WELCOME Changes to information contained in this directory may occur because of additions, address changes or changes in practice arrangements.

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1 WELCOME This directory includes a listing of contracted healthcare providers participating with the Sierra Nevada Spectrum PPO plan. Sierra Nevada Spectrum provides you with the flexibility to see the doctor of your choice. However, if you choose a Network provider, your costs for services will generally be significantly less and you will have the comfort of knowing that the provider you choose: (1) has his/her credentials periodically checked by the plan; (2) has a contract to provide certain specified services, (3) must meet certain access requirements and quality standards for care; and (4) will bill Sierra Nevada Spectrum directly and reduce paperwork. Members can also opt to see doctors that do not belong to the Plan s provider network, but costs are generally higher. To minimize your health care costs, you are encouraged to: Use contracted Plan Providers (we recommend selecting a Primary Care Physician to oversee your routine care and to assist you when you need to see a specialist); Carefully review your plan benefit materials for requirements regarding Prior Authorization, covered services, limitations and exclusions; Contact our Sierra Nevada Spectrum Member Services Department at (702) or (877) , to check the status of Prior Authorization determinations; Use plan urgent care centers or physicians with extended office hours for urgent and nonemergency after-hours care. This Sierra Nevada Spectrum provider directory lists the names and addresses of all contracted plan physicians by specialty, as well contracted hospitals, and pharmacies. Where applicable, service information relating to a physician or provider s practice has been noted following his/her name. Physician Extenders (eg: P.A., P.A.C., A.P.N., P.N.P.) are licensed as General Practice providers. Although some may have additional training, the specialty they are listed under reflects the licensed specialty of their supervising physician. Changes to information contained in this directory may occur because of additions, address changes or changes in practice arrangements. Be sure that you confirm the contracted status of a provider listed in this directory before receiving services in order to maximize the cost effectiveness of your plan coverage. Not all providers at a plan facility (such as Emergency Room physicians) may be contracted as Plan Providers with Sierra Nevada Spectrum. Whenever possible, please remember to confirm the contracted status of your provider before receiving services. This can usually be done when you make your appointment. If you need additional information or assistance, call the Member Services Department s tollfree number, (877) In Las Vegas call (702) , from 8 a.m. to 5 p.m., Monday through Friday. You may also access information on the website at Participating Providers and Facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from their acts or omissions. As with any directory, frequent changes occur. Sierra Health and Life Insurance Company, Inc. is not responsible for inadvertent errors or omissions, and no assurance can be given as to the complete accuracy of this provider list. SIERRA NEVADA SPECTRUM SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC N. Tenaya Way P.O. Box Las Vegas, NV 89114

2 Sierra Nevada Spectrum Members: Coverage under the Sierra Nevada Spectrum plan includes access to emergency services, urgently needed services, and out of area dialysis services. These services will be covered and can be obtained without a PCP referral or authorization. In the event of an Emergency Medical Condition, go to the closest emergency room, or where available, call 911 for assistance. Sierra Nevada Spectrum will cover Emergency Services whether you are in or out of the service area. You should have someone telephone Sierra Nevada Spectrum at the number listed on your membership card within 48 hours; or as soon as reasonably possible when an emergency occurs so that we can be involved in the management of your health care and transfer can be arranged when your medical condition is stable (depending on the distance involved). Providers should submit bills to Sierra Nevada Spectrum directly for payment. However, if you pay for any Emergency Services, Urgently Needed Services, out of area dialysis services, or any other health care services obtained from Non-contracted Medical Providers, you should submit your itemized bills to Sierra Nevada Spectrum for payment. You should be prepared to assist in obtaining all information necessary to properly process your request. Bills should be submitted to the following address: Sierra Nevada Spectrum Attn: Claims Administration PO Box Las Vegas, NV Please refer to your Evidence of Coverage (EOC) for a full description of plan rules and requirements. If you have any questions (including how to submit a claim), please call us at (702) or (877) or for TDD (702) or TDD (800) from 8 a.m. to 5 p.m., Pacific Time, Monday through Friday, and we will be happy to assist you. Information is also available on the website at Please call Medicare at MEDICARE ( ) 24 hours/day, 7 days/per week or visit for more information about Medicare. (TTY/TDD: )

3 PHARMACY INFORMATION Sierra Nevada Spectrum s goal is to provide you with high quality prescription drug coverage in the least restrictive and most convenient setting possible. To gain the most from your participation with Sierra Nevada Spectrum, please read carefully all materials provided to you. This directory includes a listing of participating network pharmacies with Sierra Nevada Spectrum within your service area. Please remember to: Use network plan pharmacies; Carefully review your plan benefit materials for information on covered drugs, non-plan benefits, and emergency services This Sierra Nevada Spectrum pharmacy directory lists the names and addresses of all network independent plan pharmacies within your service area. Names of network chain plan pharmacies within your service area are also listed. For specific location information of a chain plan pharmacy please contact the chain pharmacy number listed within this directory. Sierra Nevada Spectrum also provides Long Term Care, Home Infusion and Mail Order pharmacy services for your convenience. Network Pharmacies will submit bills to Sierra Nevada Spectrum directly for payment. However, if you pay for any emergency services obtained from an out of network pharmacy, you should submit your itemized bills to Sierra Nevada Spectrum for consideration. Please be prepared to assist in obtaining all information necessary to properly process your request. Bills should be submitted to the following address: Sierra Nevada Spectrum - Attn: Claims Administration - PO Box Las Vegas, NV Please refer to your Evidence of Coverage (EOC) for a full description of plan rules and requirements. If you have any questions, please call the Sierra Nevada Spectrum Member Services Department at or TDD/TTY: from 8 a.m. to 5 p.m., Pacific Time, Monday through Friday, and we will be happy to assist you. Information is also available on the website at You may also call MEDICARE ( ) 24 hours/day, 7 days/per week or visit for more information about the Medicare program. (TTY/TDD: ) SIERRA NEVADA SPECTRUM SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC N. Tenaya Way P.O. Box Las Vegas, NV 89114

4 ARIZONA DIRECTORY Mohave County

5 Sierra Spectrum Arizona Table of Contents/ Arizona Tabla de Contenidos de Sierra Spectrum Participating Providers and Facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Sierra Spectrum is not responsible for inadvertent errors or omissions, and no Tanto los proveedores que participan del plan como las instalaciones que funcionan dentro del mismo son contratistas independientes y como tales están obligados a responder por cualquier responsabilidad legal, profesional o de otro tipo que resulte de sus actos u omisiones. Al igual que con cualquier otro tipo de directorio, en este también se dan cambios frecuentes. Sierra Spectrum no se hace responsable por errores u omisiones inadvertidas, al igual que no es posible asegurar la plena exactitud de esta información. Primary Care Physicians/Medicos de Atencion Primaria... 1 MOHAVE... 1 GENERAL/FAMILY PRACTICE... 1 INTERNAL MEDICINE... 1 OB/GYN... 2 Designated Specialists/Especialistas Designados... 3 MOHAVE... 3 ALLERGY/IMMUNOLOGY... 3 ANESTHESIOLOGY... 3 CARDIOLOGY... 3 CHIROPRACTIC... 3 COLON/RECTAL SURGERY... 3 DERMATOLOGY... 3 GASTROENTEROLOGY... 3 GENERAL SURGERY... 4 HEMATOLOGY/ONCOLOGY... 4 NEPHROLOGY... 4 NEUROLOGY... 4 NEUROSURGERY... 5 OPHTHALMOLOGY... 5 ORTHOPEDIC SURGERY... 5 OTOLARYNGOLOGY... 5 PAIN MANAGEMENT... 5 PODIATRY... 5 PULMONOLOGY... 5 RADIATION THERAPY... 6 RHEUMATOLOGY... 6 UROLOGY... 6 Other Support Services/Otros Servicios de Apoyo Designados... 7 MOHAVE... 7 AMBULANCE... 7 AMBULATORY SURGERY CENTER... 7 DIALYSIS... 7 DURABLE MEDICAL EQUIPMENT... 7 HOME HEALTH... 7 INFUSION THERAPY... 7 LABORATORY... 7 MENTAL HEALTH/SUB ABUSE FACILITY... 7 ORTHOTICS/PROSTHETICS... 7 PHYSICAL MEDICINE/REHAB... 7 RADIOLOGY FACILITY... 8 v Effective October 1, 2005 Válido a partir del 1º de Octobre de 2005

6 Sierra Spectrum Arizona Table of Contents/ Arizona Tabla de Contenidos de Sierra Spectrum Participating Providers and Facilities are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. Sierra Spectrum is not responsible for inadvertent errors or omissions, and no Tanto los proveedores que participan del plan como las instalaciones que funcionan dentro del mismo son contratistas independientes y como tales están obligados a responder por cualquier responsabilidad legal, profesional o de otro tipo que resulte de sus actos u omisiones. Al igual que con cualquier otro tipo de directorio, en este también se dan cambios frecuentes. Sierra Spectrum no se hace responsable por errores u omisiones inadvertidas, al igual que no es posible asegurar la plena exactitud de esta información. SKILLED NURSING FACILITY... 8 THERAPY - PHYSICAL... 8 Hospitals and Emergency Services/Hospitales y Servicios de Emergencia... 9 Arizona Pharmacies Arizona HI LTC MO Pharmacies Index/Indice vi Effective October 1, 2005 Válido a partir del 1º de Octobre de 2005

7 Arizona Primary Care Physicians/ Medicos de Atencion Primaria AZ SERVICE AREA MOHAVE GENERAL/FAMILY PRACTICE BENEZE MEDICAL GROUP 3003 HWY. 95, #73 (928) BENEZE, NATHAN E, M.D. FOSTER, BARNEY B, P.A.C. KEATING, LARRY J, P.A.C. BULLHEAD URGENT CARE CENTER 1355 RAMAR RD., #11 (928) WAGNER, DONALD J, D.O. CERBAT MEDICAL CENTER 1739 BEVERLY AVE., #201 KINGMAN, AZ (928) HARRIS-FESHAMI, BARBARA A, M.D. JACKSON, KENNETH D, M.D. KLEMAN, TIMOTHY, D.O. MORGAN, DONALD L, D.O. ROGERS, MILDA, F.N.P. SUBHAN, MOHAMMAD A, M.D. WEIDNER, JOHN A, D.O. ZEGARRA, TED E, M.D SYCAMORE AVE., #1 KINGMAN, AZ (928) HARRIS-FESHAMI, BARBARA A, M.D. JACKSON, KENNETH D, M.D. KLEMAN, TIMOTHY, D.O. MORGAN, DONALD L, D.O. ROGERS, MILDA, F.N.P. SUBHAN, MOHAMMAD A, M.D. WEIDNER, JOHN A, D.O. ZEGARRA, TED E, M.D. DESERT PALMS MEDICAL ASSOCIATES 3015 HWY. 95, #105 (928) CARPENTER, K. LANCE, P.A.C. MALIK, JAVED A, M.D. FORT MOHAVE INDIAN TRIBE 1607 PLANTATION RD. MOHAVE VALLEY, AZ (928) WILSON, CHARLES A, D.O. HAVASU MEDICAL CARE 1955 MCCULLOCH BLVD., #N LAKE HAVASU CITY, AZ (928) CALLERAME, MARY L, M.D. HENDRIX FAMILY MEDICINE 5300 S. HWY.95, #H FORT MOHAVE, AZ (928) HENDRIX, RICHARD E, M.D. KAYE CUNNINGHAM MD 5653 S. HWY. 95, #A FORT MOHAVE, AZ (928) CUNNINGHAM, KAYE A, M.D. MARK HUBBARD MD 5300 S. HWY. 95, #A FORT MOHAVE, AZ (928) HUBBARD, MARK D, M.D. MOHAVE MEDICAL CLINICS 1915 STOCKTON HILL RD. KINGMAN, AZ (928) MASTAKAS, MICHAEL D, M.D. OASIS FAMILY CARE CLINIC 967 HANCOCK RD., #133 (928) ROSADO-COSME, RAFAEL A, M.D. SILVERCREEK FAMILY PRACTICE 1510 TURQUOISE RD. (928) BRENNAN, CYNTHIA M, M.D. KATIGBAK, CESAR K, M.D. WEST FAMILY PRACTICE & OBSTETRICS 5300 S. HWY. 95, #D FORT MOHAVE, AZ (928) BRASHER, SHANNON K, P.A.C. WEST, GERALD C, M.D. WILLIAM BRIAN WOMACK DO 5300 S. HWY. 95, #A FORT MOHAVE, AZ (928) WOMACK, WILLIAM, D.O. WILLOW VALLEY MEDICAL CENTER 8700 HWY. 95 MOHAVE VALLEY, AZ (928) ANDERSON, DONOVAN J, M.D. HONGYOK, USA, P.A.C. INTERNAL MEDICINE ADOLFO SOTO MD 967 HANCOCK RD., #133 (928) SOTO, ADOLFO, M.D. CERBAT MEDICAL CENTER 1739 BEVERLY AVE., #201 KINGMAN, AZ (928) CHANG-BURNS, ANNIE M, M.D. JOE, SUNGNAM, M.D. SPENCER, JAMES C, M.D SYCAMORE AVE., #1 KINGMAN, AZ (928) CHANG-BURNS, ANNIE M, M.D. JOE, SUNGNAM, M.D. SPENCER, JAMES C, M.D. DESERT OASIS MEDICAL CENTER 1225 E. HANCOCK RD., #C (928) STRAIN, SHARON D, P.A.C. SYEDA, UZMA A, M.D. ZEGARRA, GUILLERMO G, M.D. 1

8 AZ SERVICE AREA Arizona Primary Care Physicians/ Medicos de Atencion Primaria ZEHRI, WAHEED H, M.D. INTERNAL MEDICINE HEALTH CLINIC 1520 E. HAMMER LN., #101 FORT MOHAVE, AZ (928) HOUSTON, PATRICE, M.D. MEDICAL CLINICS OF ARIZONA DONNELL AVE. DOLAN SPRINGS, AZ (928) BUENO, JR., DAMASO S, M.D. KALANITHI, A. PAUL, M.D. WEBB, CHERYL, F.N.P AIRWAY AVE., #A KINGMAN, AZ (928) BUENO, JR., DAMASO S, M.D. KALANITHI, A. PAUL, M.D. WEBB, CHERYL, F.N.P. MOHAVE MEDICAL CLINICS 1915 STOCKTON HILL RD. KINGMAN, AZ (928) NASEF, SHERIF A, M.D. MOHAVE NEPHROLOGY 1739 BEVERLY AVE., #206 KINGMAN, AZ (928) PALANICHAMY, VIJAYAVEL, M.D. MOHAVE PRIMARY CARE 975 SYCAMORE AVE. KINGMAN, AZ (928) GOVINDARAJAN, ILANGOVAN, M.D. SHAKER F SAAD MD 2771 SILVER CREEK RD., #104 (928) SAAD, SHAKER F, M.D. OB/GYN ALL WOMEN'S REGIONAL MEDICAL CENTER 2500 CANYON RD. (928) BORCHERS, TERESA, D.O. GOLDSTEIN-CHARBONNEAU, CHRISTINA, D.O. CERBAT MEDICAL CENTER 1739 BEVERLY AVE., #201 KINGMAN, AZ (928) LEMANSKI, ANTHONY J, M.D. TAYLOR, LORNE, D.O. TEDESCO, JOSEPH H, D.O SYCAMORE AVE., #1 KINGMAN, AZ (928) LEMANSKI, ANTHONY J, M.D. TAYLOR, LORNE, D.O. TEDESCO, JOSEPH H, D.O. DONALD R NELSON MD 1945 MESQUITE AVE., #A LAKE HAVASU CITY, AZ (928) NELSON, DONALD, M.D. OB/GYN WOMEN'S CENTRE 2055 HWY. 95 (928) ALVAREZ, JOSE H, M.D. BRISTOW, SUSAN, A.P.N. RICHARD P BENEDICT MD 5300 S. HIGHWAY 95, #K BULLHEAD CITY, AZ (928) BENEDICT, RICHARD P, M.D. TRI-STATE OB-GYN 3003 HWY. 95, BLDG. #B31 (928) LONDON, THEODORE D, M.D. 2

9 Arizona Designated Specialists/ Especialistas Designados AZ SERVICE AREA MOHAVE ALLERGY/IMMUNOLOGY HOSEA E BROWN MD 1951 MESQUITE AVE., #E LAKE HAVASU CITY, AZ (928) BROWN, HOSEA E, M.D HWY. 95 FORT MOHAVE, AZ (928) BROWN, HOSEA E, M.D. ANESTHESIOLOGY MANDEEP POWAR MD 1775 MCCULLOCH BLVD. LAKE HAVASU CITY, AZ (928) SILVERCREEK MEDICAL ASSOCIATES 2755 SILVER CREEK RD., #111 (928) TRI-STATE ANESTHESIA ASSOCIATED 2735 SILVER CREEK RD. (928) CARDIOLOGY ARIZONA HEART INSTITUTE 1845 MCCULLOCH BLVD. LAKE HAVASU CITY, AZ (928) MARKABAWI, BASHAR J, MD EDWARD J QUINN MD 1851 MESQUITE AVE., #202 LAKE HAVASU CITY, AZ (928) QUINN, EDWARD J, M.D. MEDICAL CLINICS OF ARIZONA DONNELL AVE. DOLAN SPRINGS, AZ (928) KALANITHI, A. PAUL, M.D AIRWAY AVE., #A KINGMAN, AZ (928) KALANITHI, A. PAUL, M.D. S ISMAIL BOKHARI MD 1720 BEVERLY RD., #B KINGMAN, AZ (928) BOKHARI, ISMAIL I, M.D. SAADEH A SAADEH MD 1851 MESQUITE AVE., #112 LAKE HAVASU CITY, AZ (928) SAADEH, SAADEH A, M.D. SOUTHWEST CARDIOVASCULAR ASSOCIATES 1648 HWY. 95 (928) ALFAFARA, RICARDO C, M.D. JACOBSON, THOMAS E, M.D. MIRZA, IRFAN M, M.D. PRASAD, CHANNA B, M.D. CHIROPRACTIC BARNARD CHIROPRACTIC 2440 HIGHWAY 95 (928) BARNARD, PHILIP C, DC CERBAT CHIROPRACTIC 2716 STOCKTON HILL RD. KINGMAN, AZ (928) SHUFFLER, KELLY, DC FIRST CHIROPRACTIC OF KINGMAN 2139 AIRWAY AVE. KINGMAN, AZ (928) HAYDON, PATRICIA, D.C. MONSON, E. S, D.C. GLASS CHIROPRACTIC 2095 NORTHERN AVE. KINGMAN, AZ (928) GLASS, TIMOTHY M, D.C. HUFFMAN CHIROPRACTIC 1930 MESQUITE AVE., #2 LAKE HAVASU CITY, AZ (928) HUFFMAN, PAUL S, D.C. KINGMAN CHIROPRACTIC CLINIC 1910 LUCILLE AVE. KINGMAN, AZ (928) GUSTAFSON, DENNIS D, D.C. GUSTAFSON, RYAN D, D.C. COLON/RECTAL SURGERY RICHARD CARDONE MD 5300 S. HWY. 95, #C BULLHEAD CITY, AZ (928) CARDONE, RICHARD, M.D. DERMATOLOGY MOHAVE SKIN & CANCER CLINIC 2010 INJO RD. LAKE HAVASU, AZ (702) DAULAT, JALDEEP, D.O N. STOCKTON HILL RD. KINGMAN, AZ (800) DAULAT, JALDEEP, D.O. GASTROENTEROLOGY MOHAVE GASTROENTEROLOGY 3003 HWY. 95, #63 (928) NIIZAWA, JEFFREY M, M.D. 3

10 AZ SERVICE AREA Arizona Designated Specialists/ Especialistas Designados TRI-STATE GASTROENTEROLOGY 1730 HWY. 95, #A (928) JAN, ALTAF, M.D STOCKTON HILL RD. KINGMAN, AZ (928) JAN, ALTAF, M.D. VINOD K SINGH MD 1739 BEVERLY AVE., #206 KINGMAN, AZ (928) SINGH, VINOD K, M.D. GENERAL SURGERY DANIEL PARA MD 1851 MESQUITE AVE., #116 LAKE HAVASU CITY, AZ (928) PARA, DANIEL J, M.D. HESHAM SAHAWNEH DO 3931 STOCKTON HILL RD. KINGMAN, AZ (928) SAHAWNEH, HESHAM, D.O. MICHAEL R TRIMBLE MD FACS 1514 GOLDRUSH RD., #A18 (928) TRIMBLE, MICHAEL R, M.D. NORTHERN ARIZONA GENERAL SURGICAL GROUP 1739 BEVERLY AVE., #206 KINGMAN, AZ (928) COURSON, RODNEY G, M.D. RICHARD CARDONE MD 5300 S. HWY. 95, #C BULLHEAD CITY, AZ (928) CARDONE, RICHARD, M.D. HEMATOLOGY/ ONCOLOGY CANCER & BLOOD SPECIALISTS OF NEVADA 2755 SILVER CREEK RD., BLDG. #D127 (928) GHANI, MUHAMMAD S, M.D. NYAMUSWA, GILBERT M, M.D. PARK, HYO-JONG, M.D. LAS VEGAS CANCER CENTER 2401 N. STOCKTON HILL RD., #3 KINGMAN, AZ (928) AHMED, IMRAN, M.D. PARIKH, NUTAN K, M.D. VALLEY RADIATION ONCOLOGY 101 CIVIC CENTER LANE LAKE HAVASU CITY, AZ (928) LACHANCE, GILES J, MD NEPHROLOGY MEDICAL CLINICS OF ARIZONA DONNELL AVE. DOLAN SPRINGS, AZ (928) BUENO, JR., DAMASO S, M.D AIRWAY AVE., #A KINGMAN, AZ (928) BUENO, JR., DAMASO S, M.D. MOHAVE NEPHROLOGY 1739 BEVERLY AVE., #206 KINGMAN, AZ (928) PALANICHAMY, VIJAYAVEL, M.D. NEUROLOGY AZ INSTITUTE OF NEUROPSYCHIATRIC DISORDERS 1739 BEVERLY AVE., #106 KINGMAN, AZ (928) AGUILA, NIMFA R, M.D MESQUITE AVE., #112 LAKE HAVASU CITY, AZ (928) AGUILA, NIMFA R, M.D HWY. 95, #210 (928) AGUILA, NIMFA R, M.D. MOHAVE NEURO- REHABILITATION CONSULTANTS 1712 SYCAMORE AVE. KINGMAN, AZ (928) SHELTON, HEATHER A, M.D. NEUROLOGICAL AND HEADACHE DISORDERS 3178 WESTERN AVE. KINGMAN, AZ (928) PARACHA, MUNAWAR A, M.D. THOMAS J CLARK DO 5300 S. HWY. 95, #L FORT MOHAVE, AZ (928) CLARK, THOMAS J, D.O. TRI-STATE NEUROLOGICAL & SLEEP DISORDER CENTER 3015 HWY. 95, #109 (928) NAYER, MUHAMMED A, M.D. 4

11 Arizona Designated Specialists/ Especialistas Designados AZ SERVICE AREA NEUROSURGERY AGATA-VENGER PARTNERSHIP 1225 E. HANCOCK RD. (702) KREUN, DANIEL, P.A.C. VENGER, BENJAMIN H, M.D MESQUITE AVE., #D LAKE HAVASU CITY, AZ (702) KREUN, DANIEL, P.A.C. SMITH, WILLIAM D, M.D HWY. 95, #210 (702) KREUN, DANIEL, P.A.C. VENGER, BENJAMIN H, M.D STOCKTON HILL RD. KINGMAN, AZ (702) KREUN, DANIEL, P.A.C. VENGER, BENJAMIN H, M.D. OPHTHALMOLOGY MOHAVE EYE CENTER 1925 FLORENCE AVE. KINGMAN, AZ (928) WESTFIELD, KENNETH C, M.D. STAGNER EYE CENTER 2403 STOCKTON HILL RD. KINGMAN, AZ (928) STAGNER, MICHAEL J, MD WESTERN MEDICAL EYE CENTER 1800 HWY. 95, #2 (928) GLESMANN, SCOTT A, M.D. SCHICKNER, DANIEL C, M.D STOCKTON HILL RD. KINGMAN, AZ (928) GLESMANN, SCOTT A, M.D. SCHICKNER, DANIEL C, M.D. ORTHOPEDIC SURGERY MARC H ZIMMERMAN MD 1840 MESQUITE AVE., #G LAKE HAVASU CITY, AZ (928) ZIMMERMAN, MARC H, M.D. OTOLARYNGOLOGY JONATHAN M BROWN DO 5300 S. HWY. 95, #M FORT MOHAVE, AZ (928) BROWN, JONATHAN M, D.O. TERRANCE J KWIATKOWSKI MD 1514 GOLDRUSH RD., #2A (928) KWIATKOWSKI, TERRANCE J, M.D. THOMAS L DAVIS III DO 3116 STOCKTON HILL RD. KINGMAN, AZ (928) DAVIS, III, THOMAS L, D.O. PAIN MANAGEMENT MANDEEP POWAR MD 1775 MCCULLOCH BLVD. LAKE HAVASU CITY, AZ (928) POWAR, MANDEEP, M.D. SILVERCREEK MEDICAL ASSOCIATES 2755 SILVER CREEK RD., #111 (928) SUTERA, PAUL T, M.D. PODIATRY AZ INSTITUTE OF MEDICINE AND SURGERY 1555 RAMAR RD. (928) SAVAGE, DAVID M, DPM 3636 STOCKTON HILLS RD. KINGMAN, AZ (928) SAVAGE, DAVID M, DPM HAVASU FOOT & ANKLE SURGI CENTER 90 RIVIERA DR. LAKE HAVASU CITY, AZ (928) NOVACK, ROBERT H, DPM JAMES P WILSON DPM 1980 MESQUITE AVE., #103 LAKE HAVASU CITY, AZ (928) WILSON, JAMES P, D.P.M. PALO VERDE FOOT & ANKLE 3003 HWY. 95, #41 (928) CRAMPTON, SCOTT A, D.P.M. REMER, MARY E, D.P.M. SCOTT I BOGGS DPM 5221 S. HWY. 95, #10 FORT MOHAVE, AZ (928) BOGGS, SCOTT I, D.P.M. PULMONOLOGY ARIZONA PULMONARY ASSOCIATES 1225 E. HANCOCK RD., #105 (928) ARSHAD, ANEES, M.D. 5

12 AZ SERVICE AREA Arizona Designated Specialists/ Especialistas Designados DESERT PULMONOLOGY 3015 HWY. 95, #106 (928) LAWRENCE, JAMES P, M.D. KINGMAN PULMONARY ASSOCIATES 1739 BEVERLY AVE., #118 KINGMAN, AZ (928) MATHENY, ROBERT, MD MOHAVE PULMONARY AND SLEEP DISORDER CLINIC 2771 SILVER CREEK RD., #105 (928) AHMED, MAQBOOL, M.D S. HWY. 95, #2 FORT MOHAVE, AZ (928) AHMED, MAQBOOL, M.D. RADIATION THERAPY VALLEY RADIATION ONCOLOGY 101 CIVIC CENTER LANE LAKE HAVASU CITY, AZ (928) LACHANCE, GILES J, MD RHEUMATOLOGY MOHAVE MEDICAL CLINICS 1915 STOCKTON HILL RD. KINGMAN, AZ (928) NASEF, SHERIF A, M.D. UROLOGY BASHIR AHMED AZHER MC 1467 PALMA RD., #4 (928) AZHER, BASHIR A, M.D. 6

13 Arizona Other Support Services/ Otros Servicios de Apoyo Designados AZ SERVICE AREA MOHAVE AMBULANCE BULLHEAD FIRE DEPARTMENT - AMBULANCE SERVICES 1260 E. HANCOCK RD. (928) FORT MOHAVE MESA FIRE DEPARTMENT 2230 JOY LN. FORT MOHAVE, AZ (520) KRMC - GUARDIAN AIR 7070 FLIGHTLINE DR. KINGMAN, AZ (928) MOHAVE VALLEY FIRE DEPARTMENT & AMBULANCE SERVICES 1451 WILLOW DR. MOHAVE VALLEY, AZ (928) TRANSERV TRANSPORT 2827 VAN MARTER DR. KINGMAN, AZ (928) AMBULATORY SURGERY CENTER AIMS OUTPATIENT SURGERY CENTER 3636 STOCKTON HILL RD. KINGMAN, AZ (928) HAVASU SURGERY CENTER 1775 MCCULLOCH BLVD. LAKE HAVASU CITY, AZ (928) MOHAVE SURGERY CENTER 1919 FLORENCE AVE. KINGMAN, AZ (928) PHYSICIANS SURGERY CENTER 1800 HWY. 95 (928) DIALYSIS BIO MEDICAL APPLICATIONS OF ARIZONA 967 HANCOCK RD., #25 (928) DURABLE MEDICAL EQUIPMENT APRIA HEALTHCARE 1514 GOLD RUSH RD., #244C (928) NOVACARE (SO NV) ORTHOTICS & PROSTHETICS 1355 RAMAR RD., #3 (928) MESQUITE AVE., #B LAKE HAVASU CITY, AZ (928) HOME HEALTH APRIA HEALTHCARE 1514 GOLD RUSH RD., #244C (928) INFUSION THERAPY APRIA HEALTHCARE 1514 GOLD RUSH RD., #244C (928) LABORATORY SONORA QUEST LABORATORIES 1740 BEVERLY ST. KINGMAN, AZ (928) MCCULLOCH BLVD., #106 LAKE HAVASU CITY, AZ (928) HWY. 95, #204 (928) HWY. 95, #G73 (928) BULLHEAD CITY 2000 HWY. 95, #204 (928) MENTAL HEALTH/SUB ABUSE FACILITY For detailed information or to obtain a mental health provider in your area please contact (702) or (800) or TDD (702) or TDD (800) There is a 24 hour crisis team available 7 days a week, services can be accessed by calling (702) or (800) or TDD (702) or TDD (800) ORTHOTICS/ PROSTHETICS NOVACARE (SO NV) ORTHOTICS & PROSTHETICS 1355 RAMAR RD., #3 (928) MESQUITE AVE., #B LAKE HAVASU CITY, AZ (928) PHYSICAL MEDICINE/ REHAB MOHAVE NEURO- REHABILITATION CONSULTANTS 1712 SYCAMORE AVE. KINGMAN, AZ (928)

14 AZ SERVICE AREA Arizona Other Support Services/ Otros Servicios de Apoyo Designados RADIOLOGY FACILITY ALLIANCE IMAGING 3104 STOCKTON HILL RD. KINGMAN, AZ (800) AMERICAN MEDICAL IMAGING 1517 E. AZTEC RD. FORT MOHAVE, AZ (800) AZ INSTITUTE OF MEDICINE & SURGERY 1555 RAMAR RD. (928) STOCKTON HILL RD. KINGMAN, AZ (928) COLORADO RIVER RADIOLOGY 2735 SILVER CREEK RD. (800) WIDE OPEN MRI OF BULLHEAD CITY 2000 HWY. 95, #222 (928) SKILLED NURSING FACILITY SILVER RIDGE VILLAGE 2812 SILVER CREEK RD. (928) THERAPY - PHYSICAL HEALTHSOUTH CORPORATION 2000 HWY. 95, #110 (928) DESERT ROSE IMAGING 1708 SYCAMORE AVE., #A KINGMAN, AZ (928) HEART INSTITUTE OF NORTHERN ARIZONA 1753 AIRWAY AVE., #B KINGMAN, AZ (928) SILVERCREEK MRI 2735 SILVER CREEK RD. (928) SOUTHWEST MEDICAL IMAGING CENTER 3104 STOCKTON HILL RD. KINGMAN, AZ (928) WESTERN ARIZONA MEDICAL OUTPATIENT IMAGING CENTER 1245 E. HANCOCK RD. (928)

15 Arizona Hospitals and Emergency Services/ Hospitales y Servicios de Emergencia AZ SERVICE AREA HOSPITAL HAVASU REGIONAL MEDICAL CENTER 101 CIVIC CENTER LN. LAKE HAVASU CITY, AZ (928) KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL RD. KINGMAN, AZ (928) WESTERN ARIZONA REGIONAL MEDICAL CENTER 2735 SILVER CREEK RD. (928) URGENT CARE BULLHEAD URGENT CARE CENTER 1355 RAMAR RD., #11 (928)

16 AZ Service Area Arizona Retail Pharmacies NATIONAL ALBERTSON'S* COSTCO CVS PHARMACY* FOOD CITY* FRY'S PHARMACY* KMART NEIGHBORHOOD MARKET* OSCO* RITE-AID SAFEWAY* SAM'S* SAV-ON* SMITH'S PHARMACY* TARGET* WALGREENS* TTY/TDD WAL-MART* INDEPENDENT APACHE JUNCTION BASHAS* E. APACHE TRAIL APACHE JUNCTION, AZ (480) CAREFREE CLARKS PHARMACY* N. TOM DARLINGTON DR., #D9 CAREFREE, AZ (480) CAVE CREEK TATUM DRUG* N. TATUM #B-4 CAVE CREEK, AZ (480) CHANDLER APOTHECARY SHOP OF CHANDLER* 3200 N. DOBSON RD. B3 CHANDLER, AZ (480) BASHAS* 1050 E. PECOS CHANDLER, AZ (480) E. RAY RD. CHANDLER, AZ (480) W. CHANDLER BLVD. CHANDLER, AZ (480) S. ALMA SCHOOL RD. CHANDLER, AZ (480) W. CHANDLER CHANDLER, AZ (480) FOOTHILLS PROFESSIONAL PHARMACY* 4545 E. CHANGLER BLVD., #100 CHANDLER, AZ (480) EL MIRAGE SALIBA'S* W. THUNDERBIRD EL MIRAGE, AZ (623) FLAGSTAFF HARKER PHARMACY* 3100 N. W. ST., #200A FLAGSTAFF, AZ (928) FLORENCE FLORENCE DRUG* 231 N. MAIN ST. FLORENCE, AZ (520) FORT MOHAVE FORT MOJAVE HEALTH CENTER 1607 PLANTATION RD. FORT MOHAVE, AZ (928) GILBERT APOTHECARY SHOP OF GILBERT* 2450 E. GUADALUPE RD., #110 GILBERT, AZ (480) BASHAS* 4321 E. BASELINE RD. GILBERT, AZ (480) BASHAS UNITED DRUG* 4940 S. GILBERT RD. GILBERT, AZ (480) GLENDALE APOTHECARY SHOP OF ARROWHEAD* N. 59TH AVE. GLENDALE, AZ (602) BASHAS* 6760 W. DEER VALLEY RD. GLENDALE, AZ (623) GOLD CANYON BASHAS* 5311 S. SUPERSTITION MOUNTAIN DR. GOLD CANYON, AZ (480) GOLDEN VALLEY UPTOWN DRUG GOLDEN VALLEY* 4263 E. HWY 68 B GOLDEN VALLEY, AZ (928) GOODYEAR WELLS* 239 N. LITCHFIELD RD. GOODYEAR, AZ (623) * 90-Day supply available at this pharmacy. Participating Pharmacies are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. SierraRx is not responsible for inadvertent errors or omissions, and no assurance can be given 10

17 Arizona Retail Pharmacies AZ Service Area GREEN VALLEY BASHAS* S. I-19 FRONTAGE RD. GREEN VALLEY, AZ (520) KINGMAN UPTOWN* 2820 E. ANDY DEVINE KINGMAN, AZ (928) UPTOWN NORTH* 4495 N. BANK ST. KINGMAN, AZ (928) LAKE HAVASU CITY BASHAS* 3200 MARICOPA AVE. LAKE HAVASU CITY, AZ (928) LISKA'S APOTHECARY SHOP* 1840 MESQUITE AVE., #E LAKE HAVASU CITY, AZ (928) LITCHFIELD PARK BASHAS* 5115 N. DYSART RD. LITCHFIELD PARK, AZ (623) MARICOPA BASHAS* N. JOHN WAYNE PKWY. MARICOPA, AZ (520) MESA APOTHECARY SHOP OF MESA* 1432 S. DOBSON RD., #101 MESA, AZ (480) ARIZONA SENIOR CARE PHARMACY 55 W. HOOVER AVE. MESA, AZ (480) BASHAS* 1122 N. HIGLEY MESA, AZ (480) N. ELLSWORTH RD. MESA, AZ (480) E. MCKELLIPS MESA, AZ (480) N. POWER RD. MESA, AZ (480) E. BROADWAY MESA, AZ (480) E. BASELINE RD. MESA, AZ (480) COMMUNITY CLINICAL PHARMACY* 1450 S. DOBSON RD., #102 MESA, AZ (480) MEDICAL ARTS PHARMACY* 2058 S. DOBSON, #16 MESA, AZ (480) ORO VALLEY BASHAS* N. ORACLE ORO VALLEY, AZ (520) PARKER THE APOTHECARY* 1002 ARIZONA AVE. PARKER, AZ (928) PAYSON APOTHECARY SHOP OF PAYSON* 201 MAIN ST., #L PAYSON, AZ (928) BASHAS* 142 E. HWY. 260 PAYSON, AZ (928) PEORIA BASHAS* N. LAKE PLEASANT RD. PEORIA, AZ (623) W. THUNDERBIRD PEORIA, AZ (623) PHOENIX 5TH AVENUE PHARMACY* 3411 N. 5TH AVE. PHOENIX, AZ (602) APOTHECARY SHOP OF PHOENIX* 1701 E. THOMAS BLDG 1 #203 PHOENIX, AZ (602) APOTHECARY SHOP OF PHOENIX II* 5040 N. 15TH AVE., #102 PHOENIX, AZ (602) BASHAS* 1625 E. GLENDALE AVE. PHOENIX, AZ (602) E. BELL RD., #39 PHOENIX, AZ (602) E. WARNER RD. PHOENIX, AZ (480) E. UNION HILLS PHOENIX, AZ (602) CAMELBACK VILLAGE* 4416 E. CAMELBACK RD. PHOENIX, AZ (602) COMMUNITY* 2423 W. DUNLAP AVE. PHOENIX, AZ (602) CORNERSTONE* 3923 E. INDIAN SCHOOL PHOENIX, AZ (602) * 90-Day supply available at this pharmacy. Participating Pharmacies are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. SierraRx is not responsible for inadvertent errors or omissions, and no assurance can be given 11

18 AZ Service Area Arizona Retail Pharmacies FAIRMONT* 1617 N. 32ND ST., #5 PHOENIX, AZ (602) GENRICH* 333 E. VIRGINIA AVE., #120 PHOENIX, AZ (602) GOOTS #1* 1728 W. GLENDALE, #207 PHOENIX, AZ (602) GRUNOW* 926 E. MCDOWELL RD., #109 PHOENIX, AZ (602) HOME PHARMACY SERVICES* 1110 E. MC DOWELL RD., #B PHOENIX, AZ (602) MACK* 3628 E. THOMAS RD. PHOENIX, AZ (602) M-D PHARMACY* 4550 N. 51ST AVE., #A PHOENIX, AZ (623) MG* 4025 W. BELL, #1A PHOENIX, AZ (602) PARADISE PHARMACY* 4232 E. CACTUS PHOENIX, AZ (602) PARK CENTRAL NORTH* 500 W. THOMAS, #190 PHOENIX, AZ (602) PHARMACARE SPECIALTY PHARMACY 1002 E. MCDOWELL RD. PHOENIX, AZ (602) PROFESSIONAL, CSP 1300 N. 12TH ST., #300 PHOENIX, AZ (602) ROADRUNNER PHARMACY* 711 E. CAREFREE HWY. 140 PHOENIX, AZ (602) S & G PHARMACY* 3201 W. PEORIA 401-B PHOENIX, AZ (602) SALIBA'S EXTENDED CARE* 2401 W. BEHREND DR., #17 PHOENIX, AZ (623) SUNSHINE PHARMACY* 7725 N. 43RD AVE., #311 PHOENIX, AZ (623) THE COMPOUNDING CENTER PHARMACY* 4045 E. BELL RD., #163 PHOENIX, AZ (602) UPTOWN PHARMACY* 5007 N. CENTRAL AVE. PHOENIX, AZ (602) VALLEY OF THE SUN PHARMACY* N. BLACK CANYON, #C107 PHOENIX, AZ (602) WILLO PHARMACY* 49 W. THOMAS PHOENIX, AZ (602) PRESCOTT BASHAS* 1761 E. HWY. 69 PRESCOTT, AZ (928) SOUTHERN DESERT PHARMACY* 123 MERRITT AVE., #200 PRESCOTT, AZ (928) QUEEN CREEK BASHAS* S. POWER RD. QUEEN CREEK, AZ (480) SAFFORD THRIFTEE* 755 CENTRAL AVE. SAFFORD, AZ (928) SCOTTSDALE AJ'S UNITED DRUGS #63* 7141 E. LINCOLN DR. SCOTTSDALE, AZ (480) APOTHECARY SHOP* 9777 N. 91ST ST., #102 SCOTTSDALE, AZ (480) APOTHECARY SHOP AT GRAYHAWK* N. SCOTTSDALE HEALTHCARE, #100 SCOTTSDALE, AZ (480) BASHAS* E. BELL RD. SCOTTSDALE, AZ (480) N. SCOTTSDALE RD. SCOTTSDALE, AZ (480) E. INDIAN SCHOOL RD. SCOTTSDALE, AZ (480) CIVIC CENTER* 7331 E. OSBORN, #208 SCOTTSDALE, AZ (480) DIAMONDBACK DRUGS* 7316 E. THOMAS RD. SCOTTSDALE, AZ (480) RANCH* 9619 N. HAYDEN RD., #A114 SCOTTSDALE, AZ (480) SACKS PROFESSIONAL* 4921 E. BELL RD., #106 SCOTTSDALE, AZ (602) * 90-Day supply available at this pharmacy. Participating Pharmacies are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. SierraRx is not responsible for inadvertent errors or omissions, and no assurance can be given 12

19 Arizona Retail Pharmacies AZ Service Area SCOTTSDALE PROFESSIONAL* 7350 E. STETSON DR., #100 SCOTTSDALE, AZ (480) SUN* E. VIA LINDA #104 SCOTTSDALE, AZ (480) SEDONA BASHAS* 160 COFFEE POT DR. SEDONA, AZ (928) SOMERTON SUNSET COMMUNITY HEALTH CENTER 115 N. SOMERTON AVE. SOMERTON, AZ (928) SUN CITY WEST BASHAS* W. MEEKER RD. SUN CITY WEST, AZ (623) SUN LAKES BASHAS* E. RIGGS RD. SUN LAKES, AZ (480) TEMPE BASHAS* 1761 E. WARNER TEMPE, AZ (480) S. MCCLINTOCK RD. TEMPE, AZ (480) TUCSON APOTHECARY SHOP OF TUCSON* 4512 E. CAMP LOWELL TUCSON, AZ (520) BASHAS* 100 S. HOUGHTON RD. TUCSON, AZ (520) N. SWAN TUCSON, AZ (520) N. FLOWING WELLS TUCSON, AZ (520) E. SUNRISE DR TUCSON, AZ (520) N. THORNYDALE TUCSON, AZ (520) BASHAS UNITED DRUG* 2000 W. RIVER RD. TUCSON, AZ (520) CLINIC PHARMACY* 1601 N. TUCSON BLVD., #38 TUCSON, AZ (520) DANNY'S PHARMACY* 5395 E. ERICKSON, #101 TUCSON, AZ (520) WILMOT CENTER PHARMACY* 6369 E. TANQUE VERDE RD., #100 TUCSON, AZ (520) TUSCON EL RIO HEALTH CENTER PHARMACY 839 W. CONGRESS TUSCON, AZ (520) EL RIO NORTHWEST PHARMACY 320 W. PRINCE RD. TUSCON, AZ (520) EL RIO SOUTHWEST PHARMACY 1510 W. COMMERCE CT. TUSCON, AZ (520) EL RIO WEST PHARMACY 1701 W. ST. MARY'S, #150 TUSCON, AZ (520) WICKENBURG BASHAS* 275 N. TEGNER WICKENBURG, AZ (928) YOUNGTOWN VILLAGE PHARMACY* N. 115TH AVE., #20 YOUNGTOWN, AZ (623) YUMA SANT* 419 W. 8TH ST. YUMA, AZ (928) SUNSET YUMA PHARMACY 2060 W. 24TH ST. YUMA, AZ (928) * 90-Day supply available at this pharmacy. Participating Pharmacies are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. SierraRx is not responsible for inadvertent errors or omissions, and no assurance can be given 13

20 AZ Service Area Arizona Home Infusion, Long Term Care and Mail Order Pharmacies HOME INFUSION PHOENIX ACCREDO HEALTH GROUP NORTH 25TH AVE., #120 PHOENIX, AZ (602) APRIA E. BROADWAY RD. PHOENIX, AZ (602) WALGREENS 204 E. BELL RD. PHOENIX, AZ (602) W. INDIAN SCHOOL RD. PHOENIX, AZ (623) SCOTTSDALE WALGREENS 3420 N. SCOTTSDALE RD. SCOTTSDALE, AZ (480) TEMPE CORAM ALTERNATE SITE SERVICES 1725 W. FIRST ST. TEMPE, AZ (480) TUCSON WALGREENS 3180 N. CAMPBELL AVE. TUCSON, AZ (520) N. ORACLE RD. TUCSON, AZ (520) LONG TERM CARE MESA ARIZONA SENIOR CARE PHARMACY 55 W. HOOVER AVE., #10 MESA, AZ (480) MEDICAL ARTS PHARMACY 2058 S. DOBSON #16 MESA, AZ (480) SOUTHERN DESERT CARE CENTER PHARMACY MESA 1833 W. MAIN ST., #120 MESA, AZ (480) PHOENIX HOME PHARMACY SERVICES N. CRANE CREEK RD., #150 PHOENIX, AZ (602) OMNICARE PHARMACY PHOENIX 3902 E. UNIVERSITY DR., #D1 PHOENIX, AZ (602) PHARMERICA 1728 W. GLENDALE PHOENIX, AZ (602) PROFESSIONAL, CSP 1300 N. 12TH ST., #300 PHOENIX, AZ (602) SALIBA EXTENDED CARE PHARMACY 2401 W. BEHREND DR., #17 PHOENIX, AZ (623) PRESCOTT SOUTHERN DESERT PHARMACY PRESCOTT LTC 123 E. MERRITT AVE., #100 PRESCOTT, AZ (928) WYGC GREENTREE PHARMACY 642 DAMERON DR. PRESCOTT, AZ (928) TUCSON DANNYS LTC PHARMACY 5395 EAST ERICKSON DR., #101 TUCSON, AZ (520) KPS TUCSON 4595 S. PALO VERDE, #519 TUCSON, AZ (800) TUSCAN PORTABLE MEDICAL PHARMACY OF AZ 6150 E. GRANT RD. TUSCAN, AZ (702) YOUNGTOWN VILLAGE SOUTHERN DESERT PHARMACY N. 115TH AVE., #4-20 YOUNGTOWN, AZ (623) MAIL ORDER PHOENIX EXPRESS SCRIPTS P.O. BOX PHOENIX, AZ TDD/TTY WALGREENS MAIL SERVICE P.O. BOX PHOENIX, AZ TDD/TTY Participating Pharmacies are independent contractors solely responsible for any liabilities, professional or otherwise, arising from his/her or its acts or omissions. As with any directory, frequent changes occur. SierraRx is not responsible for inadvertent errors or omissions, and no assurance can be given as to complete accuracy. 14

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