View your claims and benefit plans, request ID cards, find network providers, and access online customer service. First Choice Health is an urgent care health care provider offering primary, family and occupational medicine programs in town along the border of southern Tennessee. 2023 - First Choice Health . Anthem. PPO Providers are available nationwide. The mission of First Choice Community Health Centers is to provide comprehensive primary healthcare services, with excellence and compassion, for the entire community. Directory of Health Care Providers. Please confirm the facility and providers are contracted with the PPO Provider Network or you may pay higher out-of-pocket costs. She is Board Certified. Features and benefits of receiving covered care from Non-participating Providers: For additional information on what is covered with Non-participating Providers: Call the PPO Plus Contact Center at 1-866-616-0047 (TTY 711). Sasha cares for patients of all ages - birth to death, as well as Hepatitis C treatment and Gender Affirming Care. CalViva Health is a locally managed public health care plan that operates under the Medi-Cal Managed Care Program, offering support to members, providers and residents of our local communities. We're currently processing your request and we'll be in touch soon. Her professional interests include prenatal care, gender affirming care, behavioral health, treating infectious diseases, end-of-life care, and working with patients with substance use disorders. The Family Support Provider is responsible for conducting parent . Dr. Miller attended the University of California San Francisco School of Medicine. She enjoys all aspects of primary care, especially being able to take care of multiple generations of families. Her interests are in Women's Health, adolescent medicine, and martial arts. View 2022 and 2023 claims. Dr. Antillon graduated from Rio Grande High School. In her spare time Dr. Cook enjoys knitting, bicycling, and gardening. I practice the full spectrum of family medicine except for OB. She was Chief Resident of Pediatrics at UNM from 2007-2008. First Choice is a Preferred Provider Network (PPN) designed by Catholic Health, one the areas largest and most comprehensive health systems. Your Non-participating Provider must call 1-855-281-1840 (TTY 711) for prior authorization. Toll-free: 800-752-9475 Social and Health Program Consultant 4. Refer to your Evidence of Coverage (EOC). I went to Medical School at the University of Kansas and did my residency in Pueblo, CO finishing in 1995. Learn more about COVID-19 | Preguntas frecuentes sobre el COVID-19 | Due to COVID-19, annual Medicaid eligibility reviews are temporarily suspended. UNM Sandoval Regional Medical Center, Inc. UNM Department of Speech & Hearing Sciences. You can get this information in a language other than English or in another format. Saturday 8 AM - 4 PM. If there are any differences between this document and your Evidence of Coverage (EOC), your Evidence of Coverage (EOC) will prevail. First Choice Community Healthcare, Inc. currently participates in an Organized Health Care Arrangement (OHCA) with the University of New Mexico Health Sciences Center (UNM HSC). our nine delivery sites that are strategically located throughout central New Mexico. View plan policies, guidelines and information. With a large network of more than 22,000 providers in all 46 counties, First Choice SM is proud to be the highest-rated Medicaid plan in the state, according to an independent provider satisfaction survey. After completing medical school at George Washington University in Washington D.C., she completed her residency in Family Medicine at the University of California, San Francisco. She lives in the East Mountains with her family. We will mail it to you. Our Health Centers deliver high quality, In most cases, there is no need to change your primary care physician. H8213_001_WEB_2099651. **, New to Medicaid or First Choice: learn how to apply, pick our plan, and get a $25 gift card. Dr. Rauchfuss is most passionate about helping patients understand their body so they can make their own decisions to optimize their health and quality of life. First Choice Prosthetic supplies medicare equipments and products such as Negative Pressure Wound Therapy Pumps & Supplies, etc. She is certified as a Diabetic Educator. We're accepting new patients. He is Board Certified in Family Practice. In her spare time, she enjoys rock climbing, biking, and yoga as well as spending time with family. She started working for First Choice as a resident in 2012 at the South Valley location and as an attending at the North Valley location in 2015. For urgent prior authorization requestsoutside of regular business hours (including weekends and holidays), please contact at 855-444-4647and follow the prompts. Christopher French, MDFamily Practice. Please see, Lista en Internet de medicamentos cubiertos, Misin GED, servicios de asistencia de lectura, y pasantas, Mission GED, reading assistance, and internships. Her professional interests include womens and LGBTQ health, addiction related care, narrative medicine, and teaching. Information is available on First Choice Health website for the Preferred Provider Organization (FCHN) and the Third Party Administrator, First Choice Health Administrators (FCHA). . If you have any questions or need help with any of the PPO providers, you may contact their customer support at: First Choice Health 1-800-467-5281. You will receive the highest quality care at the lowest possible cost, with more . Sunday 12 PM - 4 PM. Call 452-4049 to find out how you can qualify for new low or no cost coverage. . We got the word out through community outreach She did her residency at our South Valley Health Commons. cost effective, accessible care while serving as critical economic engines helping to power local economies. Select from the search options to the right to locate a physician or a hospital online. First Choice Health's PPO Network is the leading independent Preferred Provider Organization in the Northwestern U.S. with more than 120,000 healthcare providers under contract. First Choice Community Healthcares top priority is the health, safety, and well-being of our patients, our staff, and our communities. Some of her personal interests are reading, running, biking, hiking and salsa dancing. HOURS. Join us. Choose a top-rated* health plan that's here to support you and your family. Our Online Provider Directory helps you search online for these network providers. Limit one per household per lifetime. In 2018, we provided a healthcare home to more than 53,000 individuals and their families. He joined First Choice Community Healthcare in 2010. This site contains links to other Internet sites. As a 501(c)3 not-for-profit organization, First Choice employs over 450 New Mexicans at First Choice Community Healthcare is a 501 c3 non-profit, community-based health center system that provides access to quality, patient-centered, comprehensive health care to all people who need it -- regardless of ability to pay. Family Practice Provider Medicated-Assisted Treament Primary Care APRN Board Certified 265 Ellington Road, East Hartford 478 Burnside Avenue, East Hartford Danielle Rasmus For example, if a Non-participating Provider charges $100 and the allowed amount is $70, the provider can balance-bill you directly for the difference in this case, $30. In her spare time, she likes attending movies, going to the lake, and traveling with her family. She moved to New Mexico where she completed residency at the University of New Mexico in the Department of Family and Community Medicine. First Choice Health's Preferred Provider Organization (PPO) is recognized as the leading independent PPO Network in Washington and Oregon, with a growing regional presence in Alaska, Idaho . (716) 706-2570. By showing providers with higher ProfilePoints first, Dr. Briones is Board Certified in Family Medicine. Print the Provider and Pharmacy Directory (PDF), Print the Provider and Pharmacy Directory English, Print the Provider and Pharmacy Directory Spanish, Prescription drug frequently asked questions (FAQs). You'll find up-to-date information about PPO Providers here: . Delta Dental - Premier, PPO and Medicare Advantage Providers*. From Main Street in Belen to the mountains and valleys of the Estancia Basin, we provide primary care to all. He worked at the University of New Mexico Biomedical Research center and has multiple publications on breast cancer-field cancerization and vaccinations. Dr. Tam's interest is in women's health. Full-time, Part-time; Corning, AR 72422; Apply Now . Fax 720.553.1271. Northern Colorado Office. Providence Preferred is designed to manage the cost, delivery and quality of health care for our many insurers, third-party administrators, self-insured groups and individuals. I enjoy practicing family medicine at First Choice Community Healthcare because of the variety of patients I see, and I especially like serving multiple generations within the same family. Dr. Hamilton attended the University of New Mexico and graduated as a Doctor of Medicine in 2011. She is particularly committed to the community health care mission of providing high quality holistic behavioral health care that is not only accessible, culturally competent, but also patient centered. First Choice Next has worked with NantHealth | NaviNet to bring you Medical Authorizations a robust, intuitive, and streamlined online authorizations workflow. 77009. We provide quality and affordable medical, dental and behavioral health care and WIC. Dr. Jeansonne has chosen to settle in Central New Mexico to work for the medically underserved. She graduated in 2014. Dr. Antillon enjoys being a mom, running, and hiking. For its PPO Provider Network, Kaiser Permanente has contracted with First Choice Health or First Health Network. Wendy joined First Choice Community Healthcare in October of 2019. She has worked and lived in Valencia County communities for several years. Dr. Phillips is a 1994 graduate of the University of New Mexico, School of Medicine. Provider data contained within the online directory is updated daily Monday through Friday. Safari 7 and Future Versions, Clear Claims Connection access to software tool to assist providers identify edited codes, Web links to several Payor tools with Eligibility & Benefits and Claims Status Inquiries. She completed her residency at the University of New Mexico Health Science Center, Department of Family and Community Medicine in 2017. We aim to deliver an optimal provider experience with easy-to-use tools that support you, your patients, and your healthcare practice. Sasha joined First Choice Community Healthcare in 2014 and plans to stay for years to come. First Choice Community Healthcare is a 501 c3 non-profit, community-based health center system that provides access to quality, patient-centered, comprehensive health care to all people who need it -- regardless of ability to pay. First Choice Ankle & Foot Care Center PLLC. * She returned to New Mexico and completed her family medicine residency at Memorial Medical Center in Las Cruces, NM. Tenzin attend Chamberlain University where she received her Master of Science in Nursing, in August of 2019. * In fact, more than nine in 10 providers recommend First Choice to their patients as well as fellow providers. Metro Denver Office. Customer Service 800.207.1018. Formerly known as Well Med, First Choice Health is now an extended hours clinic providing primary care, family health, occupational medicine and walk-in services right next to the Walmart. proponents of healthy communities. This will be likely the most meaningful thing she will do in her career. Call 1-888-978-0862 (TTY 711), 8 a.m.- 8 p.m., 7 days a week. Whether you'd like to access your own First Choice information, need to find a doctor in your area, or want to find out if your medicine is covered, we're here to help. Balance billing can mean significant out-of-pocket costs for you. Any licensed provider in the U.S. without any discounts . Accepts most major Health Plans. We'll also ask for your preference during our Welcome Call and later in the year, when you contact the plan. He enjoys hiking and reading the newspaper in his spare time. First Choice Next is excited to help you deliver high-quality care to our members in South Carolina. When you work with us, you benefit from years of valuable health care experience, knowledge, and a provider service team whose job is to make your job easier. As a First Choice member, you have access to hundreds of doctors and dozens of locations in the First Choice network. Provider newsletters. She enjoys spending time with her family, movies, cooking and baking. Provider manual. Dr. Loughrey's medical practice interests include: incorporating Lifestyle Medicine; medication provision for opioid use disorder; advocating and promoting health equity for communities, and making his patients laugh. View or file claims, check eligibility and benefits, initiate or check certification requests, view remittance advice and more for claims with dates of service after Jan. 1, 2023. Dr. Vesper is Board Certified in Family Medicine. He completed his residency at the University of New Mexico Hospital, Family and Community Medicine. Wendy graduated from New Mexico Highlands University with a Master's in Social Work and received her independent license to practice two years later. We are a growing practice and currently accepting new patients. Simple steps for a great start in our network. contracted third parties to help provide these services. . Current partners are listed below. She is a Board Certified Psychiatric Mental Health Clinical Nurse Specialist and Licensed Professional Clinical Counselor. 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