TABLE OF CONTENTS
Introduction..........................................................................................................................................1 PARTICIPATING PROVIDERS PacifiCare Health Center......................................................................................................................2 I. II. III. IV.
DOCTORS SPECIALIST MEDICAL SERVICES DENTAL SERVICES
Provider Directory...........................................................................................................................3-11 I.
PRIMARY CARE PROVIDERS.......................................................................................3
II.
PRIMARY CARE BY CLINIC..............................................................................................5
III.
SPECIALISTS......................................................................................................................6
IV.
MEDICAL SERVICES...........................................................................................................8
V.
DENTAL SERVICES..............................................................................................................9
VI.
OFF-ISLAND SERVICES..................................................................................................10
VII.
VISITING OFF ISLAND PROVIDERS / SPECIALISTS.............................................11
FORM PHICM-PD032505
PARTICIPATING PROVIDERS Introduction The true measure of any health care organization is the quality of the care you receive. And at the heart of this is your relationship with your participating provider. Your participating provider is essential in providing your day to day health care needs as well as providing the avenue for health care alternatives such as specialty care. That’s why, at PacifiCare, you have the freedom to make the most important health care decision of all - the choice of your participating provider. This provider directory serves as a helpful tool to select a participating provider. HOW TO SELECT A PARTICIPATING PROVIDER Choose a Participating Provider (Medical Group or Individual Physician) from this directory. You and your enrolled dependents may choose a different Participating Provider. You may switch Participating Providers as often as needed by simply calling the PacifiCare Customer Service Department, Monday - Friday, 8 a.m. to 5 p.m. at (671) 647-3526 on Guam and (670) 235-7687 in the CNMI. Your new selection will be effective immediately. Services received through providers not listed in this Provider Directory may be covered at a lesser coverage level. Please refer to your Schedule of Benefits for specific Out-of-Network Benefits.
HELPFUL INFORMATION Who is a Participating Provider? A participating provider is any individual practice association, individual physician, pharmacy, hospital or group of licensed providers who have entered into a written agreement with PacifiCare to provide medical or dental services to you and your enrolled dependents. How are Participating Providers Compensated (paid)? PacifiCare pays its Participating Providers using various payment methods, including per diem and fee-for-service arrangements. Per diem means paying a fixed dollar amount per day for all services rendered. Fee-for-service means paying the provider’s usual, customary and regular fee at a discount for having a written agreement for PacifiCare members.
When am I able to access a Specialty Care Provider? When you or your Primary Care Provider feel you need more specialized treatment, you may directly seek a specialist for an office consultation. However, before any treatment begins, you may need to have prior authorization from PacifiCare’s Medical Management Department. Once the referral is reviewed and approved, treatment can commence. WHO TO CALL FOR HELP If you have any questions, please feel free to call the PacifiCare Customer Service Department, Monday - Friday, 8 A.M. - 5 P.M. at: Guam (671) 647-3526 or CNMI (670) 235-7687.
What is a Primary Care Provider and a Specialty Care Provider and how many of each do you have in your network of providers? A Primary Care Provider is responsible for providing or authorizing your medical care services. A Primary Care Provider may be physicians of Internal Medicine, Pediatrics, Family Practice or General Practice. A Specialty Care Provider is a duly licensed physician, osteopath, psychologist or other practitioner that your Primary Care Provider may refer you to. PacifiCare has the largest on-island contracted provider network with over 100 Primary Care and Specialty Care Providers.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed.
Provider Directory 1
FORM PHICM-PD032505
PACIFICARE Health Center PacifiCare Health Center (Guam) #548 South Marine Drive, Tamuning, Guam 96913 (671) 646-5825
MEDICAL
DENTAL
HEALTH CENTER SERVICES
Urgent Care Nguyen, My-Duc, M.D. Stanley, W. Ed, PA-C Woodruff, Walter, PA-C
General Dentistry Bero, David P., D.D.S. Kowal, Robert, D.D.S. Sullivan, John, D.D.S. Takenaka, Yasunori, D.D.S.
· Durable Medical Equipment · Eyeglasses · Health Education · Home Health · Laboratory · Mammography · Pharmacy · Radiology · Surgi-Center
Family Practice Charles, Marcelin, M.D. Kaufman, Karyn, PA-C Leon Guerrero, Eduardo, M.D. Lipke, Jeffrey, M.D. Rozycki, Thomas, M.D. Stratton, Walter, PA-C
Pedodontics Dentistry Cheng, Victoria, D.M.D.
PACIFICARE VISION CENTER
Internal Medicine Magcalas, Edgar, M.D. Martineau, Charles, M.D.
McDonald, Jay, O.D. San Nicolas, Marlene, O.D. Sanzotta, Scott, O.D.
Obstetrics/Gynecology Cole, Farrell, M.D. Fleming, James, M.D. Jewell, Mary Pat, CNM Pediatrics Leon Guerrero, Robert, M.D. Santos, Edna, M.D. Sarmiento, Dennis, M.D. Stadler, James, M.D.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
2
FORM PHICM-PD032505
FAMILY PRACTICE Akimoto, Vincent, M.D. PMC Isla Clinic Tamuning, 647-6201
Nguyen, My-Duc, M.D. PacifiCare Health Center Tamuning, 646-5825
Eubany, Jacqueline, M.D. PMC Isla Health Systems Tamuning, 647-6201
Arguelles, Luis, M.D. ITC Medical Center Tamuning, 646-8843/4
Nozaki, James, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
El-Ghoneimy, Ahmed, M.D. The Doctors’ Clinic Tamuning, 649-5018/23
Charles, Marcelin, M.D. PacifiCare Health Center Tamuning, 646-5825
Perez, Walter Chris, M.D. The Doctors’ Clinic Tamuning, 649-5018/23
Esperanza, Rodolfo O., M.D. Dededo Polymedic Clinic Dededo, 637-9661
Ericson, Debra G., M.D. The Doctors’ Clinic Tamuning, 649-5018/23
Robinson, Michael, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Geslani, Bevan, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Flores, Lisa, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Rozycki, Thomas, M.D. PacifiCare Health Center Tamuning, 646-5825
Guzman, Pablo, M.D. St. Anthony’s Clinic Tamuning, 646-5266/9696/5277
Galgo, Geoffrey, M.D. Guam Medical Care Clinic Upper Tumon, 647-4174
Santos,Patrick C., M.D. Tumon Medical Office Upper Tumon, 649-5052
Jackson, Sonya M., M.D. PMC Isla Health Systems Tamuning, 647-6201
Haeger, Eric, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Schroeder, Fred, M.D. Pacific Med & Nephrology Tamuning, 649-7232
Kallingal, Matilda, M.D. Kallingal’s Medical Clinic Barrigada, 632-9078
Leon, Hugo, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Silan, Rodolfo D., M.D. Guam Medical and Foot Clinic Tamuning, 646-7678
Kim, Hong Jae, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Leon Guerrero, Ed, M.D. PacifiCare Health Center Tamuning, 646-5825
Temple, Richard W., M.D. PMC Isla Health Systems Tamuning, 647-6201
Kim, Sung, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Lipke, Jeffrey, M.D. PacifiCare Health Center Tamuning, 646-5825
Terlaje, Ricardo, M.D. Tumon Medical Office Upper Tumon, 649-5052
Lim, Doris, M.D. ITC Medical Clinic, Ste. 126 Tamuning, 646-8843/4
Lloyd, Tony, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
INTERNAL MEDICINE
Lim, Johnny Jr., M.D. PMC Isla Clinic Tamuning, 647-6201
Lom, Jitka, M.D. Hafa Adai Specialist Group Tamuning, 647-4542 Lombard, Gabriel P.N., M.D. The Doctors’ Clinic Tamuning, 649-5018/23 Meadows, Lee, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881 Nguyen, Hoa Van, M.D. PMC Isla Clinic Tamuning, 647-6201
Bez, Ellen, M.D. Marianas Physicians Group Tamuning, 647-1830 Chang, Young, M.D. Good Samaritan Clinic Tamuning, 646-2984
Lizama, Florencio T., M.D. Island Health Clinic Tamuning, 649-8698 Magcalas, Edgar, M.D. PacifiCare Health Center Tamuning, 646-5825
Chenet, Alix, M.D. Guam Adult/Pediatric Clinic Dededo, 633-4272
Martineau, Charles, M.D. PacifiCare Health Center Tamuning, 646-5825
Duenas, Vincent A., M.D. The Doctors’ Clinic Tamuning, 649-5018/23
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
3
FORM PHICM-PD032505
PRIMARY CARE Providers, cont. Provider Directory INTERNAL MED. cont
PEDIATRICS
Ouhadi, Faraz, M.D. Pacific Med & Nephrology Tamuning 649-7232
Blancaflor, Maria, M.D. Marianas Physicians Group Tamuning, 647-1830
Manaloto, Ma. Cristina, M.D. PMC Isla Clinic Tamuning, 647-6201
Preston, Donald C., M.D. Guam Adult & Pediatric Clinic Tamuning, 633-4272
Carrera, Yolanda, M.D. Harmon Pediatrics Harmon, 649-1058/9
Que, Brian, M.D. The Doctors’ Clinic Tamuning, 649-5018/23
Ramirez, Kenda, M.D. PMC Isla Health Systems Tamuning, 647-6201
Daniyan, Samuel, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Santos, Edna, M.D. PacifiCare Health Center Tamuning, 646-5825
Ramasamy, Rengaraju, M.D. Island Health Clinic Tamuning, 649-8698
Domalanta, Dina D., M.D. Pediatric and Asthma Clinic Tamuning, 647-4121/9893
Sarkar, Shikha, M.D. Hafa Adai Specialist Group Tamuning, 647-4542
Rengaraju, Brinda, M.D. Pacific Med & Nephrology Tamuning, 649-7232
Esperanza, Maria Rosario, M.D. Dededo Polymedic Clinic Dededo, 637-9661
Sarmiento, Dennis, M.D. PacifiCare Health Center Tamuning, 646-5825
Reyes, May O., M.D. Island Health Center Tamuning, 649-8698
Garrido, John, M.D. Isla Pediatrics Tamuning, 647-4466
Stadler, James, M.D. PacifiCare Health Center Tamuning, 646-5825
Samonte, Romeo, M.D. Pacific Health Center Harmon, 647-4533
Hidalgo, Edgardo, M.D. Pediatric and Asthma Clinic Tamuning, 647-4121/9893
Supit, Edwin, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Khubchandani, Sanjay, M.D. PMC Isla Health Systems Tamuning, 647-6201
Taitano, John R., M.D. The Doctors’ Clinic Tamuning, 649-5018/23
Leon Guerrero, Robert, M.D. PacifiCare Health Center Tamuning 646-5825
Villagomez-Palisson, Rosie, M.D. Marianas Physicians Group Tamuning, 647-1830
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
4
FORM PHICM-PD032505
Primary Care Providers by CLINIC Provider Directory PACIFICARE HEALTH CENTER 548 South Marine Drive Tamuning, 646-5825 Family Practice Charles, Marcelin, M.D. Kaufman, Karyn, PA-C Leon Guerrero, Eduardo, M.D. Lipke, Jeffrey, M.D. Rozycki, Thomas, M.D. Stratton, Walter, PA-C Internal Medicine Magcalas, Edgar, M.D. Martineau, Charles, M.D. Obstetrics/Gynecology Cole, Farrell, M.D. Fleming, James, M.D. Jewell, Mary Pat, CNM Pediatrics Leon Guerrero, Robert, M.D. Santos, Edna, M.D. Sarmiento, Dennis, M.D. Stadler, James, M.D. Urgent Care Nguyen, My-Duc, M.D. Stanley, W. Ed, PA-C Woodruff, Walter, PA-C
DEDEDO POLYMEDIC CLINIC 172 East Buena Vista Avenue Dededo, 637-9661
GOOD SAMARITAN CLINIC Chalan San Antonio Tamuning, 646-2984
ISLA PEDIATRICS Oka Bldg., Ste. 106 Tamuning, 647-4466
PMC ISLA HEALTH SYSTEM 177-A Chalan Pasaheru, Suite F Tamuning, 647-6201
Internal Medicine Chang, Young, M.D.
Pediatrics Garrido, John, M.D.
GUAM ADULT/PEDIATRIC CLINIC 612 North Marine Drive Dededo, 633-4272
ITC MEDICAL CENTER GITC Building, Ste. 126 Tamuning, 646-8843/4
Family Practice Akimoto, Vincent, M.D. Nguyen, Hoa Van, M.D. Temple, Richard W., M.D. Terlaje, Ricardo, M.D. Internal Medicine Eubany, Jacqueline., M.D. Jackson, Sonya M., M.D. Lim, Johnny Jr., M.D. Ramirez, Kenda, M.D. Pediatrics Khubchandani, Sanjay, M.D. Manaloto, Ma. Cristina, M.D.
Internal Medicine Chenet, Alix, M.D. Preston, Donald, M.D.
Family Practice Arguelles, Luis, M.D. Internal Medicine Lim, Doris, M.D.
GUAM MEDICAL CARE CLINIC 744 North Marine Drive Upper Tumon, 647-4174
KALLINGAL’S MEDICAL CLINIC Route 16 Barrigada, 632-9078
Family Practice Galgo,Geoffrey, M.D.
Internal Medicine Kallingal, Matilda, M.D.
GUAM MEDICAL & FOOT CLINIC SONY Bldg., Ste. 104 Tamuning, 646-6201
MARIANAS PHYSICIANS GROUP 472 Chalan San Antonio Tamuning, 647-1830
Family Practice Silan, Rodolfo D., M.D.
Internal Medicine Bez, Ellen, M.D. Villagomez-Palisson, Rosie, M.D.
HAFA ADAI SPECIALIST GROUP Sunflower Villa Tamuning, 647-4542
MPG PEDIATRICS 396 Chalan San Antonio, Ste. 103 Tamuning, 648-5437 Pediatrics Blancaflor, Maria B., M.D.
Internal Medicine Esperanza, Rodolfo O., M.D. Pediatrics Esperanza, Maria Rosario, M.D.
Family Practice Lom, Jitka, M.D. Orthopedic Surgery Nagarkatti, Durgesh, M.D. Pediatrics Sarkar, Shikha, M.D.
THE DOCTORS’ CLINIC 851 Carlos Camacho Road Tamuning, 649-5018/23
HARMON PEDIATRICS Guam Business Center, Ste. 109 Harmon, 649-1058/9
Family Practice Ericson, Debra G., M.D. Lombard, Gabriel, P.N., M.D. Perez, Walter Chris, M.D., F.A.A.F.P Brezovic, Kelli, FA-C Pediatrics Que, Brian, M.P. Internal Medicine Duenas, Vincent A., M.D. El-Ghoneimy, Ahmed, M.D. Taitano, John R., M.D
PACIFIC HEALTH CARE Guam Business Center, Ste. 108 Harmon, 647-4533 Internal Medicine Samonte, Romeo, M.D.
PACIFIC MED & NEPHROLOGY
Pediatrics Carrera, Yolanda, M.D.
Internal Medicine Ouhadi, Faraz, M.D. Rengaraju, Brinda, M.D.
ISLAND HEALTH CLINIC 241 Farenholt Avenue Tamuning, 649-8698
SEVENTH-DAY ADVENTIST CLINIC 388 Ypao Road Tamuning, 646-8881 Pediatrics Daniyan, Samuel, M.D. Family Practice Flores, Lisa, M.D. Haeger, Eric, M.D. Leon, Hugo, M.D. Lloyd, Tony, M.D. Meadows, Lee, M.D. Nozaki, James, M.D. Robinson, Michael, M.D. Internal Medicine Geslani, Bevan, M.D. Kim, Hong Jae, M.D. Kim, Sung, M.D. Supit, Edwin, M.D.
ST. ANTHONY’S CLINIC Tamuning, 646-5266/9696/5277 Internal Medicine Guzman, Pablo, M.D.
TUMON MEDICAL OFFICE Upper Tumon, 649-5052 Family Practice Santos, Patrick C., M.D. Terlaje, Ricardo, M.D.
PEDIATRIC & ASTHMA CLINIC PeMar Place, Ste. 101 Tamuning, 647-4121/9893
Family Practice Schroeder, Fred, M.D. Internal Medicine Lizama, Florencio T., M.D. Ramasamy, Rengaraju., M.D. Reyes, May O., M.D.
Pediatrics Hidalgo, Edgardo, M.D. Domalanta. Dina D., M.D.
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
5
FORM PHICM-PD032505
SPECIALISTS Provider Directory BEHAVIORAL HEALTH Ashe, Claire, M.D. Marianas Clinic Tamuning, 646-7972
Unpingco, Annie, L.C.S.W.-IMFT Marianas Clinic Tamuning, 646-7972
Fleming, James, M.D. PacifiCare Health Center Tamuning, 646-5825
CARDIOLOGY
Hawkins, Elizabeth, M.D. Guam Surgical Group ITC Building, Ste. 204 Tamuning, 649-7588
Babauta, Tom, A.C.S.W., M.S.W., IMFT Family Pacific, Pia Marine, Ste. 609 Tamuning, 649-5715/6
Yacoub, Jean, M.D. Cardiovascular Institute of Guam Tamuning, 647-6652/3
Bellis, Kirk, D.O. Pia Marine Hotel, Ste. 1310 Upper Tumon, 646-4767
Kim, Byungsoo, M.D., F.A.C.C. PeMar Place, Ste. 103 Tamuning, 646-3880
Burns, Bettyann, Ph.D. 310 Ladera Lane, Suite 406 Mangilao, 734-1292
ENDOCRINOLOGY
Davis-Finch, Kathryn, IMFT GCIC Building, Ste. 500G Hagatna, 477-1389 Fegurgur, Mary, L.C.S.W.-IMFT Center Point Bldg., Ste. 104 Tamuning, 649-5910
Park, Sung Joo, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
Reyes, May O., M.D., Island Health Clinic Tamuning, 649-8698 Rubio, Joel M., M.D., FACE Health Partners, LLC Tamuning, 647-4542 GYNECOLOGY
Gill, Joan, M.D. Sony Commercial Bldg., Ste. 316 Tamuning, 646-2908
Boonprakong, Vallop, M.D. Boonprakong Medical Clinic Upper Tumon, 649-0474
Ismael, Ariel, M.D. Marianas Clinic Tamuning, 646-7972
Griley, Edmund, M.D. The Women’s Clinic Tamuning, 646-6111
Leon Guerrero, Archana, G., M.D. Pacific Behavioral Health Clinic Tamuning, 646-2908
Hahn, Byung D., M.D. Central Medical Clinic Dededo, 632-5566
Lizama, Tricia Atoigue, MSW, ACSW, IMFT Family Pacific, Pia Marine Ste. 609 Tamuning, 649-5715
NEPHROLOGY
Matillano, Fe-Elisa, M.S.W., IMFT Tamuning, 649-6575 Natividad, Lisalinda, M.S.W. Pia Marine, Suite 609 Tamuning, 649-5715/6 Perez-Iyechad, Lilli, Ph.D., IMFT Family Pacific, Pia Marine, Ste. 609 Tamuning, 649-5715
Sloop, Christine A., M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881 Sloop, Jay R., M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881
ONCOLOGY/HEMATOLOGY Guzman, Pablo, M.D. St. Anthony’s Clinic Tamuning, 646-5266/9696/5277
Basilio, Ruben, M.D. Gatchalian, Raul, M.D. Pacific Medical Specialists I.T.C. Medical Clinic Tamuning, 646-5315 Safa, Saied, M.D. Pacific Med & Nephrology Guam Medical Plaza Tamuning, 649-7232 NEUROLOGY Chen, Kwang-Ming, M.D. GITC Building Tamuning, 646-4078/5305
San Nicolas, Ronald, Ph.D., IMFT Pacific Behavioral Health Clinic Tamuning, 646-2908
OB/GYN
Taimanglo, Patricia, Ph.D. 310 Ladera Lane, Suite 406 Mangilao, 734-9266
Shieh, Thomas, M.D. Oka Plaza Building, Ste. 102 Tamuning, 648-2229
Zvonik, Kaaren, M.D. Marianas Physicians Group PeMar Place Tamuning, 647-1830
Perez, Victor, M.D. Suite 403-C PDN Building Hagatna, 477-4619
Sukola, Kelly, M.S. Marianas Clinic Tamuning, 646-7972
Leonidas, Edgardo G., M.D. St. Anthony’s Clinic Tamuning, 647-6363
Bordallo, Annie U., M.D. PeMar Place Tamuning, 647-1830
OPHTHALMOLOGY McDarby, James V., M.D. Smith, Anthony J., M.D. Island Eye Center Tamuning, 647-5381/3 OPHTHALMOLOGY(Retinal) Kim, John, M.D. Wresch, Robert, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881 ORAL AND MAXILLOFACIAL SURGERY Richardson, Darius, D.M.D., M.D. 318 Father Duenas Dr. Tamuning, 647-0060/61
Cole, Farrell, M.D. PacifiCare Health Center Tamuning, 646-5825
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
6
FORM PHICM-PD032505
SPECIALISTS, cont. Provider Directory ORTHOPEDIC SURGEON
SPORTS MEDICINE
Bollinger, Jan, M.D. Morgan, Robert, M.D. Thiel, Brent, M.D. Guam Orthopedic Associates Guam Medical Plaza, Ste. 212 Tamuning, 646-6356/6610
Mick, Thomas, M.D. Guam Orthopedic Associates Guam Medical Plaza, Ste. 212 Tamuning, 646-6356/6610
Nagarkatti, Durgesh, M.D. Hafa Adai Specialist Group Sunflower Villa Tamuning, 647-4542
Cruz, Michael, M.D., F.A.C.S. Eusebio, Ricardo, M.D., F.A.C.S. Island Surgical Center Guam Medical Plaza Tamuning ,646-0443/4
SURGERY (General)
OTORHINOLARYNGOLOGY (ENT) Lanser, Michael J., M.D., F.A.C.S. Sony Building, Suite 303 Tamuning, 649-3691 PHYSICAL THERAPY S.O.A.R. Physical Therapy Oka Building, Suite 201 Tamuning, 647-0110/1 Jayme, Clint Winston, M.P.T., P.T Schafer, Rick, M.P.T., P.T. Tomoko, Arakawa, M.P.T., P.T. Seventh-Day Adventist Clinic Tamuning, 646-8881 PODIATRY Damian, Teresa A., D.P.M. Marianas Footcare Clinic Tamuning, 649-3338 Hazen, Larry W., D.P.M. The Doctors’ Clinic Tamuning, 649-5018/23
Bates, Brian, M.D. Seventh-Day Adventist Clinic Tamuning, 646-8881 Kobayashi, Ronald, M.D. Guam Surgical Group ITC Building, Ste. 204 Tamuning, 649-7588 Rahmani, Kia, M.D. Hafa Adai Specialist Group Sunflower Villa, 280 Pale San Vitores Tamuning, 647-4542/53 SURGERY (Hand) Landstrom, Jerone T. M.D., F.A.C.S. Pacific Hand Surgery Center Guam Medical Plaza, Ste., 212 Tamuning, 646-4263 SURGERY (Reconstruction and Plastic) Fegurgur, John, M.D. Hafa Adai Specialist Group Sunflower Villa, 280 Pale San Vitores Tamuning, 647-4542
Silan, Noel, D.P.M. Guam Medical and Foot Clinic Tamuning, 647-2925
UROLOGY
PULMONOLOGY
Richter, Jaroslav, M.D. Oka Building, Suite 202 Tamuning, 649-9693
Mohammad Madantsche, MD Pacific Med & Nephrology Guam Medical Plaza, Suite 205 Tamuning, 649-7232
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
7
FORM PHICM-PD032505
MEDICAL Services Provider Directory GUAM OPTOMETRISTS / PHARMACIES / LABORATORIES OPTOMETRISTS McDonald, Jay, O.D. San Nicholas, Marlene, O.D. Sanzotta, Scott, O.D. PacifiCare Health Center Annex II Building Tamuning, 646-5825 Boulieris, Wilma, O.D. Seventh Day Adventist Clinic Tamuning, 646-8881 Goodwin, Brent S., O.D. Vision Express Micronesia Mall, Suite C-131 Dededo, 633-3937 ACUPUNCTURE Please refer to your Schedule of Benefits brochure for specific information regarding your Acupuncture coverage H.T. LIU, Peter, A.M.D., Ph.D China Acupuncture Clinic Upper Tumon, 646-4142 Chen, Herbert, OMD, Lic. Ac. Chen, Nan “Steve”, OMD, Lic. Ac. Chen’s Happy Dragon Acupuncture Clinic Tamuning, 646-8417 Chong, Chang, OMD, Lic. Ac. East West Clinic 2150-2-4 Chalan San Antonio Tamuning, 649-9009 Chong, Richard, OMD, Lic. Ac. HME Oriental Medical Research Clinic Mangilao, 734-4443 CHIROPRACTIC Please refer to your Schedule of Benefits brochure for specific information regarding your Chiropractic coverage Gregory, Robert, D.C. Onedera-Gregory, Barbara, D.C. Pacific Life Chiropractic Cen-Tam Building, Suite A-5B Tamuning, 649-9355 Klosinski, Thomas R., D.C. Guam Polyclinic UIU Building, Room 2D Tamuning, 649-0545 Larkin, Scott R., D.C. #330 West Marine Dr., Suite #4, Dededo 632-4262
Harmon Drugs Route 16, Harmon 637-1473
Super Drug 214 W. Marine Drive Dededo, 637-9793
ITC Pharmacy I 1st Floor, GITC Bldg. Tamuning, 646-6395
Super Drug Agana 118 ASC Rt. 4 Agana, 477-3627
ITC Pharmacy II Good Samaritan Clinic Tamuning, 649-1977 K Mart Pharmacy
Super Drug Oka 291 Farenholt Ave. Tamuning, 646-6183
Kmart Pharmacy 404 N. Marine Drive Tamuning, 646-0898
LABORATORY SERVICES Diagnostic Laboratory Services, Inc. (DLS) Locations:
Marianas Medical Clinic 330 W. Marine Drive, Suite 1 Dededo, 637-5618
G.I.T.C. Building Suite 124 590 S. Marine Drive Tamuning, 646-5770
PHARMACIES
Mega Drug I Suite 101, Oka Plaza Bldg. Tamuning, 646-5355
Dededo Polymedic Center 172 East Buena Vista Avenue Dededo, 632-0043
PacifiCare Health Center Tamuning, 646-5825 Refill line: 646-5950
Mega Drug II Suite A-6, Daily Plaza Bldg. Dededo, 632-3385
PacifiCare Health Center #548 South Marine Drive Tamuning, 646-5825
Asan Pharmacy Asan, 477-8410
Oka Pharmacy Inc. 241 Farenholt Ave., Tamuning, 647-1193
PeMar Place 472 Chalan San Antonio Tamuning, 649-5079
Pacific Health System Oleai Center San Jose, CNMI, (670) 235-0994
PMC Isla Health System 177-C Chalan Pasaheru (Airport Road) Tamuning, 647-6201
Larkin, June, D.C. Larkin, Sean, D.C. 131 Haiguas Dr.,Suite K-10 Agana Heights, 472-4262 Miller, Gregory, D.C. Marianas Chiropractic 2078 Route 16 Harmon, 637-7926/6683 Rathbun, Lex R., D.C. Isla Plaza Building, Suite 101 Tamuning, 649-6822/23 HEALTH IMPROVEMENT Nadolny, Mary Clare, R.D. Registered Dietician PacifiCare Health Center Health Education Department Tamuning, 646-5824/5 By Appointment Only
C&H Pharmacy Co. 138 Ypao Road Tamuning, 646-6822 Community Pharmacy I 177-C Chalan Pasaheru Tamuning, 646-6160
Pacific HealthCare Pharmacy Guam Business Center Ste.108 Harmon, 649-6831
Community Pharmacy II PeMar Place Suite 105 Tamuning, 646-6515
The Doctors’ Clinic #851 Carlos Camacho Road Tamuning, 649-5022 ext. 136
Pediatric Pharmacy Pediatric Clinic Bldg. Upper Tumon, 649-8791
Cruz Pharmacy 224 Farenholt Avenue Tamuning, 646-5556
Perezville Pharmacy The Doctors’ Clinic Tamuning, 649-5018/23; 649-9400 (direct line)
DPH Northern Region Com. 520 W Santa Monica Dr. Dededo, 635-7418
Polymedic Pharmacy 172 Buena Vista Ave. Dededo, 6379683
Farmacia De Marianas-St. 543 Chalan Guma Yu Us Tamuning, 646-9696
Sagan Amot Pharmacy 875 N. Rt. 2 Agat, 565-3043
Guam Medical Pharmacy Guam Medical Center Upper Tumon, 647-5572
Seventh Day Adventist 388 Ypao Road Tamuning, 649-3856
Guam Rexall Drugs 646 South Marine Dr. Tamuning, 646-4827
Southern Region Community Health Center Agana, 828-7547
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
8
FORM PHICM-PD032505
DENTAL Services Provider Directory GENERAL DENTISTRY PacifiCare Health Center Annex Building Tamuning, 646-5825 Bero, David P., D.D.S. Kowal, Robert, D.D.S. Sullivan, John, D.D.S. Takenaka, Yasunori, D.D.S. Brady,Timothy P., D.D.S. 140 Punzalan Street Tamuning, 646-8462/6689 Dededo Dental Clinic Daily Plaza Bldg., Suite A-5 Dededo, 637-9492 Lancaster, Peter, D.D.S. Family Dental Center Guam Polyclinic Tamuning, 646-6510 Malilay, Janice, D.D.S. Fernandez Dental Office Dededo, 633-1995 Fernandez, Michael, D.D.S. GCIC Dental GCIC Building, Suite 300 Hagåtña, 472-2489/477-6779 Valles, Gerson S., D.D.S. Yeomans, J. Dennis, D.D.S. Gentle Care Dental Hengi Plaza, Suite 102 Tamuning, 646-8858/78 Lee, Jacob J., D.D.S. Sahakian, Bruce , D.M.D. Sule, Hugh L., D.D.S.
Isa Dental Centam Bldg. 1st Floor Tamuning, 646-7982/5437 Hunter, Alvin J., D.D.S. Johnson, Jeffrey, D.D.S.
PEDIATRIC DENTISTRY PacifiCare Health Center Annex Building Tamuning, 646-5825 Cheng, Victoria, D.M.D.
Malabanan, Ben, Jr., D.D.S. 2042 Route 16, Suite 102 Harmon, 649-4446
Ko, Hee Soo, D.M.D. The Pediatric Dentistry Suite 108, Dededo, 637-8334
Ordot Dental Clinic Ordot, 477-8215, 472-8720 Eusebio, Andrew, D.D.S. Ouano, John, D.M.D. Rapadas, Antonio, D.D.S.
The Pediatric Dental Center Reflection Center, Ste 301 Hagatna, 477-6235/6 Romero, Francisco J, D.D.S., MSD
Paradise Smiles 226 Chalan San Antonio, Ste. B Tamuning, 646-2010 Bourgeois, Kenny, D.D.S.
San Nicolas, Francisco,“Koko” D.M.D. Gentle Care Dental Hengi Plaza, Suite 102 Tamuning, 646-8858/78
Seventh-Day Adventist Clinic 388 Ypao Road Tamuning, 646-8881, ext. 400 Ramley, Stanley, D.D.S. Turon, Tobias, D.D.S. Von Bergen, Scott, D.D.S. Ward, Wayne, D.D.S.
Isa Dental Centam Bldg. 1st Floor Tamuning, 646-7982/5437 Terlaje, Rayner, D.D.S Toerge, Sandra, D.M.D. Harmon Loop Dental Office Dededo, 637-9696/9700
Veloria, Tom S., D.M.D. Baltej Pavilion, Suite 303-304 Tamuning, 646-5146/649-9593
G.C.I.C. Dental Office G.C.I.C. Building, Suite 300 Hagåtña, 472-2489/477-6779
Yang, Robert J., D.M.D. East West Business Center, Ste. 107 Upper Tumon, 647-8702/3
PERIODONTICS Oakley, Eric, D.D.S. Seventh-Day Adventist Clinic Tamuning, 646-8881 ext. 400
Yasuhiro, Stanley Y., D.D.S. 667 N. Marine Drive, Ste. 204 Tamuning, 646-2823
Gatewood, Robert R., D.D.S., M.D. Reflection Center, Ste. 303 Hagåtña, 477-2379/2380
Hafa Adai Family Dental ITC Medical Clinic, Suite 102 Tamuning, 649-7851-3 Cheng, Victoria, D.M.D. Marutani, David, D.D.S. Takenaka, Yasunori, D.D.S.
ENDODONTICS
Harmon Loop Dental Office 505 Harmon Loop Rd., Ste. 300 Dededo, 637-9696/9700 Alegria, Conrado V., D.D.S. Alegria, Corazon V., D.D.S. Johnson, Elwood, D.D. S. Rapadas, Christy, D.D.S. Sison,Suzanne, D.D.S.
ORAL AND MAXILLOFACIAL SURGERY
Hightower, William C., D.D.S. Hightower Dental Clinic Center Point, Suite #301-304 Tamuning, 646-7281/84
Richardson, Darius, D.M.D., M.D. Father Duenas Dr. Tamuning, 647-0060/61
Hightower Dental Clinic Tamuning, 646-7281/84 Hightower, William, C.II, D.D.S. All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
9
FORM PHICM-PD032505
OFF-ISLAND Services Provider Directory
SAIPAN CNMI PRIMARY CAREPROVIDERS & SUPPORT SERVICES FAMILY / GENERAL PRACTICE
Saipan Adventist Clinic Quarter Master Road, Chalan Laulau, Saipan 96950 (670) 234-6323 CNMI DENTAL NETWORK
BEHAVIORAL HEALTH Brenn, Adrian, Ph.D., M.A. Saipan , (670) 322-1925 Erhard, Anne, Ph.D. Saipan , (670) 322-1925 Graf, Linda, N.C.C., LCP-P Saipan, (670) 322-4723 Post, Laura, M.D. Marianas Psychiatric Services Saipan, (670) 256-5255 CHIROPRACTIC
OFF-ISLAND
BELAU MEDICAL CARE PROVIDERS & GENERAL DENTIST
HAWAII Kapi‘Olani Health System 1319 Punahou Street Honolulu, Hawaii 96826
MEDICAL (Primary Care and General Surgery)
GENERAL DENTISTRY PacifiCare Health Center Oleai Business Center, 1st Floor P.O. Box 118 San Jose, Saipan, Mp 96950 (670) 235-0994, 235-0996 Alam, Shireen, M.D. Lamar, Daniel, M.D. Schraudenbach, Cooper, M.D. Tan, Nathan, M.D.
BELAU
Saipan Adventist Clinic Quarter Master Road, Chalan Laulau, Saipan 96950 (670) 234-6323 Baker, Jack, D.D.S. Ludders, Richard, D.D.S. Reedstrom, Dean, D.D.S.
Belau National Hospital P.O. Box 6027 Koror, Republic Of Palau 96940 (680) 488-2552/3
PEDIATRIC DENTISTRY
Roberts, Emais, M.D. Family Surgical Clinic P.O. Box 1652 Koror, Republic Of Palau (680) 488-6920
Saipan Adventist Clinic Quarter Master Road, Chalan Laulau, Saipan 96950 (670) 234-6323 Ko, Hee Soo, D.M.D.
Yano, Victor M., M.D. Belau Medical Clinic P.O. Box 822 Koror, Republic Of Palau (680) 488-2688
PERIODONTICS
DENTAL
Saipan Adventist Clinic Quarter Master Road, Chalan Laulau, Saipan 96950 (670) 234-6323 Oakley, Eric, D.D.S., M.S.
Belau National Hospital P.O. Box 6027 Koror, Republic Of Palau 96940 (680) 488-2552/3 OPTOMETRY
Fishman, Susan, D.C. Saipan, (670) 322-6302 OPHTHALMOLOGY Marianas Eye Institute Khorram, David, M.D. Beach Road, Garapan Saipan, (670) 235-9090
Straub Clinic and Hospital 888 South King Street Honolulu, Hawaii 96813 St. Francis Healthcare System P.O. Box 29700 Honolulu, Hawaii 96820 MAINLAND UNITED STATES PacifiCare Contracted Providers Prior Authorization by Medical Management Department is Required Memorial Health System (Anaheim, Long Beach, Miller Children’s) Please contact MM or CS for other available providers. PHILIPPINES PacifiCare Liaison Office St. Luke’s Medical Center Room 616 North Tower E. Rodriguez Boulevard Sr. Quezon City, Philippines Tel: (632) 723-2079 Fax: (632) 721-1395 Email:
[email protected]
Belau National Hospital P.O. Box 6027 Koror, Republic Of Palau 96940 (680) 488-2552/3
TINIAN TINIAN HEALTH CENTER
Pacific Family Medical Supplies P.O. Box 1523 Koror, Republic Of Palau (680) 488-6655
Medical and Dental Clinic (670) 433-9233/9263/9333
OPTOMETRY PHARMACY & MEDICAL SUPPLIES
Hardt Eye Clinic Beach Road, Garapan, Saipan 96950 (670) 235-2030
Pacific Family Medical Supplies P.O. Box 1523 Koror, Republic Of Palau (680) 488-6655
Marianas Eye Institute Khorram, David, M.D. Beach Road, Garapan Across 13 Fisherman Monument Saipan, (670) 235-9090
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
10
FORM PHICM-PD032505
Visiting OFF-ISLAND Providers/Specialist Provider Directory
Name
Specialty
Clinic Name
Salzberg, Charles
Physiatrist
Swenson, Richard
Pediatric Cardiologist
Hayashida, Steven F.
Neurosurgeon
McNorton, Thomas
Neurologist
Center for Sleep Medicine
Ruggio, Joseph
Cardiologist
PCA
Simard, Marcellin
Cardiologist
Cardiovascular Institute of Guam
Carlos, Michael
Cardiologist
Cardiovascular Institute of Guam
Parks, David
Retinal Ophthalmologist
Retina Vitreous Consultants
Pang, Pierre
Retinal Ophthalmologist
Pacific Eye Surgery Center
Quiros, Juan Carlos
Cardiologist
PCA
PacificCardiovascular Associates (PCA)
All network provider agreements automatically renew each year on the anniversary date unless otherwise indicated. It is important to know that when you enroll in this plan, services are provided through the plan’s delivery system, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. Provider Directory
11
FORM PHICM-PD032505
