Managed Care Provider Directory - Blue Cross and Blue Shield of ...

More documents

Recommendations

Info

Specialty Care Providerswww.bcbsmt.comWhitefishSpeech TherapyShannon R. Brennan, SLPWhitefish Physical Therapy &Sports Rehab LLP2006 Hospital Way(406) 862-9378Cindy Brooks, SLPWhitefish Physical Therapy &Sports Rehab LLP2006 Hospital Way(406) 862-9378Gregory D. Logan, SLP219 Minnesota Ave(406) 270-1949Whitefish Physical Therapy &Sports Rehab LLP2006 Hospital Way(406) 862-9378Jasna Stafford, SLPWhitefish Physical Therapy &Sports Rehab LLP2006 Hospital Way(406) 862-9378SurgeryRyan T. Gunlikson, MD2000 Hospital Way(406) 862-5575Robin Ann Harrison, MDNorth Valley Hospital1111 Baker Ave Ste 2(406) 863-1333Sydney R. Lillard, MDNorth Valley Hospital1111 Baker Ave Ste 2(406) 863-1333WhitefishUrologyJohn D. Andenoro, MDUrology Associates PC1111 Baker Ave(406) 752-8456Amy K. McKerrow, MDUrology Associates PC1111 Baker Ave(406) 752-8456Jonathan F. Mercer, MD711 E 13th Ave Ste 201(406) 756-1433WhitehallLicensed Clinical ProfessionalCounselorElizabeth J. Billings, LCPC313 W Legion St Ste 5(406) 490-1279Jeffrey A. Watson, LCPCLife Management AssociatesLLC13 N Main St(406) 723-1285Mary L. Watson, LCPCLife Management AssociatesLLC13 N Main St(406) 723-1285Wolf PointChiropracticCade J. Taylor, DC200 US Highway 2 E Ste C(406) 653-3600John R. Means, MDNorth Valley Hospital1111 Baker Ave Ste 2(406) 863-1333Stephen G. Milheim, MDNorth Valley Hospital1111 Baker Ave Ste 2(406) 863-1333David G. Sheldon, MDNorth Valley Hospital1111 Baker Ave Ste 2(406) 863-1333UrologyCustomer Service1-800-447-7828130
Summarization of Individual Provider Credentialing StandardsCredentialingCredentialing standards are the criteria certain network providers must meet andmaintain to be accepted as a participating provider or to continue as networkproviders. The credentialing process takes an average of 45 days to complete.Credentialing application information is verified with the primary source within180-days prior to making any credentialing decision. After verifying the minimumeligibility criteria, the BCBSMT Credentialing Committee considers the provider'scredentials based on specific criteria. The committee consists of physicians andnon-physicians, representing multiple specialties from across Montana, andrepresentatives from BCBSMT.Re-CredentialingRecredentialing is performed every three years and requires an updated providerapplication and reverification of all of the information except the provider's initialeducation and training. If information is received that raises quality concerns prior torecredentialing, the provider's participation may be reconsidered.State licensing board continuing education requirements are followed for all providerswith the exception of physicians. Physicians are required to complete 75 Category Icontinuing education credits within three years.LicensureSource of Information· Provider Credentialing Application· Appropriate State Board of Medical ExaminersStandardThe provider has a valid and current license to practice in the state of Montana.
Page 2 and 3:
Using this DirectoryIntroductionThi
Page 4 and 5:
OnlineBenefits,Claims andEligibilit
Page 6 and 7:
Personal Care Physicianswww.bcbsmt.
Page 8 and 9:
Page 12 and 13:
Page 14 and 15:
Page 16 and 17:
Page 18 and 19:
Page 20 and 21:
Page 22 and 23:
Professional Providerswww.bcbsmt.co
Page 24 and 25:
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Specialty Care Providerswww.bcbsmt.
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85: Specialty Care Providerswww.bcbsmt.
Page 136 and 137: EducationSource Of Information· Pr
Page 138: MalpracticeCoverageSource Of Inform
show all

Managed Care Provider Directory - Blue Cross and Blue Shield of ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?