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