin, Rudolph M, MD 370 Belle Terre Blvd LaPlace, LA 70068 (985) 652-6066 Fuller III, Ira B., MD 9032 Perkins Rd Baton Rouge, LA 70810 (225) 987-9147 Gannon, Joe M., MD 230 Roberts Dr Ste J New Roads, LA 70760 (225) 618-0088 Griebrok-Assercq, Jule, MD 1401 N Foster Dr Baton Rouge, LA 70806 (225) 987-9001 Guidry, Gerard J., MD 10423 Old Hammond Hwy Baton Rouge, LA 70816 (225) 923-0960 Haik, Hilliard Michael, MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 Hendricks, Sean D., MD 10423 Old Hammond Hwy Baton Rouge, LA 70816 (225) 923-0960 2421 Church St Zachary, LA 70791 (225) 654-1061 1004 W. Hwy 30 Ste. A Gonzales, LA 70737 (225) 644-4444 Holloway, Ashton R., MD 4848 North Blvd Baton Rouge, LA 70806 (225) 927-0180 Hoth, James J., MD 7777 Hennessy Blvd Ste 3001 Baton Rouge, LA 70808 (225) 768-7777 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5842 Johnson, Tim D., MD 7777 Hennessy Blvd #3001 Baton Rouge, LA 70808 (225) 768-7777 Luckett, Suzanne S., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 250 Hospital Rd New Roads, LA 70760 (225) 638-4428 Meadows, Mark, MD 8777 Bluebonnet Ste B Baton Rouge, LA 70810 (225) 767-5525 59335 Riverwest Dr Plaquemine, LA 70764 (225) 687-7787 Nelson, Scott K., MD 222 Veterans Blvd Denham Springs, LA 70726 (225) 791-2020 1004 W Hwy 30 Ste A Gonzales, LA 70737 (225) 644-4444 10423 Old Hammond Hwy Baton Rouge, LA 70816 (225) 923-0960 Oliver, Victor M., MD 4848 North Blvd Baton Rouge, LA 70806 (225) 927-0180 Oswald, Michael R., MD 2421 Church St Zachary, LA 70791 (225) 654-1061 Pearce, Allen R., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 8913 Bluebonnet Blvd Baton Rouge, LA 70810 (225) 767-1500 Peavy, Donald R., MD 4848 North Blvd Baton Rouge, LA 70806 (225) 927-0180 Rao, Aravinda K., MD 7698 Goodwood Blvd Baton Rouge, LA 70806 (225) 927-8141 9032 Perkins Rd Baton Rouge, LA 70805 (225) 768-5700 Rhodes, Annette M., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 7539 Corporate Blvd #100 Baton Rouge, LA 70809 (225) 216-1400 14241 Coursey Blvd # A8 Baton Rouge, LA 70817 (225) 751-5554 5000 O’Donovan Blvd Ste 407 Walker, LA 70785 (225) 769-9637 Saloom, Russell J., MD 9237 Bluebonnet Blvd Baton Rouge, LA 70810 (225) 766-1110 Stuckey, III, Thomas C., MD 7777 Hennessy Blvd #3001 Baton Rouge, LA 70808 (225) 768-7777 2421 Church St Zachary, LA 70791 (225)654-1061 Torres, Waldemar, MD 10202 Jefferson Hwy Bldg D Baton Rouge, LA 70809 (225) 768-8833 Williams, Pamela E., MD 5220 Flanders Dr Baton Rouge, LA 70808 (225) 766-3437 Williamson, Baron J., MD 10423 Old Hammond Hwy Baton Rouge, LA 70816 (225) 923-0960 Woo, Fay L., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 Wood, Jeremy J., MD 7777 Hennessy Blvd #4000 Baton Rouge, LA 70808 (225) 766-7441 8913Bluebonnet Blvd Ste B Baton Rouge, LA 70810 (225) 767-1500 5000 O’Donovan Blvd Ste 4000 Walker, LA 70785 (225) 769-9637 Worley, Michael W., MD 2421 Church St Zachary, LA 70791 (225) 654-1061 OPHTHALMOLOGY – PEDIATRIC Black, Andrew C., MD 5220 Flanders Dr Baton Rouge, LA 70808 (225) 766-3437 Black, Bradley C., MD 5220 Flanders Dr Baton Rouge, LA 70808 (225) 766-3437 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 93 of 159 ORTHOPAEDICS Broussard, Thad S., MD 8037 Picardy Ave Baton Rouge, LA 70809 (225) 767-3680 Broyles, Joseph E., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donnovan Blvd #306 Walker, LA 70785 (225) 766-0050 Easton, Robert, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225)358-1000 Hagemann, William F., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 Harrod, Christopher, MD 7301 Hennessey Blvd Ste 200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donnovan Blvd #306 Walker, LA 70785 (225) 766-0050 Hubbard, William J., MD 8595 Picardy Ave Ste 235 Baton Rouge, LA 70809 (225) 763-4629 Kozar, Brian E., MD 4845 Main St Ste B-1 Zachary, LA 70791 (225) 658-9996 Linschoten, Niels J., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 McCarthy, Kevin P., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donovan Blvd # 306 Walker, LA 70785 (225) 766-0050 Messina, Lawrence J., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donovan Blvd #306 Walker, LA 70785 (225) 766-0050 Moukarzel, Robert N., MD 8595 Picardy Ave Ste 235 Baton Rouge, LA 70809 (225) 763-4629 Murtagh, Gerard L., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 Pope, David M., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donovan Blvd #306 Walker, LA 70785 (225) 766-0050 Rolling, Jason L., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Schroeder, Alan C., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donovan Blvd #306 Walker, LA 70785 (225) 766-0050 Logan, John B., MD 7855 Howell Place Baton Rouge, LA 70807 (225) 228-2800 ***Thomas, John A., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Loupe, Jack F., MD 8595 Picardy Ave #210 Baton Rouge, LA 70809 (225) 763-4822 Walker, Charles S., MD 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 Loupe, John F., MD 7414 Picardy Ave Ste A Baton Rouge, LA 70808 (225) 769-6595 5000 O Donovan Blvd #306 Walker, LA 70785 (225) 766-0050 9032 Perkins Rd Ortho Dept Baton Rouge, LA 70810 (225) 768-5700 Braxton, Michael A., MD 7855 Howell Place Baton Rouge, LA 70807 (225) 228-2800 Warner, Meredith A., MD 18161 E Petroleum Dr Baton Rouge, LA 70809 (225) 754-8888 Bryant Snure, Susan J., MD 7855 Howell Place Baton Rouge, LA 70807 (225) 228-2800 Whatley, Adam, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225)358-1000 Clark, John E., MD 4554 Bluebonnet Blvd Baton Rouge, LA 70809 (225) 766-2311 Wyatt, David J., MD 4801 McHugh Rd Ste C Zachary, LA 70791 (225) 658-9996 Diehl, Lisa, MD 8595 United Plaza Blvd Baton Rouge, LA 70809 (225) 927-0567 PAIN MANAGEMENT John, Markus V., MD 8595 United Plaza Blvd Baton Rouge, LA 70809 (225) 231-3046 Kramm, Paul C., MD 2645 O’Neal Ln Bldg C Ste A Baton Rouge, LA 70816 (225) 757-5657 Russo-Stringer, Elizabeth A., MD 5408 Flanders Dr Baton Rouge, LA 70808 (225) 243-5603 PATHOLOGY Nunnally, Richard, MD 3933 Convention St Baton Rouge, LA 70806 (225) 387-7851 Pathology Group of Louisiana 5339 O’Donovan Dr Baton Rouge, LA 70808 (225) 766-4999 Scully, Sartin and Scioneaux MD PMC 500 Rue De Sante LaPlace, LA 70068 (985) 651-1554 PHYSICAL MEDICINE & REHABILITATION Barrow, Gray, MD 4545 Bluebonnet Blvd Baton Rouge, LA 70809 (225) 766-2311 Belleau, Christopher, MD 7301 Hennessy #200 Baton Rouge, LA 70808 (225) 766-0050 Kramm, Paul, MD 2645 O’Neal Ln Bldg C Ste A Baton Rouge, LA 70816 (225) 757-5657 PSYCHIATRY Atluri, Anupama, MD 5425 Brittany Dr Ste A Baton Rouge, LA 70808 (225) 767-3278 Bullock, Lance E., MD (Hospitalist Only) 3136 S St. Landry Ave Gonzales, LA 70737 (225) 647-7524 3138 S St. Landry Ave Gonzales, LA 70737 (225) 647-7524 2827 Ruby Ave Gonzales, LA 70737 (225) 356-7030 923 Executive Park Dr Ste 12 Baton Rouge, LA 70809 (225) 303-0212 11135 Florida Blvd Baton Rouge, LA 70812 (225) 356-7030 11135 Florida Blvd Ste B Baton Rouge, LA 70812 (225) 356-7030 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 94 of 159 3612 Baker Blvd Baker, LA 70714 (225) 778-0573 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 4080 Airline Hwy Reserve, LA 70804 (985) 479-1680 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Hamm, Barbara L., MD 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Kongara, Rama, MD 5425 Brittany Dr Baton Rouge, LA 70808 (225) 767-3372 LeBourgeois, III, Herbert, MD 3600 Florida Blvd Baton Rouge, LA 70806 (985) 242-9221 McClenahan, Eben L., MD 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Muller, Betty A., MD 1809 W. Airline Hwy LaPlace, LA 70068 (985) 652-8444 Parsa, Daren D., MD 1809 West Airline Hwy LaPlace, LA 70068 (985) 652-8444 Patel, Navin P., MD 3401 N Blvd Ste 100 Baton Rouge, LA 70806 (225) 387-7652 Vatsavayi, Venugopal, MD 3401 N Blvd Ste 100 Baton Rouge, LA 70806 (225) 387-7652 Vega, Melanie A, MD 1809 W Airline Hwy Laplace, LA 70068 (985) 652-8444 Wade, Lawrence D., MD 3060 Valley Creek Dr Ste C Baton Rouge, LA 70808 (225) 928-3401 PULMONARY MEDICINE Brierre, Stephen P., MD 3401 North Blvd Baton Rouge, LA 70806 (225) 381-2755 Culotta, Roy, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 3401 North Blvd Baton Rouge, LA 70806 (225) 381-2755 Reed, Kevin D., MD 3401 North Blvd Dr Baton Rouge, LA 70806 (225) 387-7000 1104 West Hwy 30 Gonzales, LA 70737 (225) 644-1205 King, Jr., Maurice L., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 8585 Picardy Baton Rouge, LA 70890 (225) 763-4860 1104 West Hwy 30 Gonzales, LA 70737 (225) 644-1205 8585 Picardy Baton Rouge, LA 70890 (225) 763-4860 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 Lauve, Andrew, MD 3401 North Blvd Baton Rouge, LA 70806 (225) 387-7280 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 3401 North Blvd Baton Rouge, LA 70806 (225) 387-7000 Failla, Paul J., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Godke, John R., MD 3401 North Blvd Dr Baton Rouge, LA 70806 (225) 381-2755 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Jagneaux, Tonya, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 8585 Picardy Baton Rouge, LA 70890 (225) 763-4860 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 3401 North Blvd Dr Baton Rouge, LA 70806 (225) 387-7000 O’Neal Jr., Hollis R., MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 388-1000 Roberts, Floyd J., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7724 Sheybani, Reza, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 RADIATION ONCOLOGY Bermudez, Richard S., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 Castle, Katherine O., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 Levine, Renee A., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 1104 W Hwy 30 Gonzales, LA 70737 (225) 644-1205 Lo, Kenneth K., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 1104 W Hwy 30 Gonzales, LA 70737 (225) 644-1205 Long, Jeffrey P., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 Fields, Robert S., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 1104 W Hwy 30 Gonzales, LA 70737 (225) 644-1205 1104 W Hwy 30 Gonzales, LA 70737 (225) 644-1205 Russell, William, MD 3401 North Blvd Baton Rouge, LA 70806 (225) 387-7280 Henkelmann, Gregory C., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 1104 West Hwy 30 Gonzales, LA 70737 (225) 644-1205 Johnson, Sheldon A., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7070 Sanders, Mary Ella, MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 1104 W Hwy 30 Gonzales, LA 70737 (225) 644-1205 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 95 of 159 Wood, Charles G., MD 4950 Essen Ln Baton Rouge, LA 70809 (225) 767-0847 1104 W Hwy 30 Gonzales, LA 70737 (225) 644-1205 RADIOLOGY Aultman, Chad J., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Blanchard, Travis J., MD 8416 Cumberland Pl Baton Rouge, LA 70806 (877)378-4643 Branstetter III, Robert M, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Brown, Jason A., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Burris, Robert A, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 De La Bretonne, Jacques A, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Demars, Thomas A., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Demouy, Jeffrey A, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Fletcher, James D., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Greeson, Charles S., MD 7703 Picardy Ave Baton Rouge, LA 70808 (225) 675-8363 Gregoire, William A., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Gremillion, Marcia, MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8266 Newsome, Robert R., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Grezaffi, John A., Jr., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Norman, Misty M., MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8266 Hanson, Richard D, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Nussbaumer III, David P, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Harris, Adam W. 7887 Picardy Ave Baton Rouge, LA 70809 (225) 796-6700 Nutter, Kathryn M., MD 8338 Summa Ave Ste 100 Baton Rouge, LA 70809 (225) 761-8988 Harris, John P., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Roberts, Claire K., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 796-6700 Hoff, David J., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Ruiz, James, MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8266 Jones-Braswell, Deana, MD 7703 Picardy Ave Baton Rouge, LA 70808 (225) 675-8363 Sotile, Steven, MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8266 Knox, Bruce R., MD 8338 Summa Ave Ste 100 Baton Rouge, LA 70809 (225) 761-8988 Sparks, John D, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Lawton III, James S., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Tsai, Sang Ting, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Adhvaryu, Dhaval, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 381-2615 LoCascio Jr., Lloyd F., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Wen, Clement C, MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 Bostick, Peter J., MD 8595 Picardy Ave Ste 200 Baton Rouge, LA 70809 (225) 767-5520 Lovretich, John, MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8266 Winters, Elizabeth, MD 100 Womans Way Baton Rouge, LA 70817 (225) 924-8266 Christian, Mary E., MD 500 Rue De La Vie Ste 212 Baton Rouge, LA 70817 (225) 216-1118 May, Byron B., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 796-6700 Woody, Mark W., MD 8416 Cumberland Pl Baton Rouge, LA 70809 (225) 571-4884 Cuntz, Cecilia M., MD 500 Rue De La Vie Ste 212 Baton Rouge, LA 70817 (225) 216-1118 Miller, Robert W., MD 7887 Picardy Ave Baton Rouge, LA 70809 (225) 769-6700 RHEUMATOLOGY Belsom, Rebecca, MD 5131 O’Donovan Ste 400 Baton Rouge, LA 70810 (225) 374-0110 SLEEP MEDICINE Jeffries, Edward E., MD 8595 Picardy Ave Ste 100 Baton Rouge, LA 70809 (225) 763-4900 Schwab, J. Kyle, MD 4570 Bluebonnet Blvd Ste A Baton Rouge, LA 70809 (225) 767-8550 SURGERY Breast Surgery Elliott, Robert, MD 17050 Medical Ctr Dr #400 Baton Rouge, LA 70816 (225) 755-3070 Cardiovascular Surgery Thurston, Robert, S., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 General Surgery Gordon, Stephen V., MD 8490 Picardy Ave Ste B Baton Rouge, LA 70809 (225) 769-6400 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 96 of 159 Harelson III, Samuel J., MD 5000 Hennessy Blvd Baton Rouge, LA 70808 (225) 765-6565 Hirsch, Alec A., MD 500 Rue De La Vie #407 Baton Rouge, LA 70817 (225) 215-7588 Jacob, Ryan, MD 1731 Lutcher Ave Lutcher, LA 70071 (504) 834-2062 Khan, Azeem, MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Littleton, Jeffrey, MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 381-2615 McGaff, Charles, Jr, MD 501 Rue de Sante Ste 5 La Place, LA 70068 (985) 652-1059 Neurosurgery Ioppolo, Anthony S., MD 5408 Flanders Dr Baton Rouge, LA 70808 (225) 757-1960 Oral & Maxillofacial Surgery Zakhary, George M., MD 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 7777 Hennessey Blvd Ste 610 Baton Rouge, LA 70808 (225) 769-2278 Plastic Surgery/ Reconstructive Surgery Antrobus, Stephen D., MD 4950 Essen Ln Ste 301 Baton Rouge, LA 70809 (225) 763-9611 Surgical Oncology Mencer, Ernest J., MD 3600 Florida Blvd Baton Rouge, LA 70806 (225) 381-2615 Bostick, Peter J., MD 8595 Picardy Ave Ste 200 Baton Rouge, LA 70809 (225) 767-5520 Richey, Thomas H., MD 5000 Hennessy Blvd Baton Rouge, LA 70808 (225) 765-6565 Dupont, Joseph B. Jr., MD 3401 N Blvd Ste 200B Baton Rouge, LA 70806 (225) 381-2615 9032 Perkins Rd Baton Rouge, LA 70810 (225)768-5700 Ross Jr., Sidney O., MD 8595 Picardy Ave Ste 235 Baton Rouge, LA 70810 (225) 763-4820 Short, Tracee C., MD 3600 Florida Blvd. Baton Rouge, LA 70806 (225) 381-2615 8595 Picardy Ave Ste 235 Baton Rouge, LA 70809 (225) 763-4820 Thoracic Surgery Boedefeld, William M., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Hand Surgery Bringaze, Walter L., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Mathews, Ronnie E., MD 2335 Church St Ste B Zachary, LA 70791 (225) 654-6366 Rigby, Carl, MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Sheely, Carlton, MD 7777 Hennessy Blvd #1008 Baton Rouge, LA 70808 (225) 766-0416 Thurston, Robert, S., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Vascular Surgery 5131 O Donovan Dr Ste 301 Baton Rouge, LA 70808 (225) 769-4493 4753 W. Park Dr Ste B Zachary, LA 70791 (225) 769-4493 Conners, Michael S., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 7638 Picardy Ave Baton Rouge, LA 70808 (225) 769-4493 Craven, James E., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Perkowski, Paul, MD 8585 Picardy Ave Ste 310 Baton Rouge, LA 70809 (225) 767-5479 Crenshaw, Gregory, MD 8888 Summa Ave 3rd Floor Baton Rouge, LA 70809 (225)769-4493 4753 W Park Dr Ste B Zachary, LA 70791 (225)769-4493 5131 O’Donovan Dr Ste 301 Baton Rouge, LA 70809 (225)769-4493 7638 Picardy Ave Baton Rouge, LA 70808 (225) 769-4493 Davis, Paul, MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Griffin, Joseph, MD 8888 Summa Ave 3rd Floor Baton Rouge, LA 70809 (225) 769-4493 7638 Picardy Ave Baton Rouge, LA 70808 (225) 769-4493 Guidry, London MD 8585 Picardy Ave Ste 310 Baton Rouge, LA 70809 (225) 767-5479 McNeil, James W., MD 7777 Hennessy Blvd Ste 1008 Baton Rouge, LA 70808 (225) 766-0416 Olinde, Andrew, MD 8888 Summa Ave 3rd Floor Baton Rouge, LA 70809 (225) 769-4493 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Schellack, Jon V., MD 8585 Picardy Ave Ste 310 Baton Rouge, LA 70809 (225) 767-5479 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Tran, Victor Q., MD 8888 Summa Ave 3rd Floor Baton Rouge, LA 70809 (225) 769-4493 5131 O Donovan Dr Ste 301 Baton Rouge, LA 70808 (225) 769-4493 4753 W. Park Dr Ste B Zachary, LA 70791 (225) 769-4493 7638 Picardy Ave Baton Rouge, LA 70808 (225) 769-4493 Wilensky, Joshua A., MD 888 Summa Ave Cardiology Twr, 3rd Fl Baton Rouge, LA 70809 (225) 769-4493 4753 W Park Dr Ste B Zachary, LA 70791 (225) 769-4493 5131 O’Donovan Dr Ste 301 Baton Rouge, LA 70808 (225) 769-4493 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 97 of 159 UROLOGY Annaloro, Angelo, MD 7777 Hennessy Blvd Ste 2004 Baton Rouge, LA 70808 (225) 769-2500 Blue III, Kenneth M., MD 8080 Bluebonnet Blvd Ste 3000 Baton Rouge, LA 70810 (225) 766-8100 Blue, Jr., Kenneth, MD 5825 Airline Hwy Baton Rouge, LA 70805 (225) 358-1000 Boudreaux, Kelly J., MD 8080 Bluebonnet Blvd Ste 3000 Baton Rouge, LA 70810 (225) 766-8100 Bridges, Charlie, MD 7777 Hennessy Blvd Ste 608 Baton Rouge, LA 70808 (225) 767-0394 Brogle, Brian, MD 501 Rue de Sante #7 LaPlace, LA 70068 (985) 651-8600 Brunner III, Baptiste W., MD 9032 Perkins Rd Baton Rouge, LA 70810 (225) 768-5700 Grissom, Robert T., MD 8080 Bluebonnet Ste 3000 Baton Rouge, LA 70810 (225) 766-8100 Hastings, David N., MD 8080 Bluebonnet Ste 3000 Baton Rouge, LA 70810 (225) 766-8100 Hollier, Henry A., MD 7777 Hennessy Blvd, Ste 2004 Baton Rouge, LA 70808 (225) 769-2500 Kubricht III, William, MD 8080 Bluebonnet Ste 3000 Baton Rouge, LA 70810 (225) 766-8100 Morris, James S., MD 7777 Hennessy Blvd Ste 2004 Baton Rouge, LA 70808 (225) 769-2500 Posner, Mark P., MD 7777 Hennessy Blvd Ste 2004 Baton Rouge, LA 70808 (225) 769-2500 Smither, Anna R., MD 8080 Bluebonnet Ste 3000 Baton Rouge, LA 70810 (225) 766-8100 Taylor, Robert S., MD 8080 Bluebonnet Ste 3000 Baton Rouge, LA 70810 (225) 769-0788 Vick, Stephen R., MD 7777 Hennessy Blvd Ste 2004 Baton Rouge, LA 70808 (225) 769-2500 Wills, Thomas E., MD 7777 Hennessy Blvd Ste 2004 Baton Rouge, LA 70808 (225) 769-2500 ANCILLARY SERVICES CHIROPRACTORS Bourque, Patrick W., DC 17487 Old Jefferson Hwy Ste D Prairieville, LA 70769 (225) 744-3902 Halkovic, Nicole, DC 1121-B Church St Zachary, LA 70791 (225) 654-0048 Heard, Fred R., DC 2352 Eastgate Dr Ste A Baton Rouge, LA 70816 (225)293-1400 Jorgenson, Todd A., DC 9422 Common St, Unit 1 Baton Rouge, LA 70809 (225) 928-0234 Rippel, Jeffrey J., DC 1680 Benton Ln Denham Springs, LA 70726 (225) 664-4035 Simonson, Matthew, DC 5626 Main St Zachary, LA 70791 (225) 658-0500 DENTISTS Cheuk, Khuong N., DDS 6351 Main St Zachary, LA 70791 (888) 414-7247 29565 S Montpelier St Albany, LA 70711 (888) 414-7247 490 Sitman St Greensburg, LA 70441 (888) 414-7247 Hall Jr., David A., DDS 5760 Monticello St St. Gabriel, LA 70776 (225) 642-9676 1704 Convention St Baton Rouge, LA 70802 (225) 383-0245 Leach Jr., Thomas, DDS 29565 S Montpelier St Albany, LA 70711 (888)414-7247 6351 Main St Zachary, LA 70791 (888) 414-7247 490 Sitman St. Greensburg, LA 70441 (888) 414-7247 Nguyen, Thunga T., DDS 490 Sitman St Greensburg, LA 70441 (888) 414-7247 29565 S Montpelier St. Albany, LA 70711 (888) 414-7247 6351 Main St Zachary, LA 70791 (888) 414-7247 Perry, Kirby A, DDS 5211 Essen Ln Ste 5 Baton Rouge, LA 70809 (225) 769-7710 DIAGNOSTIC SERVICES Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 1285 Corporate Center Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 Cardiostaff Corporation 4014 Medical Pkwy Ste. 200 Austin, TX 78756 (512) 419-1755 Imaging Center of Louisiana 8338 Summa Ave Ste 100 Baton Rouge, LA 70809 (225) 761-8988 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 25060 Ave Stanford Ste 270 Valencia, CA 91355 mdINR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 72 Bonaventura San Jose, CA 95134 (661) 942-3296 Raytel Cardiac Services, Inc. 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 Vascular Speciality Center Laboratory 8888 Summa Ave 3rd Flr Ste B Baton Rouge, LA 70809 (225) 769-4266 Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 98 of 159 DIALYSIS TREATMENT CENTER BMA Airline Dialysis Center 5948 Airline Hwy Baton Rouge, LA 70805 (225) 357-9055 BMA Baton Rouge 524 Colonial Dr Baton Rouge, LA 70806 (225) 927-3313 BMA Central Baton Rouge 5348 Flanders Dr Baton Rouge, LA 70809 (225) 766-5044 BMA New Roads Dialysis Center 107 Fairfield Ave New Roads, LA 70760 (225) 638-7395 BMA Picardy 7638 Picardy Ave Ste A Baton Rouge, LA 70808 (225) 766-5600 BMA Plaquemine 24660 Plaza Dr Plaquemine, LA 70764 (225) 687-9100 BMA Westport 2500 Commercial Dr Port Allen, LA 70767 (225) 343-5753 BMA Zachary 4709 Secretary Dr Zachary, LA 70791 (225) 654-1450 FMC Ascension Dialysis Center 17392 Vallee Ct Prairieville, LA 70769 (225) 622-0685 FMC Dialysis Services of Bon Carre 7656 Realtor’s Ave Baton Rouge, LA 70806 (225) 216-0388 FMC Dialysis Services Felicianas 2995 Race St Jackson, LA 70748 (225) 634-2733 FMC Dialysis Services North Boulevard 2661 North Blvd Baton Rouge, LA 70806 (225) 387-5777 Jackson Complex Health Ctr 3501 Hwy 10 Jackson, LA 70748 (225)683-1360 FMS Baton Rouge Foster Drive Dialysis Services 1919 N Foster Dr Baton Rouge, LA 70806 (225) 354-1611 Livonia Community Health Center 3041 Fordoche Rd Livonia, LA 70755 (225) 637-3535 Fresenius Medical Care Baker d/b/a BMA Airport 4353 Groom Rd Baker, LA 70714 (225) 774-4164 RKM Primary Care 11990 Jackson St Clinton, LA 70722 (225)683-5292 Fresenius Medical Care Denham Springs 137 Veterans Blvd Denham Springs, LA 70726 (225) 928-5210 Fresenius Medical Care Howell Place 7707 Howell Blvd Baton Rouge, LA 70807 (225) 357-3798 Fresenius Medical Care Mancuso 4848 Mancuso Ln Ste A Baton Rouge, LA 70809 (225) 766-6773 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) Baton Rouge Primary Care 2013 Central Rd Baton Rouge, LA 70807 (225) 774-1120 153 N 17th St Baton Rouge, LA 70802 (225)343-9086 Capitol City Family Health Center 3140 Florida St Baton Rouge, LA 70806 (225)650-2000 EXCELth Inc 4560 North Blvd Ste 104 Baton Rouge, LA 70806 (225) 201-9862 Innis Community Health Center 6450 Hwy 1 Batchelor, LA 70715 (225) 492-3775 RKM Primary Care Livingston 29437 Hwy 63 Stes 11/12/13/14 Livingston, LA 70754 (225)283-1356 Slaughter Health Ctr 3170 Church St Slaughter, LA 70777 (225)683-1370 Southeast Community Health Systems 6351 Main St Zachary, LA 70791 (888)414-7247 29565 S Montpelier St Albany, LA 70711 490 Sitman St Greensburg, LA 70441 The Caring Clinic of Louisiana 4560 North Blvd Ste 101 Baton Rouge, LA 70806 (225)341-5901 WBR Primary Care 751 Court St Port Allen, LA 70767 (225)389-1311 HOME HEALTH CARE Amedisys Louisiana LLC dba Amedisys Home Health 13702 Coursey Blvd., Ste. 1A Baton Rouge, LA 70817-1370 (225) 751-8201 Audubon Home Health Inc 9181 Interline Ave Ste 200 Baton Rouge, LA 70809 (225) 218-8009 Chase Health Care Inc 8755 Sullivan Rd Bldg 2C Baton Rouge, LA 70818 (225) 274-1444 Egan Healthcare Corp 3013 New Hwy 51 Ste C LaPlace, LA 70068 (504) 835-4474 Excel Home Health Services 133 Aspen Square, Ste. A Denham Springs, LA 70726 (225) 667-6444 Feliciana Home Health 9735 Grace Ln Clinton, LA 70722 (225) 683-3347 Feliciana Home Health East 1759 Physicians Park Dr Ste A Baton Rouge, LA 70816 (225) 952-8400 Feliciana Home Health South 8490 Picardy Ave Ste 500B Baton Rouge, LA 70809 (225) 763-4665 Feliciana Home Health West 59350 River West Dr Ste 101 Plaquemine, LA 70764 (225) 687-0820 HEARING CENTER/ AUDIOLOGIST Innovative Home Health Services Inc 206 Clinic Drive Donaldsonville, LA 70346 (225) 474-8400 Jumonville, Wendy A., AUD 8585 Picardy Ave Baton Rouge, LA 70809 (225) 763-4670 Medistar Home Health of Baton Rouge 2933 Brakley Dr #B Baton Rouge, LA 70816 (225) 928-1666 Ochsner Home Health of Lutcher 10900 Hwy 3125 Ste H Lutcher, LA 70071 (225) 869-9555 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 99 of 159 Pinnacle Home Health, LLC 5627 S Sherwood Forest Blvd Ste A Baton Rouge, LA 70816 (225) 248-8600 Pointe Coupee Homebound Health 350 Hospital Rd New Roads, LA 70760 (225) 638-5717 St. Joseph Hospice, LLC 10615 Jefferson Hwy Baton Rouge, LA 70809 (225) 769-4810 INFUSION THERAPY Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 Gem Drugs Vital Care 139 Central Ave Reserve, LA 70084 (985) 536-3957 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Stat Home Health, LLC 8923 Bluebonnet Blvd Ste B Baton Rouge, LA 70810 (225) 769-4764 Carepoint Parnters LLC 5225 O’Donovan Dr Ste 101 Baton Rouge, LA 70808 (225) 761-8700 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 1707 Chantilly Dr Ste A LaPlace, LA 70068 (985) 652-8092 National Infusion Services 5344 Brittany Dr. Baton Rouge, LA 70808 (225) 766-7828 Superior Home Health Care 4301 Bluebonnet Blvd Baton Rouge, LA 70809 (225) 766-8097 Synergy Home Care Capitol Region 7884 Office Park Blvd Ste 100 Baton Rouge, LA 70809 (225)766-6919 58725 Belleview Dr Ste A-3 Plaquemine, LA 70764 (225)687-8188 Vital Link Home Care 11750 Bricksome Ave Ste B Baton Rouge, LA 70816 (225) 298-0416 HOSPICE Amedisys Hospice LLC 13702 Coursey Blvd, Ste. 1B Baton Rouge, LA 70817 (225) 751-4599 Hospice Associates of New Orleans, LLC 8119 Picardy Ave Baton Rouge, LA 70809 (225) 218-1300 Hospice Compassus 8280 YMCA Plaza Dr Bldg 3 Ste B Baton Rouge, LA 70810 (225) 768-0866 SouthernCare Baton Rouge 4324 S Sherwood Forest Blvd Ste B-180 Baton Rouge, LA 70816 (225) 296-0792 Soileau’s Vital Care 7612 Picardy Ave Ste B Baton Rouge, LA 70808 (225) 766-7453 LABORATORIES Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75244 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 LabCorp of America 11441 Industriplex Blvd Ste 140 Baton Rouge, LA 70806 (225) 298-8200 7932 Summa Ave #B-2 Baton Rouge, LA 70808 (225) 769-8241 3929 Convention St Baton Rouge, LA 70806 (225) 343-0627 Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 OPKO Lab 1450 Elm Hill Pike Nashville, TN 37210 (615) 874-0410 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 ProPath Services, LLP 1355 River Bend Dr Dallas, TX 75247 (214) 631-6721 Quest Diagnostics 5414 Brittany Dr Ste D Baton Rouge, LA 70809 (225) 769-9818 8281 Goodwood Ste D Baton Rouge, LA 70806 (225) 218-1190 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 LONG TERM ACUTE CARE FACILITIES LTAC of Deham Springs 8375 Florida Blvd Deham Springs, LA 70726 (225) 665-2664 LTAC of Feliciana 9725 Grace Ln Clinton, LA 70722 (225) 683-1600 MEDICAL EQUIPMENT A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 Action Rehab & Supply Inc 1443 Del Plz Ste 6 Baton Rouge, LA 70815 (225) 214-1260 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 100 of 159 Allenmed, Inc 107 E Marshall St Gilmer, TX 75644 (903) 680-3113 Apria Healthcare, Inc. 12123 Industriplex Blvd Baton Rouge, LA 70809 (225) 751-8668 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 Comed Respiratory & Medical Equipment, Inc. 3610 Hwy 19 Zachary, LA 70791 (225) 658-2860 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 Custom Healthcare Inc dba Numotion 11725 Industriplex Blvd Unit 4 Baton Rouge, LA 70809 (225) 753-7007 6363 Main St, Ste E Zachary, LA 70791 (225) 658-8510 25420 LA Hwy 1 Ste D Plaquemine, LA 70764 (225) 687-4520 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Lincare, Inc. 6215 Hollyfield Dr Baton Rouge, LA 70809 (225) 756-1126 11931 Industriplex Blvd Ste 500 Baton Rouge, LA 70809 (225) 751-3133 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 Regional Medical Rental & Sales 11712 Florida Blvd #A Baton Rouge, LA 70815 (225) 272-5919 Respacare of Louisiana LLC 719 W 5th St Laplace, LA 70068 (985) 652-9933 Soileau’s Vital Care 7612 Picardy Ave Ste B Baton Rogue, LA 70808 (225) 766-7453 Still Me, Inc. 930 O’Neal Ln Ste B5 Baton Rouge, LA 70816 (225) 273-1900 Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Pk Twinsburg, OH 44087 (800) 321-0591 Magnolia Medical LLC 8261 Summa Ave Ste H Baton Rouge, LA 70809 (225) 615-8693 Taylor Home Health Supply 4716 North Blvd Baton Rouge, LA 70806 (225) 926-3734 Freedom Prosthetics 9354 Florida Blvd Walker, LA 70785 (225) 665-0323 Magnolia Respiratory & Medical Equipment, LLC 235 Florida Ave SE Denham Springs, LA 70726 (225) 664-2119 The Total Woman Boutique Inc 9244 Flordia Blvd Ste C Baton Rouge, LA 70815 (225) 924-4531 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 Gem Drugs Vital Care 139 Central Ave Reserve, LA 70084 (985) 536-3957 Genesis Medical Products Inc 8032 Summa Ave Ste D Baton Rouge, LA 70809 (225)706-4777 Hanger Prosthetics & Orthotics, Inc. 8522 Summa Ave Baton Rouge, LA 70809 (225) 761-9800 124 New Roads St New Roads, LA 70760 (225) 638-6031 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 1713 Wooddale Blvd #200 Baton Rouge, LA 70806 (225) 928-8525 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 MOBILE UNIT Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 NUTRITIONAL COUNSELING Barnett, Fay S., RD 8490 Picardy Ave Ste 600D Baton Rouge, LA 70809 (225) 819-1175 Johnson, Terri K., RD 8490 Picardy Av. Ste 600D Baton Rouge, LA 70809 (225) 819-1175 Price, Ray A., RD 158 Hwy 1008 Napoleonville, LA 70390 (985) 369-6031 473 Central Ave Reserve, LA 70084 (985) 536-2172 29170 Health Unit St Vacherie, LA 70090 (225) 265-2181 OPTOMETRY Abbott, Michael D., OD 8913 Bluebonnet Blvd Ste B Baton Rouge, LA 70810 (225) 767-1500 7539 Corporate Blvd Ste 100 Baton Rouge, LA 70809 (225) 216-1400 14241 Coursey Blvd Ste A8 Baton Rouge, LA 70817 (225) 751-5554 Allemond, Jason Paul, OD 2421 Church St Zachary, LA 70791 (225)654-1061 Baker, Cynthia W., OD 1330 S Range Ave Denham Springs, LA 70726 (225) 775-3994 Bond, R. Hunter, OD 222 Veterans Blvd Denham Springs, LA 70726 (225)791-2020 Bowman, Jonathan D., OD 10423 Old Hammond Way Baton Rouge, LA 70816 (225) 923-0960 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 101 of 159 Carnaggio, Carl, OD 7515 Florida Blvd Baton Rouge, LA 70806 (225) 924-5460 4615 S Sherwood Forest Baton Rouge, LA 70816 (225) 295-4132 Dimitri, Ronald G., OD 3025 Hwy 51 LaPlace, LA 70068 (985) 651-2332 Geier, Robert J., OD 250 Hospital Rd New Roads, LA 70760 (225) 638-4428 11424 Sullivan Rd Ste A Baton Rouge, LA 70818 (225) 262-8141 7777 Hennessy Blvd Ste 4000 Baton Rouge, LA 70808 (225) 766-7441 Gerdes Jr., Gerald G., OD 226 E Pinhook Rd Lafayette, LA 70501 (337) 235-3160 Lamendola, Eva, OD 1004 Hwy 30 Ste A Gonzales, LA 70737 (225) 644-4444 Lamendola, Jr., Joseph, OD 7777 Hennessey Blvd Ste 4000 Baton Rouge, LA 70808 (225) 766-7441 Lamonica, Glen A., OD 7777 Hennessy Blvd Ste 4000 Baton Rouge, LA 70808 (225) 766-7441 7539 Corporate Blvd Ste 100 Baton Rouge, LA 70809 (225) 216-1400 Paddock, Adam M., OD 222 Veternas Blvd Denham Springs, LA 70726 (225) 791-2020 Patin, Robert L., OD 7777 Hennessy Blvd Ste 4000 Baton Rouge, LA 70808 (225) 766-7441 7539 Corporate Blvd Ste 100 Baton Rouge, LA 70809 (225) 216-1400 Eye Care Surgery Center 10423 Old Hammond Hwy Baton Rouge, LA 70816 (225) 923-0960 14241 Coursey Blvd Ste A8 Baton Rouge, LA 70817 (225) 751-5554 Lake Surgery Center 7145 Perkins Pl Baton Rouge, LA 70808 (225) 765-3111 11424 Sullivan Rd Bldg A Ste A Baton Rouge, LA 70818 (225) 262-8141 Louisiana Sleep Foundation 4570 Bluebonnet Blvd Ste A Baton Rouge, LA 70809 (225) 767-8550 5000 O’Donovan Blvd Ste 407 Walker, LA 70785 (225) 769-9637 Prouet, Jr., Paul E., OD 3025 Hwy 51 LaPlace, LA 70068 (985) 651-2332 Rogers, Kevin A., OD 18901 Greenwell Springs Rd Central, LA 70739 (225) 261-6282 Shaw, Ann H, OD 23855 Eden St Plaquemine, LA 70764 (225) 687-2026 Shaw III, Roger F. OD 23855 Eden St Plaquemine, LA 70764 (225) 687-2026 Tate, Patrick, OD 4315 Church St Ste B Zachary, LA 70791 (225) 658-8283 Wroten, Christopher W., OD 222 Veternas Blvd Denham Springs, LA 70726 (225) 791-2020 OUTPATIENT CENTERS Advanced Sugical Care of Baton Rouge, LLC 7310 Perkins Rd Baton Rouge, LA 70808 (225) 236-3100 Endoscopy Center of Baton Rouge 6615 Perkins Rd Baton Rouge, LA 70808 (225) 906-2570 Orthopedic Surgery Center 7301 Hennessy Blvd Ste 100 Baton Rouge, LA 70808 (225) 763-6011 Outpatient Surgery & Cosmetic Center 6550 Main St Ste 2600 Zachary, LA 70791 (225)570-6357 Outpatient Surgery Center for Sight 550 Connell’s Park Ln Baton Rouge, LA 70809 (225)925-2031 PHYSICAL THERAPY CENTERS Advanced Rehab Concepts 7301 Hennessy Blvd #102 Baton Rouge, LA 70808 (225) 767-5004 Advanced Rehab of Gonzales 2211 S Burnside Ste 2 Gonzales, LA 70737 (225) 644-8444 Advanced Therapy Solutions 1940 O’Neal Ln Baton Rouge, LA 70816 (225) 753-9444 Alliance Therapy Services 12320 Hwy 44 Bldg 3F Gonzales, LA 70737 (225) 647-9505 Alpha Physical Therapy 4343 Rhonda Drive Baton Rouge, LA 70816 (225) 636-6418 Ascension Physical Therapy Clinic 204 Clinic Dr Donaldsonville, LA 70346 (225) 473-4719 184 Hwy 70 Spur Plattenville, LA 70393 (985) 369-7571 Baker Physical Therapy 4971 Groom Rd Baker, LA 70714 (225) 775-7051 Baton Rouge Speech & Hearing Foundation 7784 Innovation Park Dr Baton Rouge, LA 70820 (225)343-4232 Brown Rogers Therapy 6723 Jefferson Hwy Baton Rouge, LA 70806 (225) 926-2400 Downtown Physical Rehabilitation 160 N 8th St Baton Rouge, LA 70802 (225) 383-5021 Downtown Physical Therapy and Industrial Center, LLC 16645 Highland Rd Ste K Baton Rouge, LA 70810 (225) 756-2722 Dynamic Therapy, LLC 7523 Hwy 1 S Addis, LA 70710 (225) 687-0602 Guidroz, Thomas P., PT 7301 Hennessy Blvd Ste 200 Baton Rouge, LA 70808 (225) 766-0050 5000 O’Donnovan Blvd Ste 306 Walker, LA 70785 (225) 766-1499 Health Quest Physical Therapy 17544 Greenwell Springs Rd Greenwell Springs, LA 70739 (225) 275-9393 35055 LA Hwy 16 #1-C Denham Springs, LA 70706 (225) 791-7770 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 102 of 159 Health Quest Physical Therapy 17534 Old Jefferson Ste A-1 Prairieville, LA 70769 (225) 673-4370 Linx Physical Therapy 18780 Hwy 22 Ste E Maurepas, LA 70449 (225) 698-1144 25550 Juban Rd Ste B Denham Springs, LA 70726 (225) 665-8600 Moreau Physical Therapy Baton Rouge 11281 Old Hammond Hwy Bldg A Baton Rouge, LA 70816 (225) 275-3177 Moreau Physical Therapy 1326 Church St Zachary, LA 70791 (225) 751-8512 Moreau Physical TherapyCentral 11424 Sullivan Rd Bldg C Ste A Baton Rouge, LA 70818 (225) 261-7021 Moreau Physical TherapyJefferson 17301 Jefferson Hwy Ste 3 Baton Rouge, LA 70817 (225) 751-8512 Moreau Physical Therapy Perkins Rd. 3129 Perkins Rd. Baton Rouge, LA 70808 (225) 246-2998 Moreau Physical TherapyZachary 4845 Main St Ste C Zachary, LA 70791 (225) 654-8208 Morgan Physical Therapy 14744 Tiger Bend Rd Ste D3 Baton Rouge, LA 70817 (225) 756-0870 58416 Belleview Rd Plaquemine, LA 70764 (225) 687-5484 702 Lobdell Hwy Plaza 415 Ste S Port Allen, LA 70767 (225) 381-7275 1111 Hospital Rd Ste D New Roads, LA 70760 (225) 638-4222 Performance Rehabilitation Services 301 W Airline Hwy Ste 104 LaPlace, LA 70068 (985) 653-9242 Hall, Otto Christian, DPM 7301 Hennessy Blvd #200 Baton Rouge, LA 70808 (225) 766-0050 Hall, Patrick B., DPM 7301 Hennessy Blvd Ste 200 Baton Rouge, LA 70808 (225) 766-0050 Physical Therapy Center Inc 7936 Office Park Blvd., Ste. B Baton Rouge, LA 70809 (225) 201-0002 5000 O’Donovan Blvd Ste # 306 Walker, LA 70785 (225) 766-0050 Physicians Choice Physical Therapy, LLC 59295 Riverwest Dr Plaquemine, LA 70785 (225) 791-7788 Palecki, Richard, DPM 230 Roberts Dr Ste G New Roads, LA 70760 (225) 638-6640 Physicians’ Choice Physical Therapy of West Baton Rouge 402 N Vaughn St Brusly, LA 70719 (225) 749-4900 Pierre Part Physical Therapy 2729 Lee Dr Pierre Part, LA 70339 (985) 252-9396 Trotter, Marvin M., DPM 331 Hospital Rd New Roads, LA 70760 (225) 216-3338 3140 Florida Blvd Baton Rouge, LA 70806 (225) 650-2000 8333 Goodwood Baton Rouge, LA 70806 (225) 216-3338 Prime Physical Therapy 4606 Jones Creek Rd Ste 150 Baton Rouge, LA 70817 (225) 388-5534 Vu, Ly Chung, DPM 1401 N Foster Dr Baton Rouge, LA 70806 (225) 987-9147 Therapy Center for Physical Rehabilitation & Wellness, LLC 1160 Hospital Rd, Ste. 100 New Roads, LA 70760 (225) 638-4455 Vuong, Hieu T., DPM 3851 S Sherwood Forest Blvd Ste 360 Baton Rouge, LA 70816 (225) 293-0068 Triton Healthcare Inc. 8128 Florida Blvd Denham Springs, LA 70726 (225) 791-8666 White, Melannie D., DPM 429 W Airline Hwy LaPlace, LA 70068 (504) 833-0029 PODIATRY PRIVATE DUTY NURSING Davis, Alex J., DPM 4560 North Blvd #119 Baton Rouge, LA 70806 (225) 928-7065 10290 Gould Dr St. Francisville, LA 70775 (225) 928-7065 Guichard, Darek, DPM 179 Belle Terre Ste A LaPlace, LA 70068 (985) 651-6096 PDN Nursing, Inc dba Nursing PRN 8755 Sullivan Rd Bldg 2D Baton Rouge, LA 70818 (225)273-0051 SKILLED NURSING FACILITY Affinity Nursing & Rehabilitation Center 4005 North Blvd Baton Rouge, LA 70806 (225) 387-5934 Baton Rouge General Medical Center SNF 3600 Florida Blvd Baton Rouge, LA 70806 (225) 387-7000 Baton Rouge Health Care Center 5550 Thomas Road Baton Rouge, LA 70811 (225) 774-2141 Care Center 11188 Florida Blvd Baton Rouge, LA 70815 (225) 275-7570 Carrington Place of Baton Rouge 8225 Summa Ave Baton Rouge, LA 70809 (225) 766-0130 Christian, Lori C., LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Colonial Care Retirement Center 14686 Old Hammond Hwy Baton Rouge, LA 70816 (225) 272-9339 Golden Age Nursing Home 26739 Hwy 1032 Denham Springs, LA 70726 (225) 665-5544 Golden Age Nursing Home Swing Bed 26739 Hwy 1032 Denham Springs, LA 70726 (225) 665-5544 Guest House 10145 Florida Blvd Baton Rouge, LA 70815 (225) 272-0111 Harvest Manor Nursing Home 9171 Cockerham Dr Denham Springs, LA 70726 (225) 665-8946 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 103 of 159 Nottingham Regional Rehab 2828 Westfork Dr Baton Rouge, LA 70816 (225) 291-7049 Old Jefferson Community Care Center 8340 Baringer Foreman Rd Baton Rouge, LA 70817 (225) 753-3203 Pointe Coupee Healthcare 1820 False River Dr New Roads, LA 70760 (225) 638-4431 Sterling Place 3888 North Blvd Baton Rouge, LA 70806 (225) 344-3551 SUBSTANCE ABUSE/PSYCH Amond, Jennifer R., LPC 5638 Superior Dr Ste B Baton Rouge, LA 70816 (225) 295-9379 Beacon Behavioral Hospital 2471 Louisiana Ave Lutcher, LA 70071 (225)258-6103 10425 Plaza Americana Dr Baton Rouge, LA 70816 (225)810-4719 Belanger, Lori A., LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Belle, Rhonda, LCSW 1809 W Airline Hwy Laplace, LA 70068 (985) 652-8444 Benton, Victoria, LPC 10985 N Harrell’s Ferry Rd Ste 200 Baton Rouge, LA 70816 (225) 273-0106 Colson, Tangela S., LCSW 1707 Gardere Ln Baton Rouge, LA 70820 (225) 642-9676 5760 Monticello St St. Gabriel, LA 70776 (225) 642-9676 3285 Hwy 75 St. Gabriel, LA 70776 (225) 642-9911 Hardin, Teresa, LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Sellers, Denise P., PhD 8235 YMCA Plaza Dr Ste 401 Baton Rouge, LA 70810 (225) 767-3121 Delatte, Joseph G., Jr., LCSW 172 Lee Dr Ste 1 Baton Rouge, LA 70808 (225) 766-8959 Harness, Shannae N., PhD 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Soignier, Deanie J., LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Earle, David W., LPC 10802 Landsbury Ste B Baton Rouge, LA 70809 (225) 293-3783 Harris, Rita M., LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Tucker, Herman D., LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Evans, Mechele de Avila, LCSW 7865 Jefferson Hwy, Ste D Baton Rouge, LA 70809 (225) 366-8606 Hodge, Mariabarbara, LCSW 4560 North Blvd Ste 101 Baton Rouge, LA 70806 (225) 341-5901 Vilas, Nora K. “Kathy”, LCSW 4919 Jamestown Ste 101 Baton Rouge, LA 70808 (225) 924-6621 Fidanza, John F., PhD 490 Sitman St Greensburg, LA 70441 (888) 414-7247 Johnson, Donetta, LCSW 29565 S Montpelier St Albany, LA 70711 (888) 414-7247 Woodlake Addiction Recovery Center 3015 Hwy 956 Ethel, LA 70730 (225) 683-4144 1825 Hwy 30 St. Gabriel, LA 70776 (225) 642-9676 29565 S Montpelier St St Albany, LA 70711 (888) 414-7247 6351 Main St Zachary, LA 70791 (888) 414-7247 6351 Main St Zachary, LA 70791 (888) 414-7247 490 Sitman St Greensburg, LA 70441 (888) 414-7247 Gaines, Michael, LCSW 1707 Gardere Ln Baton Rouge, LA 70820 (225) 642-9676 Martinez, Jr., John, LCSW 9229 Bluebonnet Blvd Baton Rouge, LA 70810 (225) 769-7575 Garrett, Virginia D., Ph.D 7916 Wrenwood Blvd Ste C Baton Rouge, LA 70809 (225) 302-5092 Narretta, Dayne, LCSW 9229 Bluebonnett Blvd Baton Rouge, LA 70810 (225) 769-7575 Gibbens, Katie, LCSW 1809 W Airline Hwy Laplace, LA 70068 (985) 652-8444 Nichols, Cheryl A., LCSW 172 Lee Dr #1 Baton Rouge, LA 70808 (225) 767-8570 Greenwood, Tracy M., LAC 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Richoux, Clinell M., LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 Hansen, Michael, PsyD 6351 Main St Zachary, LA 70791 (888) 414-7247 Ring, Renee, LCSW 1809 W Airline Hwy LaPlace, LA 70068 (985) 652-8444 490 Sitman St Greensburg, LA 70441 (888) 414-7247 29565 S Montpelier St Albany, LA 70711 (888) 414-7247 Schilling, Karen, LCSW 1809 W Airline Hwy Laplace, LA 70068 (985) 652-8444 10473 Old Hammond Hwy Baton Rouge, LA 70816 (225) 924-1910 URGENT CARE TREATMENT Lake Urgent Care Ascension 14350 Hwy 73 Prairieville, LA 70769 (225) 313-3930 1702 N Burnside Ave Gonzales, LA 70737 (225) 647-4988 17609 Old Jefferson Hwy Prairieville, LA 70769 (225) 744-4988 Lake After Hours 12525 Perkins Rd Ste B Baton Rouge, LA 70810 (225) 819-8857 12525 Perkins Rd Baton Rouge, LA 70810 (225) 765-5437 2380 O’Neal Ln Ste A Baton Rouge, LA 70816 (225) 756-0780 8751 Sullivan Rd Baton Rouge, LA 70818 (225) 262-8377 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 104 of 159 3333 Drusilla Ln Ste B Baton Rouge, LA 70809 (225) 924-3906 2943 St. Bernard Ave New Orleans, LA 70122 (504) 529-5558 123 Lee Dr Baton Rouge, LA 70808 (225) 302-5757 2405 Jackson Ave New Orleans, LA 70113 (504) 529-5558 31985 LA Hwy 16 Denham Springs, LA 70726 (225) 791-8800 Anderson, Danita C., MD 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 Birdsall, Gary J., MD 102 W. 112th St. Cutoff, LA 70345 (985) 632-5222 Chambers, Michael A., MD 103 Dr Bowen St. Belle Chasse, LA 70037 (504) 392-3392 Biondolillo, Christopher, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Clunan, Sheri J., NP 64724 Hwy 41 Pearl River, LA 70452 Blanchard, Deanna, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 4463 Hwy 1 S Port Allen, LA 70767 (225) 771-8012 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 18989 Old Scenic Hwy Zachary, LA 70791 (225) 654-8850 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 Bouzigard, Lorris J., NP 1150 Robert Blvd Ste 190 Slidell, LA 70458 (985) 646-4415 13702 Coursey Blvd Bldg 10 Ste B Baton Rouge, LA 70817 (225) 246-8000 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 820 Asbury Dr Mandeville, LA 70471 (985) 778-2577 Riverside Urgent Care 3317 Hwy 51 LaPlace, LA 70068 (985) 233-3317 REGION 7 Includes Tangipahoa, LaFourche, St. Charles, St. John the Baptist, St. Tammany, Plaquemines, Jefferson, Orleans, Washington and St. Bernard Parishes. Prior Plan Approval (PPA) is required when a Primary Care Physician is rferring an HMO Member to a Specialist who is outside of the Primary Care Physician’s region. PRIMARY CARE PHYSICIANS FAMILY PRACTICE Anthony, Alana P., MD 200 W Esplande Ave Kenner, LA 70065 (504) 712-7800 843 Milling Ave Luling, LA 70070 (504) 985-5800 Arencibia, Luis R., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4331 (Hospitalist Only) Balette, Charles, MD 1119 S. Tyler St. Covington, LA 70433 (985) 875-9166 Bateman, David, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Bui, Ngoc-Thuy, MD 435 Lapalco Blvd, Ste 1 Gretna, LA 70056 (504) 392-4114 Butler, Megan, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Calkins, Caleb, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Campbell, Jr., James S, MD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 4642640 Cartagena, Maria I., MD 27136 Hwy 23 Ste A Port Sulphur, LA 70083 (504) 564-3344 Adams, Erin, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Bertucci, Bryan J., MD 8050 W Judge Perez Ste 3100 Chalmette, LA 70043 (504) 304-2800 Aguillard, Ariel B., MD 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 Beyl, Gayle Holley, MD 4228 Houma Blvd Ste 200 Metairie, LA 7B0006 (504) 454-7878 Casey, Lisa A., MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Bhullar, Ruby, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Casey, Michael D., MD 1150 Robert Blvd, Ste 100 Slidell, LA 70458 (985) 646-1122 1020 St. Andrew St. New Orleans, LA 70130 (504) 529-5558 27136 Hwy 23 Port Sulphur, LA 70083 (504) 564-3344 (Hospitalist Only) 901 Gause Blvd Slidell, LA 70458 (985) 280-8970 Coleman, Mary T, MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504)412-1100 Cone, Jonathan R., MD 7030 Canal Blvd 2nd Fl New Orleans, LA 70124 (504) 503-6760 Conklin, Scott G., MD 619 E. Judge Perez Dr Chalmette, LA 70043 (504) 309-8928 Cox, Casey H., NP 1520 Gause Blvd Slidell, LA 70458 (985) 646-0945 Cucchiara, Charles J., MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Culasso, Miguel A., MD 1520 Gause Blvd Slidell, LA 70458 (985) 646-0945 Dave, Mit, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Davis, Michelle M., MD 200 W Esplanade Ave Ste 106 Kenner, LA 70065 (504) 712-7000 Duong, Hop, MD 9061 W Judge Perez Dr Chalmette, LA 70043 (504) 662-1435 1308 Wiliams Blvd Kenner, LA 70062 (504) 463-2200 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 105 of 159 705 W Esplanade Ave Ste A Kenner, LA 70065 (504) 465-0185 Evans Jr., Henry M., MD 4301 Elysian Fields Ave New Orleans, LA 70122 (504) 284-3866 Fambro, James E., MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7500 Guarino, Christina S., NP 2208 Washington St. Franklinton, LA 70438 (985) 795-2228 Gursky, Seth, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Hartman, Megan, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Fatakia, Adil A., MD 1111 Medical Center Blvd N406 Marrero, LA 70072 (504) 349-6400 Hay, William, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Feinberg, Jill J., MD 1415 Avenue F Bogalusa, LA 70427 (985) 735-1198 Henry, Miyoshi L., MD 1150 Robert Blvd Ste 100 Slidell, LA 70458 (985) 646-1122 Ford, Lindsay E., MD 7030 Canal Blvd 2nd Fl New Orleans, LA 70124 (504) 503-6760 Hollister, Debra A., DO 901 Gause Blvd 1st Flr Slidell, LA 70458 (985) 639-8970 Galofaro, Brian J., MD 70411 Hwy 21 Covington, LA 70433 (985) 400-5566 Holmes, William D. Jr., MD 843 Milling Ave Luling, LA 70070 (985) 785-5800 42078 A Veterans Ave Hammond, LA 70403 (985) 419-1884 Gandhi, Kimi, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Giambelluca, Lawrence, MD 1112 Engineers Rd, Ste 3 Belle Chasses, LA 70037 (504) 393-0610 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 16004 River Rd Norco, LA 70079 (985) 725-9330 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 Gipson, Walter E, MD 1702 Hwy 11N Picayune, MS 39466 (601) 799-3130 Hudson, Janice L, MD 200 W Esplanade Ave Ste 701 Kenner, LA 70065 (504) 412-1100 Goldsby, Reginald E., MD 309 Walnut St Ste A Amite, LA 70422 (985) 247-2700 Hulin, Michael, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Goodly, Elizabeth M., MD 4960 St Claude Ave New Orleans, LA 70117 (504) 533-4999 Iatchovski-Baronne, Ivo, MD 3017 Harvard Ave Ste 102 Metairie, LA 70006 (504) 885-7018 Imsais, Khalil Y., MD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 James III, Ernest, MD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 471-2940 Jeansonne, Richard M., MD 1970 N Hwy 190 Covington, LA 70433 (985) 867-8585 Jens, Daniel K., MD 200 W Esplanade Ave # 412 Kenner, LA 70065 (504) 471-2940 Jones, Stephen T., MD 3218 St Claude Ave New Orleans, LA 70117 (504) 324-7750 Joseph, Kevin O., MD 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Kendall, Lauren, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Laderer, Robert, DO 2375 E Gause Blvd Slidell, LA 70461 (985) 645-9000 Lagarde-May, Michele, MD 3201 S. Carrollton Ave New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St New Orleans, LA 70117 (504) 941-6041 111 N Causeway Blvd Metairie, LA 7001 (504) 482-0084 Lambousy, Karen S., NP 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 Lavin, Timothy, DO 4015 Jefferson Hwy New Orleans, LA 70121 (504) 637-6447 1600 Williams Blvd Kenner, LA 70062 (504) 468-1506 318 Baronne St New Orleans, LA 70112 (504) 561-1051 Magonet, Gordon M., MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 106 of 159 Mai, Quynh, MD 1308 Williams Blvd Kenner, LA 70062 (504) 463-2200 705 W. Esplande Ave, Ste A Kenner, LA 70065 (504) 465-0185 Mai, Vu M., MD 6621 Westbank Expwy Marrero, LA 70072 (504) 309-7030 Mardia, Sudha, MD 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Arabi, LA 70032 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 Moises, James P., MD 44354 Hwy 445 Unit D Robert, LA 70455 (985) 542-2466 Mornay, Yolonda R., NP 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 Nguyen, Huy D., MD 705 W. Esplande Ave, Ste A Kenner, LA 70065 (504) 465-0185 1308 Williams Blvd Kenner, LA 70062 (504) 463-2200 Nguyen, Son B., MD 435 Lapalco Blvd Ste 1 Gretna, LA 70056 (504) 392-4114 Nick, Brent, MD 1111 Medical Center Blvd, N803 Marrero, LA 70072 (504) 934-8333 Olaosun, Adenrele, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Orgeron, Thomas J., MD 300 Gateway Drive Slidell, LA 70461 (985) 643-4575 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 600 North Hwy 190, #201 Covington, LA 70433 (985) 892-5498 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 3715 Williams Blvd Ste 100 Kenner, LA 70065 (504) 465-4550 Muncie, Jr., Herbert, MD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 471-2750 1616 S Columbia St #C Bogalusa, LA 70427 (985) 735-1685 Mather, Joe, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Nanjappa, Nagaraj, MD 721 Ave G Kentwood, La 70444 (888) 414-7247 120 Meadowcrest St # 235 Gretna, LA 70056 (504) 391-7540 McMullen, Dara E., NP 3700 St. Charles Ave, 2nd Fl New Orleans, LA 70115 (504) 412-1100 Naquin, Christopher, MD 200 W Esplanade Ave Ste 106 Kenner, LA 70065 (504) 712-7000 624 Hwy 90 Bay St. Louis, MS 39520 (228) 467-9905 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 2020 Gravier St. New Orleans, LA 70112 (504) 412-1682 Mehaffie, Douglas T., MD 8717 W Judge Perez Dr Chalmette, LA 70043 (504) 475-2273 Miller, Christopher B., MD 140 E I-10 Service Rd Slidell, LA 70461 (985) 847-9909 Nguyen, Huong, MD 1308 Williams Blvd Kenner, LA 70062 (504) 463-2200 705 W Esplanade Ave Ste A Kenner, LA 70065 (504) 465-0185 Pais, Aarti, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Parkman, Allison, MD 721 Ave G Kentwood, LA 70711 (888) 414-7247 Patten, Patrick, MD 4200 Houma Blvd 1st Flr Metairie, LA 70006 (504) 456-9199 (Hospitalist Only) Pichon, Tradina R., MD 1414 Gause Blvd, Ste 16 Slidell, LA 70458 (985) 768-2649 Post, Robert M., MD 3201 S Carrollton Ave New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St New Orleans, LA 70117 (504) 941-6041 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 Prempeh, Osei B., MD 5646 Read Blvd, Ste 100 New Orleans, LA 70127 (504) 241-4344 2930 Canal St., Ste 401 New Orleans, LA 70119 (225) 975-0653 4700 Wichers Dr., Ste 304 Marrero, LA 70072 (504) 644-4787 4700 Wichers Dr., Ste 307 Marrero, LA 70072 (504) 309 -3262 Raman, Radha, MD 8708 Oak St New Orleans, LA 70118 (504) 865-0805 Ray, Derris W., MD 309 Walnut St Ste D Amite, LA 70422-2055 (985) 748-5158 Riser, James M., MD 2274 Hwy 43 S Picayune, MS 39466 (601)798-5798 Russ, J. Kevin, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 107 of 159 Ryan, Robert C., MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Tusa, Joseph E, MD 820 Asbury Dr Mandeville, LA 70471 (985) 778-2577 Sanders Jr., Richard J., MD 64040 Hwy 434, Ste 200 Lacombe, LA 70445 (985) 892-8233 Vega, Jay J., MD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 471-2750 Sharp, III, Clinton, MD 1051 Gause Blvd Ste 380 Slidell, LA 70458 (985) 641-8191 Warrier, Jaya S., MD 1855 Ames Blvd Ste B Marrero, LA 70072 (504) 371-8958 Smith, Eddie M, MD 103 Picciola Pkwy Cut Off, LA 70345 (985) 325-6226 Starr, Shannon P., MD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 471-2740 Szczepanski, Devan G., MD 70411 Hwy 21 Covington, LA 70433 (985)400-5566 Tillery Jr, Bertrand, MD 4700 Wichers Dr Ste 307 Marrero, LA 70072 (504)309-3262 Tilton, Andre D., MD 6621 Westbank Expwy Marrero, LA 70072 (504)309-7030 Timpton, Wanda G., MD 7901 Downman Rd New Orleans, LA 70126 (504) 244-1991 Tran, Juliet, MD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Treanor, Leonard C., MD 42388 Pelican Prof Park Hammond, LA 70403 (985) 542-6251 Truxillo, Ryan, MD 8050 W. Judge Perez Dr. Ste 3100 Chalmette, LA 70043 (504) 304-2800 Tucker, Atnena L, NP 70340 Hwy 21 Covington, LA 70433 (985) 888-1117 11312 Jefferson Hwy River Ridge, LA 70123 (504) 463-3002 3932 U.S. Hwy 90 Avondale, LA 70094 (504) 436-2223 5140 Church St. Lafitte, LA 70067 (504) 689-3300 Williams, Dave E., MD 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 Williams, Chequita S., MD 1150 Robert Blvd Ste 100 Slidell, La 70458 (985) 646-1122 Williams, David E. St. Clair, MD 200 W Esplanade Av #412 Kenner, LA 70065 (504) 471-2750 Wiseman, Pamela J., MD 3700 St. Charles Ave, 2nd Fl New Orleans, LA 70115 (504) 412-1100 200 W Esplande Ave Ste 205 Kenner, LA 70065 (504) 412-1100 Xi, Ruby X., MD 901 Gause Blvd Slidell, LA 70458 (985) 280-8970 Yontz, Dustin L., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4900 (Hospitalist Only) INTERNAL MEDICINE Abdo, Abir, MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 Abell, Mary M., MD 1020 St. Andrew New Orleans, LA 70130 (504) 595-5558 1936 Magazine St New Orleans, LA 70130 (504) 595-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 595-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Alvarado, Luis M., MD 21012 Hwy 16 Franklinton, LA 70438 (985) 795-0500 Alvarez, Mary E., MD 4626 Alcee Fortier Blvd Ste D New Orleans, LA 70129 (504) 255-8665 Amoss, John R., MD 1401 Foucher St New Orleans, LA 70115 (504) 412-1520 Anazia, Victor, DO 1212 Broad St Columbia, MS 39429 (601) 444-9266 Angelico, Blaise A., MD 3601 Houma Blvd Ste 402 Metairie, LA 70006 (504) 456-5123 Angelo, John E., MD 397 Hwy 21 Ste 601 Madisonville, LA 70447 (985) 845-9000 Ara, Anjuman, MD 200 W Esplanade Ave #312 Kenner, LA 70065 (504) 712-8872 Atluri, Prashanthi, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 200 W Esplanade Ave Ste 205 Kenner, LA 70065 (504) 412-1705 120 Meadowcrerst St Gretna, LA 70056 (504) 412-1390 Bajwa, Asghar, MD 3800 Houma Blvd Ste 325 Metairie, LA 70006 (504) 888-7111 Barnes, Jeanee M., MD 1970 N. Hwy 190 Covington, LA 70433 (985) 867-8585 (Hospitalist Only) Battula, Sarath, MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Bergeron, Jacie A., NP 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 301 N Highway 190 Covington, LA 70433 (985) 893-2223 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (985) 288-3888 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 108 of 159 Borne, David, MD 3700 St Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1366 Centanni, Eva B., MD 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504) 903-3000 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 Boudreaux, Kristi A., MD 180 W Esplande Ave Kenner, LA 70065 (504) 903-5166 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Braedt, Gary, MD 2633 Napolean Ave Ste 400 New Orleans, LA 70115 (504) 897-3305 Broussard, Amy H., MD 4200 Houma Blvd 1st Flr Metairie, LA 70006 (504) 456-9199 (Hospitalist Only) 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 Brown Cheryl, MD 397 Hwy 21 Ste 601 Madisonville, LA 70447 (985) 845-9000 Charpentier, Chantel M., NP 931 N Canal Blvd Thibodaux, LA 70301 (985) 446-6381 Brown, Kate M., MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 Chava, Sujata, MD 1057 Paul Maillard Rd Luling, LA 70070 (985) 785-5770 Burke, Victoria E., MD 2021 Perdido St. New Orleans, LA 70112 (504) 903-3000 Butler, Isolde, MD 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 1430 Tulane Ave SL87 New Orleans, LA 70118 (504) 988-7316 Butt, Glen A., MD 64629 Hwy 41 Pearl River, LA 70452 (985) 863-7100 Caulfield, Kyle L., MD 42388 Pelican Prof Park Hammond, LA 70403 (985) 542-6251 1057 Paul Maillard Rd Ste D 1900 Luling, LA 70070 (985) 785-5770 Dantagnan, Frederick W., MD 4228 Houma Blvd Ste 400 Metairie, LA 70006 (504) 889-5250 Declouet, Aleta N., MD 659 Brownswitch Rd. Slidell, LA 70458 (985) 781-7577 Deel, Brenda M., NP 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 301 N Highway 190 Covington, LA 70433 (985) 893-2223 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (985) 288-3888 Dennar, Chukwunomnso, MD 3570 Holiday Dr Ste 3-7 New Orleans, LA 70114 (504) 361-4203 Eubanks Jr., Robert L., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Fattel, Ida F., MD 1401 Foucher St New Orleans, LA 70115 (504) 897-7732 3601 Coliseum St New Orleans, LA 70115 (504) 899-1555 Dennar, Princess, MD 3570 Holiday Dr Ste 3-7 New Orleans, LA 70114 (504) 361-4203 Febry, Ricardo, MD 4200 Houma Blvd Metairie, LA 70011 (504) 456-9199 (Hospitalist Only) Dhand, Monica, MD 4200 Houma Blvd 1st Fl Metaire, LA 70006 (504)456-9199 (Hospitalist Only) Fouche, Joseph E., MD 4200 Houma Blvd, 1st Fl Metairie, LA 70006 (504) 456-9199 (Hospitalist Only) Drummond, D. Maury., MD 42388 Pelican Prof Park Hammond, LA 70403 (985) 542-6251 Francioni, Scott M., MD 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 Dumas, Jeremy G., MD 1855 Ames Blvd, Ste B Marrero, LA 70072 (504) 762-8900 3932 US Hwy 90 Avondale, LA 70094 (504) 436-2223 11312 Jefferson Hwy River Ridge, LA 70123 (504) 471-4800 5140 Church St Lafitte, LA 70067 (504) 689-3300 Dunn, Danisha X., MD 711 N Broad Ave New Orleans, LA 70119 (504) 609-3500 Englert, Daniel M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Ernst, III, John J., MD 3525 Prytania St Ste 430 New Orleans, LA 70115 (504) 897-7845 1020 St. Andrew St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave. New Orleans, LA 70113 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Giambrone, Nicole A., MD 701 Metairie Rd Ste 2A208 Metairie, LA 70005 (504) 832-0646 Glorioso, Monty A., MD 3800 Houma Blvd Ste 325 Metairie, LA 70006 (504) 888-7111 2820 Napoleon Ave Ste 590 New Orleans, LA 70115 (504) 899-1900 Graebert, Angela N., MD 4200 Houma Boulevard Metairie, LA 70006 (504) 454-4900 (Hospitalist Only) Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 109 of 159 Grant-Spencer, Telitha, MD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Graves, Christy, MD 1150 Robert Blvd Ste 190 Slidell, LA 70458 (985) 646-4415 Greene, Stacy A, MD 1936 Magazine St New Orleans, LA 70130 (504) 529-5558 1020 St Andrew St New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70113 (504) 529-555 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Griffee, James F., MD 901 Gause Blvd Slidell, LA 70458 (985) 280-8970 Gugel, Jonathan M., MD 843 Milling Ave Luling, LA 70070 (985) 785-5800 711 N Broad New Orleans, LA 70119 (504) 988-3000 Guillory, Shane G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 (Hospitalist Only) 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 (Hospitalist Only) Guillot, Jacques L., MD 1970 N. Hwy 190 Ste 103 Covington, LA 70433 (985) 867-8585 Janbain, Maissaa, MD 4200 Houma Blvd 1st Flr Metairie, LA 70006 (504) 456-9199 (Hospitalist Only) Gustafson, Eric A., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Jiminez, Erin NP 4228 Houma Blvd Ste 400 Metairie, LA 70006 (504) 889-5250 Hagensee, Michael, MD 2021 Perdido St. New Orleans, LA 70112 (504) 903-2373 Johnson, Jr., Joe E., MD 5001 Hwy 190 Ste A3 Covington, LA 70433 (985) 893-9251 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Haidar, Ahmad A., MD 1016 Sixth Ave Ste C Picayune, MS 39466 (601) 799-4777 Haire, Henry M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Hart, Jennifer N., MD 1400 Poydras St 3RD Fl New Orleans, LA 70112 (504) 903-2373 Hebert, Catherine M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1400 Poydras St New Orleans, LA 70112 (504) 903-3000 Heiman, Mayer J., MD 2012 Perdido St New Orleans, LA 70112 (504) 903-3000 Hsia, Daniel S., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504)412-1100 200 Henry Clay Ave New Orleans, LA 70118 (504)895-9511 Hudson, William P., MD 3700 St. Charles Ave 2nd Fl New Orleans, LA 70115 (504) 412-1100 Johnson, Harry, MD 3525 Prytania St #321 New Orleans, LA 70115 (504) 891-2207 Kluchin, Ronald J., MD 784 Asbury Dr Mandeville, LA 70471 (985) 626-8110 Kokemore, John J., MD 2633 Napoleon Ave Ste 400 New Orleans, LA 70115 (504) 897-3305 LaCorte, William, MD 519 Metairie Rd Metairie, LA 70005 (504) 838-6000 Lammi, Matthew, MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 Jolley, Sarah E., MD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 464-2940 Larcena, Allan Q., MD 105 Medical Center Dr Ste 301 Slidell, LA 70461 (985)646-0123 Jones, Jasper R., MD 42388 Pelican Prof Park Hammond, LA 70403 (985) 542-6251 Laurent, Merrill J., MD 56 Starbrush Circle Covington, LA 70433 (985) 871-0095 Joplin, Christopher A., MD 711 N Broad New Orleans, LA 70119 (504) 609-3500 Jordan, Matthew D., DO 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Kautzman, Michele G., MD 1855 – B Ames Blvd Marrero, LA 70072 (504) 371-8958 11312 Jefferson Hwy River Ridge, LA 70123 (504) 463-3002 3932 U.S. Hwy 90 Avondale, LA 70094 (504) 436-2223 5140 Church St. Lafitte, LA 70067 (504) 436-2223 Klibert, David M., MD 4228 Houma Blvd Ste 400 Metairie, LA 70006 (504) 889-5250 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 641-5523 Le, Van T., MD 4315 Houma Blvd Ste 501 Metairie, LA 70006 (504) 889-5248 Levi, Tania A., MD 1980N. Hwy 190 Covington, LA 70433 (985) 809-6195 Levy, Lawrence, MD 3800 Houma Blvd #325 Metairie, LA 70006 (504) 888-7111 2820 Napoleon Ave #590 New Orleans, LA 70115 (504) 899-1900 Lo, Betty, MD 200 W Esplanade Ave #205 Kenner, LA 70065 (504) 412-1705 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 110 of 159 Loch, Michelle, MD 3700 St Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 McCarron, Ross E., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 McCord, Robert W., MD 9605 Jefferson Hwy Ste F River Ridge, LA 70123 (504) 738-1600 2025 Gravier S 3rd Fl New Orleans, LA 70112 (504) 903-5700 Louapre III, Rene, MD 2633 Napoleon Ave Ste 400 New Orleans, LA 70115 (504) 897-3305 Lumpkin, Anitricia D., MD 180 W Esplandade Ave Kenner, LA 70065 (504) 412-1100 Lupin, Arnold, MD 701 Metairie Rd Ste 1A 205 Metairie, LA 70005 (504) 304-7949 3434 Prytania Ste 110 New Orleans, LA 70115 (504) 897-7007 Luu, Hieu, MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Marker, John D., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Martinez, Jorge A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Marts, Ronald C., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 Masri, Najy N., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 464-8099 McDermott, Diana T., MD 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70032 (504) 281-2800 McLean, Angela M., MD 1450 Poydras St New Orleans, LA 70112 (504) 903-2373 Mercado, Nestor F., MD 120 Meadowcrest St Gretna, LA 70056 (504) 412-1390 3700 St Charles Ave 5th Flr New Orleans, LA 70115 (504) 412-1100 Meyer, Jennifer L., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Miller, Laura E., MD 4200 Houma Blvd 1st Flr Metairie, LA 70006 (504) 456-9199 (Hospitalist Only) Montalvo, Hector, MD 3939 Houma Blvd Ste 216 Metairie, LA 70006 (504) 888-3292 Monte, Frank Joseph, MD 3800 Houma Blvd Ste 230 Metairie, LA 70006 (504) 889-9877 Morial, Julie C., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Mulcahy, Elizabeth A., NP 1936 Magazine St New Orleans, LA 70130 (504) 529-5558 1020 St Andrew St New Orleans, LA 70130 (504) 529-5558 3943 St Bernard Ave New Orleans, LA 70122 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70113 (504) 528-5558 Naccari, Brian J., MD 4224 Houma Blvd Ste 600 Metairie, LA 70006 (504) 456-8025 Naljayan, Mihran V., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Nguyen, Chuong H., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4331 (Hospitalist Only) Nicaud, Elise, MD 4228 Houma Blvd Ste 400 Metairie, LA 70006 (504) 889-5250 Northrop, Matthew D., MD 4200 Houma Blvd 1st Flr Metaire, LA 70006 (504) 456-9199 Nugent, Janice A., MD 3700 St Charles Ave New Orleans, LA 70115 (504) 412-1100 Olinde, Allison E. Tatum, MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Olinde, Justin B., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Oubre, John C., MD 56 Starbrush Circle Covington, LA 70433 (985) 871-0095 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 641-5523 Ovella, Susan F., MD 130 Lakeview Cir Covington, LA 70433 (985)892-6858 Owen, Jonathan G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Parikh, Parimal J., MD 4232 Williams Blvd Ste 101 Kenner, LA 70065 (504) 471-4880 Parsons, Christopher, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Pollet, David A., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Pollock, Robert L., MD 3601 Houma Blvd Ste 402 Metairie, LA 70006 (504) 456-5123 Pounds, Hannah H., MD 4960 St Claude Ave New Orleans, LA 70117 (504) 533-4999 Price-Haywood, Eboni G., MD 711 N Broad St New Orleans, LA 70119 (504) 988-3000 Prowell, Jr., Curtis D., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Rada, Elena Y., MD 4200 Houma Blvd Metairie, LA 70011 (504) 456-9199 (Hospitalist Only) Raina, Sanjay, MD 901 Gause Blvd 1st Flr Slidell, LA 70458 (985) 641-6882 Ramirez, Robert A., DO 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 111 of 159 Raymond, Sidney H., MD 4228 Houma Blvd Ste 400 Metairie, LA 70006 (504) 889-5250 Reske, Thomas M., MD 2021 Perdido St New Orleans, LA 70112 (504) 412-1100 Rodrigue, Leslie A., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Rooney, Michael J., MD 3939 Houma Blvd Ste 228 Metairie, LA 70006 (504) 779-5678 Rousseau, Marcelle M., MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 2121 Perdido St New Orleans, LA 70112 (504) 903-3000 Sanchez, Carmen I., MD 4200 Houma Blvd 1st Flr Metairie, LA 70006 (504) 456-9199 (Hospitalist Only) Sanne, Shane E., DO 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 Sarrat, Stephanie L., MD 2633 Napoleon Ave Ste 400 New Orleans, LA 70115 (504) 897-3305 Seicshnaydre, Craig A., MD 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 301 N Highway 190 Covington, LA 70433 (985) 893-2223 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (985) 288-3888 Serrant, Pedro, A., MD 1850 Gause Blvd Ste 103 Slidell, LA 70461 (985) 646-4464 Springgate, Benjamin F., MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 Starke, Ulrich A., MD 102 Highland Park Plz Covington, LA 70433 (985) 893-6558 Stevens, Nicholas C., MD 42388 Pelican Prof Park Hammond, LA 70403 (985) 542-6251 Urbizo, Carolina, MD 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 Weiner, Gerald M., MD 3601 Houma Blvd Ste 300 Metairie, LA 70009 (504) 885-7360 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 Wheat, Alissa R., NP 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 St Germain, David A., MD 4224 Houma Blvd Ste 600 Metairie, LA 70006 (504) 456-8025 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 Sun, Li, MD 1150 Robert Blvd Ste 100 Slidell, LA 70458 (985)646-1122 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 Talluri, Gayathri D., MD 931 N Canal Blvd Thibodaux, LA 70301 (985) 446-6381 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 Thien, Diana I., MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 Thien, John, MD 8050 W Judge Perez Ste 3100 Chalmette, LA 70043 (504) 304-2800 Thien, Paul, MD 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Tran, David D., MD 121 Lakeview Cir Ste A Covington, LA 70433 (985) 893-1070 21012 Hwy 16 Franklinton, LA 70438 (985)975-0500 Vanukuri, Radha, MD 931 N Canal Blvd Thibodaux, LA 70301 (985) 446-6381 Vargas-Bodas, Gabriel, MD 335 Austin St Bogalusa, LA 70427 (985) 732-1660 Verrette, Paul R, MD 8050 Judge Perez Dr Ste 2300 Chalmette, LA 70043 (504) 826-9655 8050 Judge Perez Dr Ste 3200 Chalmette, LA 70043 (504) 826-9655 Wallis, John B., MD 2820 Napoleon Ave Ste 890 New Orleans, LA 70115 (504) 412-1366 Walvekar, Seema R., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 301 N Hwy 190 Covington, LA 70433 (985) 893-2223 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (985) 288-3888 White, Elizabeth B., MD 205 Highland Park Plz Covington, LA 70433 (985) 871-8681 Winfrey, Keith L., MD 4626 Alcee Fortier Blvd Ste D New Orleans, LA 70129 (504) 255-8665 Witzig, Richard S., MD 4200 Houma Blvd Metairie, LA 70006 (504)454-4331 (Hospitalist Only) Yertha, Arvind R., MD 15481 West Club Deluxe Dr Hammond, LA 70403 (985) 543-4867 Youmans, Cassandra D., MD 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504) 903-3000 200 W Esplanade Ave #205 Kenner, LA 70065 (504) 412-1705 Zaveri, Kiran G., MD 3020 Kingman St Ste B Metairie, LA 70006 (504) 353-5500 PEDIATRICS Abou-Turk, Chirine, MD 5151 Plank Rd Ste 160 Baton Rouge, LA 70805 (225) 778-7599 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 112 of 159 Adams, Elizabeth, MD 4740 S I-10 Srvc Rd 2nd Flr Metairie, LA 70001 (504) 883-3703 Anand, Harish, MD 120 Meadowcrest Ste 245 Gretna, LA 70056 (504) 391-7690 Arnaud, Stephanie C., MD 829 Barataria Blvd Marrero, LA 70072 (504) 368-7337 Beatty, Kathryn K., MD 433 Plaza Dr Bogalusa, LA 70427 (504) 896-2143 Bellino, Elizabeth C., MD 8250 W Judge Perez Dr Ste B Chalmette, LA 70043 (504) 279-5547 Berry, Susan J., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2791 Chavan, Marshneil R., MD 843 Milling Ave Luling, LA 70070 (985) 785-5800 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 Claycomb, Stephen, MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 8250 W Judge Perez Ste B Chalmette, LA 70043 (504) 279-5547 Dal Corso, Mark, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Dave, Amar H., MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 Betancourt, Diana, MD 4532 W Napoleon Ave Ste 210 Metairie, LA 70001 (504) 456-7539 Devoe, Tin Tin, MD 4880 Hwy 22 Mandeville, LA 70471 (985) 845-8894 Bettencourtt, Heath L., MD 120 Meadowcrest St Ste 470 Gretna, LA 70056 (504) 391-7585 Dixit, Madhuri D., MD 501 Robert Blvd Ste 1 Slidell, LA 70458 (985) 649-0410 Braudt, Steven M, DO 64167 Hwy 41 Unit C Pearl River, LA 70452 (985) 250-9700 1430 Lindberg Dr Slidell, LA 70458 (985) 646-1580 Bridges, Sonseeahray MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Capone, Kenneth J., MD 1111 Medical Ctr Blvd N 208 Marrero, LA 70072 (504) 349-6228 Casey, Sherri, MD 71107 Hwy 121 Ste 1 Covington, LA 70433 (985) 893-2580 843 Milling Ave Luling, LA 70070 (985) 785-5800 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 15464 River Rd St. Rose, LA 70079 (985) 725-9330 Dumas, Sarah A., MD 200 Henry Clay Ave New Orleans, LA 70160 (504) 899-9511 English, Marcia R., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3924 Favre, Erin E., MD 151 Thomas Ave Bay St Louis, MS 39520 (228) 467-1320 Fletcher, Christopher, NP 1016 Sixth Ave, Ste A Picayune, MS 39466 (601) 798-5558 Ford, Stephanie L., NP 27350 Hwy 190 Lacombe, LA 70445 (985) 882-7077 Francioni, Scott M., MD 1936 Magazine St New Orleans, LA 70130 (504) 529-5558 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70113 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Gandhi, Mohan D., MD 2800 Veterans Memorial Blvd Ste 340 Metairie, LA 70002 (504)309-9364 Grant-Spencer, Telitha, MD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Guillory, Jennifer NP 4405 Hwy 190 E Service Rd Covington, LA 70433 (985) 893-8505 Guillot, Jacques L., MD 130 Lakeview Cir Covington, LA 70433 (985)892-6858 1970 N. Hwy 190 Covington, LA 70433 (985) 867-8585 Hebert, Corey J., MD 3600 Prytania St New Orleans, LA 70115 (504) 833-7374 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Heiman, Jonathan, MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 Hernandez, Lauren, MD 2017 Metairie Rd Metairie, LA 70005 (504) 832-8022 Hescock, Jr., George C., MD 200 Henry Clay Ave RIC 4229 New Orleans, LA 70118 (504) 896-9924 Houser, Marcella R., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 1401 Foucher St New Orleans, LA 70115 3040 33rd St Metairie, LA 70001 (504) 837-7760 Imsais, Khalil Y., MD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Jackson, Jamie, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9237 Jang, Jessica T., MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 113 of 159 Jeansonne, Cornel, MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 8250 W Judge Perez Ste B Chalmette, LA 70043 (504) 279-5547 Kautzman, Michele G., MD 1855 – B Ames Blvd Marrero, LA 70072 (504) 371-8958 11312 Jefferson Hwy River Ridge, LA 70123 (504) 463-3002 3932 US Hwy 90 Avondale, LA 70094 (504) 436-2223 5140 Church St Lafitte, LA 70067 (504) 436-2223 Kern, Karen R., MD 3040 33rd St Metairie, LA 70001 (504) 837-7760 Kern, Leslie M., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Kingston, Suzette, G., MD 2017 Metairie Rd Metairie, LA 70005 (504) 832-8022 Kosarek, Angela M., MD 3525 Prytania St Ste 602 New Orleans, LA 70115 (504) 897-0744 Kuhn, Brandy M., NP 64167 Hwy 41 Unit C Pearl River, LA 70452 (985) 250-9700 Le, Cac Thanh, MD 851 Manhattan Blvd #A Harvey, LA 70058 (504) 368-4396 Lefevre, Suzanne, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9511 Lewis-Gallien, Abbey A., MD 42124 Veterans Ave, Ste A Hammond, LA 70403 (985) 543-0565 Linares, Edith L., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2723 1401 Foucher St New Orleans, LA 70115 (504) 948-2873 Lo, Betty, MD 200 W Esplanade Ave #205 Kenner, LA 70065 (504) 464-8500 3700 St Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 Morgan, Delia C., MD 1200 W Causeway Approach Ste 21 Mandeville, LA 70471 (985) 674-9331 Pratt, Richard, MD 2017 Metairie Rd Metairie, LA 70005 (504) 832-8022 Quintal Lori M, MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 1200 West Causeway Approach, Ste 21 Mandeville, LA 70471 (985) 674-9331 Riojas, Monica, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9745 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 1437 Amelia St New Orleans, LA 70115 (504) 899-4005 Mack- Williams, Myria, MD 728 W 11th St Covington, LA 70433 (985) 893-3395 Mumphrey, Christy G., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Mallula, Kiran MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9751 Nachabe, Moustafa, MD 843 Milling Ave Luling, LA 70070 (985)785-5852 Maraia, Jennifer H., MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 Nanjappa, Nagaraj, MD 721 Ave G Kentwood, La 70444 (888) 414-7247 Mehta, Neha Harish, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-4652 Oliver, Paige, MD 2201 Veterans Blvd Ste 300 Metairie, LA 70002 (504) 833-7374 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 Miller, Amy L., MD 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 Oubre, Kathryn MD 4405 Hwy 190 Srvc Rd Covington, LA 70433 (985)893-8505 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 Pasternak, Ryan H., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2723 843 Milling Ave Luling, LA 70070 (985) 785-5800 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 Patterson, F. Douglas MD 42124 Veterans Ave Ste A Hammond. LA 70403 (985) 543-0565 Penn, Duna, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9418 Roheim, John G., MD 105 Medical Center Dr Slidell, LA 70461 (985) 645-8996 Rousseau, Marcelle M., MD 3700 St. Charles Ave 2nd Flr New Orleans, LA 70115 (504) 412-1100 2121 Perdido St New Orleans, LA 70112 (504) 903-3000 Sadeghpour, Bahram, MD 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 114 of 159 Sandlin, Chelsey T., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Trujillo, Carlos A., MD 1111 Medical Center Blvd Marrero, LA 70072 (504)349-6813 Schultz, Scott C. MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Vargas, Alfonso, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Seybolt, Lorna M., MD 2601 Tulane Ave, Ste 500 New Orleans, LA 70119 (504) 821-2601 Wall, Luke A., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Sharma, Rajesh, MD 120 Meadowcrest St #245 Gretna, LA 70056 (504-391-7690 Wetsman, Ellie F., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9237 Shuja, Muhammad, MD 5037 Veterans Blvd Ste 2E Metairie, LA 70006 (504) 887-2616 White, Elizabeth B., MD 205 Highland Park Plz Covington, LA 70433 (985) 871-8681 Siddique, Afsheen, MD 151 Thames Ave Bay St Louis, MS 39520 (228) 467-1320 Wilson, Ella D. NP 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 15465 Oak Lane Pl Ste 100F Gulfport, MS 39503 (985) 646-1580 Smith Peart, Raelanda E, MD 626 Superior Ave Bogalusa, LA 70427 (985) 730-6670 St. Etienne, Roseyly, MD 829 Barataria Blvd Marrero, LA 70072 (504)368-7337 Stevenson, Helen E., MD 340 Gateway Slidell, LA 70461 (985) 645-8687 Stewart, Hollie B., MD 1200 West Causeway Approch Ste 21 Mandeville, LA 70471 (985) 674-9331 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 Treme, Maria MD 3040 33rd St Metairie, LA 70001 (504) 837-7760 Woodall-Ruff, Denise, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 York, Harold R., MD 4937 Hearst St Ste 2A Metairie, LA 70001 (504) 885-9957 SPECIALTY CARE PHYSICIANS ALLERGY AND IMMUNOLOGY Derbes, Stephen J., MD 3525 Prytania St Ste 321 New Orleans, LA 70115 (504) 891-1211 Guillot, Richard, MD 804 Heavens Dr Ste 203 Mandeville, LA 70471 (985) 892-3122 Gupta, Sushma, MD Highland Park Plz #108 Covington, LA 70433 (985) 892-8660 Kamboj, Sanjay, MD 200 W Esplanade Ave # 205 Kenner, LA 70065 (504) 412-1705 Paris, Kenneth, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Sorensen, Ricardo, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8590 Kamboj, Sonia, MD 1111 Medical Center Blvd Ste N804 Marrero, LA 70072 (504) 288-9980 Kumar, Prem, MD 3700 St. Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1366 Schneider, David L., MD 3225 Danny Pk Ste 100 Metairie, LA 70002 (504) 889-0550 15825 Professional Plz Ste A Hammond, LA 70403 (985) 429-1080 Shah, Swetah, MD 3225 Danny Park Ste 100 Metairie, LA 70002 (504) 889-0550 15825 Professional Plz Ste A Hammond, LA 70403 (985) 429-1080 Williams, Cheryl H, MD 8030 Crowder Blvd Ste A New Orleans, LA 70127 (504) 241-2220 ALLERGY AND IMMUNOLOGY – PEDIATRIC Dimitriades, Victoria, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Ochoa, Augusto, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 ANESTHESIOLOGY Bayhi, Daniel A., MD 15790 Paul Vega MD Dr Hammond, LA 70403 (985) 902-9763 Broussard, Christopher, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9456 Crapanzano Jr., Joseph T., MD 4500 Clearview Pkwy #101 Metairie, LA 70006 (504) 779-5558 Crescent City Anesthesia Services LLC 1111 Medical Center Blvd S850 Marrero, LA 70072 (504) 349-6450 DeLanzac, Kraig, MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 Davenport, Charles W., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4000 Davis, D’Andra J., MD 3700 St. Charles Ave., 7th Floor New Orleans, LA 70115 (504) 889-9893 Diaz Sr., James, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Doussan Jr., Donald D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 180 W Esplanade Ave Kenner, LA 70065 (504) 842-3160 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 115 of 159 Elhassan, Amir, MD 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 LaBrie-Brown, Carmen, MD 100 Medical Center Dr Slidell, LA 70461 (985) 646-5947 Ferlita, Melvin A., MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 Lissauer, Jonathan, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Flower, Ronda R., MD 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 Mancuso, Kenneth, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 Francis, Michael C., MD 1850 Gause Blvd E Ste 300 Slidell, LA 70461 (985) 809-0255 1700 W Lindberg Dr Slidell, LA 70458 (985) 641-0600 1001 Gause Blvd Slidell, LA 70458 (985) 643-2200 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7500 Gayle, Julie A., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 Grisoli, Richard, MD 15790 Paul Vega MD Dr Hammond, LA 70403 (985) 902-9763 Jackson, Crystal B., MD 3700 St. Charles Ave, 7th FL New Orleans, LA 70115 (504) 412-1100 Kaye, Alan D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 180 W Esplanade Ave Kenner, LA 70065 (504) 842-3610 Merritt, Christopher K., MD 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Miller, Matthew K., MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 Morgan, Barbara B, MD 180 W Esplanade Ave Kenner, LA 70065 (504) 568-2319 Nguyen, Viet, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3700 St. Charles Ave 6th Flr New Orleans, LA 70115 (504) 412-1100 Padnos, Ira, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Parish Anesthesia Ambulatory 3717 Houma Blvd Ste 300 Metairie, LA 70006 (504) 779-5515 2525 Severn Ave Metairie, LA 70006 (504) 779-5515 Parish Anesthesia Clinics 4770 S I-10 Service Rd W Ste 201 Metairie, LA 70001 (985) 892-7621 Parish Anesthesia of St. Bernard 8000 W Judge Perez Dr Chalmette, LA 70043 (504) 309-5601 Parish Anesthesia EJ ASC LLC 4320 Houma Blvd 5th Fl Metairie, LA 70006 (504) 779-5515 Parish Anesthesia Uptown 1717 St Charles Ave New Orleans, LA 70130 (504) 779-5515 Parish Anesthesia Gastroenterology of Tulane 4700 S I-10 Service Rd W Metairie, LA 70001 (504) 988-6958 1415 Tulane Ave 3rd Fl New Orleans, LA 70112 (504) 988-6958 Parish Anesthesia of Covington 95 Judge Tanner Blvd Covington, LA 70433 (985) 867-3800 Parish Anesthesia of East New Orleans 5620 Read Blvd, Ste 200 New Orleans, LA 70127 (504) 592-6600 Parish Anesthesia of Harvey LLC 720 Veterans Blvd, Ste 100 Metairie, LA 70005 (504) 779-5515 Parish Anesthesia West Bank LLC 1111 Medical Center Blvd Marrero, LA 70072 (504) 349-6807 Rigol, Jason A., MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 Riopelle, James M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 180 W Esplanade Ave Kenner, LA 70065 (504) 842-3160 Rossiter, Kirk N., MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 Rubin, Ryan E., MD 3700 St. Charles Ave7th Flr New Orleans, LA 70115 (504) 412-1100 3704 Lapalco Blvd Harvey, LA 70058 (504) 779-5515 2021 Perdido St New Orleans, LA 7011 (504) 903-3000 Parish Anesthesia of Jefferson 4200 Houma Blvd Metarie, LA 70006 (504) 454-4000 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 Parish Anesthesia of New Orleans 1401 Foucher Street New Orleans, LA 70115 (504) 897-7011 3525 Prytania Street New Orleans, LA 70115 (504) 897-8880 Parish Anesthesia of Northshore 67252 Industry Lane Covington, LA 70433 (985) 809-9888 Ruiz, Darren P., MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 Salinas, Orlando, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Sanders, Geremy L., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 568-2319 2021 Perdido St New Orleans, LA 70112 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 116 of 159 Serbin, Vonni G., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 568-2319 103 Medical Center Dr Slidell, LA 70461 Shah, Saroj M., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 568-2319 301 N Jefferson Davis Pkwy New Orleans, LA 70115 Tiemann, Dawn D., MD 3700 St. Charles Ave 7th Fl New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Tran, Lien B., MD 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 Vega, Jorge E., MD 3117 Palm Vista Dr Metairie, LA 70003 (985) 892-3225 White, Pamela Ann, MD 1401 Foucher St 3rd Fl New Orleans, La 70115 (504) 897-8300 Wyche III, Melville, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Young, Elizabeth T., MD 100 Medical Center Dr Slidell, LA 70461 (985) 649-7070 103 Medical Center Dr Slidell, LA 70461 (504) 568-2315 CARDIOLOGY Abben, Richard P., MD 2021 Perdido St New Orleans, LA 70012 (504)903-3000 Aduli, Farhad X., MD 20 Starbrush Cir Covington, LA 70433 (985) 871-6020 1913 Main St Franklinton, LA 70438 (985)839-7922 Ahmed, Jameel, MD 2025 Gravier St 6th Fl New Orleans, LA 70112 (504) 903-2373 849 Hwy 90 Bay St Louis, MS 39520 (985) 641-7283 Bernstein, Marc, MD 901 Gause Blvd 2nd Flr Slidell, LA 70458 (985) 649-2700 120 Meadowcrerst St Gretna, LA 70056 (504) 412-1390 101 Judge Tanner Blvd 106 Covington, LA 70433 (985) 871-4155 Ali, Murtuza J., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 42078 Veterans Ave Ste D Hammond, LA 70403 (985) 370-7739 3700 St Charles Ave 5th Floor New Orleans, LA 70115 (504) 412-1100 2025 Gravier St 6th Floor New Orleans, LA 70112 (504) 903-5700 Amkieh, Ali, M., MD 141 Lakeview Cir Covington, LA 70433 (985) 871-0735 1913 Main St Franklinton, LA 70438 (985)839-7922 1407 Ave F Bogalusa, LA 70427 (985)735-8022 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985)892-9233 820 Asbury De Mandeville, LA 70471 (985)778-2588 42078 Veterans Ave Ste A Hammond, LA 70403 (985)419-1884 Arena, Frank J., MD 101 Judge Tanner Blvd Ste 106 Covington, LA 70433 (985) 898-4949 Barrios, Sergio J., MD 2360 Gause Blvd E Slidell, LA 70461 (985) 641-7283 1702 A Hwy 11 N Picayune, MS 39466 (601) 799-3130 502 Rue de Sante Slidell, LA 70068 (985) 651-2334 2611 Jackson Blvd Chalmette, LA 70044 (504) 277-0886 Bethala, Cyril V.K., MD 4507 15th St Gulfport, MS 39501 (228) 863-9999 147 Reynoir St Ste 101 Biloxi, MS 39530 (228) 374-2051 Bethala, Vasanth, MD 1051 Gause Blvd Ste 320 Slidell, LA 70458 (985) 641-7577 Bhansali, Siddharth K., MD 2633 Napoleon Ave Ste 500 New Orleans, LA 70115 (504) 897-9686 Bourgeois Jr., Roland J., MD 4224 Houma Blvd Ste 500 Metairie, LA 70006 (504) 455-0842 Carr, Martha A., MD 101 Judge Tanner Blvd Ste 504 Covington, LA 70433 (985) 871-8227 335 Austin St Bogalusa, LA 70427 (985) 735-1660 Deffer, Orlando, MD 4224 Houma Blvd Ste 500 Metairie, LA 70006 (504) 455-0842 Dravid, Sanjay, MD 1111 Medical Ctr Blvd Ste 350 Marrero, LA 70072 (504) 349-6350 Dugan, Fortune A., MD 4224 Houma Blvd 2nd Fl Metairie, LA 70006 (504) 454-5225 Duncan, Kurt A, MD 10555 Lake Forest Blvd Ste 5 JK New Orleans, LA 70127 (504) 309-0109 Echenique, Victor M., MD 1051 Gause Blvd Ste 320 Slidell, LA 70458 (985) 641-7577 Eiswirth, Clement C. MD 4224 Houma Blvd Metairie, LA 70006 (504) 455-0842 El Khoury Antoun, George, MD 16033 Doctors Blvd Hammond, LA 70403 (985) 269-7105 101 Judge Tanner Blvd Ste 506 Covington, LA 70433 (985) 269-7105 Ennis, Bruce M., MD 901 Gause Blvd 2nd Flr Slidell, LA 70458 (985) 649-2700 39 Starbrush Cir Covington, LA 70433 (985) 871-4155 42078 Veterans Ave Ste D Hammond, LA 70403 (985) 340-1966 809 Boat Ramp Rd Franklinton, LA 70438 (985)839-6244 2611 Jackson St Chalmette, LA 70043 (504)277-0886 101 Judge Tanner Blvd Ste 504 Covington, LA 70433 (985) 871-4044 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 117 of 159 Erny, Eirinn E., MD 2820 Napoleon Ave Ste 890 New Orleans, LA 70115 (504) 412-1366 Finn, Michael C., MD 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985) 892-9233 42078 Veterans Ave Ste A Hammond, LA 70403 (985) 419-1884 Fontenot, Cathi E., MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1366 Hanna, Elias B., MD 2025 Gravier St 6th Floor New Orleans, LA 70112 (504) 903-5700 3700 St Charles 5th Floor New Orleans, LA 70115 (504) 412-1100 Hardwick III, James C., MD 101 Judge Tanner Blvd Ste 504 Covington, LA 70433 (985) 871-8227 Helmcke, Frederick, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Hickey, Keith, G., MD 901 Gause Blvd 2nd Flr Slidell, LA 70458 (985) 649-2700 101 Judge Tanner Ste 106 Covington, LA 70433 (985) 871-4155 42078 Veterans Ave Ste D Hammond, LA 70403 (985) 370-7739 502 Rue De Sante La Place, LA 70068 (985) 651-2334 Iteld, Bruce, J., MD 901 Gause Blvd 2nd Flr Slidell, LA 70458 (985) 649-2700 42078 Veterans Ave Hammond, LA 70403 (985) 370-7739 101 Judge Tanner Ste 106 Covington, LA 70433 (985)871-4155 502 Rue De Sante La Place, LA 70068 (985) 651-2334 Jacobs III, Benjamin F., MD 4200 Houma Blvd 2nd Floor Metairie, LA 70006 (504) 454-5225 Jain, Neeraj, MD 52579 Hwy 51 S Independence, LA 70443 (985) 878-9421 120 Meadowcrest St Gretna, LA 70056 (504) 620-5699 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St 6th Flr New Orleans, LA 70112 (504) 903-5700 Jaligam, Vijayendra, MD 2025 Gravier St 6th Flr New Orleans, LA 70112 (504) 903-2373 3700 St Charles Ave 5th Flr New Orleans, LA 70115 (504) 412-1366 120 Meadowcrest St Gretna, LA 70056 (504) 412-1390 Jayakrishnan, Chemmale, MD 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Jiao, Zhen, MD 4224 Houma Blvd Ste 400 Metairie, LA 70006 (504) 456-8188 Johnson, Glenn M., MD 2820 Canal St New Orleans, LA 70119 (504) 821-8158 Kanagala, Ravi, MD 101 Judge Tanner Blvd Ste 504 Covington, LA 70470 (985) 871-8227 64040 LA Hwy 434 Ste 104 Lacombe, LA 70445 (985) 641-9497 Kelley, Glenn P., MD 4200 Houma Blvd 2nd Floor Metairie, LA 70006 (504) 454-4192 Khalid, Muhammad 1820 St. Charles Ave, Ste 208 New Orleans, LA 70130 (504) 523-9691 8030 Crowder Blvd New Orleans, LA 70127 (504) 523-9691 4301 Elysian Fields Ste 100 New Orleans, LA 70122 (504) 523-9691 901 W. Judge Perez Dr. Chalmette, LA 70043 (504) 523-9691 145 Lapalco Blvd, Ste B Gretna, LA 70053 (504) 523-9691 Khoueiry, Georges M, MD 16033 Doctors Blvd Hammond, LA 70403 (985) 269-7105 101 Judge Tanner Blvd Ste 506 Covington, LA 70433 (985) 269-7105 Kjellgren, Olle, MD 2633 Napoleon Ave Ste 500 New Orleans, LA 70115 (504) 897-9686 Kusnick, Barry A., MD 141 Lakeview Cir Covington, LA 70433 (985) 871-0735 806 Riverside Dr Franklinton, LA 70438 (985) 987-0735 1913 Main St Franklinton, LA 70438 (985) 839-7922 1407 Ave F Bogalusa, LA 70427 (985) 735-8022 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985) 892-9233 820 Asbury Dr Mandeville, LA 70471 (985) 778-2588 42078 Veterans Ave Ste A Hammond, LA 70403 (985) 419-1884 LeLorier, Paul, MD 3700 St Charles Ave 5th Flr New Orleans, LA 70115 (504) 412-1366 2025 Gravier St 6th Flr New Orleans, LA 70112 (504) 903-5700 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Long, William J., MD 1051 Gause Blvd #320 Slidell, LA 70458 (985) 726-2655 Mace, James E., MD 1203 S Tyler St Ste E Covington, LA 70433 1913 Main St Franklinton, LA 70438 (985)839-7922 1407 Ave F Bogalusa, LA 70427 (985)735-8022 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 118 of 159 20 Starbrush Cir Covington, LA 70433 (985)871-6020 Mailander, Lois MD 4224 Houma Blvd Ste 500 Metairie, LA 70006 (504) 455-0842 Malik, Arshed P., MD 4228 Houma Blvd Ste 530 Metairie, LA 70006 McKinnie, James J., MD 4224 Houma Blvd, Ste 400 Metairie, LA 70006 (504) 456-8188 Mejia, Victor E., MD 1407 Ave F Bogalusa, LA 70427 (985) 735-8022 64040 Hwy 434 Ste 104 Lacombe, LA 70445 (985) 892-9233 619 W 19th St Covington, LA 70433 (985) 871-1178 42078 Veterans Ave, Ste A Hammond, LA 70403 (985) 419-1884 Menon, Pramod V., MD 141 Lakeview Cir Covington, LA 70433 (985) 871-0735 1913 Main St Franklinton, LA 70438 (985)839-7922 1407 Ave F Bogalusa, LA 70427 (985)735-8022 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985)892-9233 820 Asbury De Mandeville, LA 70471 (985)778-2588 42078 Veterans Ave Ste A Hammond, LA 70403 (985)419-1884 Menszer, Gary D., MD 4200 Houma Blvd 2nd Floor Metairie, LA 70006 (504) 454-5225 Mikdadi, Ghiath M., MD 16033 Doctors Blvd Hammond, LA 70403 (985) 269-7105 Morales, Anthony, MD 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985) 641-7283 1702-A Hwy 11 N Picayune, MS 39466 (601) 799-3130 Nagy, Adriana, MD 1203 S Tyler St Ste E Covington, LA 70433 (985) 871-6020 20 Starbrush Cir Covington, LA 70433 (985) 871-6020 1913 Main St Franklinton, LA 70438 (985)839-7922 Pothineni, Koteswara R., MD 1051 Gause Blvd. Ste 320 Slidell, LA 70458 (985) 641-7577 64040 Hwy 434 Ste 105 LaCombe, LA 70445 (985) 882-3261 1001 Gause Blvd Slidell, LA 70458-2939 (985) 892-3225 Preis, Lehmann K., MD 4200 Houma Blvd 2nd Floor Metairie, LA 70006 (504) 454-5225 Presser III, Dale A., MD 16033 Doctors Boulevard Hammond, LA 70403 (985) 269-7105 42078 Veterans Ave Ste D Hammond, LA 70403 (985) 370-7739 2611 Jackson Blvd Chalmette, LA 70043 (504) 277-0886 Smart, Frank, MD 3700 St Charles Ave 5th Flr New Orleans, LA 70115 (504) 412-1100 120 Meadowcrest St Gretna, LA 70056 (504) 412-1390 Smith III, James E, MD 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985) 892-9233 42078-A Veterans Ave Hammond, LA 70403 (985) 892-9233 Ramcharan, Thiagarajan MD 200 West Esplanade Ave Ste 200 Kenner, LA 70065 (504) 464-8500 Smith, William B., MD 2820 Canal St New Orleans, LA 70119 (504) 821-8158 Ramee, Stephen, MD 1514 Jefferson Hwy New Orleans, LA 70121 (504) 842-4000 Snyder, David W., MD 4200 Houma Blvd 2nd Floor Metairie, LA 70006 (504) 454-5225 Pappas Jr, Nicholas D., MD 4224 Houma Blvd Ste 500 Metairie, LA 70006 (504) 455-0842 Rodriguez Fierro, Carlos, MD 1111 Medical Center Blvd Ste S-350 Marrero, LA 70072 (504) 349-6350 St. Martin, M. Edward, MD 2633 Napoleon Ave Ste 500 New Orleans, LA 70115 (504) 897-9686 Patel, Umesh A., MD 64040 Hwy 434 Ste 101 Lacombe, LA 70445 (985) 882-8488 Rolston, William A., III, MD 4224 Houma Blvd Ste 450A Metairie, LA 70006 (504) 454-9006 Pernenkil, Ratnakar, MD 1051 Gause Blvd Ste 320 Slidell, LA 70458 (985) 641-7577 Schabelman, Sergio E., MD 200 W Esplanade Ave #405 Kenner, LA 70065 (504) 305-3500 Nguyen, Thanh M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Nievas, Hugo C., MD 10144 44th St Gulfport, MS 39501 (228)860-3467 Perrien Jr., James L., MD 4224 Houma Blvd., Ste. 500 Metairie, LA 70006 (504) 455-0842 Pharo, Wayne J., MD 400 North Acadia Rd Thibodaux, LA 70301 (985) 448-0649 604 N Acadia Rd Ste 409 Thibobaux, LA 70301 (985) 449-4670 3525 Prytania St #508 New Orleans, LA 70115 (504) 895-5579 Silverstein, Jay R., MD 901 Gause Blvd 2nd Flr Slidell, LA 70458 (985) 649-2700 101 Judge Tanner Blvd 106 Covington, LA 70433 (985) 871-4155 Subramaniam, Pramilla N., MD 200 W Esplande Ave Ste 701 Kenner, LA 70065 (504) 412-1705 Thomas, Ignatius, MD 1051 Gause Blvd Ste 320 Slidell, LA 70458 (985) 641-7577 Tilton, Gregory D., MD 4224 Houma Blvd Ste 500 Metairie, LA 70006 (504) 455-0842 Voelker, Frank, MD 901 Gause Blvd 2nd Flr Slidell, LA 70458 (985) 649-2700 39 Starbrush Cir Covington, LA 70433 (985)871-4155 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 119 of 159 101 Judge Tanner Blvd Ste 200 Covington, LA 70433 (985) 871-8227 Ross-Ascuitto, Nancy, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9263 Brown, Gary R., MD 1011 S Tyler St Covington, LA 70433 (985) 893-2620 2611 Jackson St Chalmette, LA 70043 (504)277-0886 Sernich, Steffan, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9751 Brown, Josephine S., MD 3901 Houma Blvd Plz II Ste 410 Metairie, LA 70006 (504) 455-9933 42078 Veterans St Ste D Hammond, LA 70403 (985)340-1966 809 Boat Ramp Rd Franklinton, LA 70438 (985) 839-6244 Vorhoff, Gregory, MD 200 W Esplanade Ave #405 Kenner, LA 70065 (504) 305-3500 3525 Prytania St #508 New Orleans, LA 70115 (504) 895-5579 Wilklow, Frank, MD 2820 Canal St New Orleans, LA 70119 (504) 821-8158 CARDIOLOGY – PEDIATRIC Siwik, Ernest, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9751 Stopa, Aluisio, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9751 CRITICAL CARE – PEDIATRIC Creel, Amy M., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9263 Desselle, Bonnie C., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9263 Claiborne, Martin, MD 1477 Louisiana Ave Ste 100 New Orleans, LA 70115 (504) 895-4339 5740 Citrus Blvd #101 New Orleans, LA 70123 (504) 818-0909 Clark, Jessica L., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9511 DeBellevue, Robert M., MD 200 W Esplanade Ave Ste 104 Kenner, LA 70065 (985) 234-0585 DelaBretonne Jr., Gaston 1450 Poydras St. New Orleans, LA 70112 (504) 903-1932 Ascuitto, Robert, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9751 Dimitriades, Constantine, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3924 Brumund, Michael R., MD 42107 Veterans Blvd Hammond, LA 70403 (985) 345-6720 Duhon, Gary, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9263 600 N Hwy 190 Ste 201 Covington, LA 70433 (985) 892-5498 Crapanzano, Michael, MD 42107 Veterans Blvd Hammond, LA 70403 (985) 345-6720 Finger, Leron J., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9511 3715 Williams Blvd Ste 100 Kenner, LA 70065 (504) 465-4550 Gajewski, Kelly, MD 200 Henry Clay Ave #4229 New Orleans, LA 70118 (504) 896-2147 Rossi, Janet L., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9263 120 Meadowcrest St Ste 235 Gretna, LA 70056 (504) 391-7540 Hixon III Rufus L., MD 42107 Veterans Blvd Hammond, LA 70403 (985) 345-6720 DERMATOLOGY 624 Hwy 90 Bay St. Louis, MS 39520 (228) 467-5644 Lilje, Christian, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9751 Albright, George H., MD 1400 Poydras St 3rd Flr New Orleans, LA 70112 (318) 903-3000 Bopp, Barbara S., MD 3421 N Causeway Blvd Ste 102 Metaire, LA 70002 (504) 455-9933 Dimitri, Elizabeth M, DO 300 Gateway Dr Slidell, LA 70461 (985) 643-4575 Farnsworth, Neil N., MD 2633 Napoleon Ave New Orleans, LA 70115 (504) 891-8004 Finley, Eric M., MD 2820 Napoleon Ave Ste 645 New Orleans, LA 70115 (504) 896-2255 2021 Perdido St New Orleans, LA 70112 (504)903-3000 Haseltine, Mara A., MD 111 Veterans Blvd Ste 406 Metairie, LA 70005 (504) 838-8225 Henchy III, Frank P., MD 15709 Professional Plz Hammond, LA 70403 (985) 543-9333 Hilton, Deborah C., MD 2021 Perdido St New Orleans, LA 70112 (504) 412-1100 Hooper, Deirdre, O., MD 3525 Prytania St Ste 501 New Orleans, LA 70115 (504) 895-3376 Jackson, Sarah, MD 3525 Prytania St Ste 501 New Orleans, LA 70115 (504) 895-3376 Jones, John J., MD 404 North Acadia Rd. Thibodaux, LA 70301 (985) 447-3889 Klinger, Stephen J., MD 2600 Belle Chasse Hwy Ste 202 Terrytown, LA 70056 (504) 393-7393 Marshall, Dana A, MD 2600 Belle Chasse Hwy Ste 202 Terrytown, LA 70056 (504) 393-7393 Marshall Jr., Daniel A, MD 2600 Belle Chasse Hwy Ste 202 Terrytown, LA 70056 (504) 373-7393 McBurney, Elizabeth I., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 McDonald, L. Kathleen, MD 380 Gateway Drive, Suite A Slidell, LA 70461 (985) 690-6600 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 120 of 159 Mora, Ricardo G., MD 1450 Poydras St New Orleans, LA 70112 (504) 903-1932 Nicotri, Thomas Jr., MD 1141 Whitney Ave Bldg 3 Gretna, LA 70056 (318) 841-9526 Hebert, A. Foster, MD 901 Gause Blvd # 100 Slidell, LA 70458 (985) 641-9572 Ross Jr., Edwin B., MD 120 Meadowcrest St Ste 200 Gretna, LA 70056 (504) 391-7650 Mosadegh, Mehdi, MD 300 Gateway Dr Slidell, LA 70461 (985) 643-4575 Wang, Alun R, MD 3715 Prytania St Ste 306 New Orleans, LA 70115 (504) 896-9023 Irwin, Jr., Thomas M., MD 1111 Medical Center Blvd Ste 406N Marrero, LA 70072 (504) 349-6400 Scalco, Steven A., MD 3812 Ridgelake Dr Ste 2-B Metairie, LA 70002 (504) 833-0250 600 N Hwy 190 Ste 201 Covington, LA 70433 (985) 892-5497 3715 Williams Blvd Ste 100 Kenner, LA 70065 (504) 465-4550 120 Meadowcrest St Ste 235 Gretna, LA 70056 (504) 391-7540 9930 Lake Forest Blvd Ste B New Orleans, LA 70127 (504) 496-0367 Poole, Jeffrey C., MD 111 Veterans Blvd Ste 406 Metairie, LA 70005 (504) 838-8225 Sherman, Richard, N., MD 2633 Napoleon Ave Ste 815 New Orleans, LA 70117 (504) 899-7159 Weil, Michael K., MD 380 Gateway Dr. Slidell, LA 70461 (985) 690-6600 Wiltz, Katy L., MD 2633 Napoleon Ave Ste 400 New Orleans, LA 70115 (504) 891-8004 200 Henry Clay Ave New Orleans, LA 70118 (504)899-9511 DERMATOPATHOLOGY Marshall, Richard H., MD 1401 Foucher St New Orleans, LA 70115 (985) 785-2221 Martin, Pamela C., MD 1401 Foucher St New Orleans, LA 70115 (985) 785-2221 DERMATOLOGYPEDIATRIC Poole, Jeffrey C., MD 111 Veterans Blvd Ste 406 Metairie, LA 70005 (504) 838-8225 Wiltz, Katy L., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9745 EAR, NOSE, & THROAT/ OTOLARYNGOLOGY Arriaga, Moises A., MD 1111 Medical Ctr Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9832 Bopp, Felix, MD 3421 N Causeway Blvd Ste 102 Metairie, LA 70002 (504) 455-9933 Jeyakumar, Anita S., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9569 Kimble, John G., MD 1111 Medical Center Blvd Ste 406N Marrero, LA 70072 (504) 349-6400 Long, Anne E., MD 1111 Medical Center Blvd Ste N406 Marrero, LA 70072 (504) 349-6400 Lousteau, Ray J., MD 120 N. Jefferson Davis Pkwy New Orleans, LA 70119 (504) 821-0244 105 Plantation Rd #120 Destrehan, LA 70047 (504) 821-0244 Walvekar, Rohan R., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 EAR, NOSE &THROAT/ OTOLARYNGOLOGY – PEDIATRIC Arriaga, Moises A., MD 1111 Medical Ctr Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9832 Kanotra, Sohit, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 2021 Perdido St New Orleans, LA 70112 (504) 903-1605 Mehta, Rahul MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 EMERGENCY MEDICINE Nuss, Daniel W., MD 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 Aiken, James B., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Palaez, Laura, MD 2021 Perdido St. New Orleans, LA 70112 (504) 903-3000 Ary, Roy D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Garrett, Maynard E., MD 985 Robert Blvd Ste 104 Slidell, LA 70458 (985) 847-1995 Pippin, Gregory W., MD 1111 Medical Center Blvd N406 Marrero, LA 70072 (504) 349-6400 Avegno, Jennifer, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Goodwin, Stephen D., MD 120 Meadowcrest St Ste 200 Gretna, LA 70056 (504) 391-7590 Owens, Robert E., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Brickman, Todd M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-5700 Cecola, R. Patrick, MD 120 N Jefferson Davis Pkwy New Orleans, LA 70119 (504) 821-0244 Beran, David, DO 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Bergeron, Nicole, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 121 of 159 Breaux, Rachel, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Detiege, Pierre G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Hardy, Sean P., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Lindley, Leslie, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Brooks, Derrick D., MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7670 DeWulf, Annelies, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Hauver II, Terence L., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Mackey, Scott P., MD 2021 Perdido St New Orleans, LA 70112 (504) 903.3000 Buford, Kevin Steven, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Douglas, Leah A., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9474 Haydel, Micelle J., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Marney, Nicholas J., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Buller, Gaby B., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Elder, Jeffrey M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Hubbell, Kathleen C., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Meka, Ujwal, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Butts, Christine, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Erato Jr, Thaddeus, MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7500 Jones, Kathleen M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Mills, Trevor J., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Camero, Luis F., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Fisher Erica M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Kanter, Joseph MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Moreno-Walton, Lisa, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Campisi, Michele L., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Geisler, Justin T., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Kerry, Bruce P., MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7670 Murphy-Lavoie, Heather, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Knight Jr., Fredro C., MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7870 Nakamoto, Andrew MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Lagasse, Scott C., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Obey, Toria H., MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7500 Langley, John M, MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7500 Overton III, Clayton J, MD 64030 Hwy 434 Emergency Dept Lacombe, LA 70445 (985) 690-7500 Carlisle, Matthew C., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Carrier, Ariane Stevens, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Clement, Elizabeth A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Cunningham, Erin, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Couk, John D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Deblieux, Peter, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 1542 Tulane Ave New Orleans, LA 70112 (504) 568-2718 Green, Kirby A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Gueringer Jr., Llyod, MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7670 Hall, Meredith, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Halton, Edward B., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Harch, Paul G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Lebas, Phillip L., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Legros, Tracy, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Liles, Charlane, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Owen, Stanford A, MD 64030 Hwy 434 Emergency Dept Lacombe, LA 70445 (985) 690-7670 Piazza, Vanessa M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Psomas, Nikolaos G., MD 64030 Hwy 434 Lacombe, LA 70445 (985) 690-7670 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 122 of 159 Robinson, Candace S., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Wyatt, H. Alan, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Rivera, Miguel, P., MD 3939 Houma Blvd Ste 216 Metairie, LA 70006 (504) 888-3292 Santanilla, Jairo I, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Yontz, Dustin, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Tran, Tuan-Huy V., MD 3901 Houma Blvd Ste 103 Metairie, LA 70006 (504) 455-1300 Slaven, Ellen M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 ENDOCRINOLOGY 706 W 15th Ave Covington, LA 70433 (985) 871-0893 Slick, Julie A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Southern Emergency Medical 8000 W Judge Perez Dr Chalmette, LA 70043 (504) 826-9500 St. Clair, Jeffrey T., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Stafford, Randolph, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Stafford, U. Theo, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Stewart Hill, Richard, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9474 Tuckler, Victor E., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Van Meter, Keith W., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Vonderhaar, Derek, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Willoughby, Christopher, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 De Silva, Taniya, MD 3700 St Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1366 2021 Perdido St New Orleans, LA 7012 (504) 903-3000 Friday, Karen E., MD 3700 St Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1366 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504) 903-3000 Miller, Harold J., MD 15770 Paul Vega MD Dr Ste 202 Hammond, LA 70403 (985) 429-8168 3901 Houma Blvd Ste 103 Metairie, LA 70006 (504) 455-1300 706 W 15th Ave Covington, LA 70433 (985) 871-0893 Pedroza, Escipion, MD 4213 Saxon St Ste 200 Metairie, LA 70006 (504) 454-2816 Richards, Robert J., MD 3700 St. Charles Ave, 3rd FL New Orleans, LA 70115 (504) 412-1366 200 W Esplanade Ave Ste 205 Kenner, LA 70065 (504) 412-1705 1400 Poydras 3rd Fl New Orleans, LA 70112 (504) 903-3000 1111 Medical Center Blvd Ste S 340 Marrero, LA 70072 (504) 455-1300 Wise, Jonathan K., MD 3901 Houma Blvd Ste 103 Metairie, LA 70006 (504) 455-1300 706 W 15th Ave Covington, LA 70433 (985) 871-0893 1111 Medical Center Blvd Ste S 340 Marrero, LA 70072 (504) 455-1300 ENDOCRINOLOGY – PEDIATRIC Chalew, Stuart A., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9441 Felipe Ramirez, Dania, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Gomez, Ricardo, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Pouw, I.S. Victor, MD 27350 Hwy 190 Lacombe, LA 70445 (985) 882-7077 1430 Lindberg Dr. Slidell, LA 70458 (985) 646-1580 Stender, Sarah, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2147 GASTROENTEROLOGY Abshire, Stephen G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Acikalin, Tamer, MD 1111 Medical Ctr Blvd Ste N306 Marrero, LA 70072 (504) 391-6000 Albright, Anthony, F., MD 131-B Cherolkee Rose Ln Covington, LA 70433 (985)871-1721 58515 Pearl Acres Rd Slidell, LA 70461 (985) 641-8982 Awtrey Jr., Richard W., MD 2820 Napolean Ave Ste 720 New Orleans, LA 70115 (504) 896-8670 Barrilleaux, Christopher, MD 3800 Houma Blvd Ste 220 Metairie, LA 70006 (504) 456-7484 Booth, Dennis, Jr., MD 16061 Doctorst Blvd Ste B Hammond, LA 70403 (985) 542-1334 809 Boat Ramp Rd Franklinton, LA 70438 (985) 542-1334 Brenner, Howard I., MD 4228 Houma Blvd Ste 520 Metairie, LA 70006 (504) 456-8020 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Catinis, George, MD 4228 Houma Blvd Ste 520 Metairie, LA 70006 (504) 456-8020 Drude, Richard B., MD 69150 Hwy 190 E Svc Rd Covington, LA 70433 (985) 327-0476 Dugan, Veronica, MD 58515 Pearl Acres Rd Slidell, LA 70461 (985) 641-8982 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 123 of 159 131B Cherokee Rose Ln Covington, LA 70433 (985) 871-1721 801 Goodyear Blvd Picayune, MS 39466 (601) 749-2902 Dulitz, David A., MD 3941 Houma Blvd Ste 1-B Metairie, LA 70006 (504) 888-0388 Ferrante, William A., MD 136 S Roman St New Orleans, LA 70112 (504) 903-6959 Gensler, Lawrence L., MD 7015 Hwy 190 E Srv Rd Ste 102 Covington, LA 70433 (985) 542-1334 433 Plaza Bogalusa, LA 70427 (985) 542-1334 Godiwala, Tejas T., MD 3941 Houma Blvd Ste 2-B Metairie, LA 70006 (504) 455-3987 Guider, Jr., Benjamin A., MD 2820 Napoleon Ave Ste 720 New Orleans, LA 70115 (504) 896-8670 Harrington, John N., MD 3800 Houma Blvd Ste 220 Metairie, LA 70006 (504) 456-7484 Hutchings, John J., MD 2025 Gravier St 3rd Flr New Orleans, LA 70112 (504) 903-5700 1400 Poydras St New Orleans, LA 70112 (504) 903-3000 Hymel, Brett M., MD 1111 Medical Center Blvd Ste S-450 Marrero, LA 70072 (504) 349-6401 Jenkins, Lemuel P., MD 131B Cherokee Rose Ln Covington, La 70433 (985) 871-1721 Judd, Thomas K., MD 3700 St. Charles Ave New Orleans, LA 70115 (504)412-1444 Kedia, Shantiprakash, MD 1111 Medical Center Blvd Ste S-450 Marrero, LA 70072 (504) 349-6401 Khan, Abdul M., MD 2820 Napoleon Ave Ste 720 New Orleans, LA 70115 (504) 896-8670 Krishnan, Sarath, MD 1111 Medical Center Blvd Ste S-450 Marrero, LA 70072 (504) 349-6401 Landreneau, Stephen W., MD 3700 St. Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1444 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St 3rd Flr New Orleans, LA 70112 (504) 903-3000 Lemann, Rebekah H., MD 2820 Napoleon Ave Ste 720 New Orleans, LA 70115 (504) 349-6401 Lilly, James D., MD 2820 Napoleon Ave Ste 720 New Orleans, LA 70115 (504) 349-6401 Murray, Catherine, J., MD 131-B Cherokee Rose Ln Covington, LA 70433 (985) 871-1721 58515 Pearl Acres Rd Slidell, LA 70461 (985) 641-8982 Pollack, Scott D., MD 111 Medical Center Blvd #S450 Marrero, LA 70072 (504) 349-6401 Puente, George R., MD 4228 Houma Blvd Ste 520 Metairie, LA 70006 (504) 456-8020 Rabito, Felix G., MD 131-B Cherokee Rose Ln Covington, LA 70433 (985) 871-1721 58515 Pearl Acres Rd Slidell, LA 70461 (985) 641-8982 Raines, Daniel L., MD 200 W Esplanade Ave #200 Kenner, LA 70065 (504) 464-8500 Sherling, Kelley, MD 1111 Medical Center Blvd Ste S450 Marrero, LA 70072 (504) 349-6401 Srinivas, Dasarathy, MD 1051 Gause Blvd Ste 290 Slidell, LA 70458 (985) 641-9025 Tanenbaum, Rian M., MD 1111 Medical Center Blvd Ste 450-S Marrero, LA 70072 (504) 349-6401 Trainor, Timothy J., MD 58515 Pearl Acres Rd Slidell, LA 70461 (985) 641-8982 131B Cherokee Rose Ln Covington, LA 70433 (985) 871-1721 2025 Gravier St, 3rd Fl New Orleans, LA 70112 (504) 903-5700 801 Goodyear Blvd Picayune, MS 39466 (601) 749-2902 3700 St Charles Ave, 4th Fl New Orleans, LA 70115 (504) 412-1517 Reddy, Sanjeeva T., MD 1111 Medical Ctr Blvd Ste S450 Marrero, LA 70072 (504) 349-6401 Mayer, Herbert K., MD 2820 Napoleon Ave Ste 720 New Orleans, LA 70115 (504) 896-8670 Reina, Jason, MD 16061 Doctors Blvd Ste B Hammond, LA 70403 (985) 542-1334 Mula, Gregory, MD 16061 Doctors Blvd Ste B Hammond, LA 70403 (985) 542-1334 Schibler, Charles G., MD 1111 Medical Center Blvd Ste 450-S Marrero, LA 70072 (504) 349-6401 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Marino, Mark J., MD 1111 Medical Ctr Blvd Ste S-450 Marrero, LA 70072 (504) 349-6401 Meyers, Jr., William M., MD 4228 Houma Blvd Ste 520 Metairie, LA 70006 (504) 456-8020 Reiss, Gary, MD 1111 Medical Center Blvd Ste 450-S Marrero, LA 70072 (504) 349-6401 7015 Hwy 190 E Srv Ste 102 Covington, LA 70433 (985) 542-1334 809 Boat Ramp Rd Franklinton, LA 70438 (985) 542-1334 Toups, Justin P., MD 602 N. Acadia Rd., Ste 101 Thibodaux, LA 70301 (985) 446-1958 106 Cypress St. Raceland, LA 70394 (985) 446-1958 Venturatos, Steve G., MD 1111 Medical Center Blvd Ste 450-S Marrero, LA 70072 (504) 349-6401 Wardlaw, Russell J., MD 7015 Hwy 190 E Srvc Rd #B Covington, LA 70433 (985) 542-1334 16061 Doctors Blvd Ste B Hammond, LA 70403 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 124 of 159 809 Boat Ramp Rd Franklinton, LA 70438 (985) 542-1334 433 Plaza St Bogalusa, LA 70427 (985) 542-1334 Wegmann, Mark, MD 4228 Houma Blvd Ste 520 Metairie, LA 70006 (504) 456-8020 GASTROENTEROLOGY -PEDIATRIC Alonso, Elizabeth MD 3040 33rd St Metairie, LA 70001 (504) 896-9751 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Zambrano, Regina, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 GERIATRIC MEDICINE Cefalu, Charles A., MD 715 Village Rd Kenner, LA 70065 (504) 464-0604 Weyer, Susan M., MD 2820 Napoleon Ave Ste 890 New Orleans, LA 70115 (504) 412-1366 Ellis, James K., MD 608 N Acadia Rd Thibodaux, LA 70301 (985) 493-4346 GYN ONCOLOGY Elmongy, Mohamed B., MD 136 S Roman St New Orleans, LA 70112 (504) 903-6959 Hyman, Paul E., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9255 Braly, Patricia S., MD 606 W 12th Ave Covington, LA 70433 (985) 892-2252 4228 Houma Blvd #130 Metairie, LA 70006 (504) 883-2960 Dildy Jr., Gary A., MD 2100 Perdido St 2nd Flr New Orleans, LA 70112 (504) 903-6549 GENETICS HEMATOLOGY/ ONCOLOGY Superneau, Duane, MD 1120 Robert Blvd Ste 390 Slidell, LA 70458 (985)280-6645 Boulmay, Brian C., MD 136 S Roman St New Orleans, LA 70112 (504) 903-6959 GENETICS-PEDIATRIC Marble, Michael, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9255 Lacassie, Yves, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 2025 Gravier St New Orleans, LA 70112 (504) 903-0031 Cosgriff, Thomas M., MD 4204 Houma Blvd 2nd Fl Metairie, LA 70006 (504) 883-2968 Barnhill, Danny R., MD 2100 Perdido St 2nd Flr New Orleans, LA 70112 (504) 903-6549 Rosenberg, Allan, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9255 Cole, Jouhn T., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Muthavarapu, Seetha R., MD 200 W Esplanade Ave Ste 205 Kenner, LA 70065 (504) 412-1705 Brown, Raynorda, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9255 Keith, Brent, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-896-9255 1120 Robert Blvd Ste 330 Slidell, LA 70458 (985) 641-1963 2021 Perdido St New Orleans, LA 70112 Chauvin, Laura C., MD 608 N Acadia Rd Thibodaux, LA 70301 (985) 493-4346 Carinder, James E., DO 1203 S Tyler St Ste 100 Covington, LA 70433 (985) 892-9090 Lin, Tara L., MD 136 S Roman St New Orleans, LA 70112 (504) 903-6959 2021 Perdido St New Orleans, LA 70112 Marquette, Carrie L., MD 1203 S Tyler Ste 100 Covington, LA 70433 (985) 892-9090 1120 Robert Blvd Ste 330 Slidell, LA 70458 (985) 641-1963 Meng, Lesley A., MD 4204 Houma Blvd 2nd Fl Metairie, LA 70006 (504) 883-2968 Morales-Arias, Jaime A., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3924 Oubre, David N., MD 15752 Medical Arts Plz Ste 101 Hammond, LA 70403 (985) 419-0025 804 Heavens Dr Ste 101 Hammond, LA 70471 (985) 845-4016 Rigby, Perry G., MD (Hemotology only) 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Rome, Alison, MD 15752 Medical Arts Plz Ste 101 Hammond, LA 70403 (985) 419-0025 120 Lakeview Cir Covington, LA 70433 985-875-1202 Roques-Davis, Rebecca, MD 15752 Medical Arts Pl Ste 101 Hammond, LA 70403 (985)419-0025 120 Lakeview Cir Covington, LA 70433 (985)875-1202 807 Riverside Dr Franklinton, LA 70438 (985)875-1202 Saux III, Jack E., MD 1203 S Tyler St Ste 100 Covington, LA 70433 (985) 893-9090 1120 Robert Blvd Ste 330 Slidell, LA 70458 (985) 641-1963 Suarez, Agustin MD 1203 S Tyler St Ste 100 Covington, LA 70433 (985) 892-9090 1120 Robert Blvd Ste 330 Slidell, LA 70458 (985) 641-1963 Udhrain, Ashish MD 4204 Houma Blvd 2nd Fl Metairie, LA 70006 (504) 883-2968 HEMATOLOGY/ ONCOLOGYPEDIATRIC Gardner, Renee V., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Morales-Arias, Jaime, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 125 of 159 Morrison, Cori, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Ehrensing, Eric R., MD 4315 Houma Blvd Ste 201 Metairie, LA 70006 (504) 455-4622 Keshelava, George T., MD 1970 N Hwy 190 Covington, LA 70433 (985) 867-8585 Wilcox, Ronald D., MD 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 Prasad, Pinki, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Engel, Lee S., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Lillis, Rebecca A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 INFECTIOUS DISEASE – PEDIATRIC Velez, Maria C., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Yu, Lolie C., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 INFECTIOUS DISEASE Akula, Shiva, MD 3600 Prytania St New Orleans, LA 70115 (504) 899-2376 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Failla, Diane M., MD 4300 Houma Blvd #306 Metairie, LA 70006 (504) 455-4622 Figueroa II, Julio E., MD 2235 Poydras St New Orleans, LA 70119 (504) 826-2179 1111 Medical Ctr Blvd S340 Marrero, LA 70072 (504)899-2376 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 Angelo, Kristina M., DO 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 Fugate, Toby L., DO 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504)821-2601 Besch, Ceryl L., MD 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Hill, Michael K., MD 56 Starbrush Circle Covington, LA 70433 (985) 871-0095 Bitar, Camille N., MD 2375 Gause Blvd Slidell, LA 70461 (985) 643-0075 8050 W Judge Perez Dr Ste 2000 Chalmette, LA 70043 (504) 278-1884 Clark, Rebecca, MD 2235 Poydras New Orleans, LA 70112 (504) 826-2179 1400 Poydras St New Orleans, LA 70112 (504) 903-3000 DiCarlo, Richard P., MD 2235 Poydras New Orleans, LA 70112 (504) 826-2179 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 641-5523 Hull, Anne E., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2235 Poydras St New Orleans, LA 70119 (504) 826-2179 Joubert, Mary F., MD 56 Starbrush Circle Covington, LA 70433 (985) 871-0095 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 641-5523 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Lopez, Alfredo A., MD 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Maffei, Joanne T., MD 2235 Poydras New Orleans, LA 70112 (504) 826-2183 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Martin, David H., MD 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 Murphy, Mary J., MD 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 Rabito, Jr., Frank J., MD 4300 Houma Blvd #306 Metairie, LA 70006 (504) 455-4622 Sanders Jr., Charles, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Seal, Paula, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 2235 Poydras Ave New Orleans, LA 70112 (504) 826-2179 Taylor, Stephanie, MD 180 W Esplanade Ave Kenner, LA 70065 (504) 464 – 8590 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1100 Begue, Rodolfo, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9583 Cohen, Irwin P., MD 42124 Veterans Ave Ste A Hammond, LA 70403 (985) 543-0565 Depaula, John M., MD 4315 Houma Blvd, Ste 201 Metairie, LA 70006 (504) 455-4622 MATERNAL/ FETAL MEDICINE Chau, Ann C., MD 4200 Houma Blvd 4th Flr Metairie, LA 70006 (504) 456-5446 Maupin Jr., Robert T., MD 1401 Foucher St 2nd Flr New Orleans, LA 70115 (504) 897-7011 2100 Perdido St New Orleans, LA 70162 (504) 903-3000 Miller, Jr., Joseph M., MD 1101 Medical Center Blvd Marrero, LA 70072 (504) 347-5511 NEONATALPERINATAL MEDICINE Anand, Harish, MD 120 Meadowcrest Ste 245 Gretna, LA 70056 (504) 391-7690 Barkemeyer, Brian M., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9418 Buis, Minnie M., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2753 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 126 of 159 Gupta, Raegan W., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9418 1001 Gause Blvd Slidell, LA 70458 (985) 280-2200 4200 Houma Blvd Metairie, LA 70006 (504) 454-4000 Olister, Staci M., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 1401 Foucher St New Orleans, LA 70115 (504)897-7011 Rivera, Dana L., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2723 1401 Foucher St New Orleans, LA 70115 (504) 897-7011 4200 Houma Blvd Metairie, LA 70006 (504) 454-5641 170 Greenbriar Dr Ste B Covington, LA 70433 (985)893-0911 809 Boat Ramp Rd Franklinton, LA 70438 (985)839-8988 519 W Railroad Ave Independence, LA 70443 (985)878-3988 706 3rd St Kentwood, LA 70444 (985) 229-9191 64026 Hwy 434 Ste 180 Lacombe, LA 70445 (985) 690-6373 877 Brownswitch Rd Slidell, LA 70458 (985)649-2555 Bolisay, Crispin, MD 664 Robert Blvd Slidell, LA 70458 (985) 646-0360 Devarajan, Vadakkipalayam MD 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 Schuth, Caludia R., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 646-5620 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 Sharma, Rajesh, MD 120 Meadowcrest St #245 Gretna, LA 70056 (504-391-7690 843 Milling Ave Luling, LA 70070 (985) 785-5800 Surcouf, Jeffrey, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 NEPHROLOGY Bean, Brandon K., MD 16081 Doctors Blvd Ste B Hammond, LA 70403 (985)340-7006 110 N First St Amite, LA 70422 (985)748-8156 1415 Avenue F Bogalusa, LA 72427 (985)732-3988 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Harris Jr, Friedrichs H., MD 4409 Utica St Ste 100 Metarie, LA 70006 (504) 457-3687 Jack, Avanelle V., MD 136 S Roman St New Orleans, LA 70112 (504) 903-6959 Julka, Sudhir K., MD 3939 Houma Blvd Bldg 3 Ste 7 Metairie, LA 70006 (504) 373-5539 Kim, Hui, MD 4409 Utica St Ste 100 Metairie, LA 70006 (504)457-3687 Lama, Anthony, J., MD 2620 Jena St 2nd Flr New Orleans, LA 70115 (504) 897-5528 Mims, Thomas H., MD 200 W Esplanade Ave #103 Kenner, LA 70065 (504) 464-8712 Mohare, Kuntal, MD 664 Robert Blvd Slidell, LA 70458 (985) 646-0360 Molina, Miguel F., MD 1111 Medical Center Blvd Ste N-511 Marrero, LA 70072 (504) 349-6301 4228 Houma Blvd Ste 320 Metairie, LA 70006 (504) 456-5131 Morris, Steven A., MD 200 W Esplanade Ave #103 Kenner, LA 70065 (504) 457-3687 1111 Medical Center Blvd Ste N511 Marrero, LA 70072 (504) 349-6301 Morse, Stephen A., DO 2025 Gravier St 3rd Flr New Orleans, LA 70112 (504) 903-5700 200 W Esplanade Ave # 701 Kenner, LA 70065 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504)903-3000 Powers, David R., MD 110 N First St Amite, LA 70422 (985) 748-8156 335 Austin St Bogalusa, LA 70427 (985) 732-3988 170 Greenbriar Blvd Ste B Covington, LA 70433 (985) 893-0998 806 Boat Ramp Rd Franklinton, LA 70438 (985) 839-8988 16081 Doctors Blvd Ste B Hammond, LA 70403 (985) 340-7006 519 W Railroad Rd Independence, LA 70443 (985) 878-3988 64026 Hwy 434 Lacombe, LA 70445 (985) 690-6373 877 Brownswitch Rd Ste B Slidell, LA 70458 (985) 649-2555 217 Cherokee Rose Ln Covington, LA 70433 (985) 893-0911 706 Third St Ste A Kentwood, LA 70444 (985) 229-9191 Reisin, Efrain, MD 2820 Napoleon Ave Ste 890 New Orleans, LA 70115 (504) 412-1366 200 W Esplanade Ave, #701 Kenner, LA 70065 (504) 412-1100 Rivera-Rodriguez, Gabriel, MD 1111 Medical Ctr Blvd N511 Marrero, LA 70072 (504) 349-6301 4228 Houma Blvd Ste 320 Metairie, LA 70006 (504) 456-5131 Simon, John C., MD 1970 N Hwy 190 Ste 100 Covington, LA 70433 (985) 867-8585 Tveit, Daniel P., MD 664 Robert Blvd Slidell, LA 70458 (985) 867-8585 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 127 of 159 Uribe, Luis G., MD 200 W Esplanade Ave #103 Kenner, LA 70065 (504) 464-8712 Becker, Michael J., MD 64301 Hwy 434 Lacombe, LA 70445 (985)882-4500 Van, Peter, MD 1970 N Hwy 190 Ste 100 Covington, LA 70433-5158 (985)867-8585 Branch Jr., Lionel A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Williams, Kimberly S., MD 397 Hwy 21 Ste 601 Madisonville, LA 70447 (985) 843-0911 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504) 903-3000 Zadeh, Sousan, DO 42388 Pelican Prof Park Hammond, LA 70403 (985) 542-6251 NEPHROLOGY PEDIATRIC Ashoor, Isa F., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9511 Aviles, Diego, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Iorember, Franca, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 NEUROLOGY Adams, Donald S., MD 3800 Houma Blvd Ste 205 Metairie, LA 70006 (504) 885-7337 Atkins, Steven T., MD 1111 Medical Ctr Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 120 Meadowcrest St #130 Gretna, LA. 70056 (504) 340-6976 Barton, Caroline L., MD 2820 Napoleon Ave Ste 700 New Orleans, LA 70115 (504) 412-1517 Beaucoudray, Troy A., MD 4213 Teuton St Metairie, LA 70006 (504) 454-7246 Copeland, Brian J., MD 3700 St. Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 El-Abassi, Rima N., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 England, John D., MD 3700 St Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1517 Fiore, Ronald C., MD 3434 Prytania St Ste 230 New Orleans, LA 70115 (504) 340-6976 1111 Medical Ctr Blvd Ste s750 Marrero, LA 70072 (504) 340-6976 Fleming, Roy H., MD 4228 Houma Blvd #6003 Metairie, LA 70006 (504) 454-2191 Gervais, Donald S., MD 970 S Acadia Rd Thibodaux, LA 70301 (985) 317-3007 Glynn, Patrick J., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 Gould III, Harry J., MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1517 Gutierrez, Amparo, MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1517 200 W Esplanade Ave Ste 701 Kenner, LA 70065 (504) 412-1100 Palmer, Maria A., MD 3939 Houma Blvd Ste 5 Metairie, LA 70006 (504) 888-5315 Palmer, Richard, D., MD 3939 Houma Blvd Ste 5 Metairie, LA 70006 (504) 888-5315 Haight, Edward S., MD 970 S Acadia Rd Thibodaux, LA 70301 (985) 317-3007 Peterson, Brian W., MD 3800 Houma Blvd Ste 205 Metairie, LA 70006 (504) 885-7337 Happel, Michael T, MD 110 Veterans Blvd Ste 1 Metairie, LA 70001 (504) 831-6760 Puente, Michael A., MD 1111 Medical Center Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 64301 Hwy 434 Lacombe, LA 70445 (985) 282-4500 Houser, James M., MD 64301 Hwy 434 Lacombe, LA 70445 (985)882-4500 Houser, Rex S., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 Krefft, Thomas A., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 Lovera, Jesus F., MD 2820 Napoleon Ave Ste 700 New Orleans, LA 70115 (504) 412-1517 Mader Jr., Edward C., MD 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504)903-2373 Melcher, Archibald MD 3800 Houma Blvd Ste 205 Metairie, LA 70006 (504) 885-7337 Mohnot, Dhanpat C., MD 120 Meadowcrest St Ste 420 Gretna, LA 70056 (504) 391-7547 Olejniczak, Piotr W., MD 3700 St Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1517 120 Meadowcrest St Ste 130 Gretna, LA. 70056 (504) 340-6976 Rao, Jayaraman A., MD 3700 St. Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1100 Redillas, Carol R., MD 8050 W Judge Perez Dr Ste 2900 Chalmette, LA 70043 (504) 957-1766 Segura, Enrique, MD 3800 Houma Blvd. Ste 205 Metairie, LA 70006 (504) 885-7337 110 Veterans Blvd Ste 325 Metairie, LA 70445 (504) 831-6760 Sharett, Lauren R., MD 1111 Medical Center Blvd, S750 Marrero, LA 70072 (504) 340-6976 Thibodeaux, Lisa, MD 970 S Acadia Rd Thibodaux, LA 70301 (985) 917-3007 Truax, Walter D., MD 1111 Medical Ctr Blvd Ste s750 Marrero, LA 70072 (504) 340-6976 120 Meadowcrest St Ste 130 Gretna, LA. 70056 (504) 340-6976 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 128 of 159 Voigt, Amy W., MD 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504) 903-3000 Alleyn, Jaime J., MD 3700 St. Charles Ave, 5th Fl New Orleans, LA 70115 (504) 412-1100 3700 St Charles Ave 4th Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St New Orleans, LA 70112 (504) 903-3000 1661 Canal St, Ste 1200 New Orleans, LA 70112 (504) 288-9980 NEUROLOGY – PEDIATRIC Deputy, Stephen, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9319 Flatt, John A., MD 190 Greenbrier Blvd Ste 105 Covington, LA 70433 (985) 327-5880 Gautreaux, Jessica R., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Henderson Tilton, Ann, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 McGuire, Shannon, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Weimer, Maria B., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9458 Wong, Joaquin, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9458 OB/GYN Alexander, Samuel M., MD 4720 S I-10 Srvc Rd Ste 201 Metairie, LA 70001 (504) 455-1107 550 Brownswitch Rd Slidell, LA 70458 (985) 781-7531 Baur, Jennifer P., MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Berry III, C. Markham, MD 42333 Deluxe Plz Ste 7 Hammond, LA 70403 (985) 345-2555 (GYN Only) Clavin, Diana L., MD 1150 Robert Blvd Ste 360 Slidell, LA 70458 (985) 781-4848 Gallaspy, John, MD 433 Plaza Ste. 1A Bogalusa, LA 70427 (985) 730-7001 Collins, Louise, MD 231 W Esplanade Ste B Kenner, LA 70065 (504) 464-7729 Gee, Rebekah E., MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1520 Colon, Lisa M., MD 4770 S I-10 Srv Rd Ste 104 Metairie, LA 70001 (504) 889-7652 Gelman, Vadim R., MD 3555 Loyola Drive Ste D Kenner, LA 70065 (504) 464-8750 120 Meadowcrest St Ste 320 Gretna, LA 70056 (504) 391-7677 Cruz, Jorge, MD 600 North Hwy 90 Ste 201 Covington, LA 70433 (985) 892-5498 Bedestani, Ahmet MD 4228 Houma Blvd Ste 330 Metairie, LA 70006 (504) 454-5505 120 Meadowcrest St Ste 235 Gretna, LA 70056 (504) 391-7540 Blount, James J., MD 128 Highland Pkwy Ste 202 Picayune, MS 39466 (601) 358-9422 3715 Williams Blvd Ste 100 Kenner, LA 70065 (504) 465-4550 Breen, Wayne F., MD 71380 Hwy 21 Ste 101 Covington, LA 70433 (985) 892-2434 810 Riverside Dr Franklinton, LA 70438 (985) 839-5555 Bruno, Jonathan, MD 128 Highland Pkwy Ste 202 Picayune, MS 39466 (601) 358-9422 Caire IV, Arthur A, MD 700 Gause Blvd Ste C Slidell, LA 70458 (985) 643-3100 Champlin, Stephen, MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Chesson Jr., Ralph R., MD 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1100 Curole, David N., MD 4720 S I-10 Srv Rd Ste 340 Metairie, LA 70001 (504) 455-0004 120 Meadowcrest St Ste 350 Gretna, LA 70056 (504) 391-7678 Deck, Robert E., MD 4720 S I-10 Srv Rd Ste 206 Metairie, LA 70001 (504) 455-7999 1207 Paul Maillard Luling, LA 70070 (985) 785-9910 Farrell, William J., MD 800 N Causeway Blvd Ste 2C Mandeville, LA 70448 (985) 892-7621 4770 I-10 Service Rd W Ste 201 Metairie, LA 70001 (504) 454-2179 Gibson, Jill E., MD 71380 Hwy 21 Ste 101 Covington, LA 70433 (985) 898-5990 Gonski, Leah A., MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Goodridge, Christina L., MD 4315 Houma Blvd Ste 302 Metairie, LA 70006 (504) 888-2080 Guette, Andre’ G., MD 4740 S I-10 Srv Rd Ste 340 Metairie, LA 70001 (504) 455-0004 120 Meadowcrest St #350 Gretna, LA 70056 (504) 391-7678 Hallner Jr., Barry G., MD 2100 Perdido St New Orleans, LA 70112 (504) 903-3000 2021 Perdido St New Orleans, LA 70112 (504) 599-0015 Heard, Asha J., MD 3700 St. Charles Ave 5th Fl New Orleans, LA 70115 (504)412-1100 Hess, James C., MD 52579 Hwy 51 S Ste 16 Independence, LA 70433 (985)878-9421 (GYN Only) Hevron, John, MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 129 of 159 Hixson, Meredith, MD 1850 Gause Blvd East #203 Slidell, LA 70461 (985) 646-4490 Nobles, Beenie P., MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Schultis, Eric J., MD 4720 S I-10 Srvc Rd #206 Metairie, LA 70001 (504) 455-7999 Hoerner, David W., MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Peacock, Lisa M., MD 3700 St. Charles Ave 5th Flr New Orleans, LA 70115 (504) 412-1100 Smith, Melissa W., MD 1150 Robert Blvd Ste 360 Slidell, LA 70458 (985) 781-4848 Holman, Stacey L., MD 3700 St. Charles Ave, 5th Fl New Orleans, LA 70115 (504) 412-1100 2100 Perdido St New Orleans, LA 70112 (504) 903-3000 Stewart, Alison A., MD 4224 Houma Blvd Ste 140 Metairie, LA 70006 (504) 888-8854 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1661 Canal St., Ste 1200 New Orleans, LA 70112 (504) 288-9980 Jeanfreau, Susan, MD 2820 Napoleon Ave Ste 340 New Orleans, LA 70115 (504) 897-4287 3040 33rd St Metairie, LA 70001 (504) 846-5279 Landwehr, C. Michael, MD 71380 Hwy 21 Ste 101 Covington, LA 70433-2303 (985) 892-2434 Llanos, Raul, MD 3749 N Causeway Blvd Ste C Metairie, LA 70002 (504) 834-1050 Lobello, Ann R., MD 1150 Robert Blvd Ste 360 Slidell, LA 70458 (985) 781-4848 Miller, Jane C., MD 4740 I-10 Service R Ste 340 Metairie, LA 70001 (504) 455-0004 120 Meadowcrest St #350 Gretna, LA 70056 (504) 391-7678 Mooney, Timothy, MD 42333 Deluxe Plz Ste 7 Hammond, LA 70401 (985) 345-2555 Newman, Chevies W., MD 121 Lakeview Circle Ste C Covington, LA 70433 (985) 892-1111 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1600 Polite, Florencia G., MD 3700 St. Charles Ave, 5th Fl New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1200 LB Landry Ave New Orleans, LA 70114 (504) 308-3550 1661 Canal St., Ste 1200 New Orleans, LA 70112 (504) 288-9980 Reitan, Rachel E., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 200 Henry Clay Ave. New Orleans, LA 70160 (504) 899-9511 Roskos, Ingrid K., MD 1150 Robert Blvd Ste 360 Slidell, LA 70458 (985) 781-4848 Ruhe, Hope D., MD 2820 Napoleon Ave #970 New Orleans, LA 70115 (504) 897-4207 Ryan, Thomas, MD 2820 Napoleon Ave #340 New Orleans, LA 70115 (504) 897-4287 3040 33rd St Metairie, LA 70001 (504) 846-5279 St Germain, Geraldine A., MD 4228 Houma Blvd Ste 410 Metairie, LA 70006 (504) 833-3770 Striplin, Scott, MD 77 Starbush Cir Covington, LA 70433 (985) 893-0995 Stutes, Michelle R., MD 2820 Napoleon Ave Ste 700 New Orleans, LA 70115 (504) 412-1520 2100 Perdido St New Orleans, LA 70112 Tanner, Lanasha C., MD 3700 St Charles Ave 5th Fl New Orleans, LA 70115 (504) 412-1100 Tydings, Albert I., MD 121 Lakeview Cir, Ste C Covington, LA 70433 (985) 892-1111 Urrego, Heather H., DO 4626 Alcee Fortier Blvd Ste D New Orleans, LA 70129 (504) 255-8665 Voros, Janos, MD 120 Meadowcrest St Ste 350 Gretna, LA 70056 (504) 391-7678 (GYN Only) Wells, Lindsay MD 200 Henry Clay Ave New Orleans, LA 70118 (504)899-9511 (GYN Only) Williams, Valerie L., MD 3700 St. Charles Ave 5th Flr New Orleans, LA 70115 (504) 412-1100 Winfield, Felton L. Jr., MD 3201 S Carrolton Ave New Orleans, LA 70118 (504) 207-3060 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 Yockey, Sarah K., MD 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 3700 St Charles Ave 5th Fl New Orleans, LA 70115 (504) 412-11000 2100 Perdido St New Orleans, LA 70112 (504) 903-3000 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 OPHTHALMOLOGY Arceneaux, Richard L., MD 1101 Audubon Ave Ste N5 Thibodaux, LA 70301 (985)446-0506 Armani, Michael H., MD 3501 Holiday Dr Ste 201 New Orleans, LA 70114 (504) 368-7081 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 130 of 159 Arora, Satish, MD 1101 Audubon Ave Ste N-5 Thibodaux, LA 70301 (985) 446-0506 16140 W Main St Cutt Off, LA 70345 (985) 632-2884 4324 Veterans Blvd Ste 108 Metairie, LA 70006 (504) 833-7673 900 North Canal Blvd Thiboudaux, LA 70301 (985) 446-3276 Ayyala, Ramesh, MD 4324 Veterans Blvs Ste 102 Metairie, LA 70006 (504) 455-9825 Balkan, Robert Jay, MD 3434 Prytania St Ste 250 New Orleans, LA 70115 (504) 891-1988 3901 Houma Blvd Ste 216 Metairie, LA 70006 (504) 454-0158 Baranano, Anne E., MD 2781 C T Switzer Sr Dr Ste 100 Biloxi, MS 39531 (228) 207-8632 109 Milsaps Dr Hattiesburg, MS 39402 (301) 255-0736 1900 23rd Ave Gulfport, MS 39501 (228) 864-2633 Barron, Bruce A., MD 1450 Poydras St New Orleans, LA 70112 (504) 903-1932 Benson, III, Andrew, MD 2243 Gause Blvd E Slidell, LA 70461 (985) 643-6355 Bernal, Maria Del Pilar, MD 2820 Napoleon Ave Ste 750 New Orleans, LA 70115 (504) 412-1210 Bessent, Richard, MD 60007 West Way Dr Amite, LA 70422 (385) 748-8096 1705 S Morrison Blvd Hammond, LA 70403 (985) 234-2020 Boyle, John W., IV, MD 424 Houma Blvd Ste 100 Metairie, LA 70006 (504) 454-1000 Brint, Stephen, MD 4720 S I10 Service Rd W Ste 406 Metairie, LA 70001 (504) 456-3155 1617 Metairie Rd Metairie, LA 70005 (504) 837-3937 Cangelosi, Glen C., MD 4201 Frenchman St New Orleans, LA 70122 (504) 282-7212 3501 Holiday Dr New Orleans, LA 70114 (504) 362-6912 Cangelosi, Robert, J., MD 4201 Frenchman St New Orleans, LA 70122 (504) 282-7212 Caplan, Daniel I., MD 3409 N Hullen St Ste 100 Metairie, LA 70002 (504) 888-2600 Cerise, Donald P., MD 4324 Veterans Blvd Ste 102 Metairie, LA 70006 (504) 455-9825 318 N Canal Blvd Thibodaux, LA 70301 (985) 446-3276 Cohen, Gerald, MD 3525 Prytania St Ste 320 New Orleans, LA 70115 (504) 895-3961 4224 Houma Blvd Ste 160 Metairie, LA 70006 (504) 456-9061 64040 Hwy 434 #103 Lacombe, LA 70445 (985) 882-4201 900 Canal Blvd Ste 3 Thibodaux, LA 70301 (504) 895-3961 1501 Derek Dr Hammond, LA 70403 (504) 895-3961 Connolly, Christine W., MD 3700 St Charles Ave 6th Flr New Orleans, LA 70115 (504) 412-1100 433 Plaza St Bogalusa, LA 70427 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Cousins, Gwen M., MD 3525 Prytania St Ste 320 New Orleans, LA 70115 (504) 895-3961 4224 Houma Blvd #160 Metairie, LA 70006 (504) 456-9061 64040 Hwy 434 #103 Lacombe, LA 70445 (985) 882-4201 900 Canal Blvd Ste 3 Thibodaux, LA 70301 (504) 895-3961 1501 Derek Dr Hammond, LA 70403 (504) 895-3961 Dang, Lisa H., MD 3700 St. Charles Ave., 6th Floor New Orleans, LA 70015 (504) 412-1100 D’Antonio, Mary Christine, MD 4720 S I-10 Srv Rd, Ste 406 Metairie, LA 70001 (504) 456-3155 Davis, Brandon L., MD 1801 C M Fagan Dr Ste 6 Hammond, LA 70403 (985) 542-5624 4224 Houma, Blvd Ste 430 Metairie, LA 70006 (504) 888-7771 3525 Pytania St Ste 430 New Orleans, LA 70115 (504) 897-7772 1580 W Causeway Approach Ste 3 Mandeville, LA 70471 (985) 951-7636 15190 Community Rd #320 Gulfport, MS 39503 (228) 832-7779 Dimitri, George J., MD 1617 Metairie Rd Metairie, LA 70005 (504) 837-3937 3301 Canal St New Orleans, LA 70119 (504) 837-3937 Ebrahim, Shehab A., MD 2821 Richland Ave Metairie, LA 70002 (504) 455-0500 4945 Lapalco Blvd Marrero, LA 70072 (504) 328-1960 Fajoni, Michael L., MD 1615 SW Railroad Ave Hammond, LA 70401 (985) 345-0050 Falgoust, Quentin, MD 1101 Audobon Ave #N5 Thibodaux, LA 70301 (985) 446-0506 Farrell, Erin, MD 2800 Veterans Blvd Ste 125 Metairie, LA 70002 (504) 833-5326 4404 Veterans Blvd Metairie, LA 70006 (504) 455-55523 1046 Paul Maillard Rd Luling, LA 70007 (985) 785-8444 1670 Barataria Blvd Ste D Marrero, LA 70072 (504) 341-2937 Fitzmorris, Catherine, MD 4224 Houma Blvd Ste 100 Metairie, LA 70006 (504) 454-1000 Franklin, Alan J., MD 2781 CT Switzer Sr Dr Ste 100 Biloxi, MS 39531 (228) 207-8632 109 Milsaps Dr Ste B Hattiesburg, MS 39402 (601) 225-0736 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 131 of 159 1900 23rd Ave Gulfport, MS 39501 (228) 864-2633 Franklin, Rudolph M, MD 1111 Medical Center Blvd N213 Marrero, LA 70072 (504) 349-6213 Germer, Bruce A., MD 3900 Veterans Blvd #203 Metairie, LA 70002 (504) 887-7660 120 Meadowcrest #210 Gretna, LA 70056 (504) 391-7545 1051 Gause Blvd #480 Slidell, LA 70458 409 Ave F Bogalusa, LA 70427 Gillen, Sharon H., MD 4720 S I 10 Srv Rd Ste 406 Metairie, LA 70001 (504) 456-3155 4704 Veterans Mem Blvd Ste 102 Metairie, LA 70006 (504) 888-2020 120 Meadowcrest St Ste 330 Gretna, LA 70056 (504) 391-7550 Gitter, Kurt A., MD 3525 Prytania St Ste 320 New Orleans, LA 70115 (504) 895-3961 4224 Houma Blvd #160 Metairie, LA 70006 (504) 456-9061 4324 Veterans Blvd #107 Metairie, LA 70006 (504) 455-9825 4880 Hwy 1 S Raceland, LA 70394 (985) 532-3042 318 N Canal Blvd Thibodaux, LA 70301 (985) 446-3276 15190 Community Rd Gulport, MS 39503 (228) 832-8282 Griener, Eric D., MD 17170 S I-12 Srvc Rd Hammond, LA 70403 (985) 542-3336 1011 N Causeway Blvd Mandeville, LA 70471 (985) 727-0008 Gupta, Satyarthi, MD Highland Park Plz Ste 108 Covington, LA 70433 (985) 892-0908 Haley Jr., Henry M., MD 120 Meadowcrest St #210 Gretna, LA 70056 (504) 391-7550 4720 S I10 Rd W Ste 406 Metairie, LA 70001 (504) 456-3155 3545 Hwy 190 Mandeville, LA 70471 (985) 674-5050 42373 Pelican Prof Park Hammond, LA 70403 (985) 542-5624 Haik, Jr., George, MD 1407 S Carrollton Ave New Orleans, LA 70118 (504) 861-2734 Haik, Kenneth G., MD 2800 Veterans Blvd #125 Metairie, LA 70002 (504) 833-5326 Hemelt, Terrell M., MD 2243 Gause Blvd E Slidell, LA 70461 (985) 643-6355 Hendricks, Clifford A., MD 3434 Prytania St Ste 250 New Orleans, LA 70115 (504) 891-1988 3901 Houma Blvd Ste 216 Metairie, LA 70006 (504) 454-0158 Hendricks, Sean D., MD 801 CM Fagan Dr Ste 6 Hammond, LA 70403 (985) 542-5624 4720 S. I-10 Service Rd. W Suite 406 Metairie, LA 70001 (504) 456-3155 Killeen, Suzette S., MD 4601 Wichers Dr Marrero, LA 70072 (504) 347-8434 Kosmidis, Alexander P., MD 3900 Veterans Blvd Ste 203 Metairie, LA 70002 (504) 455-1816 LaCour, Owen J., MD 4324 Veterans Blvd Ste 107 Metairie, LA 70006 (504) 883-7690 2820 Napoleon Ave Ste 900 New Orleans, LA 70115 (504) 897-4567 Landry, Ronald A., MD 4324 Veterans Blvd #102 Metairie, LA 70006 (504) 455-9825 4880 Hwy 1 Raceland, LA 70394 (985) 532-3042 Langlow, Edward P., MD 804 Heavens Dr Ste 102 Covington, LA 70471 (985) 792-1141 Lanoux, Scott D., MD 4324 Veterans Blvd Ste 107 Metairie, LA 70006 (504) 883-7690 2820 Napoleon Ave Ste 900 New Orleans, LA 70115 (504) 455-7864 Leader, Barry Joseph, MD 3434 Prytania St Ste 250 New Orleans, LA 70115 (504) 891-1988 3901 Houma Blvd Ste 216 Metairie, LA 70006 (504) 454-0158 Leftwich, Owen B., MD 4601 Wichers Dr Marrero, LA 70072 (504) 347-8434 Mears, Katrina A., MD 3700 St. Charles Ave., 6th Fl New Orleans, LA 70115 (504) 412-1100 Meyer, Stephen R., Md 1120 N Hwy 190 Covington, LA 70433 (985) 893-5777 803 Riverside Dr Franklinton, LA 70438 (985) 839-5633 Nelson, Scott K., MD 60007 West Way Dr Amite, LA 70422 (985) 748-8096 1705 S. Morrison Blvd Hammond, LA 70403 (985) 345-2020 Ngo, Yen H., MD 3700 St. Charles Ave 6th Flr New Orleans, LA 70115 (504) 412-1100 Notaroberto, Neil F., MD 1939 Hickory Ave Ste 101 New Orleans, LA 70123 (504) 737-3456 105 Medical Ctr Dr Ste 302 Slidell, LA 70461 (985) 641-2252 #2 Sanctuary Blvd Ste 303 Mandeville, LA 70471 (985) 624-5058 O’Byrne, Marilu, MD 1580 W Causeway Approach Ste 3 Mandeville, LA 70471 (985) 624-5573 O’Sullivan, Patrick S., MD 2800 Veterans Mem Blvd Ste 160 Metairie, LA 70002 (504) 264-9428 1421 Ochsner Blvd Covington, LA 70433 (985) 590-5339 60007 West Way Dr Amite, LA 70422 (985) 748-8096 1705 S Morrison Blvd Hammond, LA 70403 (985) 345-2020 109 Millsaps Dr Ste B Hattiesburg, MS 39402 (601) 255-0736 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 132 of 159 1900 23rd Ave Gulfport, MS 39501 (228) 864-2633 2781 C T Switzer Sr Dr Ste 100 Biloxi, MS 39531 (228) 207-8632 712 Willis Ave Bogalusa, LA 70427 (985) 730-2145 2235 Poydras New Orleans, LA 70112 (504) 903-3000 Perez, William A., MD 4324 Veterans Blvd Ste 104 Metairie, LA 70006 (504) 455-8666 Rachal, William, MD 4224 Houma Blvd Ste 150 Metairie, LA 70006 (504) 456-2691 Rao, Aravinda K., MD 3700 St. Charles Ave 6th Flr New Orleans, LA 70115 (504) 412-1100 Reinoso, Maria A., MD 2820 Napoleon Ave New Orleans, LA 70115 (504) 412-1210 Rhodes, Annette M., MD 1615 SW Railroad Ave Hammond, LA 70401 (985) 345-0050 Ross, Robert D., MD 4224 Houma Blvd Ste 430 Metairie, LA 70006 (504) 888-7771 3525 Prytania St Ste 430 New Orleans, LA 70115 (504) 897-7772 1580 W Causeway Approach Ste 3 Mandeville, LA 70471 (985) 951-7636 15190 Community Rd Ste 320 Gulfport, MS 39503 (228) 832-7779 Rumage, Joseph P., MD 2120 Pratt St. Gretna, LA 70053 (504) 367-0808 Schneider, Ellen C., MD 985 Robert Blvd Ste 105 Slidell, LA 70458 (985) 781-7531 Vives, M. Teresa, MD 1437 Amelia St New Orleans, LA 70115 (504) 896-2134 Schoenberger, Martin, MD 901 W Judge Perez Dr Chalmette, LA 70043 (504) 279-5266 Weiss, Jayne S., MD 3700 St. Charles Ave 6th Flr New Orleans, LA 70115 (504) 412-1200 Sibley, Riley C., MD 4224 Houma Blvd Ste 100 Metairie, LA 70006 (504) 454-1000 Singer, Jeffrey H., MD 4720 S I-10 Srvc Rd W Ste 406 Metairie, LA 70001 (504) 456-3155 120 Meadowcrest St #330 Gretna, LA 70056 (504) 391-7550 Slagle, David F., MD 1051 Gause Blvd Ste 480 Slidell, LA 70458 (504) 649-0206 712 Willis Ave Bogalusa, LA 70808 (225) 768-5816 Willson, Ronald L., MD 3525 Prytania St Ste 320 New Orleans, LA 70115 (504) 895-3961 4224 Houma Blvd #160 Metairie, LA 70006 (504) 456-9061 64040 Hwy 434 Ste 103 LaCombe, LA 70445 (985) 882-4201 1501 Derek Dr Hammond, LA 70403 (504) 895-3961 Stahel, Jr., Edward E., MD 1101 Audubon Ave Ste N-5 Thibadaux, LA 70301 (985) 446-0506 900 Canal Blvd Ste 3 Thibodaux, LA 70301 (504) 895-3961 Sumich, II, Leni T., MD 4324 Veterans Blvd Ste 102 Metairie, LA 70006 (504) 455-9825 Wood, Jeremy J., MD 1615 SW Railroad Ave Hammond, LA 70403 (985) 345-0050 Terrell, W. Lee, MD 2800 Veterans Blvd #125 Metairie, LA 70002 (504) 833-5326 Wool, Brandon M., MD 315 Metairie Rd Ste 302 Metairie, LA 70005 (504) 835-2197 1046 Paul Maillard Rd Luling, LA 70070 (985) 785-8444 Thompson, Joseph C., MD 608 Terry Parkway Gretna, LA 70056 (504) 361-3937 Turla, M. Theresa, MD 1185 Robert Blvd Slidell, LA 70458 (985) 641-2252 2 Santuary Blvd Ste 303 Mandeville, LA 70471 (985)624-5058 1939 Hickory Ave Ste 101 New Orleans, LA 70123 (504)737-3456 Worley, Michael W., MD 3700 St Charles Ave 6th Flr New Orleans, LA 70115 (504) 412-1100 3715 Prytania St Ste 504 New Orleans, LA 70115 (504) 895-3223 Zaveri, Dimple, MD 4315 Houma Blvd Ste 402 Metairie, LA 70006 (504) 455-2020 200 W Esplanade Ave Ste 104 Kenner, LA 70065 (504) 455-2020 Zhuk, Stanislav A., MD 3525 Prytania St #320 New Orleans, LA 70115 (504) 895-3961 4224 Houma Blvd #160 Metairie, LA 70006 (504) 456-9061 64040 Hwy 434 #103 Lacombe, LA 70445 (985) 882-4201 900 Canal Blvd Ste 3 Thibodaux, LA 70301 (504) 895-3961 1501 Derek Dr Hammond, LA 70403 (504) 895-3961 1515 Poydras St Ste 1070 New Orleans, LA 70112 (504) 524-1210 2021 Perdido St New Orleans, LA 70112 (504) 412-1200 ORTHOPAEDIC Adatto, Kenneth N. MD 3434 Prytania St Ste 310A New Orleans,LA 70115 (504) 895-2055 Boucree Jr., Joseph, MD 104 Medical Center Dr Slidell, LA 70461 (985) 646-5576 Clasen, Charles, MD 4228 Houma Blvd Ste 600B Metairie, LA 70006 (504) 454-2191 Cracco, Alain F., MD 5621 Read Blvd New Orleans, LA 70127 (504) 241-5200 Craig III, Lucius, MD 2600 Belle Chasse Hwy Ste I Gretna, LA 70056 (504) 391-7670 4633 Wichers Dr Marrero, LA 70072 (504) 347-5421 Dasa, Vinod, MD 200 W Esplanade Ave #500 Kenner, LA 70065 (504) 412-1700 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 133 of 159 Devraj, Timothy, MD 70411 Hwy 21 Covington, LA 70433 (985)400-5566 Dimartino, Paul P., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Donnelly, Brandon P., MD 3939 Houma Blvd Ste 21 Metairie, LA 70006 (504)885-6464 105 Plantation Rd Ste 110 Destrehan, LA 70047 (985)764-3001 14041 Hwy 90 Boutte, LA 70039 (985) 764-3001 Doty, Paul M., MD 1115 S Tyler St Covington, LA 70433 (985) 892-2200 Edwards, Thomas B., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Finney, Timothy P., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 897-6351 5640 Read Blvd #120 New Orleans, LA 70127 (504) 244-9720 3800 Houma Blvd #200 Metairie, LA 70006 (504) 455-9500 Gallagher, Daniel J, MD 4633 Wichers Dr Marrero, LA 70072 (504) 347-5421 2600 Belle Chasse Hwy Ste I Grenta, LA 70056 (504) 391-7670 Habetz, Scott, MD 2600 Belle Chasse Hwy Ste I Gretna, LA 70056 (504) 391-7670 4633 Wichers Dr Marrero, LA 70072 (504) 347-5421 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Habig, Terry L., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 897-6351 5640 Read Blvd #120 New Orleans, LA 70127 (504) 244-9720 3800 Houma Blvd #200 Metairie, LA 70006 (504) 455-9500 Haddad Jr., Charles G., MD 3939 Houma Blvd Ste 21 Metairie, LA 70006 (504) 885-6464 105 Plantation Rd Ste 110 Destrehan, LA 70047 (985) 764-3001 14041 Hwy 90 Boutte, LA 70039 (985) 308-1458 Hartman, Michael W., MD 200 W Esplanade Ave #500 Kenner, LA 70065 (504) 412-1700 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1100 Hoffman, Gregor J., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 897-6351 5640 Read Blvd #120 New Orleans, LA 70127 (504) 244-9720 3800 Houma Blvd #200 Metairie, LA 70006 (504) 455-9500 Johnson, Charles L., MD 4228 Houma Blvd Ste 600B Metairie, LA 70006 (504) 454-2191 Keppel, Frederick, MD 1051 Gause Blvd Ste 230 Slidell, LA 70458 (985) 641-9855 Katz, Ralph P., MD 1301 Barataria Blvd Marrero, LA 70072 (504) 347-0243 King, Andrew, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 Krause, Peter C., MD 200 W Esplanade Ave Ste 500 Kenner, LA 70065 (504) 412-1700 Krieger, Charles, MD 1051 Gause Blvd Ste 230 Slidell, LA 70458 (985) 646-3664 Laborde, James M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-300 3800 Houma Blvd #200 Metairie, LA 70006 (504) 455-9500 Mimeles, Robert L., MD 4720 I-10 Service Rd #301 Metairie, LA 70001 (504) 885-8225 Ogden, Roger H., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 212-4155 Palo Jr., Matti W., MD 70411 Hwy 21 Covington, LA 70433 (985) 400-5566 1400 Poydras St 3rd Flr New Orleans, LA 70112 (504) 903-3000 Parnell Jr, Melvin L., MD 4720 S I-10 Service Rd W Ste 301 Metairie, LA 70001 (504) 885-8225 Lee, Olivia, MD 3700 St. Charles Ave 6th Flr New Orleans, LA 70115 (504)412-1100 Robert III, Kearny Q., MD 4633 Wichers Dr Marrero, LA 70072 (504) 347-5421 2021 Perdido St New Orleans, LA 70112 (504)903-3000 2600 Belle Chasse Hwy Ste I Grenta, LA 70056 (504) 391-7670 1401 Foucher St New Orleans, LA 70115 (504)897-7011 Logan, John B., MD 29301 N Dixie Ranch Rd Lacombe, LA 70445 (985) 871-4114 2525 Severn Ave Metairie, LA 70002 (504) 832-4200 4921 Airline Dr Metairie, LA 70001 (504) 889-2663 McNulty IV, Michael J., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 897-6351 Millet, Chad W., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 897-6351 5640 Read Blvd #120 New Orleans, LA 70127 (504) 244-9720 Rolling, Jason L., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2600 Belle Chasse Hwy Ste I Grenta, LA 70056 (504) 391-7670 Shackleton, Robert L., MD 4633 Wichers Dr Marrero, LA 70072 (504) 347-5421 2600 Belle Chasse Hwy Ste I Grenta, LA 70056 (504) 391-7670 Sherman Jr., William F., MD 3434 Houma Blvd Ste 301 Metairie, LA 70006 (504) 309-6500 Singh, Anoop K., MD 1616 S Columbia St Ste B Bogalusa, LA 70427 (985) 735-6005 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 134 of 159 Stokes, Harold M., MD 3939 Houma Blvd Ste 21 Metairie, LA 70006 (504) 885-6464 105 Plantation Rd Ste 110 Destrehan, LA 70047 (985) 764-3001 14041 Hwy 90 Boutte, LA 70039 (985) 764-3001 Texada, Richard P., MD 958 Robert Blvd, Ste 103 Slidell, LA 70458 (985) 520-0909 Todd, Andrew G., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 212-4155 Todd, James III, MD 4633 Wichers Dr Marrero, LA 70072 (504) 347-5421 2600 Belle Chasse Hwy Ste I Gretna, LA 70056 (504) 391-7670 Waggenspack, Jr., Wame N., MD 200 W Esplanade Ave #500 Kenner, LA 70065 (504) 412-1700 Watermeier, John J., MD 3715 Prytania St #501 New Orleans, LA 70115 (504) 895-2055 Williams, IV, Claude S., MD 2731 Napoleon Ave New Orleans, LA 70115 (504) 897-6351 Faust, Donald C., MD 2633 Napoleon Ave Ste 600 New Orleans, LA 70115 (504) 899-1000 McMyne, Robert C., MD 4320 Houma Blvd, 5th Fl. Metairie, LA 70006 (504) 454-4109 Gargiulo, Dominic J., MD 200 Henry Clay Ave. New Orleans, LA 70118 (504) 899-9511 Metoyer, Rand, MD 1850 Gause Blvd Ste 201 Slidell, LA 70461 (985) 649-5825 Heffernan, Michael J., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9569 Rosenberg, Brian A., MD 4500 Clearview Pkwy Ste 101 Metairie, LA 70006 (504) 779-5558 Southern, Edward P., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 PAIN MANAGEMENT Chiv, Fred F., MD 2600 Belle Chasse Hwy Ste I Gretna, LA 70056 (504) 391-7670 Crapanzano Jr., Joseph T., MD 4500 Clearview Pkwy #101 Metairie, LA 70006 (504) 779-5558 Elkersh, Mohamed, MD 15784 Medical Arts Plaza Ste B Hammond, LA 70403 (985) 345-7246 1115 S Tyler St Covington, LA 70433 (985) 345-7246 Faust Jr., Barry F., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 5640 Read Blvd Ste 120 New Orleans, LA 70127 (504) 244-9720 985 Robert Blvd Ste 103 Slidell, LA 70458 (985) 520-0909 3800 Houma Blvd Ste 200 Metairie, LA 70006 (504) 455-9500 110 Veterans Blvd Ste 325 Metairie, LA 70005 (504) 831-6760 ORTHOPAEDICPEDIATRIC Accousti, William, MD 200 Henry Clay Ave Ste 4103 New Orleans, LA 70118 (504) 896-9569 Lew, Christopher, MD 1850 Gause Blvd Ste 201 Slidell, LA 70461 (985) 649-5825 Martinez, Kevin R., MD 4228 Houma Blvd, Ste 510 Metairie, LA 70006 (504) 454-0141 4500 Clearview Pkwy Ste 101 Metairie, LA 70006 (504) 779-5558 Schlosser, Charles E., MD 4520 Wichers Dr Marrero, LA 70072 (504) 324-4337 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Waring, Antonio, MD 901 Gause Blvd 1st Flr Slidell, LA 70458 (985) 280-6780 PATHOLOGY Bhalla, Ritu, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 400 Memphis St Bogalusa, LA 70427 (985) 730-2239 Brown, Micheal D., MD 1111 Medical Center Blvd Ste S450 Marrero, LA 70072 (504) 349-6401 Delta Pathology Group, LLC 95 Judge Tanner Blvd Covington, LA 70433 (985) 898-2754 1141 Whitney Ave Bldg 3 Gretna, LA 70056 (504) 361-3757 Dewenter, Tracy A., MD 400 Memphis St Bogalusa, LA 70427 (985) 730-2239 52579 Hwy 51 S Independence, LA 70443 (985)878-9421 2021 Perdido St New Orleans, LA 70112 (504) 903-5700 Espinoza, Carmen G., MD 433 Plaza St Bogalusa, LA 70426 (985) 730-6700 Farris, Kenneth B., MD 1111 Medical Center Blvd Ste S450 Marrero, LA 70072 (504) 349-6401 Ferguson, Daniel L., MD 1202 S Tyler St Covington, LA 70433 (985) 898-4095 Frias Kletecka, Maria d., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Jetly, Rachna, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Lipscomb, Gary E., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Morvant, Dale, MD 1202 S Tyler St Covington, LA 70433 (985) 898-4095 Newman, William P., MD 433 Plaza St Bogalusa, LA 70427 (504) 568-6031 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Pei, Leo A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1901 Perdido St New Orleans, LA 70112 (504) 568-6031 Ruiz-Calderon, Bernardo, MD 433 Plaza St Bogalusa, LA 70426 (504) 568-6031 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 135 of 159 2021 Perdido St New Orleans, LA 70112 Scully, Sartin and Scioneaux MD PMC 1057 Paul Mallard Rd Luling, LA 70070 (985) 785-6242 15790 Paul Vega MD Dr Hammond, LA 70403 (985) 345-2700 Stern, Louis H., MD 433 Plaza St Bogalusa, LA 70427 (504) 568-6031 2021 Perdido St New Orleans, LA 70112 Colvin, Meda K., MD 1111 Medical Ctr Blvd Ste S555 Marrero, LA 70072 (504) 934-8110 Glynn, Gary R., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3789 Kishner, Stephen, MD 1450 Poydras St New Orleans, LA 70112 (504) 903-1932 Kurtz-Burke, Kiersta A., MD 2820 Napoleon Ave New Orleans, LA 70112 (504) 412-1366 Stewart, Kelly R., MD 1626 Audubon St New Orleans, LA 70118 (504) 861-0751 Martinez, Kevin R., MD 4228 Houma Blvd, Ste 510 Metairie, LA 70006 (504) 454-0141 Zieske, Arthur W., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Reddy, Gollamud H., MD 1051 Gause Blvd Ste 225 Slidell, LA 70458 (985) 781-5600 433 Plaza St Bogalusa, LA 70427 (504) 568-6031 Qureshi, Ashfaq A., MD 1301 Barataria Blvd Marrero, LA 70072 (504) 347-0243 PHYSICAL MEDICINE & REHABILITATION Braxton, Michael A., MD 29301 N Dixie Ranch Rd Lacombe, LA 70445 (985) 871-4114 2525 Severn Ave Metairie, LA 70002 (504) 832-4200 4921 Airline Dr Metairie, LA 70001 (504) 889-2663 Bryant-Snure, Susan J., MD 29301 N Dixie Ranch Rd Lacombe, LA 70445 (985) 871-4114 2525 Severn Ave Metairie, LA 70002 (504) 832-4200 4921 Airline Dr Metairie, LA 70001 (504) 889-2663 Rynick, Stephen, MD 1111 Medical Center Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 Schlosser, Charles E., MD 4520 Wichers Dr Marrero, LA 70072 (504) 324-4337 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Toomer, Andrea, MD 1111 Medical Center Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 Vadiee, Abdolreza, MD 100 Medical Center Dr Slidell, LA 70460 (985) 646-5800 125 E St Bernard Hwy Chalmette, LA 70043 (504) 278-1414 PSYCHIATRY Ancira, Robert, MD 1325 Amelia New Orleans, LA 70115 (504) 891-8503 Anwar, Mohammed Khursheed, MD 1057 Paul Maillard Rd BH Unit Luling, LA 70070-4349 (985) 785-3771 Bishop-Baier, Margaret J., MD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 1035 Calhoun St New Orleans, LA 70118 (504) 899-8282 Capone, Erin E, MD 1035 Calhoun St New Orleans, LA 70118 (504) 894-3550 Carter, Desiree M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3450 Chestnut St. New Orleans, LA 70115 (504) 412-1580 Coleman, Charles C., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3450 Chestnut St New Orleans, LA 70115 (504) 412-1580 Conrad, Erich J., MD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 2025 Gravier St 3rd Fl New Orleans, LA 70112 (504) 903-5700 Drell, Martin J., MD 210 State St New Orleans, LA 70118 (504) 897-4652 Green, Angela, DO 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 13001 Florida St Covington, LA 70433 (985) 400-5340 Hamm, Barbara L., MD 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Hanna, Jamie MD 935 Calhoun St New Orleans, LA 70118 (504)896-7200 Hatchette, Roger K., MD 2021 Perdido Ave New Orleans, LA 70112 (504) 903-3000 1035 Calhoun St New Orleans, LA 70118 (504) 899-8282 2025 Gravier St 3rd Fl New Orleans, LA 70112 (504) 903-5700 Johnson, Anthony G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Johnson, Shamalon R., MD 3450 Chestnut St., 3rd Flr New Orleans, LA 70115 (504) 412-1580 Kaliebe, Kristopher E., MD 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 1035 Calhoun St. New Orleans, LA 70118 (504) 899-8282 200 Henry Clay Ave. New Orleans, LA 70118 (504) 899-9511 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 136 of 159 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Kinzie, Erik L., MD 4200 Houma Blvd Unit 4S Metairie, LA 70006 (504) 454-4900 McClenahan, Eben L., MD 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Muller, Betty A., MD 157 Twin Oaks Dr. Raceland, LA 70394 (985) 537-6823 Osofsky, Howard J., MD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 Parsa, Daren D., MD 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Ross, Steven M., MD 2235 Poydras Ave New Orleans, LA 70112 (504) 826-2197 Roy III, Alphonse K., MD 4933 Wabash St Metairie, LA 70001 (504) 780-2766 Townsend, Mark H., MD 3450 Chestnut St 3rd Flr New Orleans, LA 70115 (504) 897-8558 Urrutia, Guillermo, MD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 Vega, Melanie, MD 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Walsh, Michael E., MD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 1035 Calhoun St New Orleans, LA 70118 (504) 899-8282 Whitfield, Erik, MD 1057 Paul Maillard Rd Unit BH Luling, LA 70070 (985) 785-3771 Williams, Andrew Z., MD 3450 Chestnut St 3rd Flr New Orleans, LA 70115 (504) 412-1580 935 Calhoun St New Orleans, LA 70119 (504) 896-7200 Williams Mamon, Lakisha Y., MD 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 PULMONARY MEDICINE Ali, Juzar, MD 2025 Gravier St. New Orleans, LA 70112 (504) 903-0031 3700 St. Charles Ave 4th Fl. New Orleans, LA 70115 (504) 412-1100 Borron, William, MD 1111 Medical Center Blvd Ste N504 Marrero, LA 70072 (504) 349-6705 Janz, David R., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Christopher, Anitha MD 4224 Houma Blvd Ste 380 Metairie, LA 70006 (504) 454-5213 Kang, Judy, MD 1111 Medical Center Blvd Ste N504 Marrero, LA 70072 (504) 349-6705 DeBlieux, Peter M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Kantrow, Stephen P., MD 1514 Jefferson Hwy New Orleans, LA 70112 (504) 568-5722 Cook, Wesley M., MD 42388 Pelican Park Plz Hammond, LA 70403 (985) 542-6251 Dale, Dennis M., MD 8050 W Judge Perez Dr Ste 2300 Chalmette, LA 70043 (504)826-9655 DeBoisblanc, Bennett P., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 Garg, Om Prakash, MD 3600 Prytania St Ste 65 New Orleans, LA 70115 (504) 723-9797 Glade, Leonard N., MD 3525 Prytania St Ste 526 New Orleans, LA 70115 (504) 648-2510 Happel, Kyle I., MD 200 W Esplanade Ave 701 Kenner, LA 70065 (504) 412-1100 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Jackson, Henry A., MD 4224 Houma Blvd Ste 380 Metairie, LA 70006 (504) 454-5213 1901 Perdido St Box P3-5 New Orleans, LA 70112 LaNasa, Elaine, MD 1111 Medical Center Blvd N504 Marrero, LA 70072 (504)349-6705 Layne, Stephen M., MD 4224 Houma Blvd Ste 380 Metairie, LA 70006 (504) 454-5213 LeBrun, Michel, J., MD 1111 Medical Center Blvd N504 Marrero, LA 70072 (504)349-6705 Mason, Carol Mary, MD 2820 Napoleon Ave Ste 890 New Orleans, LA 70115 (504) 412-1366 200 West Esplanade Avenue Suite 701 Kenner, LA 70065 (504) 412-1100 Nelson, Steve, MD 2020 Gravier St New Orleans, LA 70112 (504) 568-4007 Nuttli Sr., Thomas G., MD 4200 Houma Blvd Metairie, LA 70011 (504) 454-5205 Parker, Janine S, MD 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 641-5523 56 Starbrush Cir Covington, LA 70433 (985) 641-5523 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 137 of 159 Shellito, Judd E., MD 200 W Esplanade Ave 701 Kenner, LA 70065 (504) 412-1100 Pepiak, Derek, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-2888 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 RADIATION ONCOLOGY 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Bermudez, Richard S., MD 1203 S Tyler St Covington, LA 70433 (985)875-2234 Smith, Kenneth B., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-6205 St. Amant, Katherine A., MD 15813 Paul Vega MD Dr Ste 201 Hammond, LA 70403 (985) 230-1580 Stueben, Roger E., MD 1107 Audubon Ave Ste B Thibodaux, LA 70301 (985) 447-5864 602 N Acadia Rd Thibodaux, LA 70301 (985) 447-5500 Tejedor, Richard S., MD 221 Perdido St New Orleans, LA 70112 (504)903-3000 Welsh, David A., MD 200 W Esplanade Ave 701 Kenner, LA 70065 (504) 412-1100 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 180 W Esplanade Ave Kenner, LA 70065 (504) 468-8600 PULMONOLOGY – PEDIATRIC Hernandez, Eduardo J., MD 1430 Lindberg Dr Slidell, LA 70458 (985) 781-7337 2041 Washington St. Franklinton, LA 70438 (985) 795-2228 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 Castle, Katherine O., MD 1203 S Tyler St Covington, LA 70433 (985) 875-2234 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 Fields, Robert S., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Henkelmann, Gregory C., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Hightower, Steven I., MD 1001 Gause Blvd Slidell, LA 70458 (985)280-8688 Johnson, Sheldon A., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 King, Jr., Maurice L., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Levine, Renee A., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Lo, Kenneth K., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Long, Jeffrey P., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Monsour, Paul David, MD 3800 Houma Blvd Ste 240 Metairie, LA 70006 (504) 454-1727 Padmanabha, Siddhartha, MD 4224 Houma Blvd Metairie, LA 70006 (504) 454-1724 9801 Lake Forest Blvd New Orleans, LA 70127 (504) 897-8315 Page, Paul N., MD 4204 Houma Blvd Ste 100 Metairie, LA 70006 (504) 456-5139 Sanders, Mary Ella, MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 Swanton, Robert G., MD 1001 Gause Blvd Slidell, LA 70458 (985)649-8688 Wood, Charles G., MD 15728 Paul Vega MD Dr Hammond, LA 70403 (985) 542-5000 1203 S Tyler St Covington, LA 70433 (985) 875-2234 RADIOLOGY Beyer, Gregory R., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 Bok, Leonard R., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 52579 Hwy 51 S Independence, LA 70443 (985)878-9421 Campeau Jr., Richard, MD 200 W Esplanade Ave 200 Kenner, LA 70065 (504) 712-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Carbajal, Scott A., MD 4608 Hwy 1 Raceland, La 70394 (985) 537-6841 Chrestman, Reuben L, MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St Charles Surgical Hospital 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 138 of 159 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Danrad, Raman, MD 3700 St Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Dawson, III, Robert C., MD 1111 Medical Center Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 Clayton, M Jane, MD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Coles, Jr, Chester C, MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 Dedelow, Jeffrey, A., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St Charles Surgical Hospital 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 St Charles Surgical Hospital 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Diagnostic Imaging Services 4241 Veterans Blvd, Ste 201 Metairie, LA 70006 (504) 888-7921 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 925 Ave C Marrero, LA 70072 (504) 459-3200 3437 Prytania St New Orleans, LA 70115 (504) 883-5353 1310 Gause Blvd Slidell, LA 70458 (985) 643-5476 71154 Louisiana 21 Covington, LA 70433 (985) 643-5476 Digby, Myles C., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 DiVittorio, Roy, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Ferreyro, Roque H., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Fertel, Dan, MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Figueroa, Rafael T., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Fontanez, Daniel, MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Fremaux, Richard L., MD 2021 Perdido St. New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 3rd Flr New Orleans, LA 70112 (504) 412-1100 Fuzzard, Susan C., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Gervais, Wendy S., MD 970 S Acadia Rd Thibodaux, LA 70301 (985) 917-3007 Gupta, Neel D., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 Hall, Michael D., MD 95 Judge Tanner Blvd Covington, LA 70433-7500 (985) 867-4052 Hamide, John P., MD 8050 W Judge Perez Dr Ste 2300 Chalmette, LA 70043 (504)826-9655 Hanemann Jr., Michael S., MD 5233 Dijon Dr Baton Rouge, LA 70808 (225) 766-2166 Harlin, Daniel, C., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 139 of 159 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 Jenkins, Mark R., MD 8000 W Judge Perez Dr Chalmette, LA 70043 (504) 826-9500 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Joslyn, John N., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Hindelang III, Floyd M., MD 4608 Hwy 1 Raceland, La 70394 (985) 537-6841 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 St Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 St Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 LaCour, Allen, J., MD St. Tammany Parish Hospital 1202 S. Tyler St Covington, LA 70433-2330 (504)738-2434 Kamath, Kishore V., MD St. Tammany Parish Hospital 1202 S. Tyler St Covington, LA 70433-2330 (504)738-2434 Jackson, Paul M., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Karl, Robert L., MD 3700 St Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Letourneau, Janis G., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Lindfors, Dennis P., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Lobrano, Mary E., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Kite, Roy A., MD 95 Judge Tanner Blvd Covington, LA 70433-7500 (985) 867-4052 Luttrell, Carol A., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Kuebler Sr., Richard S., MD 3700 St Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 MacCurdy, Dale M., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Maristany, Michael L., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504)412-1100 52579 Hwy 51 S Independence, LA 70443 (985)878-9421 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Marhsall, Richard H., MD 3700 St Charles Ave 3rd Fl New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 412-1100 Morales, Robert J., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 140 of 159 Moran, Thea V., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Patrick, Eric S., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Morin, Michael J., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504)412-1100 Perdigao, Joseph, A., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 52579 Hwy 51 S Independence, LA 70443 (985)878-9421 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Morrell, Mignonne, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 3rd Flr New Orleans, LA 70112 (504) 412-1100 Nelson, Ava, L., MD 8000 W Judge Perez Dr Chalmette, LA 70043 (504) 826-9500 Netles Jr., Karl M., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 O’Brien, Sean T., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Ovella, Ty A., MD 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 1202 S Tyler St Covington, LA 70433 201 St Ann Dr Ste A Mandeville, LA 70471 16300 Hwy 1085 Covington, LA 70433 52579 Hwy 51 S Independence, LA 70443 1717 St Charles Ave New Orleans, LA 70130 433 Plaza St Bogalusa, LA 70427 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Pflug, Steven F., MD 95 Judge Tanner Blvd Covington, LA 70433-7500 (985) 867-4052 Rivero, Jose, MD 4608 Hwy 1 Raceland, LA 70394 (985) 537-6841 Reid, Joseph, D., MD 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 3700 St Charles Ave, 3rd Fl New Orleans, LA 70115 (504) 412-1100 Robertson, Hugh J., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Rovira, Daniel M, MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 Rovira, Klar, A., IV, MD St. Tammany Parish Hospital 1202 S. Tyler St Covington, LA 70433-2330 (504)738-2434 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Rupley, Daniel, G., MD St. Tammany Parish Hospital 1202 S. Tyler St Covington, LA 70433-2330 (504)738-2434 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Sanchez, Ana Marie, MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 141 of 159 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Sandoz, John C., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Spieler, Bradley M., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504)412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 St. Germain, David J., MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Summersgill, Louis E., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 Satterlee, Arthur J., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 Schruff Jr., Louis MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Serrano, Luis F., MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1100 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 Shore, Bradley S., MD 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Silvestri, Beata C., MD 60132 Oaklawn Ave Lacombe, LA 70445 (985) 690-7525 Silvestri, David D., MD 60132 Oaklawn Ave Lacombe, LA 70445 (985) 690-7525 Singha, Puneet, MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 Smith, David L., MD 3700 St Charles Ave, 3rd Fl New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Tiemann, William, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Toshav, Aran M., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Tuazon, Jaime S., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Ustunsoz, Bahri, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Vanderbrook, Richard, MD 4200 Houma Blvd Metairie, LA 70006 (504) 454-4133 St. Tammany Parish Hosp 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Wells, William, L., MD St. Tammany Parish Hospital 1202 S Tyler St Covington, LA 70433-2330 (504)738-2434 St. Tammany Parish Hosp Outpatient Pavilion 16300 Hwy 1085 Covington, LA 70433 (504) 738-2434 St. Charles Surgical Hosp 1717 St. Charles Ave New Orleans, LA 70130 (504) 738-2434 Touro Infirmary 1401 Foucher St New Orleans, LA 70115 (504) 738-2434 St. Tammany Parish Hospital Breast Center 201 St. Ann Dr Ste A Mandeville, LA 70471 (504) 738-2434 Lallie Kemp Reg Med Ctr 52579 Hwy 51 S Independence, LA 70443 (504) 738-2434 Bogalusa Medical Center 433 Plaza St Bogalusa, LA 70427-3791 (504) 738-2434 Yodzis, Shirley, MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 52579 HWY 51 S Independence, LA 70443 (985)878-9421 RADIOLOGYPEDIATRICS Arcement, Christopher, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9565 Haymon, Marie, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9565 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 142 of 159 Ward, Kenneth J., MD 200 Henry Clay Ave New Orleans, LA 70010 (504) 896-9565 RHEUMATOLOGY Derbes, Stephen J., MD 3525 Prytania St #321 New Orleans, LA 70115 (504) 891-1211 Espinoza, Luis R., MD 2820 Napoleon Ave Ste 890 New Orleans, LA 70115 (504) 412-1366 1020 St. Andrew St New Orleans, LA 70130 Eversmeyer, Walter H., MD 4315 Houma Blvd Ste 303 Metairie, LA 70006 (504) 889-5242 Grewal, Harmanjot K., MD 200 W Esplanade Ave Ste 205 Kenner, LA 70065 (504) 412-1100 Nitsche, John F., MD 4228 Houma Blvd, Ste 600B Metairie, LA 70006 (504) 454-2191 Perdue, Louis D., MD 4315 Houma Blvd, Ste 303 Metairie, LA 70006 (504) 889-5242 Saketkoo, Lesley A., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Sedrish, Marielisa S., MD 1051 Gause Blvd Ste 440 Slidell, LA 70458 (985) 646-2223 Sedrish, Phillip P., MD 1051 Gause Blvd Ste 440 Slidell, LA 70458 (985) 646-2223 Vichot, Alfredo, MD 3525 Prytania St Ste 308 New Orleans, LA 70115 (504) 897-7400 1111 Medical Center Blvd South Tower, Suite 660 Marrero, LA 70072 (504) 349-6670 RHEUMATOLOGY – PEDIATRIC Brown, Amanda G., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 Gedalia, Abraham, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9385 SURGERY Cardiovascular Thoracic Surgery Breaux, John MD 64040 Hwy 434 Ste 100 Lacombe, LA 70445 (985)882-6221 Brothers, Michael N., MD 4228 Houma Blvd Ste 300 Metairie, LA 70006 (504) 831-8930 Edwards, Melanie, MD 200 W Esplanade Ave #205 Kenner, LA 70065 (504) 412-1705 Engelhardt, Tod C., MD 4228 Houma Blvd Ste 300 Metairie, LA 70006 (504) 454-2222 3601 Houma Blvd Ste 300 Metairie, LA 70006 (504) 459-3513 Gardner, Philip A., MD 180 Greenbriar Blvd Covington, LA 70433 (985) 893-5958 Gilmore III, Jared Y., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 Hebert, Louis D., MD 64040 Hwy 434 Ste 100 Lacombe, LA 70445 (985)882-6221 Risher, William H., MD 4500 10th St Ste B Marrero, LA 70072 (504) 412-1705 2025 Gravier St 3rd Flr New Orleans, LA 70112 (504) 903-5700 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Roach, Harry A., MD 4228 Houma Blvd Ste 300 Metairie, LA 70006 (504) 454-2222 Schmidt, Frank E., MD 533 Bolivar St Rm 508 New Orleans, LA 70112 (504) 568-4755 Contreary, Kelvin, MD 4224 Houma Blvd Ste 310 Metairie, LA 70006 (504) 454-6338 7718 W Judge Perez Arabi, LA 70032 (504) 454-6338 Cummiskey, III, Robert, MD 1111 Medical Ctr Blvd Ste 713N Marrero, LA 70072 (504) 349-6713 1057 Paul Maillard Rd Ste 2210 Luling, LA 70070 (985) 785-5610 Daigle, Jacob B., MD 1200 Avenue G Marrero, LA 70072 (504) 349-6713 General Surgery Axelrod, Arthur J., MD 4015 Jefferson Hwy Jefferson, LA 70121 (504) 837-6447 1600 Williams Blvd Kenner, LA 70062 (504) 468-1506 1057 Paul Maillard Rd Ste 2210 Luling, LA 70070 (985) 785-5610 Danos, Gary J., MD 3434 Prytania St Ste 420 New Orleans, LA 70115 (504) 897-7272 318 Baronne St New Orleans, LA 70112 (504) 561-1051 DeBoisblanc, Rene L., MD 4224 Houma Blvd Ste 330 Metairie, LA 70006 (504) 454-6338 Batson, Robert C., MD 1111 Medical Center Blvd Ste 713N Marrero, LA 70072 (504) 349-6713 DeCorte, Raymond P., MD 4224 Houma Blvd, Ste 520 Metairie, LA 70006 (504) 885-4833 Belott, Todd, MD 1111 Medical Center Blvd S-860 Marrero, LA 70072 (504) 349-6860 Boudreaux, John P., MD 200 W Esplanade Ave #200 Kenner, LA 70065 (504) 464-8500 Bronaugh, Heather, MD 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 781-9002 Creely, Brian C., MD 4228 Houma Blvd Ste 220 Metairie, LA 70006 (504) 834-2062 DiVincenti, Frank C., MD 1111 Medical Ctr Blvd Ste 713N Marrero, LA 70072 (504) 349-6713 Gillmore, Diana L., MD 985 Robert Blvd., Ste. 104 Slidell, LA 70458 (985) 646-1884 Gordon, John M., MD 4228 Houma Blvd Ste 220 Metairie, LA 7006 9504) 264-9353 Gray, Cary F., MD 1150 Robert Blvd Ste 220 Slidell, LA 70458 (985) 646-4444 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 143 of 159 Greiffenstein, Patrick, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Guzzetta, Don R., MD 4224 Houma Blvd, Ste 520 Metairie, LA 70006 (504) 885-4833 Hankins, Adam C., MD 2190 N Causeway Blvd Ste 150 Mandeville, LA 70471 (985) 892-5550 Hunt, John P., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Jacob, Ryan, A., MD 4228 Houma Blvd Ste 220 Metairie, LA 70006 (504) 264-9353 Karlin, Richard M., MD 4224 Houma Blvd Ste 425 Metairie, LA 70006 (504) 454-1100 Levin, Alan L., MD 3525 Prytania St Ste 618 New Orleans, LA 70115 (504) 891-5857 4720 I-10 Srvc Rd #409 Metairie, LA 70001 (504) 888-9113 Mann, Willard K., MD 1057 Paul Maillard Rd Ste 2250 Luling, LA 70070 (985) 785-2218 Matatova, Kaavya R., MD 4224 Houma Blvd, Ste 520 Metairie, LA 70006 (504) 885-4833 8050 W Judge Perez Ste 2800 Chalmette, LA 70043 (504) 888-3132 Mooney, Jennifer, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Moore, Rachel L., MD 2021 Perdido St. New Orleans, LA 70112 (504) 903-3000 Morrison, John E., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 3rd Flr New Orleans, LA 70115 (504)412-1100 Normand, Robert D., MD 4224 Houma Blvd Ste 425 Metairie, LA 70006 (504) 454-1100 Paige, John T., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 Petitto III, Francis, MD 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 781-9002 Purohit, Surendra L., MD 71207 Hwy 21 Covington, LA 70433 (985) 892-6811 Sassard, Angie R., MD 4224 Houma Blvd Ste 520 Metairie, LA 70006 (504) 885-4833 Shafor, Robert V., MD 1051 Gause Blvd Ste 260 Slidell, LA 70458 (985) 781-9002 Soto, Eliana A., MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1100 Staudinger, Edward, B., MD 2820 Napoleon Ave Ste 640 New Orleans, LA 70115 (504) 897-1327 Thomas, Charles W., MD 1111 Medical Ctr Blvd Ste 713N Marrero, LA 70072 (504) 349-6713 Yu, David C., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 1057 Paul Maillard Rd Ste 2210 Luling, LA 70070 (985) 785-5610 Pettitt, Timothy, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3928 Thomas, Michael J., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Valerie, Evans, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3928 Treece, Penelope C., MD 3815 Hessmer Ave. Metairie, LA 70002 (504) 779-7749 Hand Surgery Treen, David, MD 1111 Medical Ctr Blvd S-860 Marrero, LA 70072 (504) 349-6860 Babineaux, Kelly L., MD 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1600 Velez, Robert, MD 4224 Houma Blvd Ste 350 Metairie, LA 70006 (504) 889-5255 Faust, Donald C., MD 2633 Napolean Ave Ste 600 New Orleans, LA 70115 (504) 899-1000 Walsh, John, J., MD 2820 Napoleon Ave Ste 640 New Orleans, LA 70115 (504) 897-1327 George, Eric R., MD 4228 Houma Blvd Ste 600B Metairie, LA 70006 (504) 454-2191 Wang, Fikre, S., MD 3600 Prytania Ste 65 New Orleans, LA 70115 (504) 899-4744 Pappas III, Nicholas D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Wang, Yi-Zarn, MD 200 W Esplanade Ave #200 Kenner, LA 70065 (504) 464-8500 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9569 Woltering, Eugene A., MD 200 W Esplanade Ave #200 Kenner, LA 70065 (504) 464-8500 Neurological Surgery Dietze, Donald D., MD 29301 N Dixie Ranch Rd Lacombe, LA 70445 (985)871-4114 Yu, David C., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 899-9511 General Surgery – Pediatric Stuke, Lance E., MD 1450 Poydras St New Orleans, LA 70112 (504)903-2373 Dorotan, Jaime, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3928 Caspi, Joseph, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-3928 Neurosurgery U Applebaum, Robert L., MD 1111 Medical Center Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 3434 Prytania St Ste 230 New Orleans, LA 70115 (504) 340-6976 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 144 of 159 Awasthi, Deepak, MD 2020 Gravier New Orleans, LA 70112 (504) 412-1100 1542 Tulane Ave New Orleans, LA 70112 (504) 568-6125 Culicchia, Frank, MD 1111 Medical Ctr Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 Oral Surgery Indovina, Anthony A., DDS 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 1100 Florida Ave New Orleans, LA 70119 (504) 941-8216 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Epps, Joseph, MD 1051 Gause Blvd Ste 410 Slidell, LA 70458 (985) 607-1900 Kim, Beomjune, MD 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 941-8216 Owen, Justin, MD 1001 Gause Blvd Ste 400 Slidell, LA 70458 (504)340-6976 Welch, Mark A., DDS 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 Provenza, Louis J., MD 1001 Florida Ave Slidell, LA 70458 (985) 646-2300 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Steck, John C., MD 1111 Medical Center Blvd Ste S750 Marrero, LA 70072 (504) 340-6976 Plastic Surgery Dreschnack, Paul A., MD 3600 St Charles Ave #101 New Orleans, LA 70130 (504) 232-6492 Tender, Gabriel, MD 2820 Napoleon Ave Ste 810 New Orleans, LA 70115 (504) 412-1310 Dupin, Charles L., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Ulm III, Arthur J., MD 1111 Medical Center Blvd Ste S-750 Marrero, LA 70072 (504) 340-6976 Escobar, Juan R., MD 1111 Medical Center Blvd Ste 510N Marrero, LA 70072 (504) 349-6330 Wilson, Jason D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Neurosurgery-Pediatric Greene, Clarence, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9568 Roberts, Oritsejolomi A., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9568 3939 Houma Boulevard Bldg 3, Suite 1 Metairie, LA 70002 (504) 349-6330 Hanemann, Michael S., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 3rd Floor New Orleans, LA 70115 (504) 412-1100 Hanemann Jr., Michael, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Hogan, M’Liss E., MD 110 Lakeview Lane Ste 100 Covington, LA 70433 (985) 898-1106 2021 Perdido Street New Orleans, LA 70112 (504) 903-3000 1400 Poydras St New Orleans, LA 70112 (504) 903-3000 Jansen, David, MD 2100 Audubon Ave Thibodaux, LA 70301 (985) 448-0448 Khoobehi, Kamran, MD 2820 Napoleon Ave Ste 700 New Orleans, LA 70115 (504)412-1310 Lau, Frank H., MD 4429 Clara Street, Ste. 340 New Orleans, LA 70115 (504) 412-1240 2021 Perdido Street New Orleans, LA 70112 (504) 903-3000 Lindsey, John T., MD 4228 Houma Blvd Ste 500 Metairie, LA 70006 (504) 885-4508 Massiha, Hamid, MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 St. Hilaire, Hugo, MD 2820 Napoleon Ave Ste 810 New Orleans, LA 70115 (504) 412-1240 Tessler, Oren, MD 4429 Clara St Ste 340 New Orleans, LA 70115 (504) 412-1240 3700 St. Charles Ave 3rd Flr New Orleans, LA 70162 (504)412-1100 Weiler, Johnathan E., MD 42078 Veterans Ave Ste H Hammond, LA 70403 (985) 902-7770 Surgery/Colon and Rectal Orangio, Guy R., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Thoracic Surgery Adinolfi, Michael F., MD 3525 Prytania St Ste 618 New Orleans, LA 70115 (504) 891-1478 3800 Houma Blvd Ste 325 Metairie, LA 70006 (504) 891-1478 Batson, Robert C., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1960 Breaux, John, MD 64040 Hwy 434 Ste 100 Lacombe, LA 70445 (985) 882-6221 Edwards, Melanie A., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1960 Gilmore III, Jared Y., MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2025 Gravier St New Orleans, LA 70112 (504) 903-5700 Hebert, Louis D., MD 64040 Hwy 434 Ste 100 Lacombe, LA 70445 (985)882-6221 Heck Jr., Herman A., MD 2025 Gravier St 6th Flr New Orleans, LA 70112 (504) 903-5700 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Risher, William H., MD 4500 10th St Ste B Marrero, LA 70072 (504) 412-1705 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 145 of 159 2025 Gravier St 3rd Fl New Orleans, LA 70112 (504) 903-5700 Markowitz, Ira, MD 3535 Severn Ave Ste 8 Metairie, LA 70002 (504) 899-9800 Delacroix, Scott, Jr., MD 2021 Perdido St New Orleans, LA 70112 (504)412-1100 Trauma Surgery Palit, Tapash K., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1100 Fuselier Jr., Harold A., MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 412-1100 Marr, Alan B., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Sheahan, Claudie S., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Steeb, Glen D., MD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 2820 Napoleon Ave Ste 700 New Orleans, LA 70115 2820 Napoleon Ave Ste 700 New Orleans, LA 70115 Vascular Surgery Sheahan, Malachi G., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1100 Adinolfi, Michael F., MD 3525 Prytania St Ste 618 New Orleans, LA 70115 (504) 891-1478 Torrance III, Bruce S., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1100 3800 Houma Blvd Ste 325 Metairie, LA 70006 (504) 891-1478 Batson, Robert C., MD 4500 10th St Ste C Marrero, LA 70072 (504) 412-1960 Frusha, John, MD 3700 St. Charles Ave New Orleans, LA 70115 (504) 894.8346 Hollier, Larry, MD 3700 St. Charles Ave 3rd Flr New Orleans, LA 70115 (504)412-1100 Kaplan, David B., MD 1150 Robert Blvd Ste 220 Slidell, LA 70458 (985) 646-4444 64040 Hwy 434 Ste 200 Lacombe, LA 70445 (985) 892-9233 2190 N Causeway Blvd Mandeville, LA 70471 (985) 892-5550 Mando, Wagih R., MD 4424 Conlin St Ste 2-A Metairie, LA 70006 (504) 887-8654 UROLOGY Airhart, Richard A., MD 4315 Houma Blvd. Ste. 400 Metairie, LA 70006 (504) 889-5340 Baum, Neil, H., MD 3525 Prytania St Ste 614 New Orleans, LA 70115 (504) 891-8454 Bell, Donald P., MD 2021 Perdido St New Orleans, LA 70112 (504) 887-6105 Brogle, Brian, MD 1057 Paul Maillard Rd #220 Luling, LA 70070 (985) 785-5620 Chee-Awai, Ronald A., MD 1111 Medical Center Blvd Ste 313N Marrero, LA 70072 (504) 371-0071 Chesson Jr., Ralph R., MD 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1100 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1600 Ewing, Thomas L., MD 3525 Prytania St., Ste 614 New Orleans, LA 70115 (504) 897-7196 Hogan, Ross M, MD 110 Lakeview Ln Ste 100 Covington, LA 70433 (985) 892-4544 3901 Houma Blvd Ste 303 Metairie, LA 70006 (504) 887-6105 Kidd III, Ralph, MD 2101 Robin Ave Ste 1 Hammond, LA 70403 (985)542-7766 809 Boatramp Rd Franklinton, LA 70438 (985)839-5516 309 Walnut St Amite, LA 70422 (985)747-6862 LaCour, Stephen M., MD 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1600 Levy, III, Walter E., MD 4228 Houma Blvd Ste 310 Metairie, LA 70006 (504) 454-0755 1111 Medical Center Blvd Ste N707 Marrero, LA 70072 (504) 349-6507 Neitzschman III, Harold R., MD 1150 Robert Blvd Ste 350 Slidell, LA 70458 (985) 641-3742 64040 Hwy 434 #200 Lacombe, LA 70445 (985) 641-3742 Paddock, Richard J., MD 1111 Medical Center Blvd Ste N707 Marrero, LA 70072 (504) 349-6507 4228 Houma Blvd Ste 310 Metairie, LA 70006 (504) 454-0755 Purohit, Sunil K., MD 71207 Hwy 21 Covington, LA 70433 (985) 892-6811 Rabin, Ronald P., MD 4228 Houma Blvd Ste 310 Metairie, LA 70006 (504) 454-0755 1111 Medical Center Blvd Ste N-707 Marrero, LA 70072 (504) 349-6507 Rivas, Emmanuel, P., MD 2820 Napoleon Ave Ste 460 New Orleans, LA 70115 (504) 897-4522 3800 Houma Blvd Ste 300 Metairie, LA 70006 (504) 889-2190 Sharp, Robert, F., MD 2820 Napoleon Ave., Ste 460 New Orleans, LA 70115 (504) 897-4522 3800 Houma Blvd Ste 300 Metairie, LA 70006 (504) 889-2190 Winters, Jack C., MD 4228 Houma Blvd Ste 600A Metairie, LA 70006 (504) 412-1600 UROLOGY – PEDIATRIC Martin, Aaron, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 895-9511 Ortenberg, Joseph, MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9233 Roth, Christopher C., MD 200 Henry Clay Ave New Orleans, LA 70118 (504) 896-9824 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 146 of 159 WOUND CARE/ HBO THERAPY Danilyants, Eduard, MD 1401 Foucher St New Orleans, LA 70115 (504) 897-7732 Mehaffey, Steven, MD 200 W Esplanade Ste 108 Kenner, LA 70065 (504) 464-8686 ANCILLARY SERVICES AFTER HOURS CLINIC Doctors Urgent Care 985 Robert Blvd Ste 101 Slidell, LA 70458 (985) 690-8300 Lake Urgent Care – Northshore 70340 Highway 21 Ste A Covington, LA 70433 (985) 888-1117 Westbank Urgent Care 148 Wall Blvd Gretna, LA 70056 (504) 393-2273 CHIROPRACTORS Archer IV, Charles H, MD 3301 Canal St Ste 1 New Orleans, LA 70119 (504) 265-0187 Behar, Marc, DC 3140 Garden Oaks Dr New Orleans, LA 70114 (504) 361-3338 Chapel, Brett A., DC 2769 Third St Slidell, LA 70458 (985) 643-7247 Ford, Patrick, DC 2325 Severn Ave Ste 3 Metairie, LA 70001 (504) 828-5285 Johnson, Wayne H., DC 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (985) 288-3888 301 N Hwy 190 Covington, LA 70433 (985) 893-2223 Peay, William T., DC 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 301 N Hwy 190 Covington, LA 70433 (985) 893-2223 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (504) 288-3888 Schroeder, Marcus, DC 1982 N Hwy 190 Covington, LA 70433 (985) 871-7411 Schroeder, William S., DC 1982 N Hwy 190 Covington, LA 70433 (985) 871-7411 Shoemaker, James L., DC 221 W. Judge Perez Dr. Chalmette, LA 70043 (504) 271-6500 Wooley, Jared T., DC 303 W Minnesota Park Rd Ste C Hammond, LA 70403 (985) 350-6110 301 N Hwy 190 Covington, LA 70433 (985) 893-2223 101 Robert E Lee Blvd Ste 301 New Orleans, LA 70124 (504) 288-3888 DENTIST- GENERAL Ardalan, Cyrous, DMD 1855 – B Ames Blvd Marrero, LA 70072 (504) 371-8958 11312 Jefferson Hwy River Ridge, LA 70123 (504) 463-3002 3932 U.S. Hwy 90 Avondale, LA 70094 (504) 436-2223 5140 Church St. Lafitte, LA 70067 (504) 689-3300 3201 S Carrollton Ave New Orleans, LA 70118 (504) 207-3060 1030 Lesseps St New Orleans, LA 70117 (504) 941-6041 5640 Read Blvd Ste 550 New Orleans, LA 70127 (504) 248-5357 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 Caldwell, Cynthia L., DDS 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 2633 Napoleon Ave Ste 910 New Orleans, LA 70115 (504) 899-8224 Kent, III, John N., DMD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 Kim, Beomjune DDS 3700 St Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 King, Brett J., DDS 3700 St Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 Leach Jr., Thomas R., DDS 721 Ave G Kentwood, LA 70444 (888) 414-7247 Luke, Dawn C., DDS 3201 S. Carrolton Ave New Orleans, LA 70118 (504) 207-3060 111 N. Causeway Blvd Metairie, LA 70001 (504) 482-0084 2630 Read Blvd New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St. New Orleans, LA 70117 (504) 841-6041 Neary, John P., DDS 1100 Florida Ave New Orleans, LA 70119 (504) 941-8216 Cheuk, Khuong N., DDS 721 Ave G Kentwood, LA 70444 (888) 414-7247 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 889-9893 Connell, Brian D., DDS 137 Bellemeade Blvd Gretna, LA 70056 (504) 392-0221 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 147 of 159 Perenack, Jon D., DDS 3700 St. Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Nguyen, Kim H., DDS 1855 Ames Blvd Ste B Marrero, LA 70073 (504) 371-8958 3932 US Hwy 90 Avondale, LA 70094 (504) 436-2223 11312 Jefferson Hwy River Ridge, LA 70123 (504) 463-3002 5140 Church St Lafitte, LA 70067 (504) 689-3300 Nguyen, Thunga T., DDS 721 Ave G Kentwood, LA 70444 (888) 414-7247 Rayford, Kimberly R., DDS 1855 – B Ames Blvd Marrero, LA 70072 (504) 371-8958 11312 Jefferson Hwy River Ridge, LA 70123 (504) 463-3002 3932 U.S. Hwy 90 Avondale, LA 70094 (504) 436-2223 Spagnoli, Daniel B., DDS 2021 Perdido St. New Orleans, LA 70112 (504) 903-3000 3700 St Charles Ave 7th Fl New Orleans, LA 70115 (504) 412-1100 Zaid, Waleed, DDS 3700 St Charles Ave 7th Flr New Orleans, LA 70115 (504) 412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 DIAGNOSTIC SERVICES Advanced NeuroDiagnostic Center 2905 Kingman St. Metairie, LA 70006 (504) 885-3737 Cardionet, LLC. 1000 Cedar Hollow Rd Ste 102 Malvern, PA 19355 (866) 426-4402 1285 Corporate Ctr Dr Ste 175 Eagan, MN 55121 (866) 426-4402 456 Montgomery St Ste 600 San Francisco, CA 94104 (866) 426-4402 Cardiostaff Corporation 4014 Medical Pkwy Ste 200 Austin, TX 78756 (512) 419-1755 Diagnostic Imaging Services 4241 Veterans Blvd, Ste 100 Metairie, LA, 70006 (504) 459 - 3222 925 Avenue C Marrero, LA, 70072 (504) 459 - 3200 3437 Prytania St. New Orleans, LA, 70115 (504) 883 - 5353 1310 Gause Blvd Slidell, LA, 70458 (985) 643 - 5476 71154 Highway 21 Covington, LA, 70433 (985) 643 - 5476 Instant Diagnostic Systems Inc 1740 4th Ave SE Ste A Decatur, AL 35601 (800)355-0691 25060 Ave Stanford Ste 270 Valencia, CA 91355 mdINR, LLC 59 Windsor Hwy Ste 240 New Windsor, NY 12553 (845) 561-3222 72 Bonaventura San Jose, CA 95134 (661) 942-3296 Medical Center Diagnostics 67250 Industry Lane Covington, LA 70433 (985) 809-0000 Raytel Cardiac Services 7 Waterside Crossing Windsor, CT 06095 (800) 367-1095 535 Route 38 Ste 500 Cherry Hill, NJ 08002 (800) 242-7137 1979 Marcus Ave Ste C101 New Hyde Park, NY 11042 (800) 367-0300 Virtuox, Inc 5850 Coral Ridge Dr Ste 304 Coral Springs, FL 33076 (954) 344-7075 DIALYSIS TREATMENT CENTER Amite Artificial Kidney Center 110 1st St Amite, LA 70422 (985) 748-8155 Bayou Lafourche Artificial Kidney Center 694 S Acadia Rd Thibodaux, LA 70301 (985) 448-3540 BMA Marrero 1111 Medical Center Blvd Ste S150 Marrero, LA 70072 (504) 348-1845 BMA of Metarie 4425 Utica St Metairie, LA 70006 (504) 455-5535 Florida Parishes Artificial Kidney Center 16081 Doctors Blvd Ste A Hammond, LA 70403 (985) 345-5621 BMA of Avondale 141 S. Jamie Blvd Westwego, LA 70094 (504) 342-7773 FMC Barataria 1849 Barataria Blvd Ste A Marrero, LA 70072 (504) 347-4228 FMC Franklinton 806-B Riverside Dr Franklinton, LA 70438 (985) 795-4134 FMC Kenner 2717 Decatur St Kenner, LA 70062 (504) 469-1075 FMC Dialysis Services Kentwood 916 Ave G Kentwood, LA 70444 (985) 229-8018 FMC Slidell 877 Brownswitch Rd Slidell, LA 70459 (985) 643-6283 Fresenius Medical Care North Arnoult 3030 N Arnoult St Metairie, LA 70002 (504) 457-9498 Fresenius Medical Care Trinity 1400 Lindberg Dr Ste 101 Slidell, LA 70458 (985) 643-6753 NNA Westbank Dialysis 4899 Westbank Pkwy Ste B Marrero, LA 70072 (719) 277-7545 Pontchartrain Kidney Center 170 Greenbrier Blvd Ste A Covington, LA 70433 (985) 893-7265 QCDC Hammond 1204 S Morrison Blvd Ste A Hammond, LA 70403 (985) 345-0544 FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) Common Ground Health Clinic 1400 Teche St New Orleans, LA 70114 (504) 361-8800 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 148 of 159 Community Health Center 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 711 N Broad St New Orleans, LA 70119 (504) 609-3500 Daughters of Charity Health Centers Carrollton 3201 S Carrollton New Orleans, LA 70118 (504) 207-3060 Daughters of Charity Gentilly 100 Warrington Dr New Orleans, LA 70122 (504)282-0089 Daughters of Charity Health Centers Metairie 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 Daughters of Charity Health Centers N O East 5630 Read Blvd New Orleans, LA 70127 (504) 248-5357 Daughters of Charity Health Centers St. Cecilia 1030 Lesseps St New Orleans, LA 70117 (504) 941-6041 EXCELth, Inc. 422 General Meyers Ave Ste 103 New Orleans, LA 70131 (504)526-1179 2050 Caton St New Orleans, LA 70122 (504)620-9868 1111 Newton Ave Ste 207 New Orleans, LA 70114 (504)302-9236 9900 Lake Forest Blvd Ste F New Orleans, LA 70127 (504)620-0500 Jefferson Community Health Care Centers 1855 Ames Blvd Ste B Marrero, LA 70072 (504)371-8958 3932 US Hwy 90 Avondale, LA 70094 (504)436-2223 11312 Jefferson Hwy River Ridge, LA 70123 (504)463-3002 5140 Church St Lafitte, LA 70067 (504)689-3300 NO/AIDS Task Force 2601 Tulane Ste 500 New Orleans, LA 70119 (504) 821-2601 NOELA Community Health Center 4626 Alcee Fortier Blvd Ste D New Orleans, LA 70129 (504) 255-8665 Southeast Community Health Systems 721 Avenue G Kentwood, LA 70444 (888)414-7247 St. Bernard Community Health Center 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70032 (504) 281-2800 St. Charles Community Health Center 843 Milling Ave Luling, LA 70070 (985) 785-5800 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 16004 River Rd Norco, LA 70079 (985) 764-9084 St. Tammany Community Health Center 1301 N Florida St Covington, LA 70433 (985) 400-5340 St. Thomas Community Health Center 1020 Andrew St New Orleans, LA 70130 (504) 529-8840 1936 Magazine St New Orleans, LA 70130 Amera Care Home Health 1579 Hwy 51 North Ponchatoula, LA 70454 (985) 386-7800 2405 Jackson Ave New Orleans, LA 70113 3943 St. Bernard Ave New Orleans, LA 70122 Egan Healthcare of Plaquemines 2600 Belle Chasse Hwy Ste C Terrytown, LA 70056 (504) 835-4474 HEARING CENTER/ AUDIOLOGIST Davis, David, MDC 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Egan Healthcare of Northshore 513 W Pine St Ponchatoula, LA 70454 (504) 835-4474 Gordon-Wendt, Barbara, PhD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Excel Home Health Services 42276 Veterans Avenue Hammond, LA 70403 (985) 340-8000 Hebert, Laurie, AuD 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 2010 Washington Street Franklinton, LA 70438 (985) 795-3223 Hurley, Annette, AuD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 4641 Fairfield Street, Ste. B Metairie, LA 70006 (504) 454-8111 James, Jerald, MS 2021 Perdido St New Orleans, LA 70112 (504) 903-2373 Hood Home Health Service 409-A NW Central Ave Amite, LA 70422 (985) 748-6686 Turner, Robert, AuD 3700 St Charles Ave 5th Fl New Orleans, LA 70115 (504) 903-3000 Louisiana HomeCare of Slidell 2990 Gause Blvd E Ste B Slidell, LA 70461 (985) 649-4990 Wilensky, Diane S., AuD 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 HOME HEALTH CARE Amedisys LA Acquisitions dba Amedisys Home Health Care 165 West 10th Blvd Larose, LA 70373-1371 (985) 693-8933 1007 W. Thomas St Ste L Hammond, LA 70401 (985) 902-9922 507 Mariners Plaza Dr Mandeville, LA 70448 (985) 674-0180 3501 N Causeway Blvd Ste 200 Metairie, LA 70002-3617 (504) 838-7080 Medical Team, Inc. 3525 N Causeway Blvd Ste 101 Metairie, LA 70002 (800) 794-4350 U Modern Home Health Inc 42078 Veterans Ave., Ste. B Hammond, LA 70403 (985) 429-0210 Ochsner Home Health of Covington 112 Innwood Dr Ste D Covington, LA 70433 (985) 892-7627 Ochsner Home Health of Kenner 200 W Esplanade Ave Ste 601 Kenner, LA 70065 (504) 842-5585 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 149 of 159 Ochsner Home Health of Raceland 4608 Hwy 1 Raceland, LA 70394 (985) 537-8362 Prime Care Network, LLC 1201 Derek Dr Ste 2 Hammond, LA 70403 (985) 549-0865 Stat Home Health, LLC 824 Elmwood Park Blvd Ste 145 New Orleans, LA 70123 (504) 738-1950 1400 Gause Blvd Ste 200 Slidell, LA 70458 (985) 646-0606 Synergy Home Care Northshore 1305 Derek Dr Ste 1 Hammond, LA 70403 (985)429-9040 19405 Helenberg Rd Ste 104 Covington, LA 70433 (985)624-8029 The Caring Clinic of Louisiana 4700 Wichers Dr Ste 304 Marrero, LA 70072 (504)644-4787 Vital Link Home Care Inc 4200 S I-10 Srvc Rd Ste 230 Metairie, LA 70001 (504) 831-1190 HOSPICE Amedisys Hospice LLC 233 Saint Ann Dr Ste 2 Mandeville, LA 70471 (985) 626-5550 3501 N Causeway Blvd Ste 225 Metairie, LA 70002 (504) 832-9363 Genesis Hospice LLC 42078 Veterans Ave Ste B Hammond, LA 70403 (985)429-0210 Hospice Associates of New Orleans, LLC 3941 Houma Blvd Ste 1-A Metairie, LA 70006 (504) 457-2200 Hospice Compassus 770 Gause Blvd Ste C Slidell, LA 70458 (985) 639-8000 2424 Edenborn Ave Ste 230 Metairie, LA 70001 (504) 834-1655 Total Home Health Care 628 4th St Gretna, LA 70053 (504) 340-8888 Touro Infirmary Home Health 1401 Foucher St New Orleans, LA 70115 (504) 897-8576 St. Joseph Hospice & Palliative Care, LLC 824 Elmwood Ste 155 New Orleans, LA 70123 (504) 734-0140 Vital Health Services, Inc. 19184 Dr. John Lambert Dr Ste 100 Hammond, LA 70403 (504) 835-4000 St. Joseph Hospice & Palliative Care Northshore 19405 Helenberg Rd Ste 206 Covington, LA 70433 (985) 892-6955 219 South Border Dr Bogalusa, LA 70427 (985) 735-1115 401 Veterans Blvd Ste 205 Metairie, LA 70005 (504) 835-6456 122 Innwood Dr Covington, LA 70433 (985) 871-1650 15825 Professional Plaza Ste C Hammond, LA 70403 (985) 662-5450 Coram Alternate Site Services, Inc. 115 James Dr W Ste 100 St. Rose, LA 70087 (504) 466-5932 Vital Care Home Infusion Service 512 N 2nd St Amite, LA 70422 (985) 748-9500 Vital Care Rx Remedies 1723 Main St Franklinton, LA 70438 (985)839-4384 LABORATORIES St. Joseph Hospice of Bayou Region, LLC 103 Ridgefield Rd Thibodaux, LA 70301 (985) 447-0095 1770 Orleans Ave Mandeville, LA 70448 (985) 674-1069 Carepoint Partners LLC 4621 W Napoleon Ave Ste 200 Metairie, LA 70001 (504) 780-8899 INFUSION THERAPY C & C Vital Care 2803 Hwy 59 Mandeville, LA 70471 (985) 626-0234 Ameri Path 501(A) Corp. 2330 Butler St Ste 115 Dallas, TX 75235-7800 (800) 309-0000 Ameri Path Texas, LP 4350 Alpha Rd Dallas, TX 75244 (972) 404-9345 Bostwick Laboratories Inc 4355 Innslake Dr Glen Allen, VA 23060 (804) 967-9225 7001 Lake Ellenor Dr Orlando, FL 32809 (407) 992-0997 100 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 512-5200 7420 Remcon Cir Ste J El Paso, TX 79912 (915) 584-2384 Clinical Pathology Laboratories, Inc. 9200 Wall St Austin, TX 78754 (512) 873-1630 Commonwealth Medical Laboratories Inc 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909 Dermatopathology Associates PLLC. 3120 Old Canton Rd Jackson, MS 39216 (601) 982-9025 Dianon Systems, Inc. 1 Forest Pkwy Shelton, CT 06484 (800)328-2666 840 Research Pkwy Oklahoma City, OK 73104 (800)634-9330 5610 W Lasalle St Ste 100 Tampa, Fl 33607 (800)367-1126 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516)794-4646 Genoptix Medical Laboratory 2110 Rutherford Rd Carlsbad, CA 92008 (800) 755-1605 GI Pathology Partners, PC 150 Collins St Memphis, TN 38112 (901) 526-7444 LabCorp of America 120 Meadowcrest St Ste 390 Gretna, LA 70056 (504) 392-5691 515 Westbank Exwy Ste 4 Gretna, LA 70053 (504) 366-5576 211 W Causeway App Ste B Mandeville, LA 70471 (985) 626-3413 4520 Wichers Dr Ste 103 Marrero, LA 70072 (504) 371-6738 4330 Loveland St Ste C Metairie, LA 70006 (504) 455-5268 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 150 of 159 1716 St. Charles Ave New Orleans, LA 70130 (504) 525-8033 512 South Tyler St Ste C Covington, LA 70433 (985) 875-7560 1850 Gause Blvd Ste 101A Slidell, LA 70461 (985) 643-5836 2600 Belle Chasse Hwy Ste 207 Gretna, LA 70056 (504) 394-8922 700 Gause Blvd Ste 102 Slidell, LA 70458 (985) 781-6341 71380 Hwy 21 Ste 102 Covington, LA 70433 (985) 893-0498 1109 C M Fagan Dr Ste J Hammond, LA 70403 (985) 542-5389 3555 Loyola Dr Ste C Kenner, LA 70065 (504) 464-5552 Laboratory Management Services – Technology Capital Inc 1101 Medical Center Blvd Marrero, LA 70072 (318) 841-9526 Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 08690 (877) 269-0090 Miraca Life Sciences Inc 6655 N MacArthur Blvd Irving, TX 75039 (800) 979-8292 OPKO Lab 1450 Elm Hill Pike Nashville, TN 37210 (615) 874-0410 863 Mitten Rd Ste C Burlingame, CA 94010 (800) 883-7999 ProPath Laoratory, Inc. 1355 River Bend Dr Dallas, TX 75247 (214) 638-2000 ProPath Services, LLP 1355 River Bend Dr Dallas, TX 75247 (214) 631-6721 Quest Diagnostics 3605 Jackson Blvd Chalmette, LA 70403 (504) 277-0955 1445 Sth Morrison Blvd Hammond, LA 70401 (985) 429-0302 200 W Esplanade #309 Kenner, LA 70065 (504) 468-3185 4244 Hwy 22 Azalea Sq Mandeville, LA 70471 (985) 727-0004 1008 Ave B Ste 101 Marrero, LA 70072 (504) 340-8996 4648 I-10 Srvc Rd Metairie, LA 70001 (504) 454-5460 3901 Houma Blvd Ste 113 Metairie, LA 70006 (504) 455-1292 6305 Elysian Fields Ave Ste 302 New Orleans, LA 70122 (504) 288-4717 9900 Lake Forest Blvd Ste. J New Orleans, LA 70127 (504) 246-6360 3525 Prytania St #406 New Orleans, LA 70115 (504) 897-1444 370 Gateway Dr Ste B Slidell, LA 70458 (985) 643-7045 1203 Broad Ave Gulfport, MS 39501 (228) 864-9055 Skin Diagnostic Group 3512 Old Montgomery Hwy Birmingham, AL 35209 (205)879-2260 Skin Pathology Associates 3550 Independence Dr Birmingham, AL 35209 (205) 949-2800 Tissue Techniques Pathology Labs, LLC 13016 Bee St Ste 100 Dallas, TX 75234 (972) 241-6277 LONG TERM ACUTE CARE FACILITIES Louisiana Extended Care Hospital of Kenner 180 W Esplanade Ave 5th Flr Kenner, LA 70065 (504) 464-8590 LTAC of Bogalusa 621 S Columbia St Bogalusa, LA 70427 (985) 732-4402 LTAC of Slidell 1400 Lindberg Dr Slidell, LA 70458 (985) 326-0440 Northshore Specialty Hospital 20050 Crestwood Blvd Covington, LA 70433 (985)875-7525 Post Acute Medical at Hammond LLC 42074 Veterans Ave Hammond, LA 70403 (985) 902-8148 MEDICAL EQUIPMENT A&A Home Health Equipment 221 Hwy 1 S Greenville, MS 38701 (662) 332-0772 Allenmed, Inc 107 E. Marshall St Gilmer, TX 75644 (903) 680-3113 Allstar Medical Equipment 3430 Jefferson Hwy Ste A&B New Orleans, LA 70121 (504) 833-3778 Apria Healthcare, Inc. 1510 Kuebel St New Orleans, LA 70123 (504) 734-0563 Arkansas Home Medical 106 Nome St Marshall, AR 71650 (870) 448-5984 C & C Vital Care 2803 Hwy 59 Mandeville, LA 70471 (985) 626-0234 Coastal Orthotics and Prosthetics 1100 CM Fagan Dr. Hammond, LA 70403 (985) 345-9941 4600 Hwy 22 Mandeville, LA 70471 (985) 626-1135 Compression Solutions 1638 S Main St Tulsa, OK 74119 (877) 744-1078 Custom Healthcare Inc dba Numotion 314 W Main St Thibodaux, LA 70301 (985) 448-0464 Diabetes Management & Supplies LLC 10 Commerce Court, Ste B New Orleans, LA 70123 (888) 738-7929 DME Direct LLC 105 Harbor Circle New Orleans, LA 70126 (504) 288-3799 Edgepark Med. Supplies, Inc. 1810 Summit Commerce Park Twinsburg, OH 44087 (800) 321-0591 First Coice Medical Supply 2180 Third St Mandeville, LA 70471 (985) 898-0005 Geaux 2 Pediatrics Medical 181 Commercial Sq Slidell, LA 70461 (985) 201-8985 Hanger Prosthetics & Orthotics, Inc. 200 Henry Clay St New Orleans, LA 70118 (504) 896-9746 3750 Jefferson Hwy New Orleans, LA 70121 (504) 831-0646 600 N Hwy 190 Ste 2 Covington, LA 70433 (985) 892-1898 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 151 of 159 59015 Amber St Slidell, LA 70461 (985) 649-2010 Home Care Delivered Inc. 11013 W. Broad St., 4th Fl. Glen Allen, VA 23060 (800) 565-6167 InfuSystem, Inc. 31700 Research Park Dr Madison Heights, MI 48071 (248) 291-1210 Innovative Orthotics & Prosthetics of LA, Inc. 720 Williams Blvd Kenner, LA 70062 (504) 464-5577 Insulet Corporation 9 Oak Park Dr Bedford, MA 01730 (781) 457-5000 Lincare, Inc. 1533 Sams Ave Ste D Harahan, LA 70123 (504) 733-1702 769 Robert Blvd Ste 100 Slidell, LA 70458 (985) 643-5472 LGS Medical Supply LLC 1040 Old Spanish Trl Ste 6 Slidell, LA 70458 (985) 639-3341 Magnolia Respiratory Care 600 E North St Magnolia, AR 71753 (870) 901-0404 McKesson Patient Care Solutions Inc. 540 Lindbergh Dr Caropolis, PA 15108 (877) 567-8468 Med-Rite DME, Inc. 5991 Bullard Ave Ste B New Orleans, LA 70128 (504) 246-2220 MiniMed Distribution Corp. 18000 Devonshire St Northridge, CA 91325 (800) 933-3322 National Rehab Equipment, Inc. 109 S Cate St Hammond, LA 70401 (877) 567-8468 National Seating & Mobility 5400 Pepsi St Ste H New Orleans, LA 70123 (504)729-4074 Orthotic & Prosthetic Specialtists, Inc. 101 Highland Park Plz Covington, LA 70433 (985) 898-6319 209 E Oak St Amite, LA 70422 (985) 747-2306 Outpatient Infusion Systems, Inc. 800 Technology Center Dr. Stoughton, MA 02072 (855) 824-0565 Patient Care Pharmacy 2318 E Pass Rd Gulfport, MS 39507 (877)999-0049 Polk’s Crossgates Discount Drugs, Inc. 1866 Spillway Rd Brandon, MS 39047 (601) 992-4450 MOBILE UNIT Fayetteville Lithotripters, LP 9825 Spectrum Dr Bldg 3 Austin, TX 78717 (888) 252-6575 NUTRITIONAL COUNSELING Davis, Diana, RD 4228 Houma Blvd Ste 200 Metairie, LA 70006 (504) 454-7878 Debaillon, Erin, RD 1111 Medical Ctr Blvd Ste S-450 Marrero, LA 70072 (504) 349-6401 Price, Ray A., RD 1450 Poydras St Ste 1938 New Orleans, LA 70112 (504) 568-8192 158 Hwy 1008 Napoleonville, LA 70390 (985) 369-6031 133 W 112th St Cut Off, LA 70345 (985) 632-5567 Respiratory Services 59038 Amber St Slidell, LA 70461 (985) 643-3198 OPTOMETRY Tandem Diabetes Care 11045 Roselle St San Diego, CA 92121 (858) 366-6900 Artigue, Gary M., OD 1051 Gause Ste 480 Slidell, LA 70458 (985)649-0206 Uromed, Inc. 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 Blanchard, Anita, OD 2997 Hwy 190 Mandeville, LA 70471 (985) 727-9948 U S Ostomy Supplies Inc 2350 Airport Frwy Ste 230 Bedford, TX 76022 (817) 354-9882 Vital Care Home Infusion Service 512 N 2nd St Amite, LA 70422 (985) 748-9500 Vital DME Inc 59 Fifth St Gretna, LA 70053 (504) 263-0865 1600 N Hwy 190 Covington, LA 70433 (985) 892-1056 70380 Hwy 21 Covington, LA 70433 (985) 635-6996 3242 Severn Ave Metairie, LA 70002 (504) 455-0764 3700 St. Charles Ave New Orleans, LA 70115 (504)412-1100 2021 Perdido St New Orleans, LA 70112 (504) 903-3000 Bond, R. Hunter, OD 60007 West Way Amite, LA 70422 (985)748-8096 1705 S Morrison Blvd Hammond, LA 70403 (985)345-2020 Borchers, Stephen M., OD 2997 Hwy 190 Mandeville, LA 70471 (985) 727-9948 1600 N Hwy 190 Covington, LA 70433 (985) 892-1056 70380 Hwy 21 Covington, LA 70433 (985) 635-6996 3242 Severn Ave Metairie, LA 70002 (504) 455-0764 Buisson, Laura T., OD 900 N Canal Blvd Thibodaux, LA 70301 (985) 446-3276 5138 Hwy 1 Raceland, LA 70394 (985) 532-3042 Chiasson, Camile, OD 900 N Canal Blvd Thibodaux, LA 70301 (985) 446-3276 5138 Hwy 1 Raceland, LA 70394 (985) 532-3042 Costello, Donald J., OD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 2405 Jackson Ave New Orleans, LA 70130 (504) 529-5558 3943 St. Bernard St New Orleans, LA 70122 (504)529-5558 Dimitri, Ronald G., OD 1617 Metairie Rd Metairie, LA 70005 (504) 837-3937 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 152 of 159 3301 Canal St New Orleans, LA 70119 (504) 837-3937 Finkelstein, Elliot, OD 2800 Veterans Blvd Ste 125 Metairie, LA 70002 (504) 833-5326 Gueldner, Crystal, OD 2997 Hwy 190 Mandeville, LA 70471 (985) 727-9948 3242 Severn Ave Metairie, LA 70002 (504) 455-0764 1046 Paul Maillard Rd Luling, LA 70070 (985) 785-8444 1600 N Hwy 190 Covington, LA 70433 (985) 892-1056 Heitmeier, David R., OD 3501 Holiday Dr Ste 201 New Orleans, LA 70114 (504) 368-7081 70380 Hwy 21 Covington, LA 70433 (985) 635-6996 1111 Medical Ctr Blvd Ste N111 Marrero, LA 70072 (504) 347-6330 Kasovich, Gabriel K., OD 900 N Canal Blvd Thibodaux, LA 70301 (985) 446-3276 5138 Hwy 1 Raceland, LA 70394 (985) 532-3042 Lamonica, Glen A., OD 2799 West Thomas Hammond, LA 70401 (985) 345-2157 McGinn, Thomas T., OD 4324 Veterans Blvd Ste 104 Metairie, LA 70006 (504) 455-9825 Nguyen, Ellen, OD 1111 Medical Center Blvd Ste 111 Marrero, LA 70072 (504) 347-6330 3501 Holiday Dr # 201 New Orleans, LA 70114 (504) 368-7081 Nguyen, Hong T., OD 3501 Holiday Dr Ste 201 New Orleans, LA 70114 (504)368-7081 Langhetee, Henry, P., OD 4201 Frenchman St New Orleans, LA 70122 (504) 282-7212 1111 Medical Ctr Blvd Ste N111 Marrero, LA 70072 (504)347-6330 3501 Holiday Dr New Orleans, LA 70114 (504) 362-6912 Paddock, Adam M., OD 1705 S Morrison Blvd Hammond, LA 70403 (985) 345-2020 LeBlanc, Tara L., OD 2997 Hwy 190 Mandeville, LA 70471 (985) 727-9948 3242 Severn Ave Metairie, LA 70002 (504) 455-0764 1600 N Hwy 190 Covington, LA 70433 (985) 892-1056 70380 Hwy 21 Covington, LA 70433 (985) 635-6996 60007 W Way Dr Amite, LA 70422 (985) 748-8096 Patin, Robert, OD 1615 SW Railroad Ave Hammond, LA 70403 (985) 345-0050 Prouet, Jr., Paul E., OD 1617 Metairie Rd Metairie, LA 70005 (504) 837-3937 3301 Canal St New Orleans, LA 70119 (504) 837-3937 Seaman, Charles L., OD 907 Ridgefield Rd. Thibodaux, LA 70301 (985) 446-6329 Alliance Surgery Center, LLC 3717 Houma Blvd Metairie, LA 70006 (504) 885-7676 Stanton, Seth, OD 3201 S Carrollton Ave New Orleans, LA 70118 (504) 212-9533 Endocenter LLC 131A Cherokee Rose Lane Covington, LA 70433 (985) 809-8068 Stumpf, George C. OD 4324 Veterans Blvd Ste 104 Metairie, LA 70006 (504) 455-9825 Thomas, Charles, OD 1801 Fagan Dr Hammond, LA 70403 (985) 542-5624 Thomas III, Charles, OD 42373 Pelican Professional Park Hammond, LA 70403 (985) 542-7408 420 N Second St Amite, LA 70422 (985) 748-8750 Tran, Janie, OD 2997 Hwy 190 Mandeville, LA 70471 (985) 727-9948 3242 Severn Ave Metairie, LA 70002 (504) 455-0764 1600 N Hwy 190 Covington, LA 70433 (985) 892-1056 70380 Hwy 21 Covington, LA 70433 (985) 635-6996 Wroten, Christopher W., OD 1705 S Morrison Blvd Hammond, LA 70403 (985) 345-2020 60007 W Way Dr Amite, LA 70422 (985) 748-8096 OUTPATIENT CENTERS Advanced Sleep Center Inc 2905 Kingman St., 3rd Floor Metairie, LA 70006 (504) 885-3737 58515 Pearl Acres Road Slidell, LA 70461 (985) 641-9942 Northlake Endoscopy 16061 Doctors Blvd Ste A Hammond, LA 70403 (985) 345-6090 Outpatient Eye Surgery Center 4324 Veterans Blvd., Ste. 101 Metairie, LA 70006 (504) 455-4046 PHYSICAL THERAPY CENTERS Affiliated Therapy Services 2204 Robin Ave Hammond, LA 70404 (985) 542-7878 Anatomix Physical Therapy 1100 C.M. Fagan Dr., Ste. 103 Hammond, LA 70403 (985) 542-6664 Banks, Gage, PT 29301 N Dixie Ranch Rd LaCombe, LA 70445 (985) 871-4114 Banks, Laura M., PT 29301 N Dixie Ranch Rd Lacombe, LA 70445 (985)871-4114 Bridges Physical Therapy & Wellness LLC 801 West Judge Perez Drive Suite A Chalmette, LA 70043 (504) 278-7567 City Park Physical Therapy 5559 Canal Blvd New Orleans, LA 70124 (504) 309-5811 Crescent City Physical Therapy 2633 Napoleon Ave Ste 615 New Orleans, LA 70115 (504) 895-0638 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 153 of 159 Daigle, Himel, Daigle P. T. Center 808 Bayou Ln Thibodaux, LA 70301 (985) 447-3164 Fyzical Therapy & Balance Centers 714 Dublin St New Orleans, LA 70118 (504)861-4693 Southshore Physical Therapy 3000 Severn Ave Ste 7 Metairie, LA 70002 (504) 885-8969 Gentilly Physical Therapy 4298 Elysian Fields Ste C New Orleans, LA 70122 (504) 282-4406 Orthoptic, Inc 3939 Houma Blvd Ste17 Metairie, LA 70006 (504)885-9121 Star Physical Therapy Inc 340 Falconer Dr Covington, LA 70433 (985) 893-2845 Jones Physical Therapy 389 Hwy 21 Ste 403 Madisonville, LA 70447 (985) 792-5996 Ponchatoula Therapy, LLC 132 S 6th St Ponchatoula, LA 70454 (985) 386-6884 19184 Dr John Lambert Dr Ste 101 Hammond, LA 70403 (985) 549-1900 Kelsey Physical Therapy 215 NW Central Ave Amite, LA 70422 (985) 747-3422 Magnolia Physical Therapy 5606 Jefferson Highway New Orleans, LA 70123-0254 (504) 733-0254 2372 St Claude Avenue Ste 264 New Orleans, LA 70117 (504) 943-8026 3434 Prytania St., Ste 310 New Orleans, LA 70115 (504) 309-5460 Motion Dynamics Physical Therapy 7701 W St. Bernard Hwy Arabi, LA 70032 (504) 277-6052 Northlake P. T. and Rehab Services 100 Bon Temps Roule’ Mandeville, LA 70471 (985) 845-3398 Orthopedic & Sports Therapy of Kenner 3921 Williams Blvd Kenner, LA 70065 (504) 443-5152 Orthopedic & Sports Therapy of Metairie 701 Metairie Rd Ste 1A-202 Metairie, LA 70005 (504) 831-3227 82205 Hwy 25 Folsom, LA 70437 (985) 796-0106 106 Hwy 190 Ste A132 Professional Physical Therapy Slidell, LA 70460 216 N Second St (985) 661-1000 Amite, LA 70422 The Center for Pediatric (985) 748-7878 Therapy Rehab Access, Inc. 270 Hwy 3185 8397 Hwy 23 Ste 101 Thibodeaux, LA 70301 Belle Chasse, LA 70037 (985) 449-0944 (504) 398-2004 Therapeutic Concepts 1712 Stumpf Blvd 15126 Hwy 21 S Gretna, LA 70056 Bogalusa, LA 70427 (504) 365-1020 (985) 732-3549 River Region Rehab 1972 Ormond Blvd Ste D Destrehan, LA 70047 (985) 307-0925 12371 Hwy 90 Ste D Luling, LA 70070 (985) 331-1001 Romig, Neil M., DPT 3939 Houma Blvd Ste 21 Metairie, LA 70006 (504) 885-6464 105 Plantation Rd Ste 110 Destrehan, LA 70047 (985) 764-3001 14041 Hwy 90 Boutte, LA 70039 (985) 764-3001 Sanders, Anne B., PT 1301 Barataria Blvd Marrero, LA 70072 (504) 347-0243 Select Physical Therapy 2132 Gause Blvd East, Ste. 6 Slidell, LA 70461 (985) 646-2531 3901 Houma Blvd Ste 300 Metairie, LA 70006 (504) 885-0007 Thibodaux Physical Therapy, Inc. 104 E Bayou Rd Thibodaux, LA 70301 (985) 446-3736 Wellness Physical Therapy 1311 Gause Blvd Slidell, LA 70458 (985) 649-6577 Westbank Orthopedic & Sports Therapy Inc 1530 Lapalco Blvd Ste 21 Harvey, LA 70058 (504) 361-9275 PODIATRY Cain, Brian Edward, DPM 4500 10th St Ste C Marrero, LA 70072 (504) 412-1960 Dileo, Joseph P., DPM 42388 Pelican Prof Pk Hammond, LA 70403 (985) 542-6251 Freiberg, T. Allan, DPM 2921 David Dr Metairie, LA 70003 (504) 888-3668 Glovinsky, Marc S., DPM 3939 Houma Blvd Bldg 6 Ste 224 Metairie, LA 70006 (504) 454-2900 3525 Prytania St #230 New Orleans, LA 70115 (504) 891-2233 1111 Medical Center Blvd Ste N513 Marrero, LA 70072 (504) 218-4913 8050 W Judge Perez Dr Ste 3300 Chalmette, LA 70043 (504) 309-8963 Guichard, Darek, DPM 401 Veterans Blvd Ste 207 Metairie, LA 70005 (504) 835-1849 Johnson, Denise L., DPM 3939 Houma Blvd Bldg 6 Ste 224 Metairie, LA 70006 (504) 454-2900 3525 Prytania St #230 New Orleans, LA 70115 (504) 891-2233 1111 Medical Center Blvd Ste N513 Marrero, LA 70072 (504) 218-4913 8050 W Judge Perez Dr Ste 3300 Chalmette, LA 70043 (504) 309-8963 Johnson, Warren H, DPM 6305 Elysian Fields Ave 204 New Orleans, LA 70122 (504) 286-0202 Lagman, Robert, DPM 1411 Ochsner Blvd Covington, LA 70433 (985) 893-4493 Lang, Edward M., DPM 2626 Jena St New Orleans, LA 70115 (504) 897-3627 Leggio, Christoper T., DPM 4926 Magazine St New Orleans, LA 70115 (504) 897-0260 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 154 of 159 Mathews, Erin E., DPM 3700 St Charles 7th Floor New Orleans, LA 70115 (504) 412-1100 Quick, Kenneth L, DPM 233 St Anne Dr Ste 4 Mandeville, LA 70471 (985) 727-3936 Schmidt, Brian Edward, DPM 3510 Severn Ave Metairie, LA 70002 (504) 455-1777 Sheriff, Mary T., DPM 4301 Elysian Fields Ave New Orleans, LA 70122 (504) 283-6754 Storey, Celia L., DPM 3939 Houma Blvd Bldg 6 Ste 224 Metairie, LA 70006 (504) 454-2900 1111 Medical Park Blvd Ste N543 Marrero, LA 70006 (504) 218-4913 3525 Prytania St #230 New Orleans, LA 70115 (504) 891-2233 8050 W Judge Perez Dr Ste 3300 Chalmette, LA 70043 (504) 309-8963 Tabb, Yacara, DPM 843 Milling Ave Luling, LA 70070 (985)785-5800 16004 River Rd Norco, LA 70079 (504) 725-9330 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Vigee, Darren M, DPM 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 3201 S Carrollton Ave New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd New Orleans, LA 70127 (504) 248-5357 1030 Lessaps St New Orleans, LA 70117 (504) 941-6041 700 Gause Blvd Ste 206 Slidell, LA 70458 (985) 649-9795 64301 Hwy 434 Lacombe, LA 70445 (985) 882-4500 985 Robert Blvd Ste 103 Slidell, LA 70445 (985) 520-0909 110 Veterans Blvd Ste 235 Metairie, LA 70005 (504) 831-6760 Watkins, Leon T., DPM 2520 Harvard Ave Ste B Metairie, LA 70001 (504) 454-3004 White, Melannie D., DPM 1521 N Causeway Blvd Metairie, LA 70001 (504) 833-0029 Whitmore, R. Michael, DPM 34 Franklin Dr Hattiesburg, MS 39402 (601) 268-0400 SKILLED NURSING FACILITY Carrington Place of New Orleans 5301 Tullis Dr New Orleans, LA 70131 (504) 394-5807 Chateau Living Center of Kenner LLC 716 Village Rd Kenner, LA 70065 (504) 464-0604 Greenbriar Community Care Center 505 Robert Boulevard Slidell, LA 70458 (985) 643-6900 Guest House of Slidell 1051 Robert Boulevard Slidell, LA 70458 (985) 643-5630 Heritage Healthcare of Hammond 800 S Oak St Hammond, LA 70403 (985) 345-7210 Jefferson Healthcare Center 2200 Jefferson Hwy Jefferson, LA 70121 (504) 837-3144 Patterson Healthcare Center 910 Lia St Patterson, LA 70392 (985)395-4563 St Joseph of Harahan LLC 405 Folse St Harahan, LA 70123 (504) 738-7676 Thibodaux Healthcare Center 1300 LaFourche Dr Thibodaux, LA 70301-2438 (985)446-1332 Unity Nursing & Rehab Center 1539 Delachaise St New Orleans, LA 70115 (504) 895-3953 SUBSTANCE ABUSE/PSYCH Allee-Walsh, Jennie S., LCSW 4616 S Carrollton Ave New Orleans, LA 70119 (504) 220-5865 Balliviero, Dino D., LPC 3201 S Carrolton Ave Ste B New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd Ste B New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St Ste B New Orleans, LA 70117 (504) 941-6041 100 Warrington Dr Ste B New Orleans, LA 70122 (504) 282-0089 3600 Prytania St Ste 100B New Orleans, LA 70115 (504) 899-5437 3512 Louisa St Ste B New Orleans, LA 70126 (504) 948-2873 111 N Causeway Blvd Ste B Metairie, LA 70001 (504) 482-0084 3321 Florida Ave Ste B Kenner, LA 70065 (504) 468-4437 Bauer, Keith, LCSW 5217 Janice Ave Kenner, LA 70065 (504) 779-7254 Bayard, Tammy, LCSW 401 Whitney Ave Ste 605A Gretna, LA 70056 (504) 616-9036 Beacon Behavioral Hospital 42382 Plaza Deluxe Ste 34 Hammond, LA 70403 (985)956-7378 14500 Hayne Blvd Ste 200 New Orleans, LA 70128 (504)210-0460 3200 Ridgelake Dr Ste 100 Metairie, LA 70002 (504)581-4333 2130 1st St Slidell, LA 70458 (985)607-0290 Belanger, Lori A., LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Belle, Rhonda, LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Berman-Beaver, Cheryl S., LCSW 843 Milling Ave Luling, LA 70070 (985) 785-5800 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 1301 Florida St Covington, LA 70433 (985) 400-5340 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 155 of 159 Bode, Brian, LCSW 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Chester, Sharon M., LCSW 1519 E Judge Perez Dr Ste 5 Chalmette, LA 70043 (504) 982-7466 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 Hardin, Teresa, LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Butler, Kimberly R., LPC 4038 Canal St New Orleans, LA 70119 (504)669-1980 Christian, Lori C., LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 843 Milling Ave Luling, LA 70070 (985) 785-5800 Harness, Shannae N., PhD 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Callahan, Kristin L., PhD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 Costa, Richard N., Psy D 3450 Chestnut St 3rd Flr New Orleans, LA 70115 (504) 412-1580 Cameron, Bridget, LCSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 Dickson, Amy B., Ph.D. 3450 Chestnut St 3rd Flr New Orleans, LA 70115 (504) 412-1580 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Catrett, Juliet C., LCSW 2601 Tualne Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 Chapman, Robin A., PhD 1020 St. Andrew St New Orleans, LA 70130 (504) 529-5558 1936 Magazine St. New Orleans, LA 70130 (504) 529-5558 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Dixon, Kelly E., LCSW 4640 S Carrollton Ave Ste 120 New Orleans, LA 70119 (504)378-0428 Green, Camellia V., LPC 4038 Canal St New Orleans, LA 70119 (504) 669-1980 Drake, Mark D., LCSW 2601 Tulane Ave, Ste 500 New Orleans, LA 70119 (504) 821-2601 Greenwood, Tracy M., LAC 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Essex, Yanada, LCSW 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 Griffin, Phillip T., Ph.D 3450 Chestnut St 3rd Flr New Orleans, LA 70115 (504) 412-1580 3201 S Carollton Ave New Orleans, LA 70118 (504) 207-3060 2235 Poydras Ave New Orleans, LA 70112 (504) 826-2179 5630 Read Blvd New Orleans, LA 70127 (504) 248-5357 1035 Calhoun St New Orleans, LA 70118 (504) 899-8282 1030 Lesseps St New Orleans, LA 70117 (504) 941-6041 Fidanza, John F., PhD 721 Ave G Kentwood, LA 70444 (888) 414-7247 Gibbens, Katie, LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 2405 Jackson Ave New Orleans, LA 70113 (504) 529-5558 Glaviano, Cecelia, LCSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 3943 St. Bernard Ave New Orleans, LA 70122 (504)529-5558 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 Hansen, Michael, PsyD 721 Ave G Kentwood, LA 70711 (888) 414-7247 111 N Causeway Blvd Metairie, LA 70001 (504) 482-0084 3201 S Carrollton Ave New Orleans, LA 70118 (504) 207-3060 5630 Read Blvd New Orleans, LA 70127 (504) 248-5357 1030 Lesseps St New Orleans, LA 70117 (504) 941-6041 Harris, Melissa M., LCSW 3308 Tulane Ave New Orleans, LA 70119 (504) 207-2273 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 4640 S Carrollton Ave Ste 120 New Orleans, LA 70119 (504) 378-0427 Harris, Rita M., LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Heno, Sharon A., LPC 3216 N Tumbull Dr Ste A Metairie, LA 70002 (504) 302-7771 Hodge, Mariabarbara, LCSW 4700 Wichers Dr Ste 304 Marrero, LA 70072 (504) 644-4787 Johns, Amanda E., LPC 4038 Canal St New Orleans, LA 70119 (504) 669-1980 Johnson, Donetta, LCSW 721 Ave G Kentwood, LA 70444 (888) 414-7247 Klette-Ketchum, Maria, LCSW 1350 A Park Dr Mandeville, LA 70471 (985) 624-2266 Kondroik, Jennifer, LCSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 156 of 159 8050 W Judge Perez Dr Ste 1300 Arabi, LA 70032 (504) 281-2800 Noustens, Myra, LCSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 843 Milling Ave Luling, LA 70070 (985) 785-5800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Larzelere, Michele M., PhD 200 W Esplanade Ave #412 Kenner, LA 70065 (504) 471-2750 Martyn, Sharon, LCSW 401 Whitney Ave Ste 306 Gretna, LA 70056 (504) 309-7844 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Schiro, Dawn S., MSW 2836 Front St. Slidell, LA 70458 (985) 768-6400 Schilling, Karen, LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Schreiner, George, Ph.D 5001 Hwy 190 D#4-5 Covington, LA 70433 (985) 892-4955 Soignier, Deanie J., LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Sorapuru, Candice, LCSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 Walker, William S., Ph.D. 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 1035 Calhoun St New Orleans, LA 70118 (504) 899-8282 Walker, Serena W., LCSW 1855 Ames Blvd Marrero, LA 70072 (504) 762-8902 3932 US Hwy 90 Avondale, LA 70094 (504)436-2223 11312 Jefferson Hwy River Ridge, LA 70123 (504)463-3002 5140 Church St Lafitte, LA 70067 (504)689-3300 Williams, Tara, LCSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 McIntyre, Megan F., CSW 2601 Tulane Ste 500 New Orleans, LA 70119 (504) 821-2601 Oceans Behavioral Hospital of Kentwood 921 Avenue G Kentwood, LA 70444 (985)229-0717 McKinney, Bridget L., LPC 3216 N Turnbull Dr Ste A Metairie, LA 70002 (504) 302-7771 Osborn, Brian L., LCSW 5001 Hwy 190 Ste B-1 Covington, LA 70433 (985) 373-4818 Merricks, Trinell E., LCSW 2235 Poydras New Orleans, LA 70112 (504) 826-2179 Osofsky, Joy D., Ph.D. 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 Moore, Michelle B., PsyD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 Reuther, Erin T., PhD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1580 Moos, Rebecca M., LPC 3216 N. Turnbull, Ste A Metairie, LA 70002 (504) 302-7771 Richoux, Clinell M., LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Myers, Laura M., MSW 2901 Ridgelake Dr., Ste 116 Metairie, LA 70002 (504) 833-1869 Ring, Renee, LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Thornton, Monique L., LCSW 39588 Ridgdell Rd Ponchatoula, LA 70454 (985) 386-4673 Wolfe, Erika D., LPC 7265 St Claude Ave Arabi, LA 70032 (504) 264-5201 Myhre, Jennifer R. LCSW 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 River Oaks Hospital 1525 River Oaks Road West New Orleans, LA 70123 (504) 734-1740 Tucker, Herman D., LCSW 157 Twin Oaks Dr Raceland, LA 70394 (985) 537-6823 Vanderlick, Joel A., LCSW 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Stepka, Phillip T., PsyD 3450 Chestnut St New Orleans, LA 70115 (504) 412-1100 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 157 of 159 Vega, Jose I., CSW 2601 Tulane Ave Ste 500 New Orleans, LA 70119 (504) 821-2601 Zimmer, Thomas, MSW 200 W Esplanade Ave Kenner, LA 70065 (504) 712-7800 8200 Hwy 23 Belle Chasse, LA 70037 (504) 398-1100 8050 W Judge Perez Dr Ste 1300 Chalmette, LA 70043 (504) 281-2800 843 Milling Ave Luling, LA 70070 (985) 785-5800 105 Plantation Rd Destrehan, LA 70047 (985) 785-2045 16004 River Rd Norco, LA 70079 (985) 725-9330 501 Robert Blvd Slidell, LA 70458 (985) 607-0410 URGENT CARE TREATMENT Lake After Hours, LLC 42205 Veterans Ave Hammond, LA 70403 (985) 375-9979 Pelican Urgent Care 2375 Gause Blvd E Slidell, LA 70461 (985)645-9000 Tchefuncta Urgent Care 71338 Hwy 21 Covington, LA 70433 (985) 809-8868 Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 158 of 159 Tier II Providers Tier II providers are participating providers whose cost may be higher than other similar participating providers. Members who choose to see these providers will have to pay an additional twenty (20) % coinsurance in addition to their Tier I cost share. The networks listed below are Tier II providers. For more information about the providers in the Tier II network above, please call Vantage Member Services Department at (318) 361-0900 or Toll-Free at (888) 823-1910. Providers with three (***) are not currently accepting new patients. Providers listed are subject to change at any time. Please call (318) 361-0900 or go to www.vantagehealthplan.com to verify provider status. April 1, 2015 Page 159 of 159
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