1. Healthcare

NEW ORLEANS REGION
HOSPITAL-BASED PHYSICIANS
Use the chart below to see whether a hospital-based physician or group participates in
Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or Community Blue
networks.
The New Orleans Region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James,
St. John, St. Mary, St. Tammany, Tangipahoa, Terrebonne and Washington Parishes.
BlueConnect is offered in Jefferson and Orleans parishes only; however, members have access to all
BlueConnect providers, including those located in other parishes.
Click Here - For instructions on reading
this chart or for more information.
**This facility does NOT have ER
services
Alliance Surgery Center LLC
3717 Houma Boulevard, Ste
200
Metairie, La 70006
(504) 885-7676
P
P
**This facility does NOT have ER
or radiology services
Ambulatory Eye Surgery
Center of Louisiana
3900 Veterans Blvd, Ste 100
Metairie, La 70002
(504) 455-1550
P
P
**This facility does NOT have ER
or radiology services
AEC Physicians
3717 Houma Blvd Suite 200
Metairie, La 70006
(504) 885-7676
P
P
P
P
U
P
P
P
P
Miraca Life Sciences
6655 North MacArhtur Blvd
Irving, Tx 75039
(800) 979-8292
STAT Anesthesia Inc
3900 Veterans Blvd Suite 100
Metairie, La 70002
(504) 455-7550
P
P
Quest Diagnostics
4648 South I-10 Service Rd
Metairie, La 70001
(800) 377-8448
P
More u
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 1R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Compan4
1 of 31
(OUT OF NETWORK)
P
RADIOLOGY
P
PATHOLOGY
P
NEONATOLOGY
Advanced Pain Insitute
42131 Veterans Ave
Hammond, La 70403
(985) 345-7246
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
NON-CONTRACTED
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
P
Contracted Networks
HMO NETWORK
P
Specialty
PPO NETWORK
Advanced Pain Institute Treatment Center
42131 Veterans Ave Ste 200
Hammond, La 70403
(985) 345-7246
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
BLUECONNECT
NETWORK
This chart is for informational purposes only and may have changed since it was last updated on January 30, 2015
EMERGENCY ROOM
MEDICINE
•
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Anesthesia Associates of La APMC
315 Liberty St
Houma, La 70361
(985) 223-3132
Bayou Region Surgical Center
604 North Acadia Road, Ste
300
Thibodaux, La 70301
(985) 449-1244
P
P
P
Thibodaux Regional Medical
Center
602 N Acadia Rd
Thibodaux, La 70301
(985) 493-4747
P P P
Childrens Hospital Anesthesia
Corp
200 Henry Clay Ave
New Orleans, La 70118
(504) 896-9456
P
P
P P P
P
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
2 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P
P P
Childrens Hospital
Emergency Room Physicians
200 Henry Clay Ave
New Orleans, La 70118
(504) 896-9474
HMO NETWORK
PPO NETWORK
RADIOLOGY
PATHOLOGY
P
Thibodaux Regional Network
Development Corp
602 North Acadia Rd
Thibodaux, La 70302
(985) 493-4347
Childrens Hospital
Medical Staff Services
200 Henry Clay Ave
New Orleans, La 70118
(504) 899-9511
P
Contracted Networks
P
Propath Associates LLC
207 W 3rd St
Thibodaux, La 70301
(985) 446-1200
**This facility does NOT have ER
services
Childrens Hospital
200 Henry Clay Avenue
New Orleans, La 70118
(504) 899-9511
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
**This facility does NOT have ER
services
Clinical Pathology Laboratories
5615 Jackson Street
Suite C
Alexandria, LA 71301
(318)443-4332
Day Surgery Inc
151 Frontage Rd A
Gray, La 70359
(985) 580-1200
P
P
**This facility does NOT have
ER, radiology or pathology
services
P
P
U
P
P
P P
P
P
U
P
Delta Pathology
2915 Missouri Ave
Shreveport, La 71109
(318) 621-8820
P
Regional Radiology LLC
1202 S Tyler St
Covington, La 70433
(985) 898-4000
Youngs Professional Services
1100 Andre St Ste 300
New Iberia, La 70563
(337) 365-6591
P
Headache & Pain Center AMC
531 A Jefferson Terrace Blvd
New Iberia, La 70560
(337) 560-0880
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
3 of 31
(OUT OF NETWORK)
P P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
RADIOLOGY
PATHOLOGY
NEONATOLOGY
P
P
Regional Radiology LLC
1202 S Tyler St
Covington, La 70433
(985) 898-4000
P
P
P
Correct Care, Inc.
1700 EE Wallace Blvd, N
Ferriday, La 71334
(3158) 757-6551
Cypress Pointe Surgical
Hospital
42570 S Airport Rd
Hammond, La 70403
(985) 510-6200
Contracted Networks
HMO NETWORK
Youngs Professional Services, Inc.
200 Greenleaves Blvd.
Mandeville, LA 70448
(985) 690-8200
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
Specialty
PPO NETWORK
Cypress Pointe Hospital East
989 Robert Blvd
Slidell, La 70458
(985) 690-8200
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Southern Pain & Anesthesia
Consultants
1207 Lake Villa Dr Suite A
Metairie, La 70002
(504) 887-7207
P
P
P
P P
P
**This facility does NOT have ER
or radiology services
East Jefferson Ambulatory
Surgery Center
4320 Houma Blvd 5th Floor
Metairie, La 70006
(504) 274-2200
Jefferson Pathology LLC
4200 Houma Blvd
Metairie, La 70006
(504) 883-5500
P
P
**This facility does NOT have ER
services
Parish Anesthesia Assoc of
Jefferson
4320 Houma Blvd 5th Floor
Metairie, La 70006
(504) 779-5515
P
P
Radiology & Interventional Associates of Metairie LLC
4200 Houma Blvd
Metairie, La 70006
(504) 831-8216
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
4 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
P
BLUECONNECT
NETWORK
P
RADIOLOGY
PATHOLOGY
NEONATOLOGY
EMERGENCY ROOM
MEDICINE
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
P
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Contracted Networks
HMO NETWORK
P
Specialty
PPO NETWORK
Doctor’s Same Day Surgery
Center
4633 Wichers Dr
Marrero, La 70072
(504) 328-0000
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
P
**This facility does NOT have
ER, anesthesiology, or radiology
services
P
P
P P
P
P
U
P
Miraca Life Sciences
6655 North MacArthur Blvd
Irving, Tx 75039
(800) 979-8292
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
5 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
RADIOLOGY
PATHOLOGY
P
P
Radiology & Interventional
Associates of Metairie LLC
4200 Houma Blvd
Metairie, La 70006
(504) 831-8216
Endocenter
131 A Cherokee Rose Lane
Covington, La 70433
(985) 809-8068
P
P
Jefferson Pathology LLC
4200 Houma Blvd
Metairie, La 70006
(504) 883-5500
Parish Anesthesia Associates
3510 N Causeway Blvd Ste 404
Metairie, La 70002
(504) 779-5515
HMO NETWORK
P
P
P
Gulf Emergency Management
4200 Houma Blvd
Metairie, La 70006
(210) 614-0180
East Jefferson General
Hospital
4200 Houma Boulevard
Metairie, La 70006
(504) 454-4000
Contracted Networks
PPO NETWORK
Childrens Hospital
Medical Staff Services
200 Henry Clay Ave
New Orleans, La 70118
(504) 896-9418
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
**This facility does NOT have ER
services
Parish Anesthesia Northshore
67252 Industry Lane
Covington, La 70433
(985) 809-9888
Pontchartrain Diagnostic Imaging LLC
195 Highland Park Entrance
Covington, La 70433
(985) 867-3800
Parish Anesthesia Ambulatory
3434 Houma Blvd, Ste 300
Metairie, La 70006
(504) 454-2017
P
P
P
P
P
P
P
P
P
P
P
**This facility does NOT have ER,
radiology or pathology services
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
6 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
P
Southern Pathology
67241 Industry Lane
Covington, La 70433
(985) 867-4046
Greater New Orleans Surgery
Center/The Hand Surgery Center
of LA
3434 Houma Blvd, Ste 300
Metairie, La 70006
(504) 454-2017
HMO NETWORK
Fairway Medical Center LLC
67252 Industry Lane
Covington, La 70433
(985) 809-9888
PPO NETWORK
Data Service Radiology
95 E Fairway Drive
Covington, La 70433
(985) 892-3225
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Gulf Coast Surgical Center
LLC
402 Dunn Street
Houma, La 70360
(985) 872-1661
P
P
P
P
**This facility does NOT have ER
services
Houma Outpatient Surgery
Center
3717 Houma Boulevard, Ste
300
Metairie, La 70006
(504) 456-1515
P
P
**This facility does NOT have ER
or radiology services
P
P
Gulf Coast Pain Institute
1850 Gause Blvd East Ste 201
Slidell, La 70461-8500
(985) 649-5825
P
P
P
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
7 of 31
(OUT OF NETWORK)
NON-CONTRACTED
P
Diversified Professional
6300 Main Street
Zachary, LA 707910
Parish Anesthesia Ambulatory
3510 N Causeway Blvd, Ste 404
Metairie, LA 70002
(504) 779-5515
BLUECONNECT
NETWORK
P
P
Consultant Pathology Services
1141 Whitney Ave Bldg 3
Gretna, La 70054
(504) 779-5515
HMO NETWORK
PPO NETWORK
RADIOLOGY
PATHOLOGY
NEONATOLOGY
EMERGENCY ROOM
MEDICINE
Contracted Networks
P
Quest Diagnostics
4648 South I-10 Service Rd
Metairie, La 70001
(800) 377-8448
**This facility does NOT have
ER, Neonatology, Pathology or
Radiology services
Helios Outpatient Center
1850 Gause Blvd, Ste 201
Slidell, La 70461
(985) 649-5825
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Anesthesia Associates of La APMC
315 Liberty St
Houma, La 70361
(985) 223-3132
**This facility does NOT have ER
or radiology services
Harvard Surgery Center
2520 Harvard Ave Ste 2A
Metairie, La 70001
(504) 378-3668
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Van Meter & Associates
2021 Perdido St
New Orleans, La 70112
(504) 366-7638
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
8 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
HMO NETWORK
PPO NETWORK
EMERGENCY ROOM
MEDICINE
P
RADIOLOGY
Medical Center of Louisiana at New
Orleans Medical Staff Service
1532 Tulane Ave
New Orleans, La 70112
(504) 568-2319
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
P
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
Contracted Networks
PATHOLOGY
Interim LSU Hospital University
Medical Center
2021 Perdido St
New Orleans, La 70162
(504) 903-3000
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
**This facility does NOT have ER or
radiology services
P
P
P
Delta Pathology Group LLP
4801 Ambassador Caffery Pkwy
Lafayette, La 70506
(337) 470-4383
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
Pontchartrain Diagnostic Imaging LLC
195 Highland Park Entrance
Covington, La 70433
(985) 867-3800
P
Alberto Suarez MD
95 Judge Tanner Blvd
Covington, La 70433
(985) 867-4360
P
Van Meter ER Physicians
95 Judge Tanner Blvd
Covington, La 70433
(985) 867-3800
Leonard J Chabert Medical Center
1978 Industrial Boulevard
Houma, La 70360
(985) 873-2200
P
P
P
South Louisiana Medical Associates
1990 Industrial Blvd
Houma, La 70363
(985) 868-9300
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
P
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
9 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P
P
Parish Anesthesia Assoc of
Covington
95 Judge Tanner Blvd
Covington, La 70433
(504) 779-5515
P
P
Jefferson Pathology LLC
4200 Houma Blvd
Metairie, La 70006
(504) 883-5500
Kite Imaging
95 Judge Tanner Blvd
Covington, La 70433-7500
(985) 867-4052
Lakeview Regional Medical
Center
95 Judge Tanner Blvd
Covington, La 70433
(985) 867-3800
RADIOLOGY
PATHOLOGY
NEONATOLOGY
P
HMO NETWORK
Southern Pain & Anes Consultants
1207 Lake Villa Dr Suite A
Metairie, La 70002
(504) 887-7207
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
P
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
Contracted Networks
PPO NETWORK
Jefferson Ambulatory Surgery
Center
2701 Lake Villa Drive
Metairie, La 70002
(504) 274-3100
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
Lady of the Sea General Hospital
Emergency Room Physicians
200 West 134th Place
Cut Off, La 70345
(985) 632-6401
Delta Pathology
2915 Missouri Ave
Shreveport, La 71109
(318) 621-8820
P
P P
P
P
P
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
10 of 31
(OUT OF NETWORK)
U
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
P
Louisiana Heart Hospital Physician
Group
64030 Hwy 434
Lacombe, La 70445
(985) 690-7500
Northlake Anesthesiologist
989 Robert Blvd
Slidell, La 70458
(985) 641-8008
P
P
Crescent Imaging
60132 Oaklawn Dr
Lacombe, La 70445
(985) 882-7732
P
P
P
ProPath Associates
602 N Acadia Rd
Thibodaux, La 70301
(800) 639-2519
Louisiana Medical Center
and Heart Hospital
64030 Highway 434
Lacombe, La 70445
(985) 690-7500
P P
RADIOLOGY
PATHOLOGY
P
HMO NETWORK
Lady of the Sea General
Hospital
200 West 134th Place
Cut Off, La 70345
(985) 632-6401
Contracted Networks
PPO NETWORK
Lady of the Sea General Hospital
Medical Staff Services
200 West 134th Place
Cut Off, La 70345
(985) 632-6401
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
P
P
**This facility does NOT have ER
or radiology services
P
P
P
Metropolitan Gastroenterology
Assoc
1111 Medical Center Blvd, Suite
450S
Marrero, La 70072
(504) 349-6310
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
11 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
RADIOLOGY
PATHOLOGY
NEONATOLOGY
P
Metropolitan Gastroenterology
Assoc
1111 Medical Center Blvd, Suite
450S
Marrero, La 70072
(504) 349-6310
Metropolitan Anesthesia
1111 Medical Center Blvd, Suite
450S
Marrero, La 70072
(504) 349-6310
P
EMERGENCY ROOM
MEDICINE
Metropolitan Gastroenterology
Assoc
1111 Medical Center Blvd, Suite
450S
Marrero, La 70072
(504) 349-6310
Metropolitan Anesthesia
1111 Medical Center Blvd, Suite
450S
Marrero, La 70072
(504) 349-6310
P
P
BLUECONNECT
NETWORK
P
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
P
Contracted Networks
HMO NETWORK
P
**This facility does NOT have ER
or radiology services
MGA Gastrointestinal Diagnostic &
Therapeutic Center Metairie
3333 Kingman St, Ste 202
Metairie, La 70006
(504) 885-3345
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Metropolitan Anesthesia
1111 Medical Center Blvd, Suite
450S
Marrero, La 70072
(504) 349-6310
**This facility does NOT have ER
or radiology services
MGA Gastrointestinal Diagnostic &
Therapeutic Center
1111 Medical Center Blvd, Ste
450 S
Marrero, La 70072
(504) 349-6310
Specialty
PPO NETWORK
MGA Gastrointestinal Diagnostic &
Therapeutic Center
2633 Napoleon Street, Ste 707
New Orleans, La 70115
(504) 896-8680
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
**This facility does NOT have
ER, anesthesia, radiology or
pathology services
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
12 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
P
Specialty
ANESTHESIOLOGY
P
BLUECONNECT
NETWORK
HMO NETWORK
New Orleans Regional
Gamma
Knife Center
3434 Prytania Street, Ste 120
New Orleans, La 70115
(800) 229-9581
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Northlake Endoscopy LLC
16061 Doctors Blvd Ste A
Hammond, La 70403
(985) 345-6090
P
**This facility does NOT have ER
or radiology services
Guardian Anesthesia Services LLC
27327 Driftwood Rd
Folsom, La 70437
(908) 653-9399
P
Scully Sartin and Scioneaux APMC
15790 Paul Vega MD Dr
Hammond, La 70403-1434
(985) 345-2700
P
P
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
13 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
PPO NETWORK
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Consultant Pathology
1141 Whitney Ave Bldg 3
Gretna, La 70056
(504) 361-3757
Northshore Surgical Center
71207 Highway 21
Covington, La 70433
(985) 867-5310
Guardian Anesthesia Services LLC
27327 Driftwood Rd
Folsom, La 70437
(908) 653-9399
P
**This facility does NOT have ER
or radiology services
Northshore Ambulatory Surgery Center
17174 S I-12 Service Rd
Hammond, LA 70403
(985) 675-1120
P
**This facility does NOT have ER
or radiology services
P
P
P
P
P
Southern Pathology
67241 Industry Lane
Covington, La 70433
(985) 867-4046
P
P
Quest Diagnostics
4648 South I-10 Service Rd
Metairie, La 70001
(800) 377-8448
P
P
P
P
P
Southern Pathology
67241 Industry Lane
Covington, La 70433
(985) 867-4046
P
P
P
Quest Diagnostics
4648 South I-10 Service Rd
Metairie, La 70001
(800) 377-8448
P
P
P
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
14 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
PPO NETWORK
RADIOLOGY
PATHOLOGY
Contracted Networks
Lab Corp of America
3510 N Causeway Blvd, Ste 102
Metairie, La 70002
(800) 255-8279
Guardian Anesthesia Services LLC
27327 Driftwood Rd
Folsom, La 70437
(908) 653-9399
P
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
Ochsner Foundation Hospital
1516 Jefferson Highway
New Orleans, La 70121
(504) 842-3000
Ochsner Foundation HospitalWestbank
2500 Belle Chasse Hwy
Gretna, La 70056
(504) 842-3000
P
P
P
P
P
P
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, La 70121
(504) 842-4000
P
P
P
P
P
P
P
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, La 70121
(504) 842-4000
P
P P P
P
P
P
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, La 70121
(504) 842-4000
P
P P P
P
P
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, La 70121
(504) 842-4000
P
P P P
P
P
P
Pediatric Kid Med LLC
120 Meadowcrest St Ste 245
Gretna, La 70056
(504) 391-7690
P
P
P
P
Neonatal Medical Group
1303 Henry Clay Ave
New Orleans, La 70118
(504) 896-2229
P
P
P
P
P
P
P
Belle Chase Emergency Group LLC
200 Corporate Blvd Suite 201
Lafayette, La 70056
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
15 of 31
(OUT OF NETWORK)
P P P
NON-CONTRACTED
P
RADIOLOGY
P
PATHOLOGY
NEONATOLOGY
P
P
Belle Chase Emergency Group LLC
200 Corporate Blvd Suite 201
Lafayette, La. 70598
800-893-9698
Ochsner Hospital- Elmwood
1221 S. Clearview Pkwy.
Harahan, La 70121
(504) 842-5061
BLUECONNECT
NETWORK
P
Contracted Networks
HMO NETWORK
Anesthesia Consultants of South
LLC
2820 Napolean Ave Ste 650
New Orleans, La 70115
(504) 899-1114
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
Specialty
PPO NETWORK
Ochsner Baptist Medical
Center LLC
2700 Napoleon Avenue
New Orleans, La 70115
(504) 464-8650
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
BLUECONNECT
NETWORK
P
P
P P P
P
P
Jessica Borne MD
108 W. Esplane Ave
Kenner, La 70065
P P
P
P
Ryan Majoria MD
5000 Hennessy Blvd
Baton Rouge, La 70809
P P
P
P
P
P
P
P
P
y
P P
P
P
P
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, La 70121
(504) 842-4000
P
Slidell Emergency Group LLC
200 Corporate Blvd Suite 201
Lafayette, LA 70598
800-893-9698
Ochsner Medical Center
Northshore
100 Medical Center Drive
Slidell, La 70461
(985) 649-7070
P
P
P
P
Ochsner Clinic
1514 Jefferson Highway
New Orleans, LA 70121
(504)-842-4000
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, La 70121
(504) 842-4000
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
16 of 31
(OUT OF NETWORK)
HMO NETWORK
P
P
NON-CONTRACTED
PPO NETWORK
P
RADIOLOGY
P
PATHOLOGY
P
NEONATOLOGY
P
LSU Anesthesia Group
1542 Tulane Ave Ste 653
New Orleans, La 70112
(504) 568-2319
P
Contracted Networks
P
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Kenner Emergency Group LLC
200 Corporate Blvd Ste 201
Lafayette, La 70598
(800) 893-9698
Ochsner Medical Center
Kenner
180 West Esplanade Avenue
Kenner, La 70065
(504) 464-8600
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Correct Care Emergency Group
4608 Hwy 1
Raceland, La 70394
(985) 537-6841
Ochsner St Anne General
Hospital
4608 Highway 1
Raceland, La 70394
(985) 537-6841
P
P
P
Ochsner St Anne General Hospital
Medical Staff
4608 Hwy 1
Raceland, La 70394
(985) 537-6841
P
Pro Path
602 N Acadia Rd
Thibodaux, La 70301
(985) 446-1200
P
P
P
**This facility does NOT have
ER or radiology services
Ochsner Medical Center Northshore
100 Medical Center Dr
Slidell, La 70461
(985) 649-7070
P P
P
P U
y
P P U
y
P P
P
P P
y
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
17 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
HMO NETWORK
P
P
North Shore Pathology Service
100 Medical Center Dr
Slidell, La (985) 464-5060
PPO NETWORK
P P
P
US Radiology Partners Inc
107 E Shankland Ave
Jennings, La 70546
(337) 824-4525
Ochsner Outpatient Surgery
Suite
103 Medical Center Dr
Slidell, La 70461
(985) 646-4466
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Van Meter Emergency Physicians
433 Plaza Street
Bogalousa, La 70427
(985) 730-6700
Our Lady of the Angels
Hospital
433 Plaza Street
Bogalusa, La 70427
(985) 730-6700
P
P
LSU Healthcare Network
2020 Gravier St, 6th Floor
New Orleans, La 70112
(504) 412-1146
P
P
**This facility does NOT have
ER or radiology services
P
P
P P
P P P
P
P P
P
P
P P
P P
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
18 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
P P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
PPO NETWORK
P
Quest Diagnostics
4648 South I-10 Service Rd
Metairie, La 70001
(800) 377-8448
St Tammany Anesthesia Group
4320 Houma Blvd
Metairie, La 70006
(504) 849-8571
RADIOLOGY
PATHOLOGY
Contracted Networks
Regional Radiology LLC
1202 S Tyler St
Covington, La 70433
(504) 738-2434
Total Anesthesia Care
1202 S Tyler St
Covington, La 70433
(985) 892-3225
Outpatient Eye Surgery Center
4324 Veterans Boulevard, Ste
101
Metairie, La 70006
(504) 455-4046
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Houma Radiology Assoc
705 Dunn St
Houma, La 70360
(985) 876-2727
Physicians Medical Center
218 Corporate Dr
Houma, La 70360
(985) 853-1390
Physicians Medical Center
Medical Staff Services
218 Corporate Dr
Houma, La 70361
(985) 446-2234
P
**This facility does NOT have ER
services
Pontchartrain Surgery Center
LLC
4407 Hwy 190 Service Rd E,
Ste 200
Covington, La 70433
(985) 234-9700
P
P
P
P
P
Terrebonne General Medical
Center
Medical Staff Services
8166 Main Street
Houma, La 70360
(985) 873-4141
P
P
Southern Pathology
67241 Industry Lane
Covington, La 70433
(985) 898-2754
P
P
P
P
P
P
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
19 of 31
(OUT OF NETWORK)
NON-CONTRACTED
P
Propath Associates LLC
602 North Acadia Rd
Thibodaux, La 70301
Summit Anesthesia
106 Random Oaks Lane
Mandeville, La 70448
(985) 624-3470
BLUECONNECT
NETWORK
P P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
PPO NETWORK
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
River Parishes Hospital
500 Rue De Sante
Laplace, La 70068
(985) 379-1000
P
P
Dr Wadhwa & Dr Oberoi LLC
148 Woodland Drive
Laplace, La 70068
(985) 359-2184
Scully, Sartin & Scioneaux
4648 I-10 Service Road
Metairie, La 70006
(504) 454-5445
P
P
P P
P
P
P
P
P
P
P
P
P
St Tammany Pathology
1202 S Tyler St
Covington, La 70433
(985) 898-4493
P
More u
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
20 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
RADIOLOGY
P
P
Riverside Medical Center ER
Physicians
1900 South Main St
Franklinton, La 70438
(985) 839-4431
Riverside Medical Center Medical
Staff Services
1900 South Main St
Franklinton, La 70438
(985) 839-4431
P
P
Regional Radiology LLC
201 St Ann Dr Suite A
Mandeville, La 70471
(985) 612-2100
P
P P
P
St. John Emergency Group
500 Rue De Sante
Laplace, La 70068
(800) 893-9698
Riverside Medical Center
1900 South Main Street
Franklinton, La 70438
(985) 839-4431
HMO NETWORK
Baton Rouge Radiology
7887 Picardy Ave
Baton Rouge, La 70809
(225) 769-6700
PPO NETWORK
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
EMERGENCY ROOM
MEDICINE
Specialty
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
HOSPITAL OR AMBULATORY
SURGERY CENTER
No Surgical Services
Offered
Facility
Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
ACS Primary Care Physicians
1001 Gause Blvd
Slidell, La 70458
800-424-3672
Slidell Memorial Hospital
1001 Gause Boulevard
Slidell, La 70458
(985) 643-2200
P
P
Northlake Radiology Consultants
433 Plaza St
Bogalusa, La 70427
(985) 730-6711
P
P
P P
P
P
P P
More u
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
21 of 31
(OUT OF NETWORK)
NON-CONTRACTED
P P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
BLUECONNECT
NETWORK
P P
P
Pontchartrain Pathology APMC
1001 Gause Blvd
Slidell, La 70458
(985) 785-2221
HMO NETWORK
P P
P
Pediatrix Medical Group
1202 S Tyler St
Covington, La 70433
(985) 898-4536
PPO NETWORK
RADIOLOGY
Contracted Networks
P
Alma Rivera Levy
1001 Gause Blvd
Slidell, La 70458
(985) 643-2200
Anesthesiology and Perioperative
Medical Consultants LLC
3117 Palm Vista Dr
Metairie, La 70003
(985) 892-3225
PATHOLOGY
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Southlake Surgery Center
694 Belle Terre Blvd
Laplace, La 70068
(985) 359-6694
P
P
P
P
**This facility does NOT have ER
services
P
Northlake Radiology Consultants
500 Pontchartrain Dr
Slidell, La 70458
(985) 646-0691
P
P
P
P
U
North Shore Pathology
100 Medical Center Dr
Slidell, La 70458
(985) 646-5060
P
P
P
Barry J Breaux MD
3700 Saint Charles Ave
New Orleans, La 70115
(504) 896-3100
P
P
P
P
P
P
P
P
U
Zephyr Anesthesia LLC
694 Belle Terre Blvd
Laplace, La 70068
(985) 359-6694
P
Bernard Landry
5400 Kennedy Ave
Cincinnati, OH 45213
Miraca
6655 N. MacArthur Blvd
Irving, TX 75039
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
22 of 31
(OUT OF NETWORK)
U
NON-CONTRACTED
P
BLUECONNECT
NETWORK
RADIOLOGY
PATHOLOGY
P
HMO NETWORK
Southern Surgical Hospital
1700 West Lindberg Drive
Slidell, La 70458
(985) 641-0600
Northlake Anesthesiologist
636 Gause Blvd Ste 200
Slidell, La 70458
(985) 641-8008
Contracted Networks
PPO NETWORK
Correct Care, Inc.
17438 Hard Hat Dr
Covington, La 70435-6054
(985) 875-0077
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
Parish Anesthesia of St. Bernard
8000 West Judge Perez Drive
Chalmette, LA 70043
(504) 826-9600
Southern Emergency Medicine
8000 West Judge Perez Drive
Chalmette, La
(504) 826-9600
P
P
P
P
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
23 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
HMO NETWORK
St. Bernard Parish Hospital
8000 W Judge Perez Drive
Chalmette, LA 70043
(504) 826-9500
Drs. Sartin, Scully and Glaudi
8000 W Judge Perez Drive
Chalmette, LA 70043
(504) 826-9500
PPO NETWORK
Guardian Care LLC
8000 West Judge Perez Drive
Chalmette, LA 70043
(504) 826-9500
Contracted Networks
RADIOLOGY
PATHOLOGY
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
P
P
P
Quest Diagnostics
4648 South I-10 Service Rd
Metairie, La 70001
(800) 377-8448
P
P
P
Drs. Sartin, Scully and Glaudi
1057 Paul Maillard Road
Luling, La 70070
(985) 785-6242
P
P
P
P
P
St. Charles Hospital
1057 Paul Maillard Road
Luling, LA 70070
985-785-6242
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
24 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
HMO NETWORK
P
Regional Radiology
P O Box 1608
Kenner, La 70063
(800) 529-1274
St Charles Parish Hospital
1057 Paul Maillard Road
Luling, La 70070
(985) 785-6242
RADIOLOGY
PATHOLOGY
Contracted Networks
PPO NETWORK
C & M Medical Services
3223 8th St
Metairie, La 70002
(504) 833-7770
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
P
P
P
P
P
P
P
P
P
U
P
P
P
P
P
P
P
P
St Tammany Pathology
1202 S Tyler St
Covington, La 70433
(985) 898-4493
P
P
More u
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
25 of 31
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
P
Regional Radiology LLC
1202 S Tyler St
Covington, La 70433
(504) 738-2434
Total Anesthesia Care
1202 S Tyler St
Covington, La 70433
(985) 892-3225
P
P
Pediatrix Medical Group
1202 S Tyler St
Covington, La 70433
(985) 898-4536
P
P
P
Tchefuncta Emergency Physicians
1202 S Tyler St
Covington, La 70433
(800) 355-2470
St Tammany Parish Hospital
1202 South Tyler Street
Covington, La 70433
(985) 898-4000
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, La 70808
(225) 766-4999
Zephyr Anesthesia LLC
694 Belle Terre Blvd
Laplace, La 70068
(985) 359-6694
HMO NETWORK
St James Parish Hospital
1645 Lutcher Avenue
Lutcher, La 70071
(225) 869-5512
C & M Medical Services
3223 8th St
Metairie, La 70002
(504) 833-7770
PPO NETWORK
Baton Rouge Radiology Group
7887 Picardy Ave
Baton Rouge, La 70809
(225) 769-9337
RADIOLOGY
Contracted Networks
PATHOLOGY
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Summit Surgery Center LLC
7015 Hwy 190 E Service Rd, Ste
101
Covington, La 70433
(985) 893-9366
P
**This facility does NOT have ER,
radiology or pathology services
The Surgery Suite Inc
103 Medical Center Dr
Slidell, La 70461
(985) 646-4466
P P
**This facility does NOT have
anesthesiology or ER services
Northshore Interventional
Management Center
7015 Hwy 190 E Service Rd Ste 101B
Covington, La 70433
(985) 809-1997
P P
P
Professional Radiology Svcs LLC
100 Medical Center Dr
Slidell, La 70461
(985) 649-1306
P
**This facility does NOT have ER
services
Thibodaux Laser and Surgery
Center
1101 Audubon Ave, Ste S 4
Thibodaux, La 70301
(985) 447-7246
P
**This facility does NOT have ER
services
Thibodaux Regional Network
Development Corp
602 N. Acadia Road
Thibodaux, La
985-447-5500
P
P
P
P
P
P P
P
P
P
P
P
More
More u
u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
26 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
P P
P P
P
ProPath Associates
602 N Acadia Rd
Thibodaux, La 70301
(985) 493-4747
Thibodaux Regional Network Dev
1101 Audubon Ave, Suite S4
Thibodaux, La 70301
(985) 447-7246
P P
P
The Houma Radiology Assoc
705 Dunn St
Houma, La 70360
(985) 876-2727
Thibodaux Endoscopy Center
602 North Acadia Road, Ste 101
Thibodaux, La 70301
(985) 446-1958
PPO NETWORK
P
North Shore Pathology Service
100 Medical Center Dr
Slidell, La 70460
(985) 464-5060
Terrebonne General Medical Center
Medical Staff Services
8166 Main St.
Houma, La 70360
(985) 873-4141
RADIOLOGY
PATHOLOGY
Contracted Networks
P
Louisiana EM-1 Medical Services
PO Box 98804
Las Vegas, NV 89193
800-355-0808
Terrebonne General Med Center
8166 Main Street
Houma, La 70360
(985) 873-4141
NEONATOLOGY
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Propath Associates LLC
602 North Acadia Rd
Thibodaux, La 70301
(800) 639-2519
Thibodaux Regional Medical
Center
602 North Acadia Road
Thibodaux, La 70301
(985) 447-5500
P
P
Touro Infirmary
1401 Foucher Street
New Orleans, La 70115
(504) 897-7011
P
P
P
P
P
P
P
P
P
P
Prytania Pathology Associates LLC
1401 Foucher St
New Orleans, La 70115
(985) 785-2221
P
P
P
P
P
P
P
P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
27 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P
Regional Radiology LLC
1202 Tyler St
Covington, La 70433
(985) 898-4000
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
PPO NETWORK
P U
P
Foucher Emergency Group LLC
1401 Foucher St
New Orleans, La 70115
(800) 527-2145
Parish Anesthesia-New Orleans
1401 Foucher Street
New Orleans, La 70115
(504) 897-8300
RADIOLOGY
P
Lafourche Emergency Group LLC
602 N Acadia Rd
Thibodaux, La 70301
(985) 493-4727
Thibodaux Regional
Network Development Corp
602 North Acadia Rd
Thibodaux, La 70301
(985) 447-5500
Contracted Networks
PATHOLOGY
EMERGENCY ROOM
MEDICINE
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
NEONATOLOGY
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
TUHC Radiology Group LLC
1415 Tulane University
New Orleans, La 70112
(504) 988-5800
Tulane Univ Hospital and Clinic
1415 Tulane Avenue
New Orleans, La 70112
(504) 588-5263
Tulane Lakeside Hospital
4700 I 10 Service Rd
Metairie, La 70001
(504) 885-3333
P
P
P
P
Parish Anesthesia of Tulane
3910 North Causeway Ste 404
Metairie, La 70002
(504) 779-5515
P
P
Tulane Medical Center Clinic
1415 Tulane Ave
New Orleans, La 70112
(504) 988-5800
P
P P
Independence Emergency Group
1415 Tulane Avenue
New Orleans, LA 70112
(504) 588-5263-3333
P
P
Independence Emergency Group
1415 Tulane Avenue
Metairie, La 70001
(504) 885-3333
P
P
TUHC Radiology Group LLC
1415 Tulane University
New Orleans, La 70112
(504) 988-5800
TUHC Anesthesiology Group LLC
1415 Tulane Ave
New Orleans, La 70112
(504) 988-5800
P
P
P P
P P
P
P P
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
More u
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P P
P P
Tulane Medical Center Clinic
1415 Tulane Ave
New Orleans, La 70112
(504) 988-5800
P Participates in Blue Cross, HMO and/or BlueConnect networks
HMO NETWORK
PPO NETWORK
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
28 of 31
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
Crescent City Anesthesia Services
1101 Medical Center Boulevard
Marrero, La 70072
(504) 779-5515
P
P
The Delta Pathology Group, LLC
1101 Medical Center Blvd
Marrero, La 70072
(504) 349-1414
P
P
P P
P P
P P
More u
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
29 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
P P
P
Pediatric Kid Med LLC
120 Meadowcrest St Ste 245
Gretna, La 70056
(504) 391-7690
West Jefferson Physician Svcs
1101 Medical Center Blvd
Marrero, La 70072
(504) 349-6021
HMO NETWORK
P P P
Neonatal Medical Group
1303 Henry Clay Ave
New Orleans, La 70118
(504) 896-2229
P P
PPO NETWORK
P P
Jefferson Radiology Associates
5425 Lapalco Blvd
Marrero, La 70072
(504) 340-1328
West Jefferson Medical Center
1101 Medical Center Boulevard
Marrero, La 70072
(504) 347-5511
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
New Orleans Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO and/or HMO Networks
This region consists of Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Tammany, Tangipahoa,Terrbonne and Washington Parishes
West Bank Surgery Center LLC
3704 Lapalco Blvd
Harvey, La 70058
(504) 207-5320
P P
**This facility does NOT have ER or
radiology services
West Jefferson Surgery Center
1111 Medical Center Blvd Ste
N-105
Marrero, La 70072
(504) 349-2332
P P
**This facility does NOT have ER,
radiology or pathology services
Delta Pathology Group LLP
2915 Missouri Ave
Shreveport, La 71109
(318) 621-8820
P
P P
Parish Anesthesia of Harvey LLC
3704 Lapalco Blvd
Harvey, La 70058
(504) 207-5320
P
P P
Parish Anesthesia West Bank
1111 Medical Center Blvd
Marrero, La 70072
(504) 349-6071
P
P P
End n
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
More u
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
30 of 31
(OUT OF NETWORK)
NON-CONTRACTED
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS OF
HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Hospital-Based Physician Chart
Instructions
This is a list of the hospitals and ambulatory surgery centers in this region that participate in the Blue Cross networks. Follow these steps to get the information
you need:
1. Find the facility where you will be receiving care. They are in alphabetical order.
2. Next to each facility, you will see a list of the hospital-based physicians/groups who practice at that facility.
3. The next five columns of the table represent the specialties that are considered hospital-based and include: Anesthesiology, emergency medicine,
neonatology, pathology and radiology. There will be a checkmark (P) in the appropriate specialty column for each physician or group who participates
in the Blue Cross networks. If there is no P, it means that the facility does not have that hospital-based physician specialty or the facility has not
reported data to Blue Cross (Data Not Received).
4. The four columns in blue show whether the physician or group is...
P Participating in Blue Cross’ PPO network;
P Participating in the HMO network (if applicable)
P Participating in the BlueConnect network (if applicable)
5. The last column will be highlighted in red if the physician or group is...
P Not participating in any Blue Cross network and therefore considered “out-of-network.”
6. USome hospital-based physicians participate in the Blue Cross network, but not in the HMO network. These doctors will have a U symbol because they have agreed to not balance bill HMO members for the difference between the Blue Cross allowable charge and the provider’s billed charge.
7. yDoctors who do not participate in the BlueConnect network are identified by a y symbol in the appropriate column. Please be aware that
coverage may not be available for services rendered by these out-of-network providers.
What you can do with this information:
If you are planning to have a medical procedure or service at a network facility that has one or more out-of-network hospital-based physician(s), you may be
balanced billed for the difference between the Blue Cross allowable charge and the provider’s billed charge. You may consider asking your doctor whether you
can have your procedure at another hospital. If that is not possible, you may be “balance billed” by a out-of-network (non-contracted) provider. In that case, call
the out-of-network provider’s office and ask whether they will accept Blue Cross’ allowable charge as full payment for their services.
If you have questions, call Customer Service at the number on your member ID card, or use the secure online inquiry form to send us your question.
This chart tells you the contracting status of hospital-based physicians in the following specialties: anesthesiology, emergency room medicine, neonatology, pathology and radiology.
P Participates in Blue Cross, HMO and/or BlueConnect networks
U Does not participate in the HMO network, but will not balance bill the member.
y Does not participate in the BlueConnect network, but will not balance bill the member. Please note: services rendered by these out-of-network providers may not be covered.
Reporting is required by the “Health Care Consumer Billing and Disclosure Protection Act” of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts.
18NW1704 1R01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Compan4
31 of 31