State Health Programs Medi-Cal Directory Provider Directorio de Proveedores Guide to choosing your doctor Stanislaus County, Volume 12, 2018 m ! a e t o G Hopper, Health Net Helping kids learn how to stay healthy and fit. Table Of Contents Introduction.....................................................................................................................................................5 Clinics...........................................................................................................................................................25 Ceres.................................................................................................................................25 Empire...............................................................................................................................25 Hilmar................................................................................................................................25 Livingston..........................................................................................................................25 Modesto.............................................................................................................................25 Newman............................................................................................................................27 Oakdale.............................................................................................................................27 Patterson...........................................................................................................................27 Riverbank..........................................................................................................................27 Turlock...............................................................................................................................27 Westley..............................................................................................................................28 Primary Care Physicians.............................................................................................................................33 Ceres.................................................................................................................................33 Livingston..........................................................................................................................33 Modesto.............................................................................................................................33 Newman............................................................................................................................38 Patterson...........................................................................................................................39 Riverbank..........................................................................................................................39 Turlock...............................................................................................................................40 Waterford...........................................................................................................................40 Obstetrics and Gynecology Providers........................................................................................................43 Hilmar................................................................................................................................43 Livingston..........................................................................................................................43 Modesto.............................................................................................................................44 Patterson...........................................................................................................................49 Turlock...............................................................................................................................50 Specialist......................................................................................................................................................53 Ceres.................................................................................................................................53 Livingston..........................................................................................................................53 Modesto.............................................................................................................................53 Newman..........................................................................................................................104 Oakdale...........................................................................................................................104 Patterson.........................................................................................................................108 Turlock.............................................................................................................................111 Hospitals.....................................................................................................................................................129 Urgent Care Facilities................................................................................................................................133 Skilled Nursing Facilities............................................................................................................................137 Volume 12, 2018 www.healthnet.com / 3 Facilities and Other Services.....................................................................................................................141 Pharmacies................................................................................................................................................147 Vision..........................................................................................................................................................155 Acupuncture Providers..............................................................................................................................161 Health Net Mental Health Providers..........................................................................................................165 Provider Index............................................................................................................................................177 4/ www.healthnet.com Volume 12, 2018 Introdu ction Introduction Choosing your primary care physician The Practice Locator Service is only available in English. If you do not speak English, please call (PCP) Health Net’s Member Services Department at When you enroll with Health Net, you will select 1-800-675-6110. A representative will be happy to a primary care physician (PCP); a PCP is a doctor contact the Practice Locator Service and provide who will be your personal doctor. Your PCP may you with the information in your language. be a family practice, general practice, internal medicine, obstetrics and gynecology (OB/GYN), All eligible Native Americans have the right to or pediatrics (for your children) physician. You access medical services through Indian Health may want to have one doctor who will see your Service facilities. You do not need a referral from whole family, or you may want to have one doctor your PCP. The health plan will reimburse the for you and a different doctor for your children. facilities for covered services. Your PCP will be the doctor you will see when you Some hospitals and other providers do not are sick; he or she will refer you to a specialist and provide one or more of the following services coordinate your health care whenever you need it. that may be covered under this health plan, and You must always see your PCP each time you need which members might need: family planning; medical treatment unless it is an emergency. You contraceptive services, including emergency do not need to get a referral from your PCP to visit contraception; sterilization, including tubal your eye doctor for a regular examination, for a ligation at the time of labor and delivery; infertility family planning visit, for care during pregnancy, or treatments; or abortion. Call your doctor or clinic, to access a nurse midwife. or call Health Net’s Medi-Cal Member Services Department at 1-800-675-6110 to ensure that you If you are a female member, you may choose to see can obtain the health care services that you need. an OB/GYN for routine examinations and prenatal care. You do not need a referral from your PCP, If you feel this document has given wrong, but you may ask him or her to recommend the partial or deceptive information, you may file a name of an OB/GYN for you. There is also a listing complaint. To file a complaint, go to of these providers in the section of your directory www.healthnet.com, or contact our Member titled “OB/GYN Providers.” The OB/GYN you Services Department at 1-800-675-6110. You can choose must be a Health Net provider and belong also contact us by mail. to the same medical group as your PCP. Send your complaint to: For assistance in locating a nurse midwife in your PO Box 9103 area, please contact the American College of Nurse Van Nuys, CA 91409-9103 Midwives’ electronic “Practice Locator Service” at 1-888-MIDWIFE (643-9433). You will be asked to enter your ZIP code, and you will be provided with the name, address and telephone number of the nurse midwife (or midwives) closest to your area. Volume 12, 2018 www.healthnet.com / 5 PCP Specialty Chart Doctor specialty Who will he or she see? Family practice Your whole family General practice Your whole family Internal medicine Adults only (age 18 and older) OB/GYN Women only (age 18 and older) Pediatrician Children only (age 18 and younger) The chart above will help you learn what each Health Net does not and cannot guarantee the specialty (type of PCP) means, so you can choose initial or continued availability of any particular the best doctor for you and your family. participating provider. The current participation status of any provider can be obtained by calling Now that you have an idea about the type of Health Net’s Member Services Department at doctor you want as a PCP for yourself and your 1-800-675-6110. family, you need to select who that doctor will be. • Look for the city where you live. • Pick a doctor for you and your family. • Write the doctor ID (identification) number or the name of the doctor(s) you choose for you and your family on the Medi-Cal Health Plan Choice Form. • Sign your name on the Medi-Cal Health Plan Choice Form. • Check to make sure you filled out the Medi-Cal Health Plan Choice Form completely. • Mail your completed Medi-Cal Health Plan Choice Form in the self-addressed, stamped envelope included with your packet. 6/ www.healthnet.com Volume 12, 2018 Member Identification Card When you become a member of Health Net, you will receive a member identification card like the one pictured below. You will need to show this card each time you see your doctor, get your prescriptions (medicine), use the emergency room, or see your eye doctor. Keep this card with you at all times. Do not throw your Medi-Cal (BIC) because you are sick, and cannot reach him/her, please call our Member Services Department, card away and a representative will connect you with a You will need to use your Medi-Cal card to see nurse who will be able to help you and answer your Medi-Cal dentist and to get some other your questions. services that are not covered by Health Net. Remember: If you have a life-threatening 24-hour Member Services Department emergency, call 911 for emergency help or go immediately to the closest emergency room. Health Net has a Member Services Department for you to call if you ever have any questions To talk to a Member Services representative, about your health plan, want to change your call 1-800-675-6110. This is a free call for you to doctor, or have a complaint about your doctor make, and you can talk to someone 24 hours a or the plan. The Member Services Department day, every day. The Member Services Department is open 24 hours, every day, including weekends phone number is also on the back of your and holidays. A friendly representative is always Health Net member identification card. available for you whenever you need help. Thank you for becoming a member of Member Services is your link to Health Net’s Health Net. We look forward to serving your Nurse Triage Department. If you try to call your health care needs. doctor on the weekend or after office hours Volume 12, 2018 www.healthnet.com / 7 Accessibility Information Below is information used in the provider directory to indicate accessibility at a provider office or building site. This information is not a promise that every doctor will always have the access that you may need for a disability. You should call the doctor’s office to talk about your access needs for your disability. Accessibility Requirements: Basic: Facility represents all applicable Limited: Facility is missing one or more of the accessibility requirements excluding “T”. accessibility requirements excluding “T”. Indicator Definition Criteria Parking spaces, including van accessible space(s), are accessible. P Parking Pathways have curb ramps between the parking lot, office, and at drop-off locations. Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of EB Exterior building the ramp. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, IB Interior building it is available for public/patient use at all times the building is open. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help. The restroom is accessible and the doors are wide enough to accommodate a wheelchair or scooter and are easy to open. The restroom has enough room for a wheelchair or scooter to turn around R Restroom and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use. Patient diagnostic Patients are able to access and use testing and treatment areas, and PD and treatment use equipment. Members can get to and use all common areas and equipment with or PA Participant areas without help. The entrance to the exam room is accessible, with a clear path. The doors open wide enough to accommodate a wheelchair or scooter and E Exam room are easy to open. The exam room has enough room for a wheelchair or scooter to turn around. The exam table moves up and down and the scale is accessible with handrails to assist people with wheelchairs and scooters. The weight T Exam table/scale scale is able to accommodate a wheelchair. OR, Patients can get on or off medical equipment with or without help. 8/ www.healthnet.com Volume 12, 2018 Clinic Information Below is information used in the provider directory to indicate different types of clinics. Indicator Definition CC Community Clinic COO County-Owned and/or Operated Clinic FQHC Federally Qualified Health Center MXCL Mixed Specialty Clinic RHC Rural Health Clinic TIHC Tribal/Indian Health Clinic DSHC Disproportionate Share Hospital Clinic Volume 12, 2018 www.healthnet.com / 9 • Did you find something you think might be • You can ask for someone to help you talk wrong in any of our provider directories? with your doctor in your language. This is an Please let us know so we can fix it. interpreter. – Call us at 1-800-675-6110 (TTY: 711). – To ask for an interpreter at no cost to – Email us at [email protected]. you, please call Member Services at 1-800-675-6110 (TTY: 711). Please have your • You have the right to get full and equal access member ID number when you call. You must to health care services covered by your health call at least three days before your doctor plan. This is also true if you have a disability, visit to have an interpreter there with you according to the following laws: on the day of your doctor visit. For sign – The Americans with Disabilities Act of 1990. language services, please call five days before – Section 504 of the Rehabilitation Act of 1973. your doctor visit. 10/ www.healthnet.com Volume 12, 2018