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A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Fort Worth Welcome to Blue Choice PPO SM Use this directory to find the doctors, health care professionals and hospitals that participate in the Blue Choice PPO network. The Blue Choice PPO participating providers are listed by category. This directory also includes information to help you manage your health care and use your benefits wisely. This directory consists of Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise counties. For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-521- 2227 or you can go online to Provider Finder ® at www.bcbstx.com for the most up-to-date list of Blue Choice PPO participating doctors and hospitals. Using This Directory to Find a Blue Choice PPO SM Participating Provider Each time you or a covered family member needs medical care, use this directory to find Blue Choice PPO participating providers, such as: Doctors for routine and preventive care (check the listings for Primary Care Practitioners) Hospitals Specialists or other health care providers Primary Care Practitioners are available for most routine and preventive care, while specialists generally practice only in the fields where they’re listed in this directory. To provide corrections or updates to the provider information in this directory (such as the provider’s contract status or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227 (Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time). MORE INFORMATION IS JUST A CLICK AWAY We continue to update the Blue Choice PPO SM provider directory as changes occur. New doctors and providers contract to be in the network, others may change their office addresses and some leave the network. For the most up-to-date information, check Provider Finder ® at www.bcbstx.com where you can find the doctor's, hospital's or other health care provider's address and phone number that you can send directly to your phone. In addition, there are maps for Primary Care Practitioners, specialists and hospitals to help locate them. Also, you can find the practice limitations, languages spoken, gender, professional affiliations and whether or not new patients are accepted. If you’re already a member and you’d rather speak with someone, call Customer Service at 1-800- 521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time). IF YOU’RE THINKING ABOUT ENROLLING If you’re considering a health plan that uses the Blue Choice PPO SM network, read the following instructions to learn more about getting care from Blue Choice PPO participating doctors and providers. Then review the directory to find Blue Choice PPO participating providers in your area. Chances are the doctors and hospitals you want to use are in the network. 1

F o rt Worth - Blue Cross Blue Shield of Texas · F o rt Worth Welcome to Blue Choice PPO SM Use this directory to find the doctors, health care professionals and hospitals that participate

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  • A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    Fort Worth

    Welcome to Blue Choice PPOSM

    Use this directory to find the doctors, health care professionals and hospitals that participate in the Blue Choice PPO network. The Blue Choice PPO participating providers are listed by category. This directory also includes information to help you manage your health care and use your benefits wisely.

    This directory consists of Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise counties.

    For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-521-2227 or you can go online to Provider Finder® at www.bcbstx.com for the most up-to-date list of Blue Choice PPO participating doctors and hospitals.

    Using This Directory to Find a Blue Choice PPOSM Participating Provider

    Each time you or a covered family member needs medical care, use this directory to find Blue Choice PPO participating providers, such as: • Doctors for routine and preventive care (check the listings for Primary Care Practitioners)• Hospitals• Specialists or other health care providers

    Primary Care Practitioners are available for most routine and preventive care, while specialists generally practice only in the fields where they’re listed in this directory.

    To provide corrections or updates to the provider information in this directory (such as the provider’s contract status or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227 (Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time).

    MORE INFORMATION IS JUST A CLICK AWAY We continue to update the Blue Choice PPOSM provider directory as changes occur. New doctors and providers contract to be in the network, others may change their office addresses and some leave the network. For the most up-to-date information, check Provider Finder® at www.bcbstx.com where you can find the doctor's, hospital's or other health care provider's address and phone number that you can send directly to your phone. In addition, there are maps for Primary Care Practitioners, specialists and hospitals to help locate them. Also, you can find the practice limitations, languages spoken, gender, professional affiliations and whether or not new patients are accepted. If you’re already a member and you’d rather speak with someone, call Customer Service at 1-800- 521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time).

    IF YOU’RE THINKING ABOUT ENROLLING If you’re considering a health plan that uses the Blue Choice PPOSM network, read the following instructions to learn more about getting care from Blue Choice PPO participating doctors and providers. Then review the directory to find Blue Choice PPO participating providers in your area. Chances are the doctors and hospitals you want to use are in the network.

    1

  • Helping You Keep Healthy and Control Costs We offer coverage for preventive care services that can help you keep healthy and identify health problems at an early stage. Preventive care benefits include coverage for services such as physical exams, well-woman exams and immunizations.

    When you become a member, we give you information and tools at www.bcbstx.com to help you manage your health and control costs. Get the latest in health information and tools through the Blue Access® for Members link.Improve your overall health, learn how to manage a chronic health condition or prepare for a specific medical procedure with easy-to-use health and wellness information, tips, quizzes and tools.

    Behavioral Health Services

    Participating behavioral health and chemical dependency professionals and physicians are also listed in this directory. However, before seeing a behavioral health professional or physician, you must preauthorize your care by calling 1-800-528-7264. Blue Cross and Blue Shield preauthorizes services and helps you select a participating behavioral health professional or physician.

    Coverage Outside of Texas If you're out of state and need care, you and your covered family members can receive covered care almost anywhere in the country from Blue Cross and Blue Shield participating doctors and hospitals through the BlueCard Program.

    To find a list of participating doctors and hospitals in the BlueCard program within the United States and around the world, go to the BlueCard Doctor and Hospital Finder at www.bcbs.com. If you are a member, you also can call our dedicated BlueCard line at 1-800-810-BLUE (2583) and speak with a BlueCard customer service representative.

    What to Do in an Emergency In an emergency, call 911 or seek help from any doctor or hospital immediately. You’re covered no matter where you go. You, your doctor, the hospital or a family member must then call Blue Cross and Blue Shield of Texas at the number on your member ID card during the first 48 hours of the emergency visit.

    To arrange for emergency behavioral health services and precertify behavioral health inpatient hospital treatment, call 1-800-528-7264. Blue Cross and Blue Shield of Texas is available 24 hours a day, seven days a week.

    YOUR COVERAGE DEPENDS ON YOUR SPECIFIC PLAN Coverage for specific services will depend on your health care benefit program. Be sure to read your benefit booklet for detailed information about your health care benefit plan.

    CONTROLLING COSTS Blue Cross and Blue Shield of Texas works to keep your doctor and hospital costs as low as possible. Our network representatives continue to build strong relationships with doctors and hospitals across the state, while negotiating the best rates possible for our members.

    2

  • Network Selection Criteria for Doctors and Hospitals

    Network Selection Criteria for Doctors

    Blue Cross and Blue Shield of Texas (BCBSTX) does not use quality measures, member experience measures or cost-related measures to select practitioners for participation in the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access networks and takes into consideration the geographic distribution of medical and behavioral health providers to ensure that BCBSTX members have access to participating providers within federal and state availability and accessibility standards. BCBSTX ensures that our practitioner network includes primary care practitioners, behavioral health practitioners and specialists that treat the highest volume conditions to meet our members' needs, including Cardiology, Endocrinology, OB/GYN, Oncology and Orthopedics among others.

    The behavioral health specialty types available in these BCBSTX networks include, Psychiatry (including Psychiatry, Child Adolescent Psychiatry and Geriatric Psychiatry), Clinical Psychology, Licensed Clinical Social Worker, Licensed Counselor (including Licensed Professional Clinical Counselor and Licensed Marriage and Family Therapist).

    Network Selection Criteria for Hospitals

    Blue Cross and Blue Shield of Texas (BCBSTX) does not use quality measures, member experience measures or cost-related measures to select hospitals for participation in the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access networks and takes into consideration the geographic distribution of hospitals to ensure that BCBSTX members have access to participating hospitals within federal and state availability and accessibility standards.

    TX Physician Extenders

    Primary Care Practitioner or PCP means the participating practitioner, Physician Assistant or Advanced Practice Registered Nurse who primarily provides your health care. A PCP may be a family practitioner, internist, pediatrician, and/or Obstetrician/Gynecologist. The PA or APN must work under the supervision of a Participating family practitioner, internist, pediatrician and/or Obstetrician/Gynecologist in the same PPO network.

    Providers Joining the Network or Location The dates located under the provider’s information indicate that the provider will be joining the network and/or location soon. Services provided may not be covered until the provider is active.

    Providers Leaving the Network or Location The dates located under the provider’s information indicate that the provider will be leaving the network and/or location soon. Services provided after departure will be out-of- network.

    3

  • Medical/Surgical HospitalsMedical/Surgical hospitals are sorted alphabetically by city and name

    Hospital Based ProvidersFacility-based PhysiciansHospital admissions may include services rendered by an anesthesiologist, pathologist, radiologist,emergency medicine physician or neonatologist. Blue Cross and Blue Shield of Texas makes everyeffort to contract with hospital based physicians that routinely provide services at BlueChoice networkfacilities.

    The information provided is being made available to assist you in deciding which facility hascontracted hospital based physicians in an effort to minimize any out-of-pocket expenses you mayincur. Your out-of-pocket expenses will be greater if you utilize anesthesiologists, pathologists,radiologists, emergency medicine physicians and/or neonatologists that do not participate in theBlueChoice network.

    To confirm the hospital you may choose includes anesthesiologists, pathologists, radiologists,emergency medicine physicians and neonatologists that participate in the BlueChoice network, referto this section.

    AncillariesAcquired brain injury, ambulatory surgical centers, cardiac catheter labs, clinical & anatomicallaboratories, diabetes disease management, durable medical equipment, hearing aid suppliers, homehealth, home infusion therapy, hospice, imaging centers, prosthetics, orthotics & pedorthists, radiationtherapy centers, renal dialysis facilities, retail health clinics, skilled nursing facilities, sleep studycenters, subacute facilities, and urgent care centers sorted alphabetically by facility type, city andname

    Freestanding Outpatient FacilitiesA Freestanding Outpatient Facility offers services diagnostic or surgical services in a non-hospitalbased setting.

    Primary Care PractitionersPrimary care practitioners are sorted alphabetically by city, specialty and name

    SpecialistsSpecialists are sorted alphabetically by city, specialty and name

    Supervised and Sponsored ProvidersPhysician assistants, advanced practitioner nurses, certified nurse midwives and other supervisedand sponsored providers are sorted alphabetically by city, specialty and name

    Behavioral Health FacilitiesBehavioral Health Facilities are sorted alphabetically by city and name

    Behavioral Health PractitionersBehavioral Health Practitioners are sorted alphabetically by city, specialty and name

    Practice Information AppendixPractice Information is sorted numerically

    Index of Participating ProvidersPrimary care practitioners, specialists, behavioral health practitioners and supervised and sponsoredproviders are sorted alphabetically by last name

    4

    18-87........................................................................................................................8-17..........................................................................................................................

    1130-1179.....................................................................................

    249-1129...............................................................................................................................................

    1180-1181............................................................................................................

    1182-1350..................................................................................................

    109-110..................................................................................................

    88-108....................................................................................................................................................

    111-248..................................................................................................................

    5-7.........................................................................................................................

    1351-1355.....................................................................................................

    1356-1428..................................................................................................

  • ARLINGTONBaylor Scott & WhiteOrthopedic and Spine HosNPI: 1346570710707 Highlander Blvd(972) 385-4299

    ER Physicians:Facility uses in-network andout-of-network ER physiciansEncompass HealthRehabilitation HNPI: 1821062050

    ♿3200 Matlock Road(817) 468-4000

    Innovations ChangesArlingtonNPI: 13668806274935 S Collins StSte 101(682) 320-2800

    Kindred Hospital TarrantCounty Arlington CamNPI: 1174692156

    ♿1000 North Cooper Street(817) 548-3400

    Medical City ArlingtonNPI: 1134172406

    ♿3301 Matlock Road(817) 465-3241

    ER Physicians:Facility uses in-network andout-of-network ER physiciansMind Above Matter LLCNPI: 13265858031215 W Randol Mill Rd(817) 447-3001

    Phoenix AssociatesCounseling SvcNPI: 1629320478801 Road To Six Flags WestSte 132(817) 795-3099

    Texas Health ArlingtonMemorial HospitalNPI: 1174533343

    ♿800 West Randol Mill Road(817) 548-6100

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    Texas Health Heart &Vascular Hospital ArlingNPI: 1407169196811 Wright St(817) 960-3500

    ER Physicians:Facility uses in-network andout-of-network ER physiciansTexas RehabilitationHospitalNPI: 1962809541

    ♿900 W Arbrook Blvd(682) 304-6000

    USMD Hospital at ArlingtonLPNPI: 1659352987

    ♿801 West Interstate 20(817) 472-3400

    ER Physicians:Facility uses out-of-networkER physicians

    AZLETexas Health HarrisMethodist Hospital AzleNPI: 1508899204

    ♿108 Denver Trail(817) 444-8600

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    BEDFORDEncompass HealthRehabilitation HNPI: 14273742222304 Hwy 121(817) 684-2001

    Texas Health HarrisMethodist Hospital HurstNPI: 1629152939

    ♿1600 Hospital Parkway(817) 685-4000

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    BURLESONBaylor Scott & WhiteEmergency Hospital BurleNPI: 167990396712500 South FreewaySte 100(214) 294-6250

    ER Physicians:Facility uses in-network andout-of-network ER physiciansTexas Health HuguleyHospital Fort Worth SoutNPI: 1033120423

    ♿11801 South Freeway(817) 293-9110

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    CLEBURNETexas Health HarrisMethodist Hospital CleburNPI: 1396778064

    ♿201 Walls Drive(817) 641-2551

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    COLLEYVILLEBaylor Scott & WhiteEmergency Hospital ColleNPI: 10436417495500 Colleyville Blvd(214) 294-6350

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    DECATURWise Health SystemNPI: 1124076401

    ♿609 Medical Center Dr(940) 627-5921

    ER Physicians:Facility uses out-of-networkER physicians

    ELECTRAElectra Memorial HospitalNPI: 1871583153

    ♿1207 South Bailey St(940) 495-3981

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    ENNISDiscovery Point RetreatNPI: 1699209916306 Log Cabin Rd(855) 385-7577

    Ennis Regional MedicalCenterNPI: 1700805678

    ♿2201 West Lampasas(972) 875-0900

    ER Physicians:Facility uses out-of-networkER physicians

    EULESSMind Above Matter LLCNPI: 10336814811100 Raider Dr(817) 447-3001

    FORT WORTHArise Recovery Centers ofAmericaNPI: 16295802876115 Camp Bowie BlvdSte 220(214) 273-1811

    Baylor Scott & White AllSaints Medical CenteNPI: 1669472387

    ♿1400 Eighth Ave(817) 926-2544

    ER Physicians:Facility uses in-network andout-of-network ER physiciansBaylor Scott & WhiteInstitute FoNPI: 13969025406601 Harris Pkwy(817) 433-9600

    Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    03/16/2020 ARLINGTON

    5

    ♿This Location is Handicap Accessible.

  • FORT WORTH(continued)

    Baylor Scott & WhiteSurgical Hospital Fort WNPI: 18715991831800 Park Place Ave(817) 334-5050

    ER Physicians:Facility uses in-network andout-of-network ER physiciansClearfork Academy LPNPI: 15588185347820 Hanger Cutoff(817) 714-1311

    Cook Childrens MedicalCenterNPI: 1891765178

    ♿801 Seventh Avenue(682) 885-4000

    ER Physicians:Facility uses in-network andout-of-network ER physiciansEating Recovery CenterFort WorthNPI: 14174467094200 S Hulen StreetSte 436(877) 825-8584

    Encompass HealthRehabilitation HNPI: 1699749341

    ♿6701 Oakmont Blvd(817) 370-4700

    Fort Behavioral HealthNPI: 10033054187140 Oakmont Blvd(817) 678-7428

    Grace Counseling CenterNPI: 18910442287535 Oakmont BlvdSte 101(800) 972-0643

    John Peter Smith HospitalNPI: 1992753222

    ♿1500 S Main(817) 921-3431

    ER Physicians:Facility uses out-of-networkER physiciansKindred Hospital TarrantCounty Fort Worth SoNPI: 1659440634

    ♿7800 Oakmont Boulevard(817) 346-0094

    LifeCare Hospitals of FortWorthNPI: 1841224060

    ♿6201 Overton Ridge Blvd(817) 370-6078

    Medical City AllianceNPI: 18719110163101 North Tarrant Pkwy(817) 639-1115

    ER Physicians:Facility uses in-network andout-of-network ER physiciansMedical City Fort WorthNPI: 1659323772

    ♿900 Eighth Ave(817) 336-2100

    ER Physicians:Facility uses in-network andout-of-network ER physiciansMind Above Matter LLCNPI: 18013144898900 Chapin Rd(817) 447-3001

    Mind Above Matter LLCNPI: 18913485461101 Nashville Ave(817) 447-3007

    Phoenix AssociatesCounseling SvcNPI: 19828362503001 West 5th StreetSte A(817) 338-0311

    Texas Health HarrisMethodist Hospital AllianNPI: 121529688410864 Texas Health Trail(682) 212-2000

    ER Physicians:Facility uses in-network andout-of-network ER physiciansTexas Health HarrisMethodist Hospital Fort WNPI: 1710061023

    ♿1301 Pennsylvania Ave(817) 250-2000

    ER Physicians:Facility uses in-network andout-of-network ER physiciansTexas Health HarrisMethodist Hospital SouthwNPI: 1417980202

    ♿6100 Harris Parkway(817) 346-5000

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    Texas Health SpecialtyHospitalNPI: 1730278417

    ♿1301 Pennsylvania Ave 4 Fl(817) 250-5500

    TX Rehabilitation Hosp FortWorthNPI: 1659688331

    ♿425 Alabama Ave(817) 820-3400

    USMD Hospital at FortWorth LPNPI: 15686565025900 Altamesa Blvd(817) 433-9100

    ER Physicians:Facility uses in-network andout-of-network ER physiciansWise Health SurgicalHospitalNPI: 14072295293200 North Tarrant Parkway(817) 502-7300

    ER Physicians:Facility uses out-of-networkER physicians

    GAINESVILLENorth Texas Medical CenterNPI: 1922009331

    ♿1900 Hospital Blvd(940) 665-1751

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    GLEN ROSEGlen Rose Medical CenterNPI: 1700826575

    ♿1021 Holden Street(254) 897-2215

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    GRANBURYLake Granbury MedicalCenterNPI: 1114998911

    ♿1310 Paluxy Rd(817) 573-2273

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    GRAND PRAIRIEBaylor Emergency MedicalCenterNPI: 18316295263095 Kingswood BlvdSte 100(972) 854-0009

    ER Physicians:Facility uses out-of-networkER physicians

    GRAPEVINEBaylor Scott & WhiteMedical Center GrapevineNPI: 1073511762

    ♿1650 West College Street(817) 481-1588

    ER Physicians:Facility uses in-network andout-of-network ER physiciansMind Above Matter LLCNPI: 19620622653050 Timberline Dr(817) 447-3001

    Sagecrest HospitalGrapevineNPI: 16999768524201 William D Tate(817) 288-1300

    HENRIETTAClay County MemorialHospitalNPI: 1437156361

    ♿310 West South Street(940) 538-5621

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    HURSTSaint Camillus MedicalCenterNPI: 17507493131612 Hurst Town CenterDrive(817) 519-3700

    ER Physicians:Facility uses out-of-networkER physicians

    Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    FORT WORTH 03/16/2020

    6

    ♿This Location is Handicap Accessible.

  • KELLERBaylor Scott & WhiteEmergency Hospital KelleNPI: 1689002651620 S Main St(214) 294-6100

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    MANSFIELDBaylor Scott & WhiteEmergency Hospital MansfNPI: 15981962061776 N US 287Ste 100(214) 294-6300

    ER Physicians:Facility uses in-network andout-of-network ER physiciansKindred Hospital MansfieldNPI: 1922177997

    ♿1802 Hwy 157 North(817) 473-6101

    Methodist MansfieldMedical CenterNPI: 16896299412700 E Broad St(682) 622-2000

    ER Physicians:Facility uses out-of-networkER physiciansRiverwalk Ranch LLCNPI: 17407711956960 Dick Price Rd(817) 720-9520

    Texas Health Recovery andWellnesNPI: 1902340268240 N Miller Rd(682) 812-6150

    MUENSTERMuenster MemorialHospitalNPI: 1699770149

    ♿605 North Maple Street(940) 759-2271

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    N RICHLAND HILLSMedical City North HillsNPI: 1518911833

    ♿4401 Booth Calloway Road(817) 284-1431

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    NOCONANocona General HospitalNPI: 1689655912

    ♿100 Park Road(940) 825-3235

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    SEYMOURSeymour HospitalNPI: 1194893263

    ♿200 Stadium Drive(940) 889-5572

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    SOUTHLAKEArise Recovery Centers ofAmericaNPI: 15588838762535 E Southlake BlvdSte 200(214) 273-1811

    Methodist SouthlakeHospitalNPI: 1568818417421 East St Highway 114(817) 865-4400

    ER Physicians:Facility uses in-network andout-of-network ER physiciansTexas Health HarrisMethodist Hospital SouthlNPI: 16290649281545 East Southlake Blvd(817) 481-7111

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    VERNONWilbarger General HospitalNPI: 1316931835

    ♿920 Hillcrest Drive(940) 552-9351

    ER Physicians:Facility uses in-network andout-of-network ER physicians

    WAXAHACHIEBaylor Medical CenterWaxahachieNPI: 1265430177

    ♿2400 N IH 35 E(469) 843-4000

    ER Physicians:Facility uses in-network andout-of-network ER physiciansCasa Colina AddictionTreatment CNPI: 12457887281041 Rutherford Rd(972) 449-2000

    Discovery Point Retreat IncNPI: 1699209916530 Hight Rd(855) 409-3232

    WEATHERFORDMedical City WeatherfordNPI: 1417471467713 E Anderson St(682) 582-1000

    ER Physicians:Facility uses in-network andout-of-network ER physiciansWeatherford RehabilitationHospitNPI: 1558758490703 Eureka St(682) 803-0100

    WICHITA FALLSEncompass HealthRehabilitation HNPI: 1689648339

    ♿3901 Armory Road(940) 720-5700

    Kell West RegionalHospital LLCNPI: 1669480323

    ♿5420 Kell West Blvd(940) 692-5888

    ER Physicians:Facility uses out-of-networkER physiciansPromise Hospital ofWichita FallsNPI: 1346671849

    ♿1103 Grace St(940) 720-6633

    United Regional HealthCare System IncNPI: 1023013448

    ♿1600 11th Street(940) 764-7000

    ER Physicians:Facility uses out-of-networkER physicians

    Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    03/16/2020 KELLER

    7

    ♿This Location is Handicap Accessible.

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    ARLINGTON

    BAYLOR SCOTT & WHITE

    ORTHOPEDIC AND SPINE HOSPITAL

    Anesthesiology 0% IN NETWORKARLINGTON ORTHOPEDIC ASSOCIATES

    GREATER HOUSTON ANESTHESIOLOGY PAEmergency Room 3% IN NETWORK RUSH CREEK EMERGENCY PHYSICIANS

    Neonatology SERVICE NOT AVAILABLE

    Pathology SERVICE NOT AVAILABLE

    Radiology 0% IN NETWORK AMERICAN RADIOLOGY CONSULTANTS

    MEDICAL CITY ARLINGTON

    Anesthesiology 3% IN NETWORK METROPOLITAN ANES CONSULTANTS LLP

    Emergency Room 1% IN NETWORK QUESTCARE MEDICAL SERVICES PLLC

    Neonatology 0% IN NETWORK SHERIDAN HEALTHCARE OF TX PA

    Pathology 0% IN NETWORK DFW 501 A CORPORATION

    Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

    TEXAS RADIOLOGY ASSOCIATES LLP

    TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 52% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK ARLINGTON PATHOLOGY ASSOC 501A

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    TEXAS HEALTH HEART &

    VASCULAR HOSPITAL

    ARLINGTON

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 50% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK ARLINGTON PATHOLOGY ASSOC 501A

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    USMD HOSPITAL AT

    ARLINGTON LP

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 96% OUT OF NETWORK BURBOT EMERGENCY PHYSICIANS PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK ARLINGTON PATHOLOGY ASSOC 501A

    Radiology 1% IN NETWORK SINGLETON ASSOCIATES PA

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    8

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    AZLE

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL AZLE

    Anesthesiology 0% IN NETWORK NORTHSTAR ANESTHESIA PA

    Emergency Room 49% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK AMERIPATH PAT 5 01A CORPORATION

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    BEDFORD

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL

    HURST EULESS BEDFORD

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 51% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORK TEXAS RADIOLOGY ASSOCIATES LLP

    BURLESON

    BAYLOR SCOTT & WHITE

    EMERGENCY HOSPITAL BURLESON

    Anesthesiology SERVICE NOT AVAILABLE

    Emergency Room 99% OUT OF NETWORK 24 HOUR PHYSICIANS INC

    Neonatology SERVICE NOT AVAILABLE

    Pathology SERVICE NOT AVAILABLE

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    TEXAS HEALTH HUGULEY

    HOSPITAL FORT WORTH SOUTH

    Anesthesiology 1% IN NETWORK NORTHSTAR ANESTHESIA II PA

    Emergency Room 99% OUT OF NETWORK HUGULEY EMERGENCY PHYSICIANS

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK HUGULEY PATHOLOGY CONSULTANTS PA

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    CLEBURNE

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL CLEBURNE

    Anesthesiology 0% IN NETWORK NORTHSTAR ANESTHESIA PA

    Emergency Room 51% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK CLEBURNE PATHOLOGY PA

    Radiology 0% IN NETWORK TEXAS RADIOLOGY ASSOCIATES LLP

    COLLEYVILLE

    BAYLOR SCOTT & WHITE

    EMERGENCY HOSPITAL

    COLLEYVILLE

    Anesthesiology SERVICE NOT AVAILABLE

    Emergency Room 99% OUT OF NETWORK 24 HOUR PHYSICIANS INC

    Neonatology SERVICE NOT AVAILABLE

    Pathology SERVICE NOT AVAILABLE

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    9

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    DECATUR WISE HEALTH SYSTEM

    Anesthesiology 23%IN NETWORK

    PREMIER ANESTHESIA OF HUNTSVILLERICHARD L VERA MD PA

    OUT OF NETWORK ASPEN ANESTHESIA MANAGEMENT LLC

    Emergency Room 98% OUT OF NETWORK WISE EMERGENCY MEDICINE ASSOCS

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK DFW 501 A CORPORATION

    Radiology 0% IN NETWORKNORTH TEXAS RADIOLOGY PLLC

    TEXAS RADIOLOGY ASSOCIATES LLP

    ELECTRAELECTRA

    MEMORIAL HOSPITAL

    Anesthesiology INSUFFICIENT CLAIMS DATA

    Emergency Room 0% IN NETWORKCONCORD MEDICAL GROUP PLLC

    TITANIUM EMERGENCY GROUP LLPNeonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF NORTH TX

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    ENNIS

    ENNIS REGIONAL MEDICAL CENTER

    Anesthesiology 97% OUT OF NETWORK STRATUS DOMINION ANESTHESIA ASSOC

    Emergency Room 97% OUT OF NETWORK BUFFALO CLOVER EMERG PHYSICIANS

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK LAB DIRECT LLC

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    FORT WORTH

    BAYLOR SCOTT & WHITE ALL

    SAINTS MEDICAL

    CENTER FORT WORTH

    Anesthesiology0% IN NETWORK NORTHSTAR ANESTHESIA II PA

    1% IN NETWORK NORTHSTAR ANESTHESIA II PA

    Emergency Room4% IN NETWORK CENTURY INTEGRATED PARTNERS INC

    20% IN NETWORK CENTURY INTEGRATED PARTNERS INC

    NeonatologyINSUFFICIENT CLAIMS DATA

    0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK TARRANT PATHOLOGY ASSOCIATES

    Radiology0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    1% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    10

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    FORT WORTH

    BAYLOR SCOTT & WHITE SURGICAL

    HOSPITAL FORT WORTH

    Anesthesiology 12% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

    NOBLE ANESTHESIA PARTNERS PLLCEmergency Room 1% IN NETWORK STOCKYARD EMERGENCY PHYSICIANS

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK TARRANT PATHOLOGY ASSOCIATES

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    COOK CHILDRENS MEDICAL CENTER

    Anesthesiology 0% IN NETWORK COOK CHILDRENS PHYSICIAN NETWORK

    Emergency Room 4% IN NETWORK COOK CHILDRENS PHYSICIAN NETWORK

    Neonatology 0% IN NETWORKCOOK CHILDRENS PHYSICIAN NETWORKPEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 1% IN NETWORK COOK CHILDRENS PHYSICIAN NETWORK

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    JOHN PETER SMITH

    HOSPITAL

    Anesthesiology 9% IN NETWORK SHERIDAN HEALTHCARE OF N TEXAS PA

    Emergency Room 95% OUT OF NETWORK INTEGRATIVE EMERG SVCS PHYS GRP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    MEDICAL CITY ALLIANCE

    Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 1% IN NETWORK QUESTCARE MEDICAL SERVICES PLLC

    Neonatology 0% IN NETWORK SHERIDAN HEALTHCARE OF TX PA

    Pathology 0% IN NETWORK DFW 501 A CORPORATION

    Radiology 0% IN NETWORKROSE IMAGING SPECIALIST PA

    TEXAS RADIOLOGY ASSOCIATES LLP

    MEDICAL CITY FORT WORTH

    Anesthesiology 1% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 2% IN NETWORK QUESTCARE MEDICAL SERVICES PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK DFW 501 A CORPORATION

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    11

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    FORT WORTH

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL ALLIANCE

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 52% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK AMERIPATH PAT 5 01A CORPORATION

    Radiology 0% IN NETWORK TEXAS RADIOLOGY ASSOCIATES LLP

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL FORT

    WORTH

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 51% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK AMERIPATH PAT 5 01A CORPORATION

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL

    SOUTHWEST FORT WORTH

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 55% OUT OF NETWORK TEXAS MEDICINE RESOURCES LLP

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    USMD HOSPITAL AT FORT WORTH

    LP

    Anesthesiology 0% IN NETWORKGREATER HOUSTON ANESTHESIOLOGY PA

    PARKHILL PHYSICIAN GROUP PLLC

    Emergency Room 20%IN NETWORK CONCORD MEDICAL GROUP PLLC

    OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    WISE HEALTH SURGICAL HOSPITAL

    Anesthesiology 4% IN NETWORK PREMIER ANESTHESIA OF HUNTSVILLE

    Emergency Room 97% OUT OF NETWORK SYNERGY EMERGENCY CONSULTANTS

    Neonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

    DFW 501 A CORPORATIONNORTH DALLAS PATHOLOGY SERVICES PA

    Radiology 0% IN NETWORKNORTH TEXAS RADIOLOGY PLLC

    TEXAS RADIOLOGY ASSOCIATES LLP

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    12

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    GAINESVILLENORTH TEXAS

    MEDICAL CENTER

    Anesthesiology 0% IN NETWORK NORTHSTAR ANESTHESIA PA

    Emergency Room SERVICE NOT AVAILABLE

    Neonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORK USA PATHOLOGY PLLC

    Radiology 0% IN NETWORK SHERMAN RADIOLOGY ASSOCIATES

    GLEN ROSEGLEN ROSE MEDICAL CENTER

    Anesthesiology 59%IN NETWORK EDWARD SHIN MDPA

    OUT OF NETWORK SUPERIOR ANESTHESIA MANAGEMENT

    Emergency Room 98% OUT OF NETWORK FOSSIL RIM EMERGENCY PHYSICIANS

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORKAMERIPATH PAT 5 01A CORPORATION

    CLINICAL PATHOLOGY ASSOCIATESRadiology 0% IN NETWORK HIGH PLAINS RADIOLOGICAL ASSN LLP

    GRANBURY

    LAKE GRANBURY

    MEDICAL CENTER

    Anesthesiology 7% IN NETWORKEMERGENCHEALTH LLCHOOD MEDICAL GROUPLAKESIDE PHYSICIANS

    Emergency Room 95% OUT OF NETWORK APPTEXASED PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

    PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORKRADIOLOGY ASSOCIATES OF NORTH TX

    ROSE IMAGING SPECIALIST PA

    GRAND PRAIRIE

    BAYLOR EMERGENCY

    MEDICAL CENTER

    Anesthesiology INSUFFICIENT CLAIMS DATA

    Emergency Room 99% OUT OF NETWORK 24 HOUR PHYSICIANS INC

    Neonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORK

    DFW 501 A CORPORATIONIRVING LABORATORIES PA

    LABORATORY PHYSICIANS ASSNPATHOLOGISTS BIO MEDICAL LAB

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    13

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    GRAPEVINE

    BAYLOR SCOTT & WHITE MEDICAL CENTER

    GRAPEVINE

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 2% IN NETWORK CENTURY INTEGRATED PARTNERS INC

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK PATHOLOGISTS BIO MEDICAL LAB

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    HENRIETTACLAY COUNTY

    MEMORIAL HOSPITAL

    Anesthesiology INSUFFICIENT CLAIMS DATA

    Emergency Room 0% IN NETWORKCONCORD MEDICAL GROUP PLLC

    TITANIUM EMERGENCY GROUP LLPNeonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF NORTH TX

    Radiology 0% IN NETWORKNIGHTRAYS PA

    RADIOLOGY ASSOCS OF WICHITA FALLS

    HURST

    SAINT CAMILLUS MEDICAL CENTER

    Anesthesiology 13% IN NETWORK ANESTHESIA ALLIANCE OF DALLAS PA

    Emergency Room INSUFFICIENT CLAIMS DATA

    Neonatology INSUFFICIENT CLAIMS DATA

    Pathology INSUFFICIENT CLAIMS DATA

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    KELLER

    BAYLOR SCOTT & WHITE

    EMERGENCY HOSPITAL

    KELLER

    Anesthesiology SERVICE NOT AVAILABLE

    Emergency Room 99% OUT OF NETWORK 24 HOUR PHYSICIANS INC

    Neonatology SERVICE NOT AVAILABLE

    Pathology SERVICE NOT AVAILABLE

    Radiology SERVICE NOT AVAILABLE

    MANSFIELD

    BAYLOR SCOTT & WHITE

    EMERGENCY HOSPITAL

    MANSFIELD

    Anesthesiology SERVICE NOT AVAILABLE

    Emergency Room 98% OUT OF NETWORK 24 HOUR PHYSICIANS INC

    Neonatology SERVICE NOT AVAILABLE

    Pathology SERVICE NOT AVAILABLE

    Radiology SERVICE NOT AVAILABLE

    METHODIST MANSFIELD

    MEDICAL CENTER

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 91% OUT OF NETWORK TEXAS PHYSICIAN RESOURCES LLP

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    14

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    MANSFIELD

    METHODIST MANSFIELD

    MEDICAL CENTER

    Pathology 0% IN NETWORK LABORATORY PHYSICIANS ASSN

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    MUENSTERMUENSTER MEMORIAL HOSPITAL

    Anesthesiology 0% IN NETWORK SLEEP STUDY OF TEXAS

    Emergency Room 20% IN NETWORKMMH FAMILY HEALTH CLINIC

    QUESTCARE MEDICAL SERVICES PLLCNeonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

    CONSULTATIVE GENOMICS PLLCNORTH DALLAS PATHOLOGY SERVICES PA

    Radiology 0% IN NETWORK ARIS TELERADIOLOGY PRO CORP

    N RICHLAND HILLS MEDICAL CITY NORTH HILLS

    Anesthesiology 0% IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    Emergency Room 1% IN NETWORK QUESTCARE MEDICAL SERVICES PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK DFW 501 A CORPORATION

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    NOCONANOCONA GENERAL HOSPITAL

    Anesthesiology 59% IN NETWORK NOCONA GENERAL HOSPITAL

    Emergency Room 2% IN NETWORK NOCONA GENERAL HOSPITAL

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

    PATHOLOGY ASSOCIATES OF NORTH TXRadiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    SEYMOUR SEYMOUR HOSPITAL

    Anesthesiology 0% IN NETWORK BAYLOR COUNTY HOSPITAL DISTRICT

    Emergency Room 0% IN NETWORK TITANIUM EMERGENCY GROUP LLP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORKAFFILIATED PATHOLOGISTS PA

    PATHOLOGY ASSOCIATES OF NORTH TXSTRATE, SUSAN M, MD

    Radiology 0% IN NETWORK RADIOLOGY ASSOCS OF WICHITA FALLS

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    15

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    SOUTHLAKE

    METHODIST SOUTHLAKE

    HOSPITAL

    Anesthesiology SERVICE NOT AVAILABLE

    Emergency Room 90% OUT OF NETWORK LIVE OAK EMERGENCY PHYSICIANS

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PATHOLOGISTS BIO MEDICAL LAB

    Radiology 0% IN NETWORK RADIOLOGY ASSOCIATES OF NORTH TX

    TEXAS HEALTH HARRIS

    METHODIST HOSPITAL

    SOUTHLAKE

    Anesthesiology 39%IN NETWORK GREATER HOUSTON ANESTHESIOLOGY PA

    OUT OF NETWORK TARRANT SEDATION SERVICES PLLC

    Emergency Room 97% OUT OF NETWORK SOUTHLAKE EMERGICARE PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORK AMERICAN RADIOLOGY CONSULTANTS

    VERNONWILBARGER

    GENERAL HOSPITAL

    Anesthesiology 0% IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

    Emergency Room 98% OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

    Neonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF NORTH TX

    Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

    WAXAHACHIE

    BAYLOR MEDICAL CENTER

    WAXAHACHIE

    Anesthesiology 7% IN NETWORKNTX ANESTHESIOLOGY CONSULTANTS PLWAXAHACHIE ANES CONSULTANT SVCS

    Emergency Room 1% IN NETWORK CENTURY INTEGRATED PARTNERS INC

    Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS

    Pathology 0% IN NETWORK PATHOLOGISTS BIO MEDICAL LAB

    Radiology 0% IN NETWORK AMERICAN RADIOLOGY CONSULTANTS

    WEATHERFORD MEDICAL CITY WEATHERFORD

    Anesthesiology 0% IN NETWORK WEATHERFORD ANESTHESIA ASSOCIATES

    Emergency Room 2% IN NETWORK QUESTCARE MEDICAL SERVICES PLLC

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PROPATH ASSOCIATES PLLC

    Radiology 0% IN NETWORKRADIOLOGY ASSOCIATES OF NORTH TX

    ROSE IMAGING SPECIALIST PA

    WICHITA FALLSKELL WEST REGIONAL

    HOSPITAL LLC

    Anesthesiology 0% IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

    Emergency Room 98% OUT OF NETWORK LUCY PARK EMERGENCY PHYSICIANS

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    16

  • City Hospital / Facility Name Specialty% Dollars

    Billed Out Of Network *

    Network Status Providers

    WICHITA FALLS

    KELL WEST REGIONAL

    HOSPITAL LLC

    Neonatology INSUFFICIENT CLAIMS DATA

    Pathology 0% IN NETWORK STRATE, SUSAN M, MD

    Radiology 0% IN NETWORK RADIOLOGY ASSOCS OF WICHITA FALLS

    UNITED REGIONAL

    HEALTH CARE SYSTEM INC

    Anesthesiology 5% IN NETWORKSTAR ANESTHESIA PA

    WICHITA FALLS ANESTHESIA PLLCEmergency Room 2% IN NETWORK TITANIUM EMERGENCY GROUP LLP

    Neonatology SERVICE NOT AVAILABLE

    Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF NORTH TX

    Radiology 0% IN NETWORK RADIOLOGY ASSOCS OF WICHITA FALLS

    ** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

    Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

    * % of Total Dollar Amount Billed 11/1/2018 - 10/31/2019

    Current as of February 2020

    Fort Worth Texas Hospital Based Physicians

    Counties: Archer, Baylor, Clay, Cooke, Ellis, Hood, Jack, Johnson, Montague, Parker, Somervell, Tarrant, Wichita, Wilbarger, Wise

    This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

    17

  • CLAY COUNTYMEMORIALHOSPITAL

    RADIOLOGYu Perez Young, Irene V MDGender: FemaleNPI: 1760462162

    4216 Bearclaw CircleAledo, TX 76008(303) 933-8270

    B S & WORTHOPEDIC &SPINE HOS

    ANESTHESIOLOGYShenoy, Smitha V MDGender: FemaleNPI: 1598971418

    4707 Highlander BlvdArlington, TX 76015(817) 583-7100

    43408 Shorewood CTArlington, TX 76016(817) 470-4128Stetler, Jacob B DOGender: MaleNPI: 1124386164

    4707 Highlander BlvdArlington, TX 76015(972) 715-5000

    EMERGENCY MEDICINEChoi, David J MDGender: MaleNPI: 1376692285

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7010Gogu, Sujan DOGender: MaleNPI: 1407268162

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7010Guevara, Esequiel C MDGender: MaleNPI: 1205851102

    4707 Highlander BlvdArlington, TX 76015(850) 437-7736

    Hitchcock, Robert J MDGender: MaleNPI: 1952343139

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7010Schneider, Cary N DOGender: MaleNPI: 1285855163

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7010Urso, Richard S MDGender: MaleNPI: 1548240898

    4707 Highlander BlvdArlington, TX 76015(850) 437-7736

    B S & W SURGICAREMANSFIELD

    ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 19523887531001 Waldrop DrSte 403Arlington, TX 76012(817) 468-4343800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343♿800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343

    u Cottingham, Andrew J MDGender: MaleNPI: 1003893819

    ♿4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343

    BAYLOR MEDICALCENTERWAXAHACHIE

    GENERAL SURGERYGraham, Andre MDGender: MaleNPI: 1376525253

    4

    U3500 W Wheatland RdArlington, TX 76012(214) 947-5704

    BS&W ALL SAINTSMED CTR FT WORTH

    ANESTHESIOLOGYu Eichenholz, Philip W MDGender: MaleNPI: 1427037084

    42000 E Lamar BlvdSte 400Arlington, TX 76006(682) 227-6849

    GENERAL SURGERYu Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092

    BS&W MEDICALCENTER GRAPEVINE

    ANESTHESIOLOGYu Hillebrand, John A MDGender: MaleNPI: 1659328680

    4811 Wright StArlington, TX 76012(972) 715-5000

    GENERAL SURGERYLele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471

    u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092

    u Hagman, Joseph E MDGender: MaleNPI: 12250950374000 Five Points BlvdSte 133Arlington, TX 76018(817) 522-7070

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    ALEDO 03/16/2020

    18

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • BS&W SURGICALHOSPITAL FORTWORTH

    EMERGENCY MEDICINEGuevara, Esequiel C MDGender: MaleNPI: 1205851102

    4707 Highlander BlvdArlington, TX 76015(850) 437-7736

    COOK CHILDRENSMEDICAL CENTER

    NEONATAL-PERINATALMEDICINETurner, Richard DOGender: MaleNPI: 1033171764

    ♿800 W Randol Mill RdArlington, TX 76012(817) 960-6100

    ENCOMPASSHEALTHREHABILITATION H

    ANESTHESIOLOGYu Phillips, Michael S MDGender: MaleNPI: 1306823927800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343Sardar, Winfred A MDGender: MaleNPI: 1952362824

    ♿4501 Rita Ln Ste 101Arlington, TX 76014(817) 419-9048

    ENNIS REGIONALMEDICAL CENTER

    GENERAL SURGERYGraham, Andre MDGender: MaleNPI: 1376525253

    4

    U3500 W Wheatland RdArlington, TX 76012(214) 947-5704

    GLEN ROSEMEDICAL CENTER

    ANESTHESIOLOGYu Blanchard, Lawrence D

    MDGender: MaleNPI: 1427101906

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    u Hockert, Pamela MDGender: FemaleNPI: 1780813600

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    u Tseng, Alex Y DOGender: MaleNPI: 1457317125

    43408 Sharewood CTArlington, TX 76016(972) 223-9600

    u Vadher, Bharat N MDGender: MaleNPI: 1922015064

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    JOHN PETER SMITHHOSPITAL

    ANESTHESIOLOGYu Arnold, John MDGender: MaleNPI: 1043263270

    4440 New York AveArlington, TX 76010(817) 927-4125Mathews, Manu MDGender: MaleNPI: 13464577514400 New York AveArlington, TX 76018(817) 702-8500Merchant, Munir S MDGender: MaleNPI: 11048603944400 New York AveArlington, TX 76018(817) 702-8500

    u Subramanian, Joysree MDGender: FemaleNPI: 12159439496407 S Cooper St Ste 117Arlington, TX 76001(817) 472-7601Wu, Liancun MDGender: MaleNPI: 1649270109

    4440 New York AvenueArlington, TX 76010(817) 920-6864

    NEONATAL-PERINATALMEDICINELucena, Jose E MDGender: MaleNPI: 13361295011050 W Arkansas LnSte 150Arlington, TX 76013(817) 702-8400

    KINDRED HOSPITALMANSFIELD

    GENERAL SURGERYu Harrison, Jason M MDGender: MaleNPI: 1679547863

    ♿301 HighlanderSte 101Arlington, TX 76018(817) 419-9200

    KINDRED HOSPITALTARRANT COUNTYARLINGTONCAMPUS

    EMERGENCY MEDICINEChoi, David J MDGender: MaleNPI: 1376692285

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7010

    RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092

    MEDICAL CITYALLIANCE

    NEONATAL-PERINATALMEDICINELucena, Jose E MDGender: MaleNPI: 13361295011050 W Arkansas LnSte 150Arlington, TX 76013(817) 702-8400

    MEDICAL CITYARLINGTON

    ANESTHESIOLOGYu Graybill, David B DOGender: MaleNPI: 1194753996

    ♿6702 Poly Webb RdDFW Medical CenterArlington, TX 76016(817) 478-0095Poku, Joseph K MDGender: MaleNPI: 1558789065

    43301 Matlock RdArlington, TX 76015(240) 566-1639

    u Stout, Bryce L MDGender: MaleNPI: 1740237569

    4811 Wright StArlington, TX 76012(972) 715-5000

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    03/16/2020 ARLINGTON

    19

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • MEDICAL CITYARLINGTON(continued)

    EMERGENCY MEDICINEQuayson, Esi MDGender: FemaleNPI: 1699033043

    43301 Matlock RdArlington, TX 76015(214) 217-1911Joining Network orLocation:03/15/2020Urso, Richard S MDGender: MaleNPI: 1548240898

    4707 Highlander BlvdArlington, TX 76015(850) 437-7736

    GENERAL SURGERYu Harrison, Jason M MDGender: MaleNPI: 1679547863

    ♿301 HighlanderSte 101Arlington, TX 76018(817) 419-9200Lele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471Nguyen, Long N MDGender: MaleNPI: 1952591745515 W Mayfield Rd Ste 240Arlington, TX 76014(682) 224-3748

    u Padmanabhan, Rajesh SMDGender: MaleNPI: 19625175163215 Omega DrArlington, TX 76014(817) 466-74003125 Matlock RdSte 107Arlington, TX 76015(817) 466-7400

    u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    u Washington, Kimberly LMDGender: FemaleNPI: 1396989034

    ♿301 HighlanderSte 101Arlington, TX 76018(817) 419-9200

    NEONATAL-PERINATALMEDICINELucena, Jose E MDGender: MaleNPI: 13361295011050 W Arkansas LnSte 150Arlington, TX 76013(817) 702-8400

    PATHOLOGYJones, Christopher MDGender: MaleNPI: 1346538139

    43301 Matlock RoadArlington, TX 76015(682) 509-4524Krishnan, Robini C MDGender: MaleNPI: 1538149406

    ♿43301 Matlock RdArlington, TX 76015(972) 404-9345

    u Raza, Adeel MDGender: MaleNPI: 1275895922

    43301 Matlock RdArlington, TX 76015(817) 472-4840

    RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092

    u Gibbs, Gordon F MDGender: MaleNPI: 1417929373

    ♿U515 W Mayfield RdSte 407Arlington, TX 76014(682) 330-7703

    MEDICAL CITY FORTWORTH

    ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 19523887531001 Waldrop DrSte 403Arlington, TX 76012(817) 468-4343800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343♿800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343

    u Blanchard, Lawrence DMDGender: MaleNPI: 1427101906

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    u Eichenholz, Philip W MDGender: MaleNPI: 1427037084

    42000 E Lamar BlvdSte 400Arlington, TX 76006(682) 227-6849

    EMERGENCY MEDICINEMilling, Sarah MDGender: FemaleNPI: 1689905044

    U3301 Matlock RoadArlington, TX 76015(972) 204-5293Joining Network orLocation:03/15/2020

    MEDICAL CITYNORTH HILLS

    EMERGENCY MEDICINEBuessing, Melissa A DOGender: FemaleNPI: 1134416357

    43301 Matlock RdArlington, TX 76015(972) 758-3598Joining Network orLocation:03/15/2020Woodward, Philip G DOGender: MaleNPI: 1104806447

    43301 Matlock RdArlington, TX 76015(972) 758-3523Joining Network orLocation:03/15/2020

    GENERAL SURGERYNguyen, Long N MDGender: MaleNPI: 1952591745515 W Mayfield Rd Ste 240Arlington, TX 76014(682) 224-3748

    u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    ARLINGTON 03/16/2020

    20

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • MEDICAL CITYSURGERY CENTERFT WO

    ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 19523887531001 Waldrop DrSte 403Arlington, TX 76012(817) 468-4343800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343♿800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343

    MEDICAL CITYWEATHERFORD

    ANESTHESIOLOGYu Blanchard, Lawrence D

    MDGender: MaleNPI: 1427101906

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    METHODISTMANSFIELDMEDICAL CTR

    ANESTHESIOLOGYu Cottingham, Andrew J MDGender: MaleNPI: 1003893819

    ♿4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343

    Kamal, Aqeel K DOGender: MaleNPI: 1801280235

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7100

    GENERAL SURGERYu Alexander, Richard A MDGender: MaleNPI: 1164679627306 E Randol Mill RdSte 136Arlington, TX 76011(817) 224-2292

    u Frenzel, Clayton A DOGender: MaleNPI: 1285770784

    ♿U1000 N Davis Dr Ste CArlington, TX 76012(817) 342-02321000 North Davis DrSte CArlington, TX 76012(817) 342-0234

    u Harrison, Jason M MDGender: MaleNPI: 1679547863

    ♿301 HighlanderSte 101Arlington, TX 76018(817) 419-9200

    u Jones, Kory MDGender: FemaleNPI: 1033235627811 W I 20Ste 212Arlington, TX 76017(817) 275-3309Stiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

    METHODISTSOUTHLAKEHOSPITAL

    ANESTHESIOLOGYShenoy, Smitha V MDGender: FemaleNPI: 1598971418

    4707 Highlander BlvdArlington, TX 76015(817) 583-7100

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    GENERAL SURGERYu Fradkin, Kevin D MDGender: MaleNPI: 19726039344000 Five Points BlvdSte 133Arlington, TX 76018(817) 522-7070

    u Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

    NORTH TEXASMEDICAL CENTER

    GENERAL SURGERYu Dill, Leah A DOGender: FemaleNPI: 1033272828

    ♿515 W MayfieldSte 402Arlington, TX 76014(817) 467-3000

    TEXAS HEALTHSURGERY CENTERARLIN

    ANESTHESIOLOGYu Arnold, John MDGender: MaleNPI: 1043263270

    4440 New York AveArlington, TX 76010(817) 927-4125

    Poku, Joseph K MDGender: MaleNPI: 1558789065

    43301 Matlock RdArlington, TX 76015(240) 566-1639

    u Stout, Bryce L MDGender: MaleNPI: 1740237569

    4811 Wright StArlington, TX 76012(972) 715-5000

    GENERAL SURGERYStiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

    TX HEALTHARLINGTONMEMORIAL HOSP

    ANESTHESIOLOGYAbanobi, Maryann MDGender: FemaleNPI: 1790027191

    4

    U800 W Randol Mill RdArlington, TX 76012(817) 960-6537

    u Arnold, John MDGender: MaleNPI: 1043263270

    4440 New York AveArlington, TX 76010(817) 927-4125

    u Cottingham, Andrew J MDGender: MaleNPI: 1003893819

    ♿4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343Lavender, Kimberly MDGender: FemaleNPI: 1740570340

    4800 W Randol Mill RdArlington, TX 76012(972) 715-5000

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    03/16/2020 ARLINGTON

    21

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • TX HEALTHARLINGTONMEMORIAL HOSP(continued)

    ANESTHESIOLOGY(continued)

    u Mehta, Vivek MDGender: MaleNPI: 1629085782201 W Randol MillRdArlington, TX 76011(817) 987-1805Moreland, Justin P DOGender: MaleNPI: 1174967541

    4811 Wright StArlington, TX 76012(972) 715-5000Read, Jaythomas MDGender: MaleNPI: 1144563776

    4800 W Randol Mill RdArlington, TX 76012(972) 715-5000

    u Smith, Lance S MDGender: MaleNPI: 1942335245

    4800 W. Randol Mill RdArlington, TX 76012(817) 960-6536

    u Stout, Bryce L MDGender: MaleNPI: 1740237569

    4811 Wright StArlington, TX 76012(972) 715-5000Tian, Lei MDGender: FemaleNPI: 1083957179

    4800 W Randol Mill RdArlington, TX 76012(972) 715-5000

    GENERAL SURGERYu Bowers, Benjamin L MDGender: MaleNPI: 1275506776811 W I 20 Ste 212Arlington, TX 76017(817) 275-3309

    u Dyslin, David C MDGender: MaleNPI: 17200512122800 E Broad StSte 404Arlington, TX 76017(817) 275-3309811 W I 20Ste 212Arlington, TX 76017(817) 784-8268

    u Jones, Kory MDGender: FemaleNPI: 1033235627811 W I 20Ste 212Arlington, TX 76017(817) 275-3309Lele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471

    u Lyons, Augustus E MDGender: MaleNPI: 1487627972811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

    u Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

    u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000Stiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

    NEONATAL-PERINATALMEDICINETurner, Richard DOGender: MaleNPI: 1033171764

    ♿800 W Randol Mill RdArlington, TX 76012(817) 960-6100

    RADIOLOGYAmosson, Chad M MDGender: MaleNPI: 1790786879902 W Randol MillSte 150Arlington, TX 76012(817) 664-9600515 W Mayfield RdSte 101Arlington, TX 76014(817) 467-6092Sura, Giri R MDGender: FemaleNPI: 1164786737811 W Interstate 20Ste G 40Arlington, TX 76017(817) 505-1400

    TX HEALTH HARRISMETH HOSP SW FW

    GENERAL SURGERYu Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

    TX HEALTHHUGULEY HOSP FTWORTH S

    ANESTHESIOLOGYu Blanchard, Lawrence D

    MDGender: MaleNPI: 1427101906

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    u Eichenholz, Philip W MDGender: MaleNPI: 1427037084

    42000 E Lamar BlvdSte 400Arlington, TX 76006(682) 227-6849

    GENERAL SURGERYu Darnell, Michael P MDGender: MaleNPI: 1750365185515 W Mayfield Rd Ste 407Arlington, TX 76014(682) 999-8346

    RADIOLOGYTadjali, Azita K MDGender: FemaleNPI: 1841414786

    U811 I 20Ste G 40Arlington, TX 76017(817) 505-1400

    TX HLTH HARRISMETH SOUTHLAKE

    ANESTHESIOLOGYu Hockert, Pamela MDGender: FemaleNPI: 1780813600

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    GENERAL SURGERYu Oswalt, Barry F MDGender: MaleNPI: 18412535564000 Five Points BlvdSte 133Arlington, TX 76018(817) 522-7070

    u Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    ARLINGTON 03/16/2020

    22

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • TX HLTH HARRISMETH SOUTHLAKE(continued)

    PATHOLOGYu Roberts, Cory A MDGender: MaleNPI: 1942223706

    ♿1001 N Waldrop DriveSte 514Arlington, TX 76012(817) 471-1090

    TX HLTH HARRISMETHODISTCLEBURNE

    ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 19523887531001 Waldrop DrSte 403Arlington, TX 76012(817) 468-4343800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343♿800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343

    u Phillips, Michael S MDGender: MaleNPI: 1306823927800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343

    TX HLTH HARRISMETHODIST HOSPFW

    GENERAL SURGERYu Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    NEONATAL-PERINATALMEDICINENedrelow, Jonathan H MDGender: MaleNPI: 19725670633301 Matlock RdArlington, TX 76015(817) 465-3241Turner, Richard DOGender: MaleNPI: 1033171764

    ♿800 W Randol Mill RdArlington, TX 76012(817) 960-6100

    RADIOLOGYTadjali, Azita K MDGender: FemaleNPI: 1841414786

    U811 I 20Ste G 40Arlington, TX 76017(817) 505-1400

    TX HLTH HARRISMETHODIST HOSPHEB

    GENERAL SURGERYu Seda, Angela E MDGender: FemaleNPI: 1003077355906 W Randol Mill RdSte 200Arlington, TX 76012(817) 261-4906

    u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    TX HLTH HEARTVASCULARARLINGTON

    GENERAL SURGERYLele, Himalaya E MDGender: MaleNPI: 1962407007515 West MayfieldSte 311Arlington, TX 76014(817) 468-3471

    u Senkowsky, Jon F MDGender: MaleNPI: 16199766281001 Waldrop DrSte 612Arlington, TX 76012(817) 861-3000

    TX HLTH SURGERYCENTER CLEBURNE

    ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 19523887531001 Waldrop DrSte 403Arlington, TX 76012(817) 468-4343800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343♿800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343

    u Phillips, Michael S MDGender: MaleNPI: 1306823927800 W ArbrookSte 120Arlington, TX 76015(817) 468-4343Roberts, Courtney R MDGender: MaleNPI: 1629033576

    4

    U800 W Randol Mill RdArlington, TX 76012(817) 960-6537

    TX HLTH SURGERYCTR PARK HILL

    ANESTHESIOLOGYu Arnold, John MDGender: MaleNPI: 1043263270

    4440 New York AveArlington, TX 76010(817) 927-4125

    UNITED REGIONALHLTH CARE SYSTEM

    GENERAL SURGERYTauriainen, Mikko P MDGender: MaleNPI: 1174529325515 W Mayfield RdSte 311Arlington, TX 76014(817) 468-3471

    USMD HOSPITAL ATARLINGTON LP

    ANESTHESIOLOGYu Cottingham, Andrew J MDGender: MaleNPI: 1003893819

    ♿4800 W Arbrook BlvdSte 100Arlington, TX 76015(817) 468-4343800 W Arbrook BlvdSte 120Arlington, TX 76015(817) 468-4343

    u Escarzega Phan, Don MDGender: MaleNPI: 1073747150

    U1119 W Randol Mill RdSte 100Arlington, TX 76012(817) 860-2700

    u Graybill, David B DOGender: MaleNPI: 1194753996

    ♿6702 Poly Webb RdDFW Medical CenterArlington, TX 76016(817) 478-0095

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    03/16/2020 ARLINGTON

    23

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • USMD HOSPITAL ATARLINGTON LP(continued)

    ANESTHESIOLOGY(continued)Safo, Adelle MDGender: FemaleNPI: 1871939843

    4801 West I 20Arlington, TX 76017(972) 715-5000Sardar, Winfred A MDGender: MaleNPI: 1952362824

    ♿4501 Rita Ln Ste 101Arlington, TX 76014(817) 419-9048

    GENERAL SURGERYu Bowers, Benjamin L MDGender: MaleNPI: 1275506776811 W I 20 Ste 212Arlington, TX 76017(817) 275-3309

    u Dyslin, David C MDGender: MaleNPI: 17200512122800 E Broad StSte 404Arlington, TX 76017(817) 275-3309811 W I 20Ste 212Arlington, TX 76017(817) 784-8268Flory, Hannah H MDGender: FemaleNPI: 1922442912811 W I 20 Ste 212Arlington, TX 76017(817) 275-3309

    u Jones, Kory MDGender: FemaleNPI: 1033235627811 W I 20Ste 212Arlington, TX 76017(817) 275-3309

    u Lyons, Augustus E MDGender: MaleNPI: 1487627972811 W I-20Ste 212Arlington, TX 76017(817) 275-3309Stiefel, Paul H MDGender: MaleNPI: 1417929183811 W I-20Ste 212Arlington, TX 76017(817) 275-3309

    RADIOLOGYu Balch, Emmet H MDGender: MaleNPI: 1568464147

    4801 W Interstate 20Arlington, TX 76017(713) 461-3573

    u Derdeyn, Leslie J MDGender: MaleNPI: 1831198209811 W I 20 Ste G 26Arlington, TX 76017(817) 505-1600Jordan, Larry K MDGender: MaleNPI: 1255312740

    4801 W Interstate 20Arlington, TX 76017(713) 461-3573

    u Kacholiya, Nidhi MDGender: FemaleNPI: 1043463318

    4801 W Interstate 20Arlington, TX 76017(713) 461-3573Leitko, Jeffrey K MDGender: MaleNPI: 1245374537

    4801 W Interstate 20Arlington, TX 76017(713) 461-3573811 W Interstate 20Ste G 40Arlington, TX 76017(817) 505-1400Mamillapalli, Narayana SMDGender: MaleNPI: 1972724086

    4801 W Interstate 20Arlington, TX 76017(713) 461-3573

    Neela, Sangeeta MDGender: FemaleNPI: 1760686349

    4801 W Interstate 20Arlington, TX 76017(713) 461-3573Slonim, Suzanne M MDGender: FemaleNPI: 1699723528

    ♿801 W I 20Arlington, TX 76017(817) 472-3417

    u Usher, Kenneth W MDGender: MaleNPI: 1366492431

    ♿801 West I 20Arlington, TX 76015(214) 946-4397

    u Wilson, John D MDGender: MaleNPI: 1144204652801 W Interstate 20Arlington, TX 76017(214) 946-4397

    USMD HOSPITAL ATFORT WORTH LP

    EMERGENCY MEDICINEGogu, Sujan DOGender: MaleNPI: 1407268162

    4

    U707 Highlander BlvdArlington, TX 76015(817) 583-7010

    GENERAL SURGERYu Dyslin, David C MDGender: MaleNPI: 17200512122800 E Broad StSte 404Arlington, TX 76017(817) 275-3309811 W I 20Ste 212Arlington, TX 76017(817) 784-8268

    WISE HEALTHSYSTEM

    ANESTHESIOLOGYu Blanchard, Lawrence D

    MDGender: MaleNPI: 1427101906

    43408 Shorewood CTArlington, TX 76016(817) 470-4128

    GENERAL SURGERYu Frenzel, Clayton A DOGender: MaleNPI: 1285770784

    ♿U1000 N Davis Dr Ste CArlington, TX 76012(817) 342-02321000 North Davis DrSte CArlington, TX 76012(817) 342-0234

    JOHN PETER SMITHHOSPITAL

    ANESTHESIOLOGYMathews, Manu MDGender: MaleNPI: 1346457751401 Stribling DrAzle, TX 76020(817) 927-4100

    SEYMOURHOSPITAL

    EMERGENCY MEDICINEOpella, Christoph M MDGender: MaleNPI: 1134184716

    ♿4108 Denver TrailAzle, TX 76020(817) 444-8670

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    ARLINGTON 03/16/2020

    24

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • TX HEALTH HARRISMETH HOSP SW FW

    GENERAL SURGERYu Jordan, C Daniel DOGender: MaleNPI: 1194921452137 A N IndustrialAzle, TX 76020(817) 757-1675

    TX HEALTHHUGULEY HOSP FTWORTH S

    EMERGENCY MEDICINEOpella, Christoph M MDGender: MaleNPI: 1134184716

    ♿4108 Denver TrailAzle, TX 76020(817) 444-8670

    TX HLTH HARRISMETHODIST HOSPFW

    GENERAL SURGERYu Shabout, Nabeel M MDGender: MaleNPI: 1033160858

    ♿909 Southeast PkwySte 103Azle, TX 76020(817) 753-6917

    WISE HEALTHSYSTEM

    EMERGENCY MEDICINEOpella, Christoph M MDGender: MaleNPI: 1134184716

    ♿4108 Denver TrailAzle, TX 76020(817) 444-8670

    B S & WORTHOPEDIC &SPINE HOS

    RADIOLOGYWoods, Carolyn J MDGender: FemaleNPI: 1285672519

    41320 Airport FwyBedford, TX 76022(214) 345-4406

    BAYLOR MEDICALCENTERWAXAHACHIE

    GENERAL SURGERYu Skyiepal, Mark D MDGender: MaleNPI: 11240402662700 Tibbets Dr Ste 301 1Bedford, TX 76022(817) 770-0079

    BS&W ALL SAINTSMED CTR FT WORTH

    GENERAL SURGERYu Grays, Peter E MDGender: MaleNPI: 1306868716

    ♿1909 Central DrSte 202Bedford, TX 76021(817) 571-4620

    RADIOLOGYu McQuaid, Martha I MDGender: FemaleNPI: 1902856339

    41615 Hospital PkwyBedford, TX 76022(800) 000-0000

    BS&W MEDICALCENTER GRAPEVINE

    ANESTHESIOLOGYu Enty, Don A MDGender: MaleNPI: 12159149241604 Hospital PkwySte 308Bedford, TX 76022(817) 354-8697

    u Pettibon, Michael D MDGender: MaleNPI: 1699752097

    ♿41604 Hospital PkwySte 309Bedford, TX 76022(817) 354-8697

    GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 1902856800

    ♿1609 Hospital PkwyBedford, TX 76022(817) 359-9000Meltzer, Robert G MDGender: MaleNPI: 1417907486

    ♿41604 Hospital PkwySte 208Bedford, TX 76022(817) 540-2544

    JOHN PETER SMITHHOSPITAL

    ANESTHESIOLOGYMathews, Manu MDGender: MaleNPI: 1346457751837 Brown TrBedford, TX 76022(817) 920-6400

    MEDICAL CITY FORTWORTH

    GENERAL SURGERYu Grays, Peter E MDGender: MaleNPI: 1306868716

    ♿1909 Central DrSte 202Bedford, TX 76021(817) 571-4620

    MEDICAL CITYNORTH HILLS

    ANESTHESIOLOGYu Enty, Don A MDGender: MaleNPI: 12159149241604 Hospital PkwySte 308Bedford, TX 76022(817) 354-8697

    u Pettibon, Michael D MDGender: MaleNPI: 1699752097

    ♿41604 Hospital PkwySte 309Bedford, TX 76022(817) 354-8697

    GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 1902856800

    ♿1609 Hospital PkwyBedford, TX 76022(817) 359-9000Meltzer, Robert G MDGender: MaleNPI: 1417907486

    ♿41604 Hospital PkwySte 208Bedford, TX 76022(817) 540-2544

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    03/16/2020 AZLE

    25

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

  • METHODISTSOUTHLAKEHOSPITAL

    GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 1902856800

    ♿1609 Hospital PkwyBedford, TX 76022(817) 359-9000

    u Seda, Angela E MDGender: FemaleNPI: 10030773551609 Hospital PkwyBedford, TX 76022(817) 662-0008

    TX HEALTHARLINGTONMEMORIAL HOSP

    GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 1902856800

    ♿1609 Hospital PkwyBedford, TX 76022(817) 359-9000

    u Seda, Angela E MDGender: FemaleNPI: 10030773551609 Hospital PkwyBedford, TX 76022(817) 662-0008

    TX HLTH HARRISMETH SOUTHLAKE

    ANESTHESIOLOGYu Pettibon, Michael D MDGender: MaleNPI: 1699752097

    ♿41604 Hospital PkwySte 309Bedford, TX 76022(817) 354-8697

    GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 1902856800

    ♿1609 Hospital PkwyBedford, TX 76022(817) 359-9000

    u Seda, Angela E MDGender: FemaleNPI: 10030773551609 Hospital PkwyBedford, TX 76022(817) 662-0008

    TX HLTH HARRISMETHODIST HOSPFW

    GENERAL SURGERYu Grays, Peter E MDGender: MaleNPI: 1306868716

    ♿1909 Central DrSte 202Bedford, TX 76021(817) 571-4620Meltzer, Robert G MDGender: MaleNPI: 1417907486

    ♿41604 Hospital PkwySte 208Bedford, TX 76022(817) 540-2544

    NEONATAL-PERINATALMEDICINENedrelow, Jonathan H MDGender: MaleNPI: 19725670631600 Hospital PkwyBedford, TX 76022(817) 685-4000White, Bernadette MDGender: FemaleNPI: 1740628544

    41600 Hospital PkwyBedford, TX 76022(817) 685-4000

    TX HLTH HARRISMETHODIST HOSPHEB

    ANESTHESIOLOGYu Enty, Don A MDGender: MaleNPI: 12159149241604 Hospital PkwySte 308Bedford, TX 76022(817) 354-8697

    u Pettibon, Michael D MDGender: MaleNPI: 1699752097

    ♿41604 Hospital PkwySte 309Bedford, TX 76022(817) 354-8697

    GENERAL SURGERYu Brian, Mary B MDGender: FemaleNPI: 1902856800

    ♿1609 Hospital PkwyBedford, TX 76022(817) 359-9000Meltzer, Robert G MDGender: MaleNPI: 1417907486

    ♿41604 Hospital PkwySte 208Bedford, TX 76022(817) 540-2544Pratt, Babafemi B MDGender: MaleNPI: 11747738731604 Hospital PkwySte 501Bedford, TX 76022(817) 684-2700

    u Seda, Angela E MDGender: FemaleNPI: 10030773551609 Hospital PkwyBedford, TX 76022(817) 662-0008

    u Shah, Sajid H MDGender: MaleNPI: 14979209531604 Hospital PkwySte 501Bedford, TX 76022(817) 684-2700

    PATHOLOGYMontgomery Goecker,Crystal MDGender: FemaleNPI: 1689018954

    41600 Hospital PkwyBedford, TX 76022(214) 638-2000

    u Powell, Ted B MDGender: MaleNPI: 1003824483

    ♿41600 Hospital PkwyBedford, TX 76022(817) 685-4042

    TX HLTH HEARTVASCULARARLINGTON

    ANESTHESIOLOGYEifling, Michael D MDGender: MaleNPI: 1295921989

    4

    U1305 Airport FrwySte 301Bedford, TX 76021(682) 223-9120

    MEDICAL CITYARLINGTON

    ANESTHESIOLOGYu Graybill, David B DOGender: MaleNPI: 1194753996

    ♿6311 Southwest BlvdBenbrook, TX 76132(817) 731-9400

    NOCONA GENERALHOSPITAL

    EMERGENCY MEDICINEDingler, Chance W MDGender: MaleNPI: 1780743898

    ♿504 Mason StBowie, TX 76230(940) 872-3333

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

    BEDFORD 03/16/2020

    26

    ♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

  • NOCONA GENERALHOSPITAL(continued)

    EMERGENCY MEDICINE(continued)Dingler, Leonard T MDGender: MaleNPI: 1164439352

    ♿4504 Mason StBowie, TX 76230(940) 872-3333West, George R MDGender: MaleNPI: 1811051329

    ♿4504 Mason StBowie, TX 76230(940) 872-3333

    GENERAL SURGERYAujla, Surinder S MDGender: MaleNPI: 1104887272

    ♿1010 N Mill StBowie, TX 76230(940) 872-1121

    UNITED REGIONALHLTH CARE SYSTEM

    EMERGENCY MEDICINEHilmi, John O MDGender: MaleNPI: 1568480978

    4705 E Greenwood AveBowie, TX 76230(940) 763-1207Menchaca, Rodrigo X MDGender: MaleNPI: 1083672927

    ♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200Meyer, Stuart J MDGender: MaleNPI: 1578521373

    ♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200Moreno, Armando T MDGender: MaleNPI: 1083672885

    ♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200

    Myers, Alan S MDGender: MaleNPI: 1588622450

    ♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200Ruiz, Ricardo MDGender: MaleNPI: 1992759856

    ♿45420 Kellwest BlvdBowie, TX 76230(940) 763-1200♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200Selvaraj, Ramasamy MDGender: MaleNPI: 1295792612

    ♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200Walker, Cortnie MDGender: FemaleNPI: 1043491822

    4705 E Greenwood AveBowie, TX 76230(940) 763-1200Zardain, Victor M MDGender: MaleNPI: 1699733493

    ♿4705 E Greenwood AveBowie, TX 76230(940) 763-1200

    WILBARGERGENERAL HOSPITAL

    EMERGENCY MEDICINEAnwasi, Francis C MDGender: MaleNPI: 1356537344

    4705 E GreenwoodBowie, TX 76230(281) 363-3156

    WISE HEALTHSYSTEM

    EMERGENCY MEDICINEHoover, Andrew W MDGender: MaleNPI: 1902837727

    4705 E Greenwood AveBowie, TX 76230(281) 363-3156

    BS&W ALL SAINTSMED CTR FT WORTH

    RADIOLOGYu McQuaid, Martha I MDGender: FemaleNPI: 1902856339

    41905 Doctors Hospital DrBridgeport, TX 76426(940) 683-2325

    u Miles, Michele R MDGender: FemaleNPI: 1194764787

    41905 Doctors Hospital DrBridgeport, TX 76426(940) 683-2325

    u Wise, Denise K MDGender: FemaleNPI: 1184634586

    41905 Doctors Hospital DrBridgeport, TX 76426(940) 683-2325

    TX HLTH HARRISMETHODIST HOSPFW

    RADIOLOGYGeorgelas, Timothy J MDGender: MaleNPI: 1184688970

    41905 Doctors Hospital DrBridgeport, TX 76426(940) 683-2325

    TX HLTH HARRISMETHODIST HOSPHEB

    RADIOLOGYu Forte, Thalia B MDGender: FemaleNPI: 1063461036

    41905 Doctors Hospital DrBridgeport, TX 76426(940) 530-0100Georgelas, Timothy J MDGender: MaleNPI: 1184688970

    41905 Doctors Hospital DrBridgeport, TX 76426(940) 683-2325

    WISE HEALTHSYSTEM

    GENERAL SURGERYu Wright, Randall A MDGender: MaleNPI: 1902903438

    ♿1903 Doctors Hosp DrSte 34Bridgeport, TX 76426(940) 683-2468

    B S & W SURGICAREMANSFIELD

    ANESTHESIOLOGYu Berlin, Scott A MDGender: MaleNPI: 1952388753649 NE Alsbury BlvdBurleson, TX 76028(817) 558-4600

    BAYLOR MEDICALCENTERWAXAHACHIE

    ANESTHESIOLOGYu Parish, Elizabeth S MDGender: FemaleNPI: 1689885840

    411801 South FreewayBurleson, TX 76028(817) 293-9100

    BS&W ALL SAINTSMED CTR FT WORTH

    ANESTHESIOLOGYAl Rawas, Nawar N MDGender: MaleNPI: 1235425562

    411801 South FreewayBurleson, TX 76028(877) 882-9099

    u Andres, Jason B DOGender: MaleNPI: 1194876243

    411801 South FreewayBurleson, TX 76028(877) 882-9099

    Facility-b