Physician Directory 2023-24

• Walk-ins Welcome

• Same-Day Appointments

• 24 Hour Access To Physician Via Cell Phone

• Telemedicine

• Improved Quality

• In-Office Lab Capabilities

• Pharmacy Management

• Medication Adherence

• Key Specialist Access In Office 

• Chronic Care Management (CCM)

• Fully Integrated Transitions Of Care

• IV Infusion Therapy Capability

• Hospitalist Greets Patients In ER

• Patient Navigator • and more

Healthcare Provider - Alfred Soto at Premier Medical

Alfred Soto, MD

Board Certified

Internal Medicine

NPI: 1265438105

AETNAApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Pending information from provider
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
SimplyApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

Amir Etemadnia, MD

Board Certified

Internal Medicine

NPI: 1003115098

AETNAApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Ramy Ibrahim, MD

Board Certified

Internal Medicine

NPI: 1407109903

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
AVMEDApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
Bright Health (Medicare LOB)  
DEVOTEDApproved/Credentialed

 

Luis Alvarado, MD a Healthcare Medical Provider at Premier Medical

Luis Alvarado, MD

Board Certified

Obstetrics and Gynecology

NPI: 1265481733 

AETNAApproved/Credentialed
Aetna Better HealthApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUM 
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
TricareProvider has been certified eff-01/25/2023
SimplyApproved/Credentialed

 

Madhusudhan Banda, MD a Healthcare Medical Provider at Premier Medical

Madhusudhan R Banda, MD

Board Certified

Endocrinology & Metabolism

NPI: 1164529293

AETNAApproved/Credentialed
Aetna Better HealthApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNAApproved/Credentialed
COVENTRYApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
SIMPLY HEALTHApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Carlos R Ramirez, MD

Internal Medicine & Infectious Disease

NPI: 1194793166

AETNAApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
Bright Health (Medicare LOB)  
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
HUMANA MEDICAIDApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
Tricare EastCertified
DEVOTEDApproved/Credentialed
Dr. Sundeep Shah at Premier Medical Associates

SUNDEEP SHAH MD

Board Certified

Internal Medicine and Nephrology

NPI: 1982868972

AETNAApproved/Credentialed
Aetna Better HealthSubmitted
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Pending application for provider’s sign.
Bright Health (Medicare LOB)  
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Fausto Carrasquillo at Premier Medical Associates

FAUSTO CARRASQUILLO, PA-C

Licensed Physician’s Assistant

NPI: 1063737856

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Application In process
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
OSCARSubmitted
TRICARECertified
Aetna Better HealthSubmitted

 

Healthcare Provider - Juan De Jesus at Premier Medical Associates

Juan de Jesus Kalil

NPI: 1982868972

AETNAApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Healthcare Provider - Lester Negron at Premier Medical Associates

Lester V. Negron Ayala, MD

NPI: 1558301275

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Application In process
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
OSCARSubmitted
TRICARECertified
Aetna Better HealthSubmitted

 

Lydia E Sanchez, MD

Internal Medicine

NPI: 1023193984 TAX ID: 59-3538029

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRYIn Progress
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Melchor Madarang, MD a Healthcare Medical Provider at Premier Medical

Melchor Madarang, MD

Board Certified

Internal Medicine and Infectious Disease

NPI: 1013975366

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Paul Boor, MD

Board Certified

Family Medicine and Sports Medicine

NPI: 1689634941

AETNAApproved/Credentialed
AVMEDApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
Tricare EastCertified
DEVOTEDApproved/Credentialed

 

Sanjay Shah, MD

Board Certified

Family Medicine and Sports Medicine

NPI: 1215986211

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Stephen Hsu, MD

Board Certified

Internal Medicine Residency and Nephrology

NPI: 1538267802

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
Approved/Credentialed
WELLMEDApproved/Credentialed
Tricare EastCertified
DEVOTEDApproved/Credentialed

 

Healthcare Provider - Michelle Madonna at Premier Medical

Michelle Madonna, APRN

Advanced Practice Nurse Practitioner

NPI: 1508970914

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Application In process
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
TricareTricare certified

 

Seemab Malik, MD

Board Certified

Internal Medicine

NPI-1124439336

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Sujata Balulad, MD

Board Certified

Internal Medicine, Cardiovascular disease and Electrophysiology

NPI: 1952501454

AETNAApproved/Credentialed
Aetna Better HealthSubmitted
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSSubmitted
CIGNA/GREATWESTApproved/Credentialed
COVENTRYApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified as out of net work

 

Robert Honegger, MD a Healthcare Medical Provider at Premier Medical

Robert Honegger, MD

Board Certified

Internal and Emergency Medicine

NPI:- 1942255120

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
Bright Health (Medicare LOB) Approved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
Tricare EastCertified
DEVOTEDApproved/Credentialed

 

Lesly Allen, APRN

Advanced Practice Registered Nurse

NPI: 1770038226

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Approved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Harrison Lief, MD

Internal Medicine

NPI: 1174027387

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB)  
Bright Health (Medicare LOB) Approved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApplication In process
HUMANAApproved/Credentialed
MEDICAIDHe is not eligible to be a Medicaid provider eff-03/10/2023. 
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Bruce Lobar, MD

Bruce Lobar, MD

Board Certified

Neurologist

NPI: 1679534853

AETNAApproved/Credentialed
Aetna Better HealthSubmitted
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
Bright Health (Medicare LOB) Approved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITAL 
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Trisha Khanna, MD

Board Certified

NPI: 1427554203

AETNAApproved/Credentialed
AllwellApproved/Credentialed
AmbetterApproved/Credentialed
SunshineApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUS/HN1Approved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
DEVOTEDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MedicaidApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
OscarApproved/Credentialed
Aetna Better HealthSubmitted

 

Kevin Spohr, DO

Board Certified

General Dermatology and Mohs Micrographic Surgery

NPI: 1205032497

AETNAApproved/Credentialed
AllwellApproved/Credentialed
AmbetterApproved/Credentialed
SunshineApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Pending Submission
CAREPLUS/HN1Approved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
First HealthSubmitted
TricareTricare certified as OON provider
OscarApproved/Credentialed
Aetna Better HealthSubmitted

 

Alfredo Sy, PA-C

Alfredo Sy, PA-C

Physician Assistant

NPI: 1265438105

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTSubmitted
Sunshine/Ambetter/AllwellSubmitted
COVENTRYPending Submission
DEVOTEDSubmitted
HUMANASubmitted
WELLCARESubmitted
WELLMEDSubmitted
MEDICAREApproved/Credentialed
RR MEDICAREPending Submission
MEDICAIDPending Submission
FREEDOM/OPTIMUMSubmitted
CAREPLUS (HN1)Submitted
Ultimate HealthSubmitted
UHCSubmitted
MULTIPLAN/PHCSApproved/Credentialed
First HealthPending Submission
Tricare EastPending Submission
Aetna Better HealthPending Submission
HOSPITALN/A
SIMPLY HEALTH CARE (Medicare LOB)Pending Submission

 

Thomas Reilly, MD

Thomas Reilly, MD

Board Certified

Interventional Pain Management

NPI: 1750574299

AETNAApproved/Credentialed
AllwellApproved/Credentialed
AmbetterApproved/Credentialed
SunshineApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
DEVOTEDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
OSCARApproved/Credentialed
Aetna Better HealthSubmitted

 

Abdul Rezahi, MD

Abdul Rezahi, MD

General Medicine

NPI: 1972119113

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Application In process
Bright Health (Medicare LOB)  
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Barbara Allen, APRN

Women’s Health

NPI: 1013257583

AETNAApproved/Credentialed
AETNA BETTER HEALTHApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Application In process
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApplication In process
FREEDOM/OPTIMUMApproved/Credentialed
HUMANA Approved/Credentialed
HUMANA MEDICAIDApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Simply Health MedicaidPending Submission
UHCApproved/Credentialed
UHC Community Plan 
Ultimate HealthApproved/Credentialed
WELLCARE – StayWellApplication In process
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Healthcare Provider - James Toth at Premier Medical Associates

James Toth, DO

Internal Medicine, Preventive Medicine, and Geriatrics

NPI: 1083643332

AETNAApproved/Credentialed
Sunshine/ Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
TricareCertified

 

Caroline Quiles-Castillo at Premier Medical Associates

Caroline Quiles-Castillo, MD

NPI: 1760029599

AETNAApproved/Credentialed
Sunshine/ Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Jannelys Aviles, MD

Jannelys Aviles, MD

NPI: 1639817620

Documents from Provider 
AETNAApproved/Credentialed
Sunshine/ Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MedicareApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Hardik J Patel, MD

Internal Medicine

NPI: 1609430727

AETNAApproved/Credentialed
Sunshine/ Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health Commercial LOB) Pending Submission
Bright Health (Medicare LOB) Pending Submission
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Valeria Santana-Martínez, MD

Valeria Santana-Martínez, MD

Primary Care Physician

NPI: 1821731126

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRYApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed

 

Jessica Ramirez, MD

General Practice

NPI: 1245973965

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRYApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
CAREPLUSApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
WELLMEDApproved/Credentialed
WELLCARESubmitted
Bright Health (Medicare LOB) Pending Submission
DEVOTEDApproved/Credentialed

 

Healthcare Provider - Jean Montes at Premier Medical Associates

Jean Montes, APRN

Family Nurse Practitioner

NPI : 1679095350

AETNAApproved/Credentialed
Sunshine/ Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Medicare LOB) Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Catherine Klink, APRN

Advanced Practice Registered Nurse

NPI: 1598408544

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health)Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Hunter Ortiz, PA

Hunter Ortiz, PA

Physician Assistant

NPI: 1780308593

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health ) Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
TRICARECertified

 

Marissa Ortiz, PA a Healthcare Medical Provider at Premier Medical

Marissa Ortiz, PA

Physician Assistant

NPI: 1760102453

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
Bright Health (Advent Health) Submitted
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
DEVOTEDApproved/Credentialed
TRICARECertified

 

Teri Allen, APRN

Teri Allen, APRN

Advance Practice Registered Nurse

NPI: 1114634094

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
CAREPLUSApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/AmbetterApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
WELLMEDApproved/Credentialed
WELLCAREApproved/Credentialed
DEVOTEDApproved/Credentialed
Tricare EastCertified

 

Dorothy Cook, APRN

NPI: 1518952753

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
HUMANAApproved/Credentialed
MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
CAREPLUSApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
SunshineApproved/Credentialed
AmbetterApproved/Credentialed
AllwellApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
WELLMEDApproved/Credentialed
WELLCAREApproved/Credentialed
Bright Health (Medicare LOB) Pending Submission
DEVOTEDApproved/Credentialed

 

Francis Chalas Hungria, MD

Francis Chalas Hungria, MD

Board Certified

Internal Medicine

NPI: 1609285808

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRYApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
CAREPLUSApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
WELLMEDApproved/Credentialed
WELLCARESubmitted
Bright Health (Medicare LOB) N/A
DEVOTEDApproved/Credentialed
TRICARETricare certified as OON provider

 

Michael St. Leger, APRN

Nurse Practitioner

NPI: 1073182085

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
AmbetterApproved/Credentialed
AllwellSubmitted
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANAApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
FREEDOM/OPTIMUMSubmitted
CAREPLUSApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastSubmitted
Aetna Better HealthSubmitted

 

Guyathri Sivothayan, APRN

Guyathri Sivothayan, APRN

Nurse Practitioner

NPI: 1588350326

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANAApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
CAREPLUSApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastSubmitted
HOSPITALN/A

 

Jaime Leavitt, APRN

Advance Practice Registered Nurse

NPI: 1053002717

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
AmbetterApproved/Credentialed
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANAApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDHer application has been denied. She is not eligible to be a Medicaid provider. 07/19/2023
FREEDOM/OPTIMUMApproved/Credentialed
CAREPLUSApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastSubmitted
HOSPITALSubmitted

 

Carolina Amador, APRN

Carolina Amador, APRN

Advance Practice Registered Nurse

NPI: 1801542170

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
Sunshine/Ambetter/AllwellSubmitted
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANAApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
CAREPLUSApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastSubmitted
HOSPITALPending Submission

 

Sarah Slone, APRN

Advance Practice Registered Nurse

NPI: 1225501653

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTSubmitted
Sunshine/Ambetter/AllwellApproved/Credentialed
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANAApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
CAREPLUSApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastSubmitted
HOSPITALN/A

 

Matthew Posada, DO

Matthew Posada, DO

Primary Care

NPI: 1659909653

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSSubmitted
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCAREApproved/Credentialed
WELLMEDSubmitted
Devoted HealthApproved/Credentialed
TricareTricare certified as OON provider
First HealthSubmitted

 

Santos Garcia, MD

Obstetrics and Gynecology

NPI: 1518989714

AETNAApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
BCBSApproved/Credentialed
CAREPLUSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
COVENTRY/FIRST HEALTHApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
HOSPITALN/A
HUMANAApproved/Credentialed
MEDICAIDApproved/Credentialed
MEDICAREApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
RR MEDICAREApproved/Credentialed
UHCApproved/Credentialed
Ultimate HealthApproved/Credentialed
WELLCARESubmitted
WELLMEDApproved/Credentialed
Devoted HealthApproved/Credentialed
TricareTricare certified as OON provider
First HealthSubmitted

 

Omar Vazquez Alicea, MD

Omar Vazquez Alicea, MD

Primary, Preventative, & Emergency Care

NPI: 1811663131

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANASubmitted
WELLCAREApproved/Credentialed
WELLMEDSubmitted
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
FREEDOM/OPTIMUMApproved/Credentialed
CAREPLUSApproved/Credentialed
Ultimate HealthApproved/Credentialed
UHCApproved/Credentialed
MULTIPLAN/PHCSSubmitted
First HealthSubmitted
Tricare EastTricare certified as OON provider
HOSPITALN/A
SIMPLY HEALTH CARE (Medicare LOB)Pending Submission

 

Arlyne Roque, APRN

Women's Health and Family Medicine

NPI: 1861163339

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
Sunshine/Ambetter/AllwellApproved/Credentialed
COVENTRYApproved/Credentialed
DEVOTEDApproved/Credentialed
HUMANASubmitted
WELLCARESubmitted
WELLMEDApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MEDICAIDApproved/Credentialed
FREEDOM/OPTIMUMSubmitted
CAREPLUSSubmitted
Ultimate HealthSubmitted
UHCApproved/Credentialed
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastTricare certified as OON provider
Aetna Better HealthSubmitted
HOSPITALN/A
SIMPLY HEALTH CARE (Medicare LOB)Pending Submission

 

Varendra Jamwant DPM, AACFAS

Varendra Jamwant DPM, AACFAS

Podiatric Medicine

NPI: 1205358777

AETNASubmitted
AllwellSubmitted
AmbetterSubmitted
SunshineSubmitted
BCBSApproved/Credentialed
CIGNA/GREATWESTSubmitted
COVENTRYPending Submission
DEVOTEDApproved/Credentialed
HOSPITALN/A
HUMANASubmitted
MedicaidApproved/Credentialed
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
FREEDOM/OPTIMUMSubmitted
CAREPLUSSubmitted
Ultimate HealthSubmitted
UHCSubmitted
MULTIPLAN/PHCSSubmitted
WELLCARESubmitted
WELLMEDSubmitted

 

Kimberly Keech, APRN

Women's Health and Family Medicine

NPI: 1770190530

AETNAApproved/Credentialed
BCBSApproved/Credentialed
CIGNA/GREATWESTApproved/Credentialed
Sunshine/Ambetter/AllwellSubmitted
COVENTRYPending Submission
DEVOTEDApproved/Credentialed
HUMANASubmitted
WELLCARESubmitted
WELLMEDSubmitted
MEDICAREApproved/Credentialed
RR MEDICAREApproved/Credentialed
MedicaidApproved/Credentialed
FREEDOM/OPTIMUMSubmitted
CAREPLUSSubmitted
Ultimate HealthSubmitted
UHCSubmitted
MULTIPLAN/PHCSApproved/Credentialed
First HealthSubmitted
Tricare EastSubmitted
HOSPITALN/A
SIMPLY HEALTH CARE (Medicare LOB)Pending Submission