Humboldt - Partnership HealthPlan

Medi-Cal Provider Directory
Humboldt County
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Phone: (707) 863-4100
http://www.partnershiphp.org
Revised Date: 1/26/16
08-85215_CPL_001 04/18/2013
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
TABLE OF CONTENTS
How to use this list:................................................................................................................................................. 1
Para usar esta lista: .................................................................................................................................................. 2
Physician Listing Information................................................................................................................................. 5
Humboldt Primary Care Provider List .................................................................................................................... 6
Arcata .................................................................................................................................................................. 6
Eureka ................................................................................................................................................................. 7
Ferndale............................................................................................................................................................... 9
Fortuna ................................................................................................................................................................ 9
Garberville ........................................................................................................................................................ 11
Hoopa ................................................................................................................................................................ 12
McKinleyville ................................................................................................................................................... 12
Orleans .............................................................................................................................................................. 13
Redway ............................................................................................................................................................. 13
Scotia................................................................................................................................................................. 13
Weitchpec ......................................................................................................................................................... 13
Willow Creek .................................................................................................................................................... 14
Humboldt Facilities, Pharmacy, Urgent Care & VSP List ................................................................................... 15
Hospitals – Primary........................................................................................................................................... 15
Hospitals – Referral .......................................................................................................................................... 15
Skilled Nursing / ............................................................................................................................................... 16
Long Term Care Facilities ................................................................................................................................ 16
Behavioral Health Treatment ............................................................................................................................ 16
Mental Health Services - Outpatient ................................................................................................................. 16
Pharmacy Network List .................................................................................................................................... 16
Vision Service Plan (VSP) ................................................................................................................................ 18
Specialist Providers - Refer to Multi County Specialty Referral Directory ..................................................... 18
INDEX .................................................................................................................................................................. 19
Revised Date: 1/26/16
i
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
How to use this list:
1.
Pick two primary care providers (PCPs). One will be your first choice and the other will be your
second choice. We ask you to pick a second choice in case your first choice is not available.
2. Write the names and the provider numbers of the primary care providers that you picked on the
enclosed Primary Care Provider Selection Form. Call our Members Services Department to make
sure the doctor or medical group is available.
3. Return the Primary Care Selection Form to the HealthPlan using the enclosed postage paid return
envelope.
4. You can access some Medi-Cal benefits without an authorization from your PCP. Please refer to
your Member Handbook or call the PHC Member Services Department for more information about
these services.
5. Some hospitals and/or primary care providers may not provide one or more of the following services
that are covered benefits: family planning contraceptive services, including emergency
contraception; sterilization, including tubal ligation or abortion. You can obtain more information
about these services before you choose your PCP by calling your prospective primary care provider
or by calling the PHC’s Member Services Department at (707) 863-4120 or (800) 863-4155.
6. Members are encouraged to pick a Primary Care Provider (PCP) that is closest to their home.
However, members can choose any PCP in their County that is available in this Provider Directory.
If you need help filling out the Primary Care Selection Form, or if you have any questions about choosing a
primary care provider, please call our Member Services Department at (707) 863-4120 or (800) 863-4155.
If you have any questions concerning handicapped accessibility, please call our Member Services
Department at (707) 863-4120 or (800) 863-4155.
Revised Date: 1/26/16
1
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Lista de Doctores Principales y Grupos Médicos
Para usar esta lista:
1. Escoga dos doctores principales. Uno de ellos es el médico que usted prefiere, y el segundo nombre es
del doctor que prefiere en segundo lugar. Le pedimos que nos dé dos nombres por si el doctor que
prefiere no puede darle servicios médicos.
2. Escriba los nombres y el número de teléfono de cada uno de los dos médicos que escogió en el
formulario que se llama "Primary Care Provider Selection Form". Llame a Nuestro Departamento de
Servicio al Miembro para asegurarse de que el doctor o el grupo medico está disponible.
3. Mande ese formulario por correo al Plan de Salud: póngalo en el sobre con sello que le adjuntamos.
4. Usted puede recibir beneficios de Medi-Cal sin ninguna autorización de su doctor primario. Por favor de
referir a su manual de miembros o llame a PHC departamento de servicios para miembros para mas
información sobre estos servicios.
5. Algunos hospitales o doctores primarios no ofrecen los siguentes beneficios que estan cubiertos, como:
planificación familiar, servicios contraceptives, incluyendo contraceptivos de emergencia; esterilización,
ligadura de las trompas o aborto. Usted puede recibir mas información de estos servicios antes de escojer
su doctor primario si llama a su prospectivo doctor primario o si llama al Departamento de Servicios para
Miembros de PHC al (707) 863-4120 o (800) 863-4155.
6. Miembros son animados a escoger un provedor primario (PCP) que este mas cerca de su casa. Sin
embargo Miembros pueden escoger cualquier PCP en su Condado que este disponible en el directorio de
provedores.
Si necesita ayuda para completar el formulario, o si necesita más información sobre cómo escoger un
proveedor médico principal, por favor llame al Departamento de Servicios para Miembros al (707) 8634120 o al (800) 863-4155.
Si quiere más información sobre acceso para incapacitados, por favor llame al Departamento de Servicios
para Miembros al (707) 863-4120 o al (800) 863-4155.
Revised Date: 1/26/16
2
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Accessibility Standards for Seniors and Persons with Disabilities
This directory now lists codes to define “accessibility” standards. These standards are meant to help
seniors and persons with disabilities. The intent is that members can get in and around offices safely and
without help from others. These codes are not yet listed for all providers. If you do not see these codes
listed under a certain provider’s name, just call the office. You can ask if they have the type of access that
you need.
Levels of Access
Basic Access
The office meets the standards below for parking, interior and exterior building, exam rooms, and
restrooms (P, EB, IB, R, and E).
Limited Access
The office does not meet one or more of the standards below for parking, interior and exterior building,
exam rooms, and restrooms (P, EB, IB, R, and E).
Medical Equipment Access
The office meets the standard below for exam tables and scales (T).
Accessibility Codes
P = Parking
Accessible parking spaces, including van accessible spaces(s), are present. Pathways have curb ramps
between the parking lot, office, and at drop off areas.
EB = Exterior Building
Curb ramps and other ramps to the building are not too long. Ramps are wide enough for a wheelchair or
scooter. Handrails are on both sides of the ramp. There is an "accessible" entrance to the building. Doors
open wide enough for a wheelchair or scooter, and have handles that are easy to use.
IB = Interior Building
Pathways are wide enough for a wheelchair or scooter. Stairs, if present, have handrails. If there is an
elevator, it can be used 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 to turn around. If there
is a platform lift, it can be used without help.
R = Restroom
The restroom doors are wide enough for a wheelchair or scooter. The restroom has enough room for a
wheelchair or scooter to turn around 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.
E = Exam Room
The doors to the exam rooms open wide enough for a wheelchair or scooter. The exam room has enough
room for a wheelchair or scooter to turn around.
T = Exam Table/Scale
The exam table moves up and down and has space next to it for a wheelchair or scooter. The weight
scale can be used by patients with wheelchairs or scooters.
Revised Date: 1/26/16
3
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Normas de accesibilidad para personas mayores y personas con discapacidades
Este directorio enumera los códigos para definir las normas de “accesibilidad”. Estas normas
pretenden ayudar a personas mayores y a personas con discapacidades. La intención es que los
miembros puedan entrar y desplazarse por las oficinas de manera segura y sin ayuda de otros. Estos
códigos todavía no se encuentran enumerados para todos los proveedores. Si no ve estos códigos
enumerados bajo el nombre de cierto proveedor, llame a la oficina del proveedor. Puede preguntar
si tienen el tipo de acceso que usted necesita.
Niveles de acceso
Acceso básico
La oficina cumple con las normas de estacionamiento, interior y exterior del edificio, salas de examen y
baños (P, EB, IB, R y E).
Acceso limitado
La oficina no cumple con una o más de las normas de estacionamiento, interior y exterior del edificio,
salas de examen y baños (P, EB, IB, R y E).
Acceso de equipo médico
La oficina cumple con la norma para camillas de examen y básculas (T).
Códigos de accesibilidad
P = Estacionamiento (Parking)
Se cuenta con espacios de estacionamiento de fácil acceso, incluyendo espacios accesibles para van.
Las entradas tienen rampas de acceso en las aceras entre el estacionamiento, la oficina y las áreas para
dejar a las personas.
EB = Exterior del edificio (Exterior Building)
Las rampas en las aceras y otras rampas hacia el edificio no son demasiado largas; son suficientemente
anchas para permitir el acceso de una silla de ruedas o un scooter. Los pasamanos se encuentran a ambos
lados de la rampa. El edificio tiene una entrada “accesible”. La abertura de las puertas es suficientemente
ancha como para permitir el acceso de una silla de ruedas o un scooter, y tienen asas que son fáciles de
usar.
IB = Interior del edificio (Interior Building)
Los pasillos son lo suficientemente anchos como para una silla de ruedas o un scooter. Las escaleras, si las
hay, tienen pasamanos. Si hay ascensor, puede usarse en todo momento en que el edificio esté abierto. El
ascensor tiene sonidos fáciles de oír y botones Braille fáciles de alcanzar. El ascensor tiene espacio
suficiente como para que una persona en silla de ruedas o scooter se dé vuelta. Si hay ascensor con
plataforma, se puede usar sin ayuda.
R = Baño (Restroom)
Las puertas del baño son lo suficientemente anchas como para una silla de ruedas o un scooter. El baño
tiene suficiente espacio para que una persona en silla de ruedas o scooter se dé vuelta y cierre la
puerta. Hay pasamanos que permiten trasladarse fácilmente de la silla de ruedas al inodoro. Es fácil
llegar al lavamanos, y las llaves, jabón y papel higiénico son fáciles de alcanzar y usar.
E = Sala de examen (Exam Room)
La abertura de las puertas que llevan hacia las salas de examen son lo suficientemente anchas como
para una silla de ruedas o un scooter. La sala de examen tiene suficiente espacio como para que una
persona en silla de ruedas o scooter se dé vuelta.
T = Camilla de examen/Báscula (Exam Table/Scale)
La camilla de examen se mueve hacia arriba y hacia abajo, y tiene espacio a un lado como para una
silla de ruedas o scooter. Los pacientes en sillas de ruedas o scooters pueden usar la báscula.
Revised Date: 1/26/16
4
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Physician Listing Information
How to read the Provider Directory
Como leer el Directorio de Proveedores
To help you in your selection, the
following information is provided
about each personal physician.
Para ayudarle a selecciónar un proveedor,
lea la Información siguente sobre cada
proveedor.
Fairfield
Provider Name
Nombre de
proveedor
Doctor’s
address, phone
number, and fax
number
Dirección y
número de
teléfono y fax de
El médico.
Hours
Horas
Languages
Supplemental to
English
Otro Lenguaje
que no sea
Ingles
Doctor’s Name
Nombre del
médico
Revised Date: 1/26/16
City location
Ubicacíon de
ciudad
Family Medical Center
PCP # 1234-0001
1234 Hospital Dr.
Fairfield, CA 94534
(707) 555-5555 (phn)
(707) 555-5556 (fax)
Open to new patients or
Accepting Current Patients Only or
Closed Enrollment
Doctor’s PCP
Number
El Numero de El
Doctor
Enrollment Status
Estado de
inscribirse
Mon – Fri 8:00am – 6:00pm
Special Accommodations:
Adj. Exam Tables
Special Scales for Wheelchairs
Scales that weigh up to 300lbs
Hoyer Lift
Gurney Accommodations
Hearing Impaired Accommodations
Onsite Interpretation Services
Hospital(s): NorthBay
Russian, Spanish, Tagalog
Family Practice
Smith, John, MD
♦ Board Certified in:
Family Medicine
Special
Accommodations
Comodidades
Especiales
Hospital Affiliation
Afiliación de
Hospital
Medical Specialty
En qúe se
Especialista El
Doctor
Board Certifications
(if available)
Certificado En
Reconocimiento por
su Especialidad (si
esta disponible)
5
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Humboldt Primary Care Provider List
Arcata
Arcata Community Life Medical
Center
Mad River Community
PCP # 28013-0001
Accepting Current Patients Only
Family Practice
Ages: 19 years and older
1318 H St.
Arcata, CA 95521
(707) 822-7041 (phn)
(707) 822-0655 (fax)
Mon – Thu 8:30am – 4:30pm
Fri 8:30 – 12:00pm
McCoy, Denita, NP
Board Certified in ♦
Family Medicine
♦ Palacios, Alison M., DO
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 435lbs
Full Circle Center for Integrative
Medicine
PCP # 32508-0004
Accepting Current Patients Only
Family Practice
Ages: 19 years and older
Humboldt Open Door Clinic
Open Door Community Health Centers
PCP # 2520-0007 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
770 10th St.
Arcata, CA 95521
P, EB, IB, E
(707) 826-8610 (phn)
(707) 826-8623 (fax)
Spanish
Mon – Fri 8:00am – 5:00pm
Hatch, Deborah A., NP
Horwitz, David, PA
Hoyt, Lisa, NP
Moss, Tara, PA
Board Certified in ♦
Family Medicine
♦ Brockington, Nancy S., MD
♦ Scher, Sarah, MD
♦ Weiss, Ellen, MD
Pediatrics
♦ Bell, Norman, MD
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Hearing Impaired Accomm.
Limited Access
Scales that weigh up to 1000lbs
CHDP Provider
4641 Valley East Blvd. Ste. 2
Arcata, CA 95521
(707) 840-4701 (phn)
(855) 420-6321 (fax)
Mon & Tue 8:30am – 3:00pm
Wed – Fri 8:30am – 5:00pm
Sat By Appointment Only
Mad River Healthcare Clinic
Mad River Community
PCP # 35863-0001 RHC
Accepting Current Patients Only
Family Practice & Internal Medicine
Ages: 19 years and older
3798 Janes Rd. Ste. 3
Arcata, CA 95521
(707) 825-4939 (phn)
(707) 825-4935 (fax)
Mon – Thu 9:00am – 4:30pm
Fri 9:00am – 12:00pm
Board Certified in ♦
Internal Medicine
♦ Teeple, Leslie A., MD
Pediatrics
♦ Poterack, Catherine D., MD
Special Accommodations:
Adj. Exam Tables
Scales that weigh up to 350lbs
Mad River Healthcare Clinic
Mad River Community
PCP # 26872-0001 RHC
Open to New Patients
Internal Medicine
Ages: 19 years and older
3798 Janes Rd. Ste. 6
Arcata, CA 95521
P, EB, E
(707) 825-7765 (phn)
(707) 825-7753 (fax)
Mon – Fri 9:00am – 4:30pm
Fowler, Vickie, NP
McCurtain, Loretta, NP
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 440lbs
Board Certified in ♦
Family Medicine
♦ Basch, Corinne V., MD
Special Accommodations:
Adj. Exam Tables
Scales that weigh up to 480lbs
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
6
Arcata cont’d
Mad River Healthcare Clinic
Mad River Community
PCP # 28014-0001 RHC
Accepting Current Patients Only
Internal Medicine
Ages: 19 years and older
3798 Janes Rd. Ste. 14
Arcata, CA 95521
P, EB, IB, E
(707) 822-0293 (phn)
(707) 822-0294 (fax)
Mon – Thu 9:00am – 4:00pm
Fri 9:00am – 12:00pm
Wizes, Veronica, NP
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 440lbs
NorthCountry Clinic
Open Door Community Health Centers
PCP # 28025-0001 FQHC
Open to New Patients
Family Practice & Pediatrics
Ages: No Age Limitations
785 18th St.
Arcata, CA 95521
IB, E
(707) 822-2481 (phn)
(707) 822-3656 (fax)
Spanish
Mon – Fri 8:00am – 5:00pm
Potawot Health Village
United Indian Health Services Inc.
PCP # 27336-0004
Open to Native American Indians
Only
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
1600 Weeot Way
Arcata, CA 95521
P, IB, R, E
(707) 825-5000 (phn)
(707) 825-5029 (fax)
Mon – Fri 8:00am – 5:00pm
Kyte, Heather L., PA
Rousselot, Anthony Max, PA
Winczura, John A., PA
Board Certified in ♦
Family Medicine
♦ Kent, Hugh D., MD
♦ Martinez, Antoinette P., MD
♦ Nicely, Timothy, MD
♦ Terra, Kathleen M., MD
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Hearing Impaired Accomm.
Limited Access
Onsite Interpretation Services
Scales that weigh up to 1000lbs
CHDP Provider
Denton, Heidi M., DO
Lowry, Caroline A., PA
Spetzler, Maria, PA
Sweitzer, Deborah, PA
Eureka
Eureka Community Health
Center
Open Door Community Health Centers
PCP # 3946-0008 FQHC
Open to New Patients
Family Practice & Pediatrics
Ages: No Age Limitations
2200 Tydd St.
Eureka, CA 95501
P, EB, E
(707) 441-1624 (phn)
(707) 441-1253 (fax)
French, Spanish
Mon – Thu 8:00am – 8:00pm
Fri 8:00am – 5:00pm
Sat 9:00am – 1:00pm
Allred, Kyle, PA
Frank, Maureen B., NP
Kelly, Casey, PA
Krause, Abigail B., PA
Metcalfe, Kristen, PA
Mosher-Carbiener, Charmaine, NP
Perry, Jon E., PA
Stroup, Allegra B., NP
Taylor, Ellen, PA
West, Christopher, NP
Board Certified in ♦
Family Medicine
♦ Christensen, Anne E., DO
♦ Hunter, Willard M., MD
♦ Kamelgarn, Stephen M., MD
♦ Mehta, Rohan V., MD
♦ Miller, Ray N., Jr., MD
Pediatrics
♦ Wong, Devin, MD
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Hearing Impaired Accomm.
Limited Access
Scales that weigh up to 1000lbs
Board Certified in ♦
Family Medicine
♦ Alston, Gerald, MD
♦ Burns, Judy, MD
♦ Hoopman, Eloi, DO
♦ Ohnemus, Julie M., MD
♦ Vu, Kelvin, DO
CHDP Provider
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Hearing Impaired Accomm.
Limited Access
Scales that weigh up to 1000lbs
CHDP Provider
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
7
Eureka cont’d
Eureka Pediatrics
PCP # 27938-0001 RHC
Open to New Patients
Pediatrics
Ages: 0 - 18 years
2800 Harris St.
Eureka, CA 95503
IB
(707) 445-8416 (phn)
(707) 445-4182 (fax)
French, Spanish
Mon – Fri 8:30am – 6:15pm
Sat 8:30am – 12:00pm
Dietz, Suzanne, NP
Goodwin, Nina B., NP
Board Certified in ♦
Pediatrics
♦ Cody, Christopher L., MD
♦ Dalton, Emily L., MD
♦ Ellis, Mark G., MD
♦ Poyen, Sarah B., MD
♦ Ribordy, Jeffrey T., MD
♦ Wirthlin, Laurie S., MD
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 400lbs
CHDP Provider
Health Care Medical Associates
PCP # 28018-0001
Open to New Women Patients
Family Practice
Ages: 19 years and older
3200 Walford Ave.
Eureka, CA 95503
P, EB
(707) 445-3443 (phn)
(707) 445-1848 (fax)
Hindu, Punjabi
Mon- Thu 8:30am – 4:30pm
Fri 8:30am – 12:30pm
Board Certified in ♦
Obstetrics and Gynecology
♦ Stokes, Deepak K., MD
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 500lbs
Humboldt Medical Specialists
Inc.
PCP # 28019-0001
Accepting Current Patients Only
Internal Medicine
Ages: 19 years and older
2280 Harrison Ave., Ste. B
Eureka, CA 95501
EB, IB, T
(707) 443-9371 (phn)
(707) 443-2620 (fax)
French, German
Mon – Fri 8:20am – 4:30pm
Fisher, Patricia L., NP
James, Amanda B., NP
Kuhfahl, Petra, MD
Board Certified in ♦
Internal Medicine
♦ Abels, Gloria B., MD
♦ Cataldo, Stuart, MD
♦ Kessler, Bruce E., MD
Special Accommodations:
Adj. Exam Tables
Limited Access
Medical Equipment Access
Scales that weigh up to 500lbs
Open Door Mobile Health
Services
Open Door Community Health Centers
PCP # 28028-0001 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
2426 Buhne St.
Eureka, CA 95501
P, EB, IB, E
(707) 443-4666 (phn)
(707) 445-4499 (fax)
Mon – Fri 8:00am – 5:00pm
Serenity Inn
2109 Broadway
Eureka, CA 95521
1st, 3rd and 5th Tuesday 9:00am –
5:00pm
St. Vincent de Paul
35 W 3rd St.
Eureka, CA 95521
2nd and 4th Tuesday 9:00am – 12:00pm
Wednesday 9:00am – 5:00pm
Calvary Lutheran Church
716 South Ave.
Eureka, CA 95521
2nd and 4th Tuesday 1:00pm – 5:00pm
Fortuna Adventist Community
Services
2331 Rohnerville Rd.
Fortuna, CA 95540
Thursday 10:30am – 5:30pm
Mobile Health Services Office
2426 Buhne St.
Eureka, CA 95501
Friday 1:00pm – 5:00pm
Pittayathikhun, Tammy, FNP
Board Certified in ♦
Family Medicine
♦ Hovorka, Gail, MD
♦ Vu, Kelvin, DO
Special Accommodations:
Adj. Exam Tables
Hearing Impaired Accomm.
Limited Access
Scales that weigh up to 440lbs
CHDP Provider
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
8
Eureka cont’d
Redwood Family Practice Inc.
PCP # 27939-0001 RHC
Open to New Patients
Family Practice
Ages: No Age Limitations
2350 Buhne St. Ste. A
Eureka, CA 95501
P, IB, R, E
(707) 443-4593 (phn)
(707) 443-7752 (fax)
Chinese, Mandarin, Spanish
Mon, Tue, Fri 7:00am – 5:00pm
Wed & Thu 8:00am – 5:00pm
Burleson, Michael, MD
Meyers, Mary Ann, NP
Board Certified in ♦
Family Medicine
♦ Grotke, Hal L., MD
♦ Ladika, Courtney, MD
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Hearing Impaired Accomm.
Limited Access
Scales that weigh up to 350lbs
CHDP Provider
Ferndale
Ferndale Community Health
Center
Open Door Community Health Centers
PCP # 32560-0001 FQHC
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
638 Main St.
Ferndale, CA 95536
P, EB, IB, E, T
(707) 786-4028 (phn)
(707) 786-9029 (fax)
Mon – Fri 8:00am – 5:00pm
Bettiga, Elaine, NP
Butler, Joan, NP
Cutler, Lori A., NP
Murray, Angela N., PA
Board Certified in ♦
Family Medicine
♦ Dennis, Tamara, MD
♦ Roback, Mark, DO
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Medical Equipment Access
Scales that weigh up to 500lbs
CHDP Provider
Fortuna
Fortuna Community Health
Center
Open Door Community Health Centers
PCP # 32561-0001 FQHC
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
3304 Renner Dr.
Fortuna, CA 95540
P, E
(707) 725-6101 (phn)
(707) 725-2978 (fax)
Spanish
Mon – Thu 9:00am – 3:00pm
Baird, Donald, MD
Bettiga, Elaine, NP
Butler, Joan, NP
Cutler, Lori A., NP
Murray, Angela N., PA
Board Certified in ♦
Family Medicine
♦ Dennis, Tamara, MD
♦ Dittmer, Stephanie, MD
♦ Roback, Mark, DO
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 500lbs
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
9
Fortuna cont’d
Fortuna Community Health
Center
Open Door Community Health Centers
PCP # 32563-0001 FQHC
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
3306 Renner Dr.
Fortuna, CA 95540
P, EB, IB, R, E, T
(707) 725-6101 (phn)
(707) 725-2978 (fax)
Spanish
Mon & Tue 8:00am – 5:00pm
Fri 8:00am – 12:00pm
Baird, Donald, MD
Bettiga, Elaine, NP
Butler, Joan, NP
Cutler, Lori A., NP
Board Certified in ♦
Family Medicine
♦ Dennis, Tamara, MD
♦ Dittmer, Stephanie, MD
♦ Roback, Mark, DO
Special Accommodations:
Adj. Exam Tables
Basic Access
Gurney Accommodations
Scales that weigh up to 500lbs
Fortuna Community Health
Center
Open Door Community Health Centers
PCP # 32562-0001 FQHC
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
3307 Renner Dr.
Fortuna, CA 95540
P, EB, IB
(707) 725-6101 (phn)
(707) 725-2978 (fax)
Spanish
Wed & Thu 8:00am – 5:00pm
Fri 12:00pm – 1:00pm
Baird, Donald, MD
Bettiga, Elaine, NP
Butler, Joan, NP
Cutler, Lori A., NP
Board Certified in ♦
Family Medicine
♦ Dennis, Tamara, MD
♦ Dittmer, Stephanie, MD
♦ Roback, Mark, DO
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 500lbs
Fortuna Family Medical Group
Inc.
PCP # 19669-0005 RHC
Ages 0-18 years-Open to New Patients
Ages 19 years and older
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
874 Main St.
Fortuna, CA 95540
EB, IB, R
(707) 725-3334 (phn)
(707) 725-2455 (fax)
Chinese
Mon – Fri 8:00am – 5:30pm
Brinckhaus, Ruben, MD
Cross, Mark, PA
Downie-Allman, Fannett, NP
Reese, Barbara, NP
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 500lbs
CHDP Provider
CHDP Provider
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
10
Fortuna cont’d
Fortuna Health Clinic
United Indian Health Services Inc.
PCP # 27933-0001
Open to Native American Indians
Only
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
3302 Renner Dr. Ste. C
Fortuna, CA 95540
P, EB, IB, R, E
(707) 725-7988 (phn)
(707) 725-8088 (fax)
Mon, Tue, Thu, Fri 8:00am – 4:30pm
Kimble, Martin D., NP
Rousselot, Max, PA
Redwood Pediatric Medical
Group
PCP # 27937-0001 RHC
Ages 0-15 years-Open to New Patients
Ages 16 - 20 years Accepting Current
Patients Only
Pediatrics
Ages: 0-20 years
3305 Renner Dr.
Fortuna, CA 95540
P, IB
(707) 725-9355 (phn)
(707) 725- 2426 (fax)
Spanish
Mon – Fri 8:30am – 5:00pm
Sat 10:00am – 12:00pm
Board Certified in ♦
Pediatrics
♦ Buxbaum, Evan, MD
♦ Killfoil, James, MD
♦ Rosenberg, Erika, MD
Special Accommodations:
Adj. Exam Tables
Basic Access
Gurney Accommodations
Hearing Impaired Accomm.
Onsite Interpretation Services
Scales that weigh up to 350lbs
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 350lbs
CHDP Provider
CHDP Provider
Philip L. Olkin, MD & C. Ray
Jones, MD
Garberville
Southern Humboldt Community
Clinic
PCP # 28031-0001 RHC
Open to New Patients
Family Practice
Ages: No Age Limitations
509 Elm St.
Garberville, CA 95542
EB, IB
(707) 923-3925 (phn)
(707) 923-3902 (fax)
French, Polish
Mon – Fri 8:30am – 5:00pm
Candiotti, Linda H., PA
Hayes, Barbara, NP
Sandhu, Urmila J., PA
Board Certified in ♦
Family Medicine
♦ Matuszkiewicz, Marcin, MD
Special Accommodations:
Adj. Exam Tables
Hoyer Lift
Limited Access
Scales that weigh up to 350lbs
CHDP Provider
PCP # 25451-0004 RHC
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
3302 Renner Dr.
Fortuna, CA 95540
EB, IB
(707) 725-3318 (phn)
(707) 725-9396 (fax)
Mon – Fri 8:30am – 5:00pm
Coleman, John K., PA
Jones, C. Ray, MD
Olkin, Philip, MD
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 500lbs
CHDP Provider
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
11
Hoopa
K’ima:w Medical Center
PCP # 28020-0001
Open to New Patients
Family Practice & Pediatrics
Ages: No Age Limitations
McKinleyville
Eureka Pediatrics
PCP # 26606-0004 RHC
Open to New Patients
Pediatrics
Ages: 0 - 18 years
McKinleyville Community Health
Center
Open Door Community Health Centers
PCP # 13183-0008 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
535 Airport Rd.
Hoopa, CA 95546
P, EB, IB, R, E, T
(530) 625-4261 (phn)
(530) 625-5239 (fax)
Mon, Tue, Thu, Fri 8:30am – 5:00pm
Wed 1:00pm – 5:00pm
2192 Central Ave.
McKinleyville, CA 95519
EB, IB, E
(707) 839-3377 (phn)
(707) 839-3612 (fax)
French, Spanish
Mon – Fri 9:00am – 4:30pm
1644 Central Ave.
McKinleyville, CA 95519
EB, IB, E
(707) 839-3068 (phn)
(707) 839-3827 (fax)
Spanish
Mon – Fri 8:00am – 5:00pm
Ta, William, MD
Walsh, Susan, NP
Goodwin, Nina B., NP
Carlson, William, MD
Jacobs, Molly E., NP
Lyons, Laura L., NP
Miller, Beth E., PA
Board Certified in ♦
Family Medicine
♦ Smith, Eva, MD
Pediatrics
♦ Dalton, Emily L., MD
Public Health & General Preventive
Medicine
♦ Chase, Emmett, MD
Board Certified in ♦
Pediatrics
♦ Cody, Christopher L., MD
♦ Dalton, Emily L., MD
♦ Ellis, Mark G., MD
♦ Poyen, Sarah B., MD
♦ Ribordy, Jeffrey T., MD
♦ Wirthlin, Laurie S., MD
Special Accommodations:
Basic Access
Medical Equipment Access
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 400lbs
CHDP Provider
CHDP Provider
Board Certified in ♦
Family Medicine
♦ Carroll, Joseph, MD
♦ Copple, Nathan R., MD
♦ Steinberg, Miriam, DO
♦ Vu, Tara, MD
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Hearing Impaired Accomm.
Limited Access
Scales that weigh up to 1000lbs
Humboldt Family Medical Care
Mad River Community
PCP # 28023-0001 RHC
Accepting Current Patients Only
Family Practice
Ages: 19 years and older
CHDP Provider
1733 Central Ave.
McKinleyville, CA 95519
IB, R, E
(707) 839-4852 (phn)
(707) 839-2439 (fax)
Mon – Fri 8:30am – 4:30pm
Mahan, Marcelle, MD
Vogelsang, Kathleen, NP
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 440lbs
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
12
Orleans
Karuk Orleans Medical Clinic
PCP # 28021-0001
Open to New Patients
Family Practice
Ages: No Age Limitations
325 Asip Rd.
Orleans, CA 95556
EB, IB, R, E
(530) 627-3452 (phn)
(530) 627-3445 (fax)
Sign-Language, Spanish
Mon – Fri 8:00am – 5:00pm
Chambers, Chelsea A., PA
Chau, Eric, DO
Cronin, Jennifer M., PA
Vasquez, Tony, MD
Special Accommodations:
Limited Access
Onsite Interpretation Services.
Scales that weigh up to 500lbs
CHDP Provider
Redway
Redwoods Rural Health Center
PCP # 27948-0001 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
101 West Coast Rd.
Redway, CA 95560
EB, IB, R
(707) 923-2783(phn)
(707) 923-2543 (fax)
Mon – Fri 8:15am – 5:30pm
Battles, Mandi, PA
Hegdal, Juliet K., NP
Riley, Maryanne, NP
Lippitt-Houston, Sarah, NP
Board Certified in ♦
Family Medicine
♦ Scheel, Philip, MD
Special Accommodations:
Adj. Exam Tables
Limited Access
Scales that weigh up to 440lbs
Scotia
Scotia Bluff’s Community Health
Center
Weitchpec
Weitchpec Health Clinic
Southern Trinity Health Services
PCP # 28032-0001 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
United Indian Health Services Inc.
PCP # 28034-0001
Open to Native American Indians
Only
Accepting Current Patients Only
Family Practice
Ages: No Age Limitations
500 B. St. Ste. A
Scotia, CA 95565
IB, E
(707) 764-5617 (phn)
(707) 764-5618 (fax)
Mon & Tue 9:00am – 6:00pm
Wed 9:00am – 1:00pm
Libby Nix Community Center Hwy. 96
Weitchpec, CA 95546
EB, IB, R, E
(530) 625-4300 (phn)
(530) 625-4308 (fax)
Mon, Thu, Fri 8:00am – 4:00pm
Fisher, Frank B., MD
Schafle, Michael F., MD
Tinkelenberg, James W., PA
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 500lbs
CHDP Provider
Scotia Bluff’s Community Health
Center
Southern Trinity Health Services
PCP # 33371-0001 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
Board Certified in ♦
Family Medicine
♦ Kent, Hugh D., MD
♦ Nicely, Timothy, MD
♦ Terra, Kathleen M., MD
♦ Young-Tripp, Sawar C., MD
Special Accommodations:
Adj. Exam Tables
Hearing Impaired Accomm
Limited Access
Onsite Interpretation Services.
Scales that weigh up to 440lbs
CHDP Provider
500 B. St. Ste. B
Scotia, CA 95565
(707) 764-5617 (phn)
(707) 764-5618 (fax)
Wed 1:00pm – 6:00pm
Thu & Fri 8:30am – 5:00pm
Schafle, Michael F., MD
Staton, Marsha A., NP
Special Accommodations:
Adj. Exam Tables
Hearing Impaired Accomm
Scales that weigh up to 400lbs
CHDP Provider
CHDP Provider
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
13
Willow Creek
Willow Creek Community Health
Center
Open Door Community Health Centers
PCP # 28027-0001 FQHC
Open to New Patients
Family Practice
Ages: No Age Limitations
Six Rivers Medical Center
Mad River Community
PCP # 28024-0002 RHC
Open to New Patients
Family Practice
Ages: No Age Limitations
850 State Hwy. 96
Willow Creek, CA 95573
IB, R
(530) 629-3116 (phn)
(530) 629-2866 (fax)
Spanish
Mon – Fri 8:30am – 5:00pm
38883 Hwy. 299
Willow Creek, CA 95573
P, EB, IB, R, E
(530) 629-3111 (phn)
(530) 629-3122 (fax)
Mon – Fri 8:30am – 5:00pm
Sat 9:00am – 12:00pm
Stollmeyer, Kathryn M., PA
Vogelsang, Kathleen M., NP
James, Amanda, NP
Manning, Jane, PA
Zertuche, Kara, NP
Board Certified in ♦
Family Medicine
♦ Palacios, Alison M., DO
Board Certified in ♦
Family Medicine
♦ Bensky, Norman D., MD
Special Accommodations:
Adj. Exam Tables
Gurney Accommodations
Limited Access
Scales that weigh up to 440lbs
Special Accommodations:
Adj. Exam Tables
Basic Access
Gurney Accommodations
Scales that weigh up to 440lbs
CHDP Provider
CHDP Provider
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
14
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Humboldt Facilities, Pharmacy, Urgent Care & VSP List
Hospitals – Primary
Jerold Phelps Community
Hospital
733 Cedar St.
Garberville, CA 95542
(707) 923-3921 (phn)
Mad River Community
Hospital
3800 Janes Rd.
Arcata, CA 95521
(707) 822-3621 (phn)
Redwood Memorial Hospital
3300 Renner Dr.
Fortuna, CA 95540
(707) 725-3361 (phn)
St. Joseph Hospital
2700 Dolbeer St.
Eureka, CA 95501
(707) 445-8121 (phn)
Hospitals – Referral
Banner Lassen Medical Center
1800 Spring Ridge Dr.
Susanville, CA 96130
(530) 252-2000 (phn)
Children’s Hospital Oakland
747 52nd St.
Oakland, CA 94609
(510) 428-3000 (phn)
CPMC – California Campus
3700 California St.
San Francisco, CA 94118
(415) 600-6000 (phn)
CPMC – Davies Campus
Castro at Duboce Streets
San Francisco, CA 94114
(415) 600-6000 (phn)
CPMC – Pacific Campus
2333 Buchanan St.
San Francisco, CA 94115
(415) 600-6000 (phn)
Fairchild Medical Center
444 Bruce St.
Yreka, CA 96097
(530) 842-4121 (phn)
Mercy Medical CenterRedding
2175 Rosaline Ave
Redding, CA 96001
(530) 225-6000 (phn)
Frank R Howard Memorial
Hospital
Mercy San Juan Hospital
John Muir Medical CenterConcord
Methodist Hospital of
Sacramento
Lucile Packard Children’s
Hospital
Modoc Medical Center
1 Madrone St.
Willits, CA 95490
(707) 459-6801(phn)
2540 East St.
Concord, CA 94520
(925) 682-8200 (phn)
725 Welch Road
Palo Alto, CA 94304
(650) 497-8000 (phn)
Lucile Packard Children’s Hospital for
Patient Referral
*800-995-5724
Mayers Memorial Hospital
43563 Highway 299 E.
Fall River Mills, CA 96028
(530) 336-5511(phn)
Mendocino Coast District
Hospital
700 River Dr.
Fort Bragg, CA 95437
(707) 961-4652 (phn)
Mercy General Hospital
4001 J St.
Sacramento, CA 95819
(916) 453-4545 (phn)
Mercy Hospital of Folsom
1650 Creekside Dr.
Folsom, CA 95630
(916) 983-7400 (phn)
Mercy Medical Center- Mt.
Shasta
914 Pine St
Mt. Shasta, CA 96067
(530) 926-6111 (phn)
6501 Coyle Ave.
Carmichael, CA 95608
(916) 537-5000 (phn)
7500 Hospital Dr.
Sacramento, CA 95823
(916) 423-3000 (phn)
228 W. McDowell Ave.
Alturas, CA 96101
(530) 233-5131 (phn)
Petaluma Valley Hospital
400 N McDowell Blvd.
Petaluma, CA 94954
(707) 778-1111 (phn)
Queen of the Valley Medical
Center
1000 Trancas St.
Napa, CA 94558
(707) 252-4411 (phn)
San Francisco General
Hospital
1001 Potrero Ave.
San Francisco, CA 94110
(415) 206-8000 (phn)
Santa Rosa Memorial Hospital
1165 Montgomery Dr.
Santa Rosa, CA 95405
(707) 546-3210 (phn)
Shasta Regional Medical
Center
1100 Butte St.
Redding, CA 96001
(530) 244-5400 (phn)
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
15
Hospitals – Referral cont’d
Sonoma West Medical Center
501 Petaluma Ave
Sebastopol, CA 95472
(707) 829-8511 (phn)
St. Elizabeth Community
Hospital
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
(530) 529-8000 (phn)
St. Helena Hospital Clearlake
15630 18th Ave.
Clearlake, CA 95422
(707) 994-6486 (phn)
St. Helena Hospital
10 Woodland Road
St. Helena, CA 94574
(707) 963-3611 (phn)
Surprise Valley Hospital
741 North Main St.
Cedarville, CA 96104
(530) 279-6111 (phn)
Sutter Medical Center
Sacramento
2825 Capitol Ave.
Sacramento, CA 95816
(916) 887-0000 (phn)
Sutter Santa Rosa Regional
Hospital
30 Mark West Springs Rd.
Santa Rosa, CA 95403
(707) 576-4000 (phn)
Trinity Hospital
60 Easter Ave,
Weaverville, CA 96093
(530) 623-5541 (phn)
UCSF Medical Center
505 Parnassus Ave.
San Francisco, CA 94143
(415) 476-1000 (phn)
UCSF Medical Group for Patient
Referrals
*800-444-2559
Ukiah Valley Medical Center
275 Hospital Dr.
Ukiah, CA 95482
(707) 462-3111 (phn)
University of California, Davis
Behavioral Health Treatment
UC Davis Referral Physician Center
for Patient Referrals
*800-482-3284
To request information on services or
providers for Behavioral Health Treatment
related to Autism Spectrum Disorder,
please contact the Care Coordination
Department at (800) 809-1350.
2315 Stockton Blvd.
Sacramento, CA 95817
(916) 734-2011(phn)
Vibra Hospital of Northern
California
2801 Eureka Way
Redding, CA 96001
(530) 246-9000 (phn)
Skilled Nursing /
Long Term Care Facilities
Eureka Rehabilitation &
Wellness Center
2353 Twenty-Third St.
Eureka, CA 95501
(707) 445-3261 (phn)
(707) 441-8449 (fax)
Granada Rehabilitation &
Wellness Center
2885 Harris St.
Eureka, CA 95503
(707) 443-1627 (phn)
(707) 441-8446 (fax)
Pacific Healthcare &
Rehabilitation Center
2211 Harrison Ave.
Eureka, CA 95501
(707) 443-9767 (phn)
(707) 441-8447 (fax)
Seaview Rehabilitation &
Wellness Center
6400 Purdue Dr.
Eureka, CA 95501
(707) 443-5668 (phn)
(707) 441-8448 (fax)
Fortuna Rehabilitation &
Wellness Center
2321 Newberg Rd.
Fortuna, CA 95540
(707) 725-4467 (phn)
(707) 725-1848 (fax)
Mental Health Services Outpatient
Beacon Health Strategies
To request information on available
mental health providers, or for general
questions about mental health services,
call (855) 765-9703
Or e-mail at:
[email protected]
You can also visit Beacon’s website and
type the word partnership on the member
login page:
www.beaconhealthstrategies.com/member
_login.aspx
Pharmacy Network List
Barnes Arcata Family Drug
1080 G St.
Arcata, CA 95521
(707) 822-1717 (phn)
(707) 822-1719 (fax)
Mon – Fri 9:00am – 7:00pm
CVS Pharmacy
600 F St.
Arcata, CA 95521
(707) 822-2479 (phn)
(707) 822-1810 (fax)
Mon – Fri 8:00am – 9:00pm
Sat & Sun 9:00am – 5:00pm
Cloney’s Prescription
Pharmacy
2515 Harrison Ave.
Eureka, CA 95501
(707) 443-7086 (phn)
(707) 443-0302 (fax)
Mon – Fri 8:30am – 6:00pm
Jerold Phelps Community
Hospital
733 Cedar St.
Garberville, CA 95542
(707) 923-3921 (phn)
(707) 923-1456 (fax)
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
16
Pharmacy Network List cont’d
Cloney’s Red Cross Pharmacy
525 5th St.
Eureka, CA 95501
(707) 443-1614 (phn)
(707) 443-2443 (fax)
Mon – Fri 9:00am – 6:00pm
Sat 12:00pm – 4:00pm
Costco
1006 W. Wabash Ave.
Eureka, CA 95501
(707) 441-0920 (phn)
(707) 441-0923 (fax)
Mon – Fri 10:00am – 8:30pm
Sat 9:30am – 6:00pm
Safeway
2555 Harris St
Eureka, CA 95503
(707) 269-0114 (phn)
(707) 269-7193 (fax)
Mon – Fri 9:00am – 8:00pm
Sat & Sun 9:00am – 5:00pm
Rite-Aid
725 S. Fortuna Blvd.
Fortuna, CA 95540
(707) 725-9314 (phn)
(707) 725-4056 (fax)
Mon – Fri 8:00am – 8:00pm
Sat 9:00am – 6:00pm
Sun 10:00am – 6:00pm
Target
2525 4th St.
Eureka, CA 95501
(707) 442-0549 (phn)
(707) 832-5245 (fax)
Mon – Fri 9:00am – 7:00pm
Sat 9:00am – 5:00pm
Sun 11:00am – 5:00pm
Walgreen’s Drugstore
1065 S. Fortuna Blvd.
Fortuna, CA 95540
(707) 726-0377 (phn)
(707) 726-0385 (fax)
Mon – Fri 8:00am – 9:00pm
Sat 9:00am – 6:00pm
Sun 10:00am – 6:00pm
Walgreen’s Drugstore
CVS Pharmacy
800 W. Harris St. Ste. 20
Eureka, CA 95503
(707) 443-8311 (phn)
(707) 443-2784 (fax)
Mon – Fri 9:00am – 7:00pm
Sat & Sun 9:00am – 5:00pm
1424 Broadway St.
Eureka, CA 95501
(707) 441-1600 (phn)
(707) 441-0681 (fax)
Mon – Fri 8:00am – 9:00pm
Sat 9:00am – 6:00pm
Sun 10:00am – 6:00pm
CVS Pharmacy
Walgreen’s Drugstore
Humboldt Home Infusion
Program
Wal-Mart
1105 Myrtle Ave.
Eureka, CA 95501
(707) 443-5081 (phn)
(707) 443-3622 (fax)
Mon – Fri 9:00am – 7:00pm
Sat & Sun 9:00am – 5:00pm
2612 Harrison Ave.
Eureka, CA 95501
(707) 269-4258 (phn)
(707) 269-3755 (fax)
Open 24 Hours
Lima’s Professional Pharmacy
2097 Harrison Ave.
Eureka, CA 95501
(707) 441-8500 (phn)
(707) 443-7608 (fax)
Mon – Fri 9:00am – 6:00pm
Sat 9:00am – 12:00pm
Rite-Aid
411 Harris St.
Eureka, CA 95503
(707) 443-8039 (phn)
(707) 443-1281 (fax)
Mon – Fri 8:00am – 8:00pm
Sat 9:00am – 8:00pm
Sun 10:00am – 6:00pm
2525 Harris St.
Eureka, CA 95503
(707) 444-0518 (phn)
(707) 444-0525 (fax)
Mon – Fri 9:00am – 10:00pm
Sat 9:00am – 6:00pm
Sun 10:00am – 6:00pm
Pharmacy Express
875 Redwood Dr.
Garberville, CA 95542
(707) 923-2461 (phn)
(707) 923-4038 (fax)
Mon – Fri 9:00am – 6:00pm
Sat 10:00am – 2:00pm
CVS Pharmacy
1711 Central Ave.
McKinleyville, CA 95519
(707) 839-8500 (phn)
(707) 839-2867 (fax)
Mon – Fri 9:00am – 6:00pm
Sat 9:00am – 12:00pm
Rite-Aid
3300 Broadway Bayshore Mall
Eureka, CA 95501
(707) 832-5274 (phn)
(707) 832-5270 (fax)
Mon – Fri 9:00am – 9:00pm
Sat 9:00am – 7:00pm
Sun 10:00am – 6:00pm
1500 Anna Sparks Way Ste. D
McKinleyville, CA 95519
(707) 839-0140 (phn)
(707) 839-0251 (fax)
Mon – Fri 8:00am – 8:00pm
Sat 9:00am – 6:00pm
Sun 10:00am – 6:00pm
Palco Pharmacy
Ring’s Pharmacy
362 Main St.
Ferndale, CA 95536
(707) 786-4511 (phn)
(707) 786-4500 (fax)
Mon – Fri 9:00am – 6:00pm
Sat 9:00am – 5:00pm
113 Main St. Ste D
Scotia, CA 95565
(707) 764-3591 (phn)
(707) 764-3797 (fax)
Mon – Fri 9:00am – 6:00pm
Sat 10:00am – 2:00pm
Willow Creek Pharmacy
Green’s Fortuna Pharmacy
1058 Main St.
Fortuna, CA 95540
(707) 725-4431 (phn)
(707) 725-2671 (fax)
Mon – Fri 9:00am – 7:00pm
Sat 9:00am – 4:00pm
39050 Hwy 299
Willow Creek, CA 95573
(530) 629-3144 (phn)
(530) 629-4303 (fax)
Mon – Fri 9:00am – 5:00pm
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
17
Vision Service Plan (VSP)
(1-800-877-7195)
Eureka
2773Harris St. Ste. H
Eureka, CA 95503
(707) 445-4126 (phn)
(707) 445-1759 (fax)
Mon – Thu 9:00am – 5:00pm
Fri 9:00am – 2:00pm
Calvert, Brian D., OD
Turkis, Martin E., OD
Eureka
616 H St.
Eureka, CA 95501
(707) 443-1619 (phn)
(707) 443-1697 (fax)
Mon – Fri 9:00am- 5:00pm
Domanchuk, Paul M., OD
Eureka
2369 Harrison Ave.
Eureka, CA 95501
(707) 442-1472 (phn)
(707) 442-2723 (fax)
Mon – Fri 9:00am – 5:00pm
Gellner, Zuzana R., OD
Fortuna
630 9th St.
Fortuna, CA 95540
(707) 725-5144 (phn)
(707) 725-3511 (fax)
Mon – Fri 9:00am – 5:00pm
French, Alan E., OD
McKinleyville
1933 Central Ave. Ste. A
McKinleyville, CA 95519
(707) 839-2828 (phn)
(707) 839-3715 (fax)
Mon – Fri 9:00am – 5:00pm
Macfarlane, Lori A., OD
Ruprecht, Phillip K., OD
Redway
255 Briceland Thorn Rd.
Redway, CA 95560
(707) 923-7826 (phn)
(707) 923-3939 (fax)
Mon – Fri 9:00am – 5:00pm
Baker, Roy L., OD
Specialist Providers - Refer to
Multi County Specialty Referral
Directory
Eureka
215 2nd St.
Eureka, CA 95501
(707) 444-2968 (phn)
(707) 444-2968 (fax)
Mon – Fri 9:00am – 5:00pm
Kaiser, Kenneth L., OD
Eureka
2437 Buhne St.
Eureka, CA 95501
(707) 443-4581(phn)
(707) 269-7137 (fax)
Mon – Fri 9:00am – 5:00pm
Lanning, Douglas H., OD
Ryan, Daniel J., OD
Fortuna
3429 Renner Dr.
Fortuna, CA 95540
(707) 725-5255 (phn)
(707) 725-8833 (fax)
Mon – Fri 9:00am – 5:00pm
Calvert, Brian D., OD
♦ Board Certified; P=PARKING; EB=EXTERIOR BUILDING; IB=INTERIOR BUILDING; R=RESTROOM; E=EXAM ROOM; T=EXAM TABLE/SCALE
Revised Date: 1/26/16
Wheelchair Accessible
18
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
INDEX
A
E
Abels, Gloria B., MD ..................................8
Allred, Kyle, PA .........................................7
Alston, Gerald, MD ...................................7
Arcata .......................................................6
Ellis, Mark G., MD ............................... 8, 12
Eureka ...................................................... 7
B
Ferndale ................................................... 9
Fisher, Frank B., MD ............................... 13
Fisher, Patricia L., NP ................................ 8
Fortuna..................................................... 9
Fowler, Vickie, NP ..................................... 6
Frank, Maureen B., NP ............................. 7
French, Alan E., OD ................................. 18
Baird, Donald, MD .............................. 9, 10
Baker, Roy L., OD ....................................18
Basch, Corinne V., MD ..............................6
Battles, Mandi, PA ..................................13
Behavioral Health Treatment .................16
Bell, Norman, MD .....................................6
Bensky, Norman D., MD .........................14
Bettiga, Elaine, NP .............................. 9, 10
Brinckhaus, Ruben, MD ..........................10
Brockington, Nancy S., MD .......................6
Burleson, Michael, MD .............................9
Burns, Judy, MD ........................................7
Butler, Joan, NP .................................. 9, 10
Buxbaum, Evan, MD ...............................11
C
Calvert, Brian D., OD ...............................18
Candiotti, Linda H., PA ............................11
Carlson, William, MD ..............................12
Carroll, Joseph, MD.................................12
Cataldo, Stuart, MD ..................................8
Chambers, Chelsea A., PA .......................13
Chase, Emmett, MD ................................12
Chau, Eric, DO .........................................13
Christensen, Anne E., DO ..........................7
Cody, Christopher L., MD .................... 8, 12
Coleman, John K., PA ..............................11
Copple, Nathan R., MD ...........................12
Cronin, Jennifer M., PA ...........................13
Cross, Mark, PA.......................................10
Cutler, Lori A., NP ............................... 9, 10
D
Dalton, Emily L., MD ........................... 8, 12
Dennis, Tamara, MD ........................... 9, 10
Denton, Heidi M., DO ...............................7
Dietz, Suzanne, NP ....................................8
Dittmer, Stephanie, MD ...................... 9, 10
Domanchuk, Paul M., OD........................18
Downie- Allman, Fannett, NP .................10
Revised Date: 1/26/16
F
G
Garberville ............................................. 11
Gellner, Zuzana R., OD ............................ 18
Goodwin, Nina B., NP ......................... 8, 12
Grotke, Hal L., MD .................................... 9
H
Hatch, Deborah A., NP .............................. 6
Hayes, Barbara, NP ................................. 11
Hegdal, Juliet K., NP ................................ 13
Hoopa ..................................................... 12
Hoopman, Eloi, DO ................................... 7
Horwitz, David, PA .................................... 6
Hospitals – Primary ............................... 15
Hospitals – Referral ............................... 15
Hovorka, Gail, MD .................................... 8
Hoyt, Lisa, NP............................................ 6
Hunter, Willard M., MD ............................ 7
J
Jacobs, Molly E., NP ................................ 12
James, Amanda B., NP .............................. 8
James, Amanda, NP ................................ 14
Jones, C. Ray, MD ................................... 11
K
Kaiser, Kenneth L., OD ............................ 18
Kamelgarn, Stephen M., MD .................... 7
Kelly, Casey, PA......................................... 7
Kent, Hugh D., MD .............................. 7, 13
Kessler, Bruce E., MD................................ 8
Killfoil, James, MD .................................. 11
Kimble, Martin D., NP ............................. 11
Krause, Abigail B., PA ................................ 7
Kuhfahl, Petra, MD ................................... 8
Kyte, Heather L., PA.................................. 7
L
Ladika, Courtney, MD ............................... 9
Lanning, Douglas H., OD ......................... 18
Lippitt- Houston, Sarah, NP .................... 13
Long Term Care Facilities ..................... 16
Lowry, Caroline A., PA .............................. 7
Lyons, Laura L., NP ................................. 12
M
Macfarlane, Lori A., OD .......................... 18
Mahan, Marcelle, MD ............................ 12
Manning, Jane, PA .................................. 14
Martinez, Antoinette P., MD .................... 7
Matuszkiewicz, Marcin, MD ................... 11
McCoy, Denita, NP ................................... 6
McCurtain, Loretta, NP............................. 6
McKinleyville ......................................... 12
Mehta, Rohan V., MD ............................... 7
Mental Health Services - Outpatient ...... 16
Metcalfe, Kristen, PA ................................ 7
Meyers, Mary Ann, NP ............................. 9
Miller, Beth E., PA .................................. 12
Miller, Ray N., Jr., MD............................... 7
Mosher- Carbiener, Charmaine, NP ......... 7
Moss, Tara, PA.......................................... 6
Murray, Angela N., PA .............................. 9
N
Nicely, Timothy, MD ........................... 7, 13
O
Ohnemus, Julie M., MD ............................ 7
Olkin, Philip, MD..................................... 11
Orleans................................................... 13
P
Palacios, Alison M., DO....................... 6, 14
Perry, Jon E., PA ....................................... 7
Pharmacy Network List .......................... 16
Pittayathikhun, Tammy, FNP .................... 8
Poterack, Catherine D., MD ...................... 6
Poyen, Sarah B., MD ........................... 8, 12
R
Redway ................................................... 13
19
PARTNERSHIP HEALTHPLAN OF CALIFORNIA
Medi-Cal Managed Care Program
HUMBOLDT PROVIDER DIRECTORY
Reese, Barbara, NP .................................10
Ribordy, JeffreyT., MD ........................ 8, 12
Riley,Maryanne, NP ................................13
Roback, Mark, DO ............................... 9, 10
Rosenberg, Erika, MD .............................11
Rousselot, Anthony Max, PA....................7
Rousselot, Max, PA .................................11
Ruprecht, Phillip K., OD ..........................18
Ryan, Daniel J., OD ..................................18
S
Sandhu, Urmila J., PA ..............................11
Schafle, Michael F., MD ..........................13
Scheel, Philip, MD ...................................13
Scher, Sarah, MD ......................................6
Scotia ......................................................13
Skilled Nursing .......................................16
Smith, Eva, MD .......................................12
Spetzler, Maria, PA ...................................7
Staton, Marsha A., NP.............................13
Steinberg, Miriam, DO ............................12
Revised Date: 1/26/16
Stokes, Deepak K., MD ............................. 8
Stollmeyer, Kathryn M., PA .................... 14
Stroup, Allegra B., NP ............................... 7
Sweitzer, Deborah, PA .............................. 7
T
Ta, William, MD ...................................... 12
Taylor, Ellen, PA ........................................ 7
Teeple, Leslie A., MD ................................ 6
Terra, Kathleen M., MD ...................... 7, 13
Tinkelenberg, James W., PA ................... 13
Turkis, Martin E., OD .............................. 18
V
Vasquez, Tony, MD ................................. 13
Vision Service Plan (VSP) ...................... 18
Vogelsang, Kathleen M., NP ................... 14
Vogelsang, Kathleen, NP......................... 12
Vu, Kelvin, DO ....................................... 7, 8
Vu, Tara, MD........................................... 12
W
Walsh, Susan, NP .................................... 12
Weitchpec ............................................... 13
West, Christopher, NP .............................. 7
Willow Creek .......................................... 14
Winczura, John A., PA............................... 7
Wirthlin, Laurie S., MD ....................... 8, 12
Wizes, Veronica, NP ................................. 7
Wong, Devin, MD ..................................... 7
Y
Young-Tripp, Sawar C., MD .................... 13
Z
Zertuche, Kara, NP ................................. 14
20
Revised Date: 1/26/16
21