| State
|
Carrier
Name, Address and Telephone |
Internet
|
Medical
Director |
| Alabama
|
Blue
Cross and Blue Shield of Alabama, P.O. Box 830139, Birmingham,
AL 35283-0139
Overnight
44 Inverness Center Parkway
6th Floor
Birmingham, AL 35242
(P) 205.988.2100; (F) 205.981.484 |
www.almedicare.com
|
Fred
Robertson. M.D.
Carrier Medical Director
Region IV
205.981.4921
205.981.4708 (fax)
frobertson@bcbsal.org |
| Alaska
|
Noridian
Mutual Insurance Company
6811 South 204th Street, Suite 300
Kent, WA 98032
(P) 877.908.8431 |
www.noridianmedicare.com |
Dick
Whitten, M.D.
Carrier Medical Director
Region |
| Arizona
|
Noridian
Mutual Insurance Company
5333 North 7th Street, Suite C-123
Phoenix, AZ 85014-2821
(P) 877.908.8431 or 602-532-2506 (F) 602.532.2501 |
www.noridianmedicare.com |
William
Mangold, JR,MD, JD
Carrier Medical Director
Region IX |
| Arkansas
|
Arkansas
Medicare Services
(Arkansas Blue Cross & Blue Shield)
601 Gains Street
Little Rock, AR 72201
(P) 501.378.2000; (F) 501.378.2804
Toll Free Provider Line
877.908.8434 |
www.arkmedicare.com |
Sidney
Hayes, MD
501.918.7423
Ann Burleson
214.767.4453 |
| California
|
National
Heritage Insurance Co.
Northern California
6402 Otterson Drive
Chico, CA 95928
(P) 530-896-7032
Southern
California
1055 W. 7th Street, Fifth Floor
Los Angeles, CA 90017
(P) 213-741-5673 |
www.medicarenhic.com |
Northern
California
Carrier Medical Director-open
Southern California Carrier Medical Director-open |
| Colorado
|
Noridian
Mutual Insurance Company
730
North Simms Street; Suite 100
Golden, CO 80401
(P) 877.908.8431 or 303.858.5633
(F) 303.858.5698 |
www.noridianmedicare.com |
Robert
F. Szczys, MD
Carrier Medical Director
Region VIII
(f) 303.858.5698
Robert.szczys@nordian.com |
| Connecticut
|
First
Coast Service Options
P.O. Box 9000
321 Research Park Drive
Meriden, CT 06450
(P) 866.419.9455 |
www.connecticutmedicare.com |
Frank
Delli Carpini, MD
Carrier Medical Director
|
| Delaware
|
Trailblazer
Health Enterprises, LLC
Timonium II
1954 Greenspring Drive
Timonium, MD 21093
(P) 410.316.7574; (F) 410.527.5659 |
www.trailblazerhealth.com |
Laurence
Clark, M.D.
Mitchell Burken, M.D.
Carrier Medical Director
Region III |
| District
of Columbia |
Trailblazer
Health Enterprises, LLC
Timonium II
1954 Greenspring Drive
Timonium, MD 21093 (P) 410.316.7574; (F) 410.527.5659 |
www.trailblazerhealth.com |
Laurence
Clark, M.D.
Carrier Medical Director
Region III
Mitchell Burken, M.D. Assistant Carrier Medical DIrector |
| Florida
|
First
Coast Service Options
532 Riverside Avenue
P.O. Box 2078
Jacksonville, FL 32231 |
www.flordiamedicare.com |
Sidney
Sewell, MD
Carrier Medical Director
(Patty)
904-791-8211; 904-791-8006 (fax) |
| Georgia
|
Cahaba
GBA of Georgia
P.O. Box 3018
12052 Middleground Road
Savanah, GA 31402 |
www.GAMEDICARE.com
|
Charles
Whigham, MD
Carrier Medical Director
Region IV
912.921.3081 |
| Hawaii,
Guam, and Northern Mariana Islands |
Noridian
Mutual Insurance Company (NDBCBS)
1001 Bishop Street
Pacific Tower, Suite 985
Honolulu, HI 96813
(P) 808.522.1570, (F) 808.522.1577 |
www.noridianmedicare.com
|
Bernard
W.D. Fong MD
Carrier Medical Director
Region IX
Specialty: Cardiology |
| Idaho
|
Cigna
Healthcare
P.O. Box 49
Boise, Idaho 83707
(P) 208.333.2170 (F) 208.333.2191 |
www.cignamedicare.com
|
Donal
G. Norris, MD
Carrier Medical Director
Region X |
| Illinois
|
Wisconsin
Physician Services
111 East Wackers Drive
Chicago, IL 60611
(P) 312.228.6254; (F) 312.228.6280 |
www.wpsic.com
|
Stephen
Boren, M.D.
Carrier Medical Director
Region V
sboren@WPSIC.com |
| Indiana
|
AdminaStar
Federal
8115 Knue Road
Indianapolis , IN 46250
(P) 317.841.4400; (F) 317.841.4691 |
www.adminastar.com
www.astar-federal.com
|
Carolyn
Cunningham, MD
Carrier Medical Director
Region V
carolyn_cunningham@aici.com |
| Iowa
|
Noridian
Mutual Insurance Company
Suite 175
2200 Rittenhouse Street
Des Moines, Iowa 50320
(P) 866.502.9057 or 515.974.3603 |
www.noridian.com/medweb/hihome.html
|
Edward
Hertko, MD
Carrier Medical Director
Region VII
Specialty: Internal Medicine
Ed.Hertko@noridian.com |
|
Kansas
|
BCBS
of Kansas
1133 Southwest Topeka Blvd.
P.O. Box 239
Topeka, KS 66629
(P) 877.567.7270 |
www.noridianmedicare.com
|
S.
Satya-Murti, MD
Carrier Medical Director
Patrick
Price, MD
Assistant Carrier Medical Director
Region V
|
| Kentucky
|
AdminaStar
Federal
9901 Linn Station Road
Louisville, KY 40223
(P) 317.841.4400; (F) 317.841.4691 |
www.adminastar.com |
Carolyn
Cunningham, MD
Carrier Medical Director
Region IV |
| Louisiana
|
Louisiana
Medicare Services
8687 United Plaza Blvd.
Building 9
Baton Rouge, LA 70809
Louisiana Part B Operations
P.O. Box 9850; Baton Rouge, LA 70809 |
www.lamedicare.com |
Lynn
Hickman, MD
Carrier Medical Director
Specialty: Internal Medicine
225.231.2114; 225.231.2277 (f) |
| Maine
|
National
Heritage Insurance Company
75 William Terry Drive
Hingham, MA 02044
(P) 781.741.3122 |
www.nhic.com |
Charlotte
Yeh, MD
Carrier Medical Director
Region I
Specialty: Emergency Medicine
781.741.3122; 781.741.3211 (f) |
|
Maryland
|
Trailblazer
Health Enterprises, LLC
Timonium II
1954 Greenspring Drive
Timonium, MD 21093
(P) 410.316.7574; (F) 410.527.5659 |
www.trailblazerhealth.com |
P.
Michael Riisager, MD
Carrier Medical Director
Region III
410.316.7574; 410.527.5659 (f) |
| Massachusetts
|
National
Heritage Insurance Co.
75 William Terry Drive
Hingham, MA 02044
(P) 781.741.3122; (F) 781.741.3211 |
www.nhicmedicare.com
www.nhic.com |
Charlotte
Yeh, MD
Carrier Medical Director
Region I
Specialty: Emergency Medicine
781.741.3122; 781.741.3211 (f) |
| Michigan
|
Wisconsin
Physician Services
600 Plaza Drive
Detroit, MI 48226
(P) 313.962.6578; (F) 313.965.7876 |
www.wpsic.com
|
Michael
Rosenberg, MD
Carrier Medical Director
Region V
Specialty: Anesthesia |
| Minnesota
|
Wisconsin
Physician Services
8120 Penn Avenue South
Bloomington, MN 55431
(P) 612.885.2832; (F) 612.885.2895
Provider Line: 877.908.8470 |
www.wpsic.com |
Kathleen
D. Brooks MD
Carrier Medical Director
Region V |
| Mississippi
|
Cahaba
GBA
775 Woodland Parkway
Ridgeland, MS 39157
(P) 866.419.9454 |
www.msmedicare.com |
James
E. Strong, MD
Carrier Medical Director
Region IV
Specialty: Internal Medicine |
| Missouri
|
Missouri
Medicare Services
BCBS of Arkansas/Missouri-Eastern Suite 200
12755 Olive Street
Creve Coeur, MO 63141
Western Missouri-BCBS of Kansas 11333 South Topeka Boulevard
Topeka, KS 66629 |
www.momedicare.com
www.kansasmedicare.com |
Eastern
Missouri- Lynn Hickman, MD
Carrier Medical Director
Specialty: Internal Medicine
Western Missouri-S. Satya-Murti, MD Carrier Medical
Director |
| Montana
|
Blue
Cross and Blue Shield of Montana
P.O. Box 4310
Helena, MT 59604
(P) 877.567.7203 |
www.medicare.bcbsmt.com |
Fred
Olson, MD, PhD
Carrier Medical Director
Region: VIII
Specialty: Family Practice |
| Nebraska
|
Blue
Cross and Blue Shield of Kansas
1133 Southwest Topeka Blvd.
Topeka, KS 66629
(P) 785.291.7934 or 877.567.7270 (F) 785.291.7824 |
www.kanasasmedicare.com |
S.
Satya-Murti, MD
Carrier Medical Director
Region VII
Specialty: Neurology |
| Nevada
|
Noridian
Mutual Insurance Company
5333 North 7th Street
Suite C-123
Phoenix, AZ 85014
(P) 602.532.2506 or 877.908.8431 (F) 602.532.2501 |
www.noridianmedicare.com
|
William
Mangold, JR,MD, JD
Carrier Medical Director
Region IX
Specialty: Plastic Surgery |
| New
Hampshire |
National
Heritage Insurance Co.
75 William Terry Drive
Hingham, MA 02044
(P) 781.741.3122; (F) 781.741.3211 |
www.nhic.com |
Charlotte
Yeh, MD
Carrier Medical Director Region I
Specialty: Emergency Medicine |
| New
Jersey |
Empire
Medicare Services
300 E. Park Drive Harrisburg, PA 17111 (P) 877.567.9235
|
www.empiremedicare.com |
Eileen
M. Moynihan, MD
Carrier Medicare Director
Region III
Specialty: Rheumatology |
| New
Mexico |
Arkansas
Blue Cross and Blue Shield-Oklahoma/New Mexico Territory
Medicare Services P.O. Box 25500 Oklahoma City, OK 73125-0500
(P) 877.567.9230 |
www.oknnmedicare.com |
Lynn
Hickman, MD Carrier Medical Director |
|
New
York |
Empire
Medicare Services
P.O. Box 288
Crompond, NY 10517-0288 (P) 877.869.6504
Bronx, Columbia, Delaware, Dutchess, Greene, Kings,
Nassau, New York, Orange, Putnam, Richmond, Rockland,
Suffolk, Sullivan, Ulster & Westchester
Group
Health Incorporated (NY)
25 Broadway
New York, NY 10004
(P) 877-868-7965
Queens County, NY Only |
www.empiremedicare.com
www.ghimedicare.com
|
Norbert
Rainford, MD
Carrier Medical Director
Specialty: Cardiology; 914.248.2725
Paul Deutsch, MD
Associate Carrier Medical Director
Region II
Specialty: Cardiology; 914.248.3214
914.248.2766 (f)
Joseph G. Presto, MD
Medical Director |
| Upstate
New York |
Health
Now- New York
33 Lewis Road; P.O. Box 5236
Binghamton, NY 13902 (P) 877.567.7173 |
www.umd.nycpic.com |
Edward
Cox, MD
Carrier Medical Director
Region II
Emcox@nypic.com |
| North
Carolina |
CIGNA
North Carolina
4125 Mendlehall Oaks Parkway Highpoint, NC 27265 (P)
866.238.9651 |
www.cignamedicare.com
|
Boyd
Honeycutt, MD
Carrier Medical Director
Region IV
boyd.honeycutt@cigna.com |
| North
Dakota |
Noridian
Mutual Insurance Company
9600 Southwest Oak Street, Suite 340 Portland, OR 97223
(P) 503.977.1205
|
www.noridianmedicare.com
|
George
Waldman, MD
Carrier Medical Director
Region VIII |
|
Ohio
|
Palmetto
GBA
3400 South Park Place, Suite F Grove City, OH 43123-4846
(P) 877.567.9232 |
www.palmettogba.com
|
Robert
Kamps, MD
Carrier Medical Director |
|
Oklahoma
|
Arkansas
Blue Cross and Blue Shield-Oklahoma/New Mexico Territory
Medicare Services P.O. Box 25500 Oklahoma City, OK 73125-0500
(P) 877.567.9230
|
www.oknnmmedicare.com
|
Lynn
Hickman, MD
Carrier Medical Director
Region VI |
|
Oregon
|
Noridian
Mutual Insurance Company
9600 SW Oak Street, Suite 340
Portland, OR 97223-6586 (P) 503.977.1205 |
www.noridianmedicare.com |
George
Waldmann, MD
Carrier Medical Director |
| Pennsylvania
|
HGS
Administrators
P.O. Box 890413
Camp Hill, PA 17089-0065
(P) 717.763.3151
(F) 717.975.7045 |
www.hgsa.com
|
Andrew
Bloschichak, MD; MBA
Medical Director
Region III
Abloschichak@highmark.com |
| Puerto
Rico and U.S. Virgin Islands |
Triple-S
Inc.
Box 71391
1441 Franklin D. Roosevelt Ave, 4th Floor
San Juan, Puerto Rico 00936 (P) 787.749.4144
(F) 787.749.4092 |
www.triples-med.org
|
Gonzalo
Ganzalez LiBoy, MD
Carrier Medical Director
Region II
Specialty: Internal Medicine
gvgll035@pol.net |
| Rhode
Island |
Blue
Cross Blue Shield of Rhode Island
444 Westminster Street
Providence, RI 02903; (P) 401-459-1000
(F) 401-459-1709 |
www.rimedicare.com
|
Parker
Staples, MD
Carrier Medical Director |
|
South
Carolina |
Palmetto
Government Benefits Administrators
2300 Springdale Drive BUILDING ONE
P.O. Box 100190 Columbia, SC 29202
Camden, SC 29020 (P) 866.238.9654 |
www.palmettogba.com
|
David
P. Sheridan, MD, MS
Carrier Medical Director |
|
South
Dakota |
Noridian
Mutual Insurance Company
Suite 175
2200 Rittenhouse Street
Des Moines, Iowa 50320
(P) 866.502.9057 or 515.974.3603 |
www.noridianmedicare.com |
Edward
Hertko, MD
Carrier Medical Director
Region VII
Specialty: Internal Medicine
Ed.Hertko@noridian.com |
| Tennessee
|
CIGNA
Medicare
2 Vantage Way Nashville, TN 37228 (P) 866.238.9651 |
www.cignamedicare.com |
Eugene
Winter, MD
Carrier Medical Director |
|
Texas
|
Trailblazers
Health Enterprises, LLC
P.O. Box 660156
Dallas, TX 75266-0156
Street Address: 8330 LBJ Freeway, Executive Center 3
Dallas, TX 75243
(P) 972.766.6900 (F) 972.766.1765 |
www.trailblazerhealth.com
|
Charles
Haley, MD
Carrier Medical Director
Region VI
Deborah Patterson, MD Assistant Carrier Medical Director
|
|
Utah
|
Regence
Blue Cross and Blue Shield of Oregon
P.O. Box 8110 M/S D-8C Portland, OR 97207-8110
Street
Address: 1600 SW Fourth Street, 4th Floor Portland,
OR 97201
(P)
801-333-2000
(F) 801-333-6510
|
www.ut.medicare.regence.com
|
John
Stone, MD
Carrier Medical Director
Region VII
jstone@regence.com |
|
Vermont
|
National
Heritage Insurance Co.
75 William Terry Drive
Hingham, MA 02044 (P) 781.741.3122; (F) 781.741.3211 |
www.nhic.com
|
Charlotte
Yeh, MD
Carrier Medical Director
Region I
Specialty: Emergency Medicine |
| Virginia
|
Trailblazers
Health Enterprises, LLC Timonium II
1954 Greenspring Drive
Timonium, MD 21093
(P) 410.316.7574; (F) 410.527.5659 |
www.trailblazerhealth.comx |
Lawrence
Clark, MD
Carrier Medical Director |
| Washington
|
Noridian
Administrative Services
6811 South 204th, Suite 300
Kent, WA 98032-2359
(P) 2533437.5402 |
www.noridianmedicare.comx |
Richard
Whitten, MD
Carrier Medical Director |
|
West
Virginia |
Palmetto
GBA
3400 South Park Place, Suite F Grove City, OH 43123-4846
(P) 877.567.9232 |
www.palmettogba.com |
Robert
Kamps, MD
Medical Director |
| Wisconsin
|
Wisconsin
Physician Service
1601 Engel Street P.O. Box 1787 Madison, WI 53713
|
www.wpsic.com |
Kenneth
Bussan, MD
Carrier Medical Director |
|
Wyoming
|
Noridian
Mutual Insurance Company
730 North Simms Street, Suite 100 Golden, CO 80401-4730
(P) 877.908.8431 or 303.858.5633
(F) 303.858.5698 |
www.noridianmedicare.com |
Robert
F. Szczys, MD
Carrier Medical Director
Region VIII
Robert.szczys@nordian.com |
