baton rouge region hospital-based physicians

BATON ROUGE 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 Baton Rouge Region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston,
St. Helena, Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana 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
Community Blue is offered in Baton Rouge, West Baton Rouge and Ascension parishes only.
this chart or for more information.
This chart is for informational purposes only and may have changed since it was last updated on January 30, 2015
P
**This facility does NOT have ER
services
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
Advanced Surgical Care of
Baton Rouge LLC
7310 Perkins Road
Baton Rouge, LA 70808
(225) 236-3100
P
**This facility does NOT have ER
services
P
P
Diversified Professionals Inc
8946 Interline Ave, Ste C
Baton Rouge, LA 70809
(225) 923-0030
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
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
More u
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
1 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
PATHOLOGY
NEONATOLOGY
P
HMO NETWORK
Advanced Pain Insitute
42131 Veterans Ave
Hammond, La 70403
(985) 345-7246
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
P
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Contracted Networks
PPO NETWORK
Advanced Pain Institute Treatment Center
42131 Veterans Ave Ste 200
Hammond, La 70403
(985) 345-7246
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
P
**This facility does NOT have ER
or radiology services
Baton Rouge Radiology Group
5422 Dijon Dr
Baton Rouge, LA 70808
(225) 769-9337
P
P
P
P
**This facility does NOT have ER
services
P
P
P
P
Quest Diagnostics
4648 I-10 Service Rd
Metairie, LA 70001
(800) 669-0920
P
P
P
P
P
P
P
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
P
Alan Ostrowe MD
5319 Didesse Dr Ste A
Baton Rouge, LA 70808
(225) 766-8680
P
P
P
Lott Sheffield Anesthesia
5253 Dijon Dr Ste A
Baton Rouge, LA 70808
(225) 768-1611
P
P
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
2 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
Radiology Associates
7809 Jefferson Hwy, Ste B2
Baton Rouge, LA 70809
(225) 926-8686
B R A S S Surgery Center
5328 Didessee
Baton Rouge, LA 70808
(225) 766-1718
RADIOLOGY
P
OLOL-Assumption ER Physicians
135 Hwy 402,
Napoleonville, LA 70390
(9850 369-3600
Assumption Community Hospital
135 Hwy 402
Napoleonville, LA 70390
(985) 369-3600
PATHOLOGY
P
HMO NETWORK
Advanced Surgical Concepts
LLC
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
(225) 368-2330
Contracted Networks
PPO NETWORK
Advanced Management Services
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
(225) 368-2330
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
P
P
P
P
P
P
P
y
P
P
P
P
P
P
P
P
P
P
P
P
P
P
Pediatrix Medical Group
3600 Florida St
Baton Rouge, LA 70821
(225) 387-7000
P
P
P
y
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
3 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
BLUECONNECT
NETWORK
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
Red Stick Emergency Group LLC
8585 Picardy Ave
Baton Rouge, LA 70809
(225) 763-4000
P
P
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
P
P
P
Red Stick Emergency Group LLC
8585 Picardy Ave
Baton Rouge, LA 70809
(225) 763-4000
P
P
P
Pediatrix Medical Group
3600 Florida St
Baton Rouge, La 70821
(225) 387-7000
Baton Rouge General Med
Center-Mid City
3600 Florida Boulevard
Baton Rouge, LA 70806
(225) 387-7724
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
Parish Anesthesia Associates
3600 Florida Boulevard
Baton Rouge, LA 70806
(504) 779-5515
HMO NETWORK
P
PPO NETWORK
Baton Rouge Gen Med CenterBluebonnet
8585 Picardy Avenue
Baton Rouge, LA 70809
(225) 763-4000
Parish Anesthesia Associates
8585 Picardy Avenue
Baton Rouge, LA 70809
(504) 779-5515
RADIOLOGY
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
COMMUNITY BLUE
NETWORK
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
Regional Radiology LLC
1202 S Tyler St
Covington, La 70433
(985) 898-4000
**This facility does NOT have ER
services
Youngs Professional Services
1100 Andre St Ste 300
New Iberia, La 70563
(337) 365-6591
P
P
Lab Corp of America Holdings
16777 Medical Dr
Baton Rouge, LA 70816
(225) 298-8200
Eye Care Surgery Center
10423 Old Hammond Hwy
Baton Rouge, LA 70816
(225) 923-0960
P
P
**This facility does NOT have ER
or radiology services
Amir Saleem, CRNA
10423 Old Hammond Hwy
Baton Rouge, LA 70816
(225) 923-0960
P
P
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
Hood Memorial Hospital
301 West Walnut
Amite, LA 70422
(985) 748-9485
P
P
P
P
Gloria B Coker MD
71250 Hendry Ave
Covington, LA 70433
(985) 982-7130
Hood Memorial Hospital
Emergency Room Physicians
301 West Walnut
Amite, LA 70422
(985) 748-9485
P
P
P
P
U
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.
More u
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
4 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
PATHOLOGY
P
HMO NETWORK
Cypress Point Surgical Hospital
425705 S Airport Road
Hammond, LA 70403
(985) 510-6200
Contracted Networks
PPO NETWORK
Delta Pathology
2915 Missouri Ave
Shreveport, La 71109
(318) 621-8820
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
**This facility does NOT have ER
or radiology services
Lake Surgery Center
7145 Perkins Plaza
Baton Rouge, LA 70808
(225) 765-3111
P
P
**This facility does NOT have ER
Lallie Kemp Medical Center
52579 Highway 51 South
Independence, LA 70443
(985) 878-9421
P
P
Our Lady of the Lake Medical Staff
Services
5000 Hennessy Blvd
Baton Rouge, LA 70808-4350
(225) 765-6565
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
P
P
P
P
Radiology Associates
7809 Jefferson Hwy Ste B2
Baton Rouge, LA 70809
(225) 926-8686
P
Surgical Anesthesia
of Baton Rouge LLC
7145 Perkins Rd
Baton Rouge, LA 70808
(225) 765-3111
P
P
P
Lallie Kemp Medical Center
Medical Staff Services
52579 Highway 51 South
Independence, LA 70443
(985) 878-9421
P
P
P
P
P
P
P
P
P
Regional Radiology LLC
52579 Hwy 51 S
Independence, LA 70443
(985) 878-9421
P
Scully, Sartin and Scioneaux APMC
4648 I-10 Service Rd
Metairie, LA 70001
(504) 889-2307
Van Meter Emergency Physician
52579 Hwy 51 South
Independence, LA 70443
(985) 878-9421
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
5 of 15
(OUT OF NETWORK)
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
PATHOLOGY
NEONATOLOGY
P
HMO NETWORK
Baton Rouge Anesthesia Services
LLC
8748 Blubonnet Blvd
Baton Rouge, LA 70810
(225) 329-2900
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
P
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Contracted Networks
PPO NETWORK
Interventional Pain Management
Center
8748 Bluebonnet Boulevard
Baton Rouge, LA 70810
(225) 329-2900
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
Diagnostic Radiology
Consultants
7703 Picardy Ave
Baton Rouge, LA 70808
(225) 675-8363
Diversified Professionals
8946 Interline Avenue
Suite C
Baton Rouge, LA 70809
(225) 923-0030
Louisiana Endoscopy Center
9103 Jefferson Highway
Baton Rouge, LA 70809
(225) 927-1190
P
**This facility does NOT have
anesthediology, ER or radiology
services
P
P
P
P
P
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
P
P
P
P
Anesthesiology Affiliates
9103 Jefferson Highway
Baton Rouge, LA 70809-2440
225-927-1190
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
6 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
P
HMO NETWORK
P
PATHOLOGY
P
C & M Medical Services
3223 8th St
Metairie, LA 70002
(504) 833-7770
Lane Regional Medical Center
6300 Main St
Zachary, LA 70791
(225) 658-4000
Contracted Networks
PPO NETWORK
Baton Rouge Neonatal Associates
9050 Airline Highway
Baton Rouge, LA 70815
(225) 928-2555
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
P
P
Pediatrix Medical Group
15790 Paul Vega MD Dr
Hammond, La 70403
(985) 345-2700
Guardian Anesthesia Services LLC
27327 Driftwood Rd
Folsom, LA 70437
(985) 796-5428
P
Northshore Ambulatory Surgery
Center
17174 S I-12 Service Rd
Hammond, LA 70403
(985) 675-1120
**This facility does NOT have ER
or radiology services
Guardian Anesthesia Services LLC
27327 Driftwood Rd
Folsom, La 70437
(908) 653-9399
P
P
P
Scully Sartin and Scioneaux APMC
15790 Paul Vega MD Dr
Hammond, La 70403-1434
(985) 345-2700
**This facility does NOT have ER
or radiology services
P
P
P
U
P
P
P
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
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
7 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
P
P
Scully, Sartin and Scioneaux APMC
4648 I-10 Service Rd
Metairie, LA 70001
(504) 889-2307
Northlake Endoscopy LLC
16061 Doctors Blvd, Ste A
Hammond, LA 70403
(985) 345-6090
PATHOLOGY
P
HMO NETWORK
North Oaks Medical Center, LLC
15790 Paul Vega MD Drive
Hammond, LA 70403
(985) 345-2700
North Oaks Medical Center, LLC
Medical Staff Services
15790 Paul Vega MD Dr
Hammond, La 70403
(985) 345-2700
Contracted Networks
PPO NETWORK
North Oaks Medical Center Clinic
Emergency Room Physicians
15790 Paul Vega MD Dr
Hammond, LA 70403
(985) 345-2700
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
Baton Rouge Neonatal
Associates
9050 Airline Highway
Baton Rouge, LA 70815
(225) 928-2555
P P
P
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
P
Ochsner Clinic LLC
1514 Jefferson Hwy
New Orleans, LA 70121
(504) 842-4000
Orthopedic Surgery Center LLC
7301 Hennessy Blvd, Ste 100
Baton Rouge, LA 70808
(225) 763-6029
**This facility does NOT have
radiology or ER services
P
P
P
Diversified Professionals
8946 Interline Ave Ste C
Baton Rouge, LA 70809
(225) 923-0030
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
P
P
P
y
P
P
y
P
P
y
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.
More u
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
8 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
COMMUNITY BLUE
NETWORK
RADIOLOGY
PATHOLOGY
P
BLUECONNECT
NETWORK
Ochsner Medical Center at
Baton Rouge
17000 Medical Center Drive
Baton Rouge, LA 70816
(225) 752-2470
P
HMO NETWORK
Anesthesiology Group Associates Inc
8212 Summa Ave
Baton Rouge, LA 70809
(225) 769-4403
Contracted Networks
PPO NETWORK
ACS Primary Care Physicians LA
17000 Medical Center Dr
Baton Rouge, LA 70816
(225) 755-4858
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
Professional Emergency Physician
Associates LLC
7777 Hennessy Blvd Ste 208
Baton Rouge, LA 70808
(225) 765-8826
P
P
Radiology Associates
7809 Jefferson Hwy Ste B2
Baton Rouge, LA 70809
(225) 926-8686
C & M Medical Services
3223 8th St
Metairie, LA 70002
(504) 833-7770
Pointe Coupee Gen Hospital
2202 False River Drive
New Roads, LA 70760
(225) 638-6331
P
P
P
Delta Pathology Group LLP
2915 Missouri Ave
Shreveport, LA 71109
(318) 621-8820
P
P
P
Opelousas Radiology Group
324 Dulles Dr
Lafayette, LA 70506
(887) 284-9984
P
P
P
P
P
P
P
P
P
P
P
P
P
U
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
9 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
P
HMO NETWORK
P
PATHOLOGY
P
Baton Rouge Neonatal Associates
9050 Airline Highway
Baton Rouge, LA 70815
(225) 928-2555
Our Lady of the Lake
Regional Medical Center
5000 Hennessy Blvd
Baton Rouge, LA 70808
(225) 765-6565
Contracted Networks
PPO NETWORK
Anesthesiology Group Associates Inc
8212 Summa Ave
Baton Rouge, LA 70809
(225) 769-4403
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
Professional Emergency Physician
Associates LLC
7777 Hennessy Blvd Ste 208
Baton Rouge, LA 70808
(225) 765-8826
P
Radiology Associates
7809 Jefferson Hwy Ste B2
Baton Rouge, LA 70809
(225) 926-8686
Outpatient Surgery & Cosmetic Ctr
6550 Main St Suite 2600
Zachary, La 70791
(225)570-6357
P
P
**This facility does NOT have
ER or radiology services
Outpatient Surgery Center for
Sight
550 Connells Park Lane
Baton Rouge, LA 70806
(225) 925-2031
P
**This facility does NOT have ER
or radiology services
P
Diversified Professionals
8946 Interline Ave Ste C
Baton Rouge, LA 70809
(225) 923-0030
P

Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
Louisiana Anesthesiology Group
LLC
9050 Airline Hwy
Baton Rouge, LA 70815
(225) 924-8149
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999

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.
More u
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
10 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
P
HMO NETWORK
P
PATHOLOGY
P
Baton Rouge Neonatal Associates
9050 Airline Highway
Baton Rouge, LA 70815
(225) 928-2555
Our Lady of the Lake
Regional Medical Center
5000 O’Donovan Blvd
Walker, LA 70785
(225) 271-6000
Contracted Networks
PPO NETWORK
Anesthesiology Group Associates Inc
8212 Summa Ave
Baton Rouge, LA 70809
(225) 769-4403
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
P
Phoebe Medical Services
301 Memorial Drive
Donaldsonville, LA 70346
(225) 473-7931
P
P
Lab Corp of America Holdings
16777 Medical Dr
Baton Rouge, LA 70816
(225) 298-8200
Regional Eye Surgery Center LLC
7777 Hennessey Blvd Ste 5000
Baton Rouge, LA 70808
(225) 214-6688
**This facility does NOT have ER,
pathology or radiology services
P
P
P
Regional Anesthesia Consultants
2400 Hospital Dr
Bossier City, La 71111
(318) 797-1743
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
More u
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
11 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
HMO NETWORK
Prevost Memorial Hospital
301 Memorial Drive
Donaldsonville, LA 70346
(225) 473-7931
PPO NETWORK
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
P
Lott Sheffield Anesthesia
5253 Dijon Dr, Ste A
Baton Rouge, LA 70808
(225) 768-1611
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
P
P
P
P
P
P
U
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
12 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
P
P
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
Correct Care Inc
1700 EE Wallace Blvd N
Ferriday, La 71334
(318) 757-6551
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
St Helena Parish Hospital
16874 Highway 43
Greensburg, LA 70441
(225) 222-6111
HMO NETWORK
St Elizabeth Hospital
1125 W Highway 30
Gonzales, LA 70737
(225) 647-5000
Ascension Emergency
Physicians
1125 W Highway 30
Gonzales, LA 70737
(225) 647-5000
PPO NETWORK
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
RADIOLOGY
Contracted Networks
PATHOLOGY
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
**This facility does NOT have ER
services
P
P
P
P
The Neuromedical Center Clinic
10101 Park Rowe Ave
Baton Rouge, LA 70810
(225) 769-2200
P P
P
Diagnostic Radiology Consultants
1759 Physicians Park Dr, Ste A
Baton Rouge, LA 70816-3223
(225) 752-0423
P P
P
y
P
P
P
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
P
**This facility does NOT have ER
services
West Feliciana Parish Hospital
5266 South Commerce St
St Francisville, LA 70775
(225) 635-3811
P
P
P
P
P
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70804-4384
(225) 766-4999
West Feliciana Parish Hospital
ER Physicians
5266 Commerce St
St Francisville, LA 70775-0368
(225) 635-3811
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
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
13 of 15
(OUT OF NETWORK)
P
Lott Sheffield Anesthesia
5253 Dijon Dr Ste A
Baton Rouge, LA 70808
(225) 768-1611
P
NON-CONTRACTED
P
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
The NeuroMedical Center Hospital
10105 Park Rowe Circle
Baton Rouge, LA 70810
(225) 763-9900
COMMUNITY BLUE
NETWORK
P
Baton Rouge Radiology Group
5422 Dijon Drive
Baton Rouge, LA 70808
(225) 769-9337
P
BLUECONNECT
NETWORK
HMO NETWORK
P
P
RADIOLOGY
P P
PATHOLOGY
P
NEONATOLOGY
PPO NETWORK
P
Contracted Networks
P
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
Anesthesiology Group Associates
Inc
8212 Summa Ave
Baton Rouge, LA 70809
(225) 769-4403
Surgical Specialty Center of
Baton Rouge LLC
8080 Bluebonnet Blvd
Baton Rouge, LA 70810
(225) 408-8080
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
BLUECONNECT
NETWORK
HMO NETWORK
PPO NETWORK
No Surgical Services
Offered
HOSPITAL OR AMBULATORY
SURGERY CENTER
EMERGENCY ROOM
MEDICINE
Specialty
Facility Networks
Baton Rouge Region Hospital Based Physicians Participating in Blue Cross and Blue Shield of Louisiana PPO, HMO, BlueConnect and/or
Community Blue Networks
This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena Pointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana Parishes
P
P
Louisiana Anesthesiology Group
9050 Airline Hwy
Baton Rouge, LA 70815
(225) 924-8149
Pathology Group of Louisiana
5339 O’Donovan Dr
Baton Rouge, LA 70808
(225) 766-4999
**This facility does NOT have ER
services
P
P
Radiology Associates
5000 Hennessy Blvd
Baton Rouge, LA 70808
(225) 926-8686
Zachary Surgical Center
4845 Main St Ste A
Zachary, La 70791
(225) 306-0100
P
P
P
P
P
P
P
P
Data Not Received
**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.
More
u
End n
P Participates in Blue Cross, HMO, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
14 of 15
(OUT OF NETWORK)
P
NON-CONTRACTED
P
COMMUNITY BLUE
NETWORK
P
BLUECONNECT
NETWORK
RADIOLOGY
PATHOLOGY
P
HMO NETWORK
Womans Hospital Baton Rouge
100 Woman’s Way
Baton Rouge, LA 70817
(225) 927-1300
Contracted Networks
PPO NETWORK
Baton Rouge Neonatal
Associates
9050 Airline Highway
Baton Rouge, LA 70815
(225) 928-2555
NEONATOLOGY
NAME AND OFFICE ADDRESS
OF HOSPITAL-BASED
PHYSICIAN OR GROUP
ANESTHESIOLOGY
COMMUNITY BLUE
NETWORK
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 check mark (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 BlueConnect network;
P Participating in Community Blue network
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 or Community Blue networks 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, BlueConnect and/or Community Blue networks
U Does not participate in the HMO network, but will not balance bill the member
y Does not participate in the BlueConnect or Community networks, 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.
18NW1699 R 01/15
Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
15 of 15