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Dan Howes, RN, BSN, is the Care Manager at the Center for Living Well. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. Then contact Sunshine Health at 1-844-877-8313 to update your address in our systems. Share your concerns and how you are feeling with a friend or family member. Now that I have one Provider Engagement Administrator for both WellCare and Sunshine Health, can I also file claims in a single place? Procedures done in outpatient setting, ambulatory surgical center or office. The Well Care Continuum of Care offers comprehensive programs and services to aid each person in reaching their highest potential; becoming an independent, fully-functioning member of the community. Through each of the vendors — MotivCare, Alivi and Medical Transportation Management (MTM) — members can schedule rides on-demand or future rides with a standing order for recurring needs. Excludes local POS). Providers can also submit a corrected claim through any of the acceptable EDI clearinghouses. Well care behavioral and medical clinic health system. Betelham zerihun, csw-I. Her specialties include emergency nursing and acute care.
TRICARE Transplants. Teen Coping Skills: An adolescent DBT-based skills group for teens ages 13 to 17 who struggle with anxiety, depression, anger, self-esteem and/or who can benefit from learning and practicing more coping/communication/relationship skills. All clearinghouse partners currently active with Sunshine Health are listed under Electronic Transactions. Magellan Healthcare. UnitedHealthcare NEXUS R (referrals required on some plans, includes ACO plan). Implantable devices (cochlear implants). Well Care foundation CTC - medically-supervised and safe for Detox. Case management involves the collaborative process aimed at client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation. Female provider, comprehensive primary care, adult care, newborn/infant care, pediatric care, speaks English, Nexplanon insertion/removal. ESF Overflow Parking Lot. At Well Care Services, our psychiatric care services provide assessments, individualized treatment plans and ongoing expert care for patients with a range of mental health conditions. The goal was to create an integrated healthcare service model that included psychiatric care, primary care, medication management, therapy, case management, and housing services for the underserved. However, members may self-refer for all services, including referrals to specialists and behavioral health providers.
Members focus on creating goals and developing a lifestyle to support achievement of those goals. HFN (Healthcare's Finest Network). Living well behavioral care. Sunshine Health is excited to announce that we are expanding the number of transportation service providers to better serve our members and get them to needed medical appointments. Angelica pena-riveria, bst/psr. When can I expect outreach regarding my existing contract(s)? Elaine guiang, aprn.
At the Town Halls, you'll have an opportunity to meet your Provider Engagement Administrator, hear from Subject Matter Experts and take part in a Q&A session. Blue Cross Community Medicaid. A registry is created of the patients actively followed by the care team. Well Care Community Triage Center - Reno, NV. For access to the Collaborative Care behavioral health program, please schedule an appointment through your AdventHealth Medical Group primary care provider, OB/GYN or pediatrician.
Starting February 1, 2021, new transportation vendors will be implemented for Sunshine Health and Staywell Health Plan, customized by health plan. Positive Psychology for Health: This 8-week group therapy experience was designed to apply the core concepts of positive psychology for those who would like to better manage their stress and anxiety, improve their overall health, or simply wish to feel more happiness, meaning or calm in their lives. LAS VEGAS, NV 89102. Where NPI should be used? Cynthia chavez, rmh. The service is offered three afternoons/evenings per week. Wellness / BPS Well-Care Centers. Provider Enumeration Date. Where can I locate information on Sunshine Health's contracted vendors?
Haley is from Tennessee and earned her Doctor of Pharmacy degree at the Medical University of South Carolina in Charleston, SC. We want you to have input and stay informed every step of the way. Having one administrator will also streamline communications, helping us align accountability, eliminate duplications and provide a consistent message. Products & Services. The team can help solve problems Monday through Friday between 8 a. and 8 p. Eastern.
Organization health care providers (e. g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers. WellCare Medicare Advantage - Pending termination effective 4/1/2023. This group provides education, therapy and support in a virtual group format led by licensed behavioral health professionals. Blue Choice Opt PPO. Our operational systems for each health plan, including Claims and Provider Services, remain separate. This conference was held at CHI Health Bergan Mercy Hospital and the University of Nebraska Medical Center.
TRICARE East Standard and Prime (Humana Military). If the provider is a non-contracted provider interested in joining the network or adding products to their current contract, they can visit Become A Provider and select Join Our Network to initiate this process. Together in Health IE-SNP. Sunshine Health and Staywell Health Plan have been working hard to make the integration of our health plans as seamless as possible for our members, your patients.
It's the wounds we can't see that can hurt the most. Authorized Official Contact Number. Female provider, comprehensive primary care, adult care, pediatric care (2-17 years old), speaks English and Haitian Creole. Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. What is a NPI Number? Our physicians and staff are focused on your well-being. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so. Investigational/experimental. They practice at the University of Washington AIMS Center. USA MCO MEDICARE SELECT.
Male provider, comprehensive primary care, adult care, newborn/infant care, pediatric care, speaks English, osteopathic manipulative treatment, HIV management, PrEP management, gender affirming care. Quality Assurance & Outpatient Service Manager. People who will build a real, trusting relationship with you – leading to better care. United Surest (formerly known as BIND). Note: Vanderbilt is excluded from Network L & E. BlueCross BlueShield TennCare. During her military career, she earned her undergraduate degree in psychology from the American Military University. Cigna (aka HealthSpring) Medicare Behavioral Health. Danielle has a passion for demonstrating genuine, authentic care and believes that the practice of pharmacy provides a key link in improving healthcare outcomes. Medical and Behavioral Health.
Brandy Hunt, MSW, LCSW. For now, members will continue to use separate ID cards. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tel: (702) 548-0157. Magness loves to visit new places, play saxophone and guitar, and watch all sports. Mareesa Plaisimond, MSPA, PA-C. Mareesa Plaisimond is a nationally certified Physician Assistant. The goal of collaborative care is for better outcomes, lower cost, and better experience of care for patients. After graduating in 2002, he worked for Walgreens in multiple settings ranging from retail, specialty, to onsite.