These are hospitals where this physician has privileges (where he/she has the hospital's permission to utilize the facility to care for his/her patients). The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
These are medical groups of which this physician has a working relationship or association with. These groups are generally of the same or similar practice specialties. The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
These are medical groups of which this physician has a working relationship or association with. These groups are generally of the same or similar practice specialties. The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
These are physicians which have a working relationship or association with one another. These groups are generally of the same or similar practice specialties. The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
The provider, group or hospital name is self reported and limited by the matching criteria used for credentialing/recredentialing, no less than every three years and/or when the health plan is notified of any changes.
The provider or hospital location(s) is self reported and limited by the matching criteria used for credentialing/recredentialing, no less than every three years and/or when the health plan is notified of any changes.
The provider gender is self reported and limited by the matching criteria used for credentialing/recredentialing, no less than every three years and/or when the health plan is notified of any changes.
This refers to the provider's office locations. This information is voluntarily provided to the health plan by the physician at the time of the credentialing / recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This is a certification process that hospitals voluntarily seek identifying their ability to perform at nationally accepted standards. This rigorous review process helps hospitals to improve their performance and maximize their service delivery of patient care and demonstrate accountability within the ever changing healthcare environment. This information is validated by the health plan at the time of the credentialing. Our staff reviews this information at least every three years for all of our participating providers during recredentialing and through monthly reviews to update current changes. The hospital is responsible for notifying the health plan of any change in their accreditation status.
The Joint Commission evaluates the quality and safety of care for more than 18,000 health care organizations. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of Joint Commission health care professionals, at least once every three years. The purpose of the review is to evaluate the organization's performance in areas that affect your care. Accreditation may then be awarded based on how well the organizations met Joint Commission standards. This information is verified via their website www.qualitycheck.org/consumer/searchQCR.aspx
This refers to the languages other than English this physician or his/her clinical staff can speak and communicate to those needing medical care. This information is voluntarily provided to the health plan by the physician at the time of the credentialing/recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This means that this physician is able to receive new patients into his/her practice. The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This means that this provider will take new patients into their practice. The provider must report this information to Mercy Care Plan. The provider must tell us when they are accepting new patients and when they are not. They must also tell us about any changes to their contact information, such as phone numbers and addresses. The information here is the most current we have based on what is shared with us by the provider.
This means that this provider will take new patients into their practice. The provider must report this information to Mercy Care Advantage. The provider must tell us when they are accepting new patients and when they are not. They must also tell us about any changes to their contact information, such as phone numbers and addresses. The information here is the most current we have based on what is shared with us by the provider.
This means that this physician is able to receive new patients into his/her practice. The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
These are the age groups this provider serves. This information is voluntarily provided to the health plan by the physician at the time of the credentialing/recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This medical specialty certification indicates that this physician has received
recognition for his/her expertise in a particular specialty or subspecialty of medical
practice, achieved through a voluntary and rigorous process of testing and peer
evaluation. Board certifications, when first offered, did not have an expiration
date; however, recognizing the changing pace of medical knowledge recertification
is now required to maintain the recognition. This information is validated by the
health plan at the time of the credentialing. Our staff reviews this information
at least every three years for all of our participating providers during recredentialing
and through monthly reviews to update current changes. To see if your provider is
board certified you view more at https://www.certificationmatters.org/find-my-doctor/
Read more information on board certification.
This is any specific area of medicine in which a provider may focus his/her practice. The information is self reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information at the time of any change in the practitioner's professional standing or every three years.
Read more information on specialties.
This refers to the locations a provider is willing / able to travel to service the member. This information is voluntarily provided to the health plan by the physician at the time of the credentialing / recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This refers to the provider’s abilities to treat persons who are at increased risk for AIDS/HIV, Aged and/or developmentally delayed. This information is voluntarily provided to the health plan by the physician at the time of the credentialing/recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This means the providers location is easily accessible through Public Transportation
This refers to the locations a provider is willing/able to travel to service the member. This information is voluntarily provided to the health plan by the physician at the time of the credentialing/recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
An accessible examination room has features that make it possible for patients with mobility disabilities, including those who use wheelchairs, to receive appropriate medical care. These features allow the patient to enter the examination room, move around in the room, and utilize the accessible equipment provided. The features that make this possible are:
Hospital Compare is a data source compiled by the Centers for Medicare & Medicaid Services (CMS), in collaboration with organizations representing consumers, hospitals, doctors, employers, accrediting organizations, and other federal agencies. Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find hospitals and compare the quality of their care. This data is updated at least quarterly by CMS. The health plan validates this information when the hospital notifies the health plan of any changes or every three years with credentialing.
This refers to provider's physical location and phone number. This information is voluntarily provided to the health plan by the physician at the time of the credentialing / recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
This refers to the provider’s abilities to treat persons who are at increased risk for AIDS/HIV, Aged and/or developmentally delayed. This information is voluntarily provided to the health plan by the physician at the time of the credentialing/recredentialing process. The health plan validates this information when the practitioner notifies the health plan of any changes or every three years.
American Society of Addiction Medicine (ASAM) criteria is used for the assessment, service planning, placement, stay, and transfer/discharge of individual with addiction and co-occuring conditions. It is aimed to help individuals find the right provider with right treatment plan for their distinct needs.
This means that this Physician is able to receive patients who have Medicaid coverage. The information is self-reported and limited by the matching criteria used for credentialing/recredentialing. The health plan validates this information periodically thru the State, when the practitioner notifies the health plan of any changes, or during the recredentialing process.
Telephone relay service for those who are deaf, hard of hearing or have speech disabilities with others