NETWORK SERVICES DEPARTMENT Ne t w o r k M a n a g e m e n t C o n s u l t a n t & P r o vi d e r Ne t w o r k R e p r e s e n t a t i ve R e l a t e d Se r v ic e Ar e a s

GENERAL DEPARTMENT INFORMATION This team handles general questions regarding contracting and provider education. Our Provider Network Representatives are available to assist you Monday – Friday, 8 a.m. to 4 p.m. MST. Phone

Fa x

Local

(505) 837-8800

(505) 816-2688

Toll-Free

(800) 567-8540

(866) 290-7718

NETWORK MANAGEMENT CONSULTANT Review regions to identify the Network Management Consultant assigned to your area Phone

Email

Andrea Jackson

(505) 816-2057

[email protected]

Daniel Garcia

(505) 816-2133

[email protected]

Denise Hernandez

(505) 816-2030

[email protected]

Diego Gutierrez

(505) 816-2103

[email protected]

Holly Lawrence

(505) 816-4257

[email protected]

John Vargas

(505) 816-2059

[email protected]

Joyce Hamblet

(505) 816-2146

[email protected]

Rick Bogle

(505) 816-2097

[email protected]

Violeta Bolaños

(505) 816-4235

[email protected]

PROVIDER NETWORK REPRESENTATIVE Review regions to identify the Provider Network Representative assigned to your area Phone

Email

Cassandra Romero

(505) 816-2223

[email protected]

Felicity King

(505) 816-4207

[email protected]

Jan Montoya

(505) 816-2303

[email protected]

Karen Sierra

(505) 816-4132

[email protected]

L i z C o r d o va - M a r t i n e z

(505) 816-2161

liz_cordova [email protected]

So n i a G o n z a l e s

(505) 816-4024

[email protected]

Taia D’Coda

(505) 816-2428

[email protected]

Tricia MacLaughlin

(505) 816-4255

tricia_maclaughlin@bcbsnm. com

P.O. Box 27630 • Albuquerque, New Mexico 87125-7630 •1-800-835-8699 • www.bcbsnm.com A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

NETWORK SERVICES DEPARTMENT Ne t w o r k M a n a g e m e n t C o n s u l t a n t & P r o vi d e r Ne t w o r k R e p r e s e n t a t i ve R e l a t e d Se r v ic e Ar e a s

REGIONS BY COUNTY New Mexico Central

Northeast

So u t h e a s t

West

So u t h C e n t r a l

Ar iz o n a

Colorado

Texas

Bernalillo

Torrance

Sandoval

Valencia

Colfax

Mora

Taos

Baca

Dallam

Guadalupe

Quay

Union

Costilla

Deaf Smith

Harding

San Miguel

Las Animas

Hartley

Los Alamos

Santa Fe

Oldham

Chaves

Lea

Andrews

Gaines

Parmer

Winkler

Curry

Lincoln

Bailey

Hudspeth

Potter

Yoakum

De Baca

Otero

Culberson

Loving

Randall

Eddy

Roosevelt

Ector

Lubbock

Reeves

Catron

Luna

Sierra

Apache

Archuleta

Cibola

McKinley

Socorro

Cochise

Conejos

Grant

Rio Arriba

Greenlee

La Plata

Hidalgo

San Juan

Montezuma

Doña Ana

El Paso

FACILITY AND PROFESSIONAL PROVIDERS Network Management Consultant

Central

A–L

John Vargas

M–Z

Rick Bogle

Provider Network Representative A–E

Cassandra Romero

F–R

Tricia MacLaughlin

S–Z

Liz Cordova-Martinez

Northeast

Andrea Jackson

Felicity King

So u t h e a s t

Denise Hernandez

Jan Montoya

Daniel Garcia

Sonia Gonzales

Denise Hernandez

Sonia Gonzales

West So u t h C e n t r a l

P.O. Box 27630 • Albuquerque, New Mexico 87125-7630 •1-800-835-8699 • www.bcbsnm.com A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

NETWORK SERVICES DEPARTMENT Ne t w o r k M a n a g e m e n t C o n s u l t a n t & P r o vi d e r Ne t w o r k R e p r e s e n t a t i ve R e l a t e d Se r v ic e Ar e a s

STATEWIDE Network Management Consultant

Provider Network Representative

Diego Gutierrez

Regional Provider Network Representative

Holly Lawrence

Taia D’Coda

Regional Network Management Consultant

Regional Provider Network Representative

Regional Network Management Consultant

Regional Provider Network Representative

Air Ambulance Ambulatory Surgical Centers Community Paramedicine Dialysis DME/Prosthetics/Orthotics Genetic Laboratory Home Infusion Reference Laboratory Specialty Pharmacy Home Health Hospice Nursing Facility Skilled Nursing Facility Personal Care Options (PCO)* Ambulatory Surgical Center (Hospital/IPA) Audiology Providers/Hearing Aids Home Health (Hospital/IPA) Imaging Pathology Radiology Sleep Center Facility Sleep Center Providers Any Provider Tied to a Hospital or IPA

Long Term Acute Care

Indian Health Services (IHS), Tribes and Tribal Organizations, and Urban Indian Organizations (ITU) Network Management Consultant

Provider Network Representative

John Vargas

Karen Sierra

*PCO services include Adult Day Health, Assisted Living, Community Transition, Emergency Response, Environmental Modifications, Private Duty Nursing, Respite

P.O. Box 27630 • Albuquerque, New Mexico 87125-7630 •1-800-835-8699 • www.bcbsnm.com A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

NETWORK SERVICES DEPARTMENT Ne t w o r k M a n a g e m e n t C o n s u l t a n t & P r o vi d e r Ne t w o r k R e p r e s e n t a t i ve R e l a t e d Se r v ic e Ar e a s

STATEWIDE Specialized Behavioral Health Network Management Consultant

Provider Network Representative

Violeta Bolaños

Regional Provider Network Representative

Applied Behavior Analysis Core Service Agencies Day Treatment Intensive Outpatient Methadone Clinics

Joyce Hamblet

Residential Treatment Centers** Treatment Foster Care

Core Service Agencies Network Management Consultant

All Faith’s Receiving Home Guidance Center of Lea Hidalgo Medical Services La Casa de Buena Salud La Clinica de Familia La Familia Namaste Mental Health Resources NM Behavioral Health Institute

North

Violeta Bolaños

South

Joyce Hamblet

Provider Network Representative

Cassandra Romero Jan Montoya Sonia Gonzales Jan Montoya Sonia Gonzales Tricia MacLaughlin Jan Montoya Felicity King

NM Solutions

Tricia MacLaughlin

Open Skies Healthcare

Tricia MacLaughlin

Presbyterian Medical Services

Felicity King

St Martin’s Hospitality Center

Liz Cordova-Martinez

The Life Link

Felicity King

Tri County Community Center

Felicity King

Valle del Sol Youth Development Inc

Jan Montoya Liz Cordova-Martinez

**Psychiatric and Chemical Dependency

P.O. Box 27630 • Albuquerque, New Mexico 87125-7630 •1-800-835-8699 • www.bcbsnm.com A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

NETWORK SERVICES DEPARTMENT Ne t w o r k M a n a g e m e n t C o n s u l t a n t & P r o vi d e r Ne t w o r k R e p r e s e n t a t i ve R e l a t e d Se r v ic e Ar e a s

HOSPITALS Network Management Consultant

Provider Network Representative

Rick Bogle

Sonia Gonzales

Denise Hernandez

Felicity King

Rick Bogle

Cassandra Romero

Animas Surgical Hospital

Daniel Garcia

Sonia Gonzales

Artesia General Hospital

Denise Hernandez

Jan Montoya

Carlsbad Medical Center

Denise Hernandez

Jan Montoya

Cibola General Hospital

Daniel Garcia

Sonia Gonzales

Covenant Medical Group

Denise Hernandez

Jan Montoya

Covenant Children’s Hospital

Denise Hernandez

Jan Montoya

Rick Bogle

Liz Cordova-Martinez

Del Sol Medical Center

Denise Hernandez

Sonia Gonzales

Eastern NM Medical Center

Denise Hernandez

Jan Montoya

El Paso Children’s Hospital

Denise Hernandez

Sonia Gonzales

Rick Bogle

Liz Cordova-Martinez

Denise Hernandez

Jan Montoya

Daniel Garcia

Sonia Gonzales

Guadalupe County Hospital

Andrea Jackson

Felicity King

Haven Behavioral Hospital

Joyce Hamblet

Tricia MacLaughlin

Andrea Jackson

Felicity King

Rick Bogle

Tricia MacLaughlin

Las Palmas Medical Center

Denise Hernandez

Sonia Gonzales

Lea Regional Medical Center

Denise Hernandez

Jan Montoya

Rick Bogle

Liz Cordova-Martinez

Andrea Jackson

Felicity King

Lovelace Hospital, Downtown

Rick Bogle

Liz Cordova-Martinez

Lovelace Hospital, Westside

Rick Bogle

Liz Cordova-Martinez

Advanced Care Alta Vista Regional AMG Specialty Hospital – Albuquerque

Dan C Trigg Hospital

Española Hospital Gerald Champion Regional Medical Center Gila Regional Medical Center

Holy Cross Hospital Kindred Hospital

Lincoln County Medical Center Los Alamos Medical Center

P.O. Box 27630 • Albuquerque, New Mexico 87125-7630 •1-800-835-8699 • www.bcbsnm.com A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

NETWORK SERVICES DEPARTMENT Ne t w o r k M a n a g e m e n t C o n s u l t a n t & P r o vi d e r Ne t w o r k R e p r e s e n t a t i ve R e l a t e d Se r v ic e Ar e a s

HOSPITALS Network Management Consultant

Provider Network Representative

Lovelace Hospital, Women’s

Rick Bogle

Liz Cordova-Martinez

Lovelace Hospital, Roswell Regional

Rick Bogle

Liz Cordova-Martinez

Denise Hernandez

Sonia Gonzales

Daniel Garcia

Sonia Gonzales

Joyce Hamblet

Sonia Gonzales

Denise Hernandez

Sonia Gonzales

Andrea Jackson

Felicity King

Mountain View Regional Medical Center

Denise Hernandez

Sonia Gonzales

Nor Lea General Hospital

Denise Hernandez

Jan Montoya

Plains Regional Medical Center

Rick Bogle

Liz Cordova-Martinez

Presbyterian Hospital – Kaseman

Rick Bogle

Tricia MacLaughlin

Presbyterian Hospital – Main

Rick Bogle

Tricia MacLaughlin

Presbyterian Hospital – Rust

Rick Bogle

Tricia MacLaughlin

Providence Hospital

Rick Bogle

Sonia Gonzales

Daniel Garcia

Sonia Gonzales

Denise Hernandez

Jan Montoya

Daniel Garcia

Sonia Gonzales

Seminole/Memorial Hospital

Denise Hernandez

Jan Montoya

Sierra Medical Center

Denise Hernandez

Sonia Gonzales

Daniel Garcia

Sonia Gonzales

Rick Bogle

Liz Cordova-Martinez

Andrea Jackson

Felicity King

Joyce Hamblet

Tricia MacLaughlin

Andrea Jackson

Felicity King

John Vargas

Karen Sierra

Memorial Medical Center Mercy Regional Medical Center Mesilla Valley Hospital Mimbres Memorial Hospital Miners’ Colfax Medical Center

Rehoboth McKinley Christian Health Care Services Roosevelt General Hospital San Juan Regional Medical Center

Sierra Vista Hospital Socorro General Hospital St Vincent Regional Medical Center The Peak Behavioral Health Union County General Hospital University of New Mexico

P.O. Box 27630 • Albuquerque, New Mexico 87125-7630 •1-800-835-8699 • www.bcbsnm.com A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association