Provider Directory

(888) 327-0671 McLarenHealthPlan.org

McLaren Health Plan Medicaid Provider Directory

Member Information

Welcome to McLaren Health Plan! This directory lists all participating hospitals, doctors, and ancillary health care providers. Each family member must select a Primary Care Provider (PCP) for each family member. Primary Care Providers are defined as Family or General Practitioners, Pediatricians, Internists, Nurse Practitioners, and Physician Assistants. Your PCP will help to coordinate all your health care needs. This directory lists whether the PCP is taking new patients, their office practice hours, and if the doctor speaks a language other than English.

Primary Care Providers (PCPs) Each family member should choose a doctor. McLaren Health Plan can help you choose a PCP by calling Customer Service at (888) 327-0671.

Specialty Care Providers When your PCP needs to send you to a specialty care provider, they can select one from this directory and notify McLaren Health Plan that they are referring you. You do not need to wait for approval for most services.

If you have any questions, please call McLaren Health Plan at (888) 327-0671

Provider Information

Please use this directory as a reference when you need to refer your patients for care.

McLaren Health Plan can assist you and your office staff in caring for your McLaren Health Plan patients. Please call our toll free number at (888) 327-0671 to reach:

Customer Service Eligibility, PCP verification, and provider inquiry Utilization and Case Management Authorizations; referrals and community support services Network Development Contracting, office orientations, and education

Claims Information McLaren Health Plan accepts both paper and electronically billed (EDI) claims. If billing paper claims, follow the CMS requirements for using the CMS 1500 and UB-92 claim forms and mail to:

McLaren Health Plan P.O. Box 1511

Flint, MI 48501-1511

For EDI Claims, McLaren Health Plan utilizes ENS/OptumInsight clearing houses. If you do not currently utilize ENS/OptumInsight for electronic submission of claims, contact them at:

ENS/OptumInsight (866) 367-9778

www.enshealth.com

McLaren Health Plans transaction or payer ID numbers are McLaren Medicaid: 3833C McLaren Commercial HMO: 38338 McLaren Health Advantage: 3833A McLaren Advantage (Medicare): 3833R

TABLE OF CONTENTS

PRIMARY CARE PROVIDERSALCONA............................................................................................................................................................................................................................................................................................................7

ALLEGAN..........................................................................................................................................................................................................................................................................................................7

ALPENA............................................................................................................................................................................................................................................................................................................7

ANTRIM.............................................................................................................................................................................................................................................................................................................8

ARENAC............................................................................................................................................................................................................................................................................................................9

BARRY............................................................................................................................................................................................................................................................................................................10

BAY.................................................................................................................................................................................................................................................................................................................10

BENZIE...........................................................................................................................................................................................................................................................................................................11

BERRIEN.........................................................................................................................................................................................................................................................................................................12

BRANCH.........................................................................................................................................................................................................................................................................................................13

CALHOUN.......................................................................................................................................................................................................................................................................................................14

CASS...............................................................................................................................................................................................................................................................................................................15

CHARLEVOIX.................................................................................................................................................................................................................................................................................................15

CHEBOYGAN..................................................................................................................................................................................................................................................................................................16

CHIPPEWA.....................................................................................................................................................................................................................................................................................................17

CLARE............................................................................................................................................................................................................................................................................................................17

CLINTON.........................................................................................................................................................................................................................................................................................................17

CRAWFORD....................................................................................................................................................................................................................................................................................................18

EATON............................................................................................................................................................................................................................................................................................................18

EMMET............................................................................................................................................................................................................................................................................................................20

GENESEE.......................................................................................................................................................................................................................................................................................................21

GLADWIN........................................................................................................................................................................................................................................................................................................26

GRAND TRAVERSE........................................................................................................................................................................................................................................................................................26

GRATIOT.........................................................................................................................................................................................................................................................................................................29

HILLSDALE.....................................................................................................................................................................................................................................................................................................29

HURON...........................................................................................................................................................................................................................................................................................................30

INGHAM..........................................................................................................................................................................................................................................................................................................31

IONIA...............................................................................................................................................................................................................................................................................................................41

IOSCO.............................................................................................................................................................................................................................................................................................................41

ISABELLA........................................................................................................................................................................................................................................................................................................42

JACKSON........................................................................................................................................................................................................................................................................................................43

KALAMAZOO..................................................................................................................................................................................................................................................................................................44

KALKASKA......................................................................................................................................................................................................................................................................................................50

KENT...............................................................................................................................................................................................................................................................................................................51

LAKE...............................................................................................................................................................................................................................................................................................................52

LAPEER..........................................................................................................................................................................................................................................................................................................53

LEELANAU......................................................................................................................................................................................................................................................................................................53

LENAWEE.......................................................................................................................................................................................................................................................................................................54

LIVINGSTON...................................................................................................................................................................................................................................................................................................54

MACKINAC......................................................................................................................................................................................................................................................................................................55

MACOMB........................................................................................................................................................................................................................................................................................................55

MANISTEE......................................................................................................................................................................................................................................................................................................62

MASON...........................................................................................................................................................................................................................................................................................................63

MECOSTA.......................................................................................................................................................................................................................................................................................................63

MIDLAND........................................................................................................................................................................................................................................................................................................64

MISSAUKEE....................................................................................................................................................................................................................................................................................................64

MONROE........................................................................................................................................................................................................................................................................................................64

MONTCALM....................................................................................................................................................................................................................................................................................................65

MONTMORENCY............................................................................................................................................................................................................................................................................................66

MUSKEGON....................................................................................................................................................................................................................................................................................................67

NEWAYGO......................................................................................................................................................................................................................................................................................................68

McLaren Health Plan MedicaidFebruary 19, 2015

TABLE OF CONTENTS

PRIMARY CARE PROVIDERS (CONTINUED)PRIMARY CARE PROVIDERSOAKLAND.......................................................................................................................................................................................................................................................................................................69

OCEANA.........................................................................................................................................................................................................................................................................................................79

OGEMAW........................................................................................................................................................................................................................................................................................................80

OSCEOLA.......................................................................................................................................................................................................................................................................................................80

OSCODA.........................................................................................................................................................................................................................................................................................................81

OTSEGO.........................................................................................................................................................................................................................................................................................................81

OTTAWA.........................................................................................................................................................................................................................................................................................................82

PRESQUE ISLE..............................................................................................................................................................................................................................................................................................83

ROSCOMMON................................................................................................................................................................................................................................................................................................84

SAGINAW........................................................................................................................................................................................................................................................................................................85

SAINT CLAIR..................................................................................................................................................................................................................................................................................................89

SAINT JOSEPH...............................................................................................................................................................................................................................................................................................91

SANILAC.........................................................................................................................................................................................................................................................................................................93

SHIAWASSEE.................................................................................................................................................................................................................................................................................................93

TUSCOLA........................................................................................................................................................................................................................................................................................................94

VAN BUREN....................................................................................................................................................................................................................................................................................................95

WASHTENAW.................................................................................................................................................................................................................................................................................................97

WAYNE.........................................................................................................................................................................................................................................................................................................106

WEXFORD....................................................................................................................................................................................................................................................................................................117

BI-LINGUAL PRIMARY CARE PHYSICIANSARABIC.........................................................................................................................................................................................................................................................................................................118

ENGLISH.......................................................................................................................................................................................................................................................................................................118

FRENCH........................................................................................................................................................................................................................................................................................................118

GUJARATI.....................................................................................................................................................................................................................................................................................................118

HINDI.............................................................................................................................................................................................................................................................................................................118

KANNADA.....................................................................................................................................................................................................................................................................................................118

KOREAN.......................................................................................................................................................................................................................................................................................................118

MALAYALAM.................................................................................................................................................................................................................................................................................................119

POLISH.........................................................................................................................................................................................................................................................................................................119

SERBIAN.......................................................................................................................................................................................................................................................................................................119

SINDHI..........................................................................................................................................................................................................................................................................................................119

SPANISH.......................................................................................................................................................................................................................................................................................................119

SWAHILI........................................................................................................................................................................................................................................................................................................119

TAGALOG.....................................................................................................................................................................................................................................................................................................119

TAMIL............................................................................................................................................................................................................................................................................................................119

TELUGU........................................................................................................................................................................................................................................................................................................119

TURKISH.......................................................................................................................................................................................................................................................................................................120

URDU............................................................................................................................................................................................................................................................................................................120

CHILDRENS SPECIAL HEALTHALCONA........................................................................................................................................................................................................................................................................................................121

ALLEGAN......................................................................................................................................................................................................................................................................................................121

ALPENA........................................................................................................................................................................................................................................................................................................121

BAY...............................................................................................................................................................................................................................................................................................................121

BERRIEN.......................................................................................................................................................................................................................................................................................................122

EMMET..........................................................................................................................................................................................................................................................................................................122

GENESEE.....................................................................................................................................................................................................................................................................................................122

GLADWIN......................................................................................................................................................................................................................................................................................................123

GRAND TRAVERSE......................................................................................................................................................................................................................................................................................123

HILLSDALE...................................................................................................................................................................................................................................................................................................123

McLaren Health Plan MedicaidFebruary 19, 2015

TABLE OF CONTENTS

CHILDRENS SPECIAL HEALTH (CONTINUED)CHILDRENS SPECIAL HEALTHHURON.........................................................................................................................................................................................................................................................................................................123

INGHAM........................................................................................................................................................................................................................................................................................................124

IOSCO...........................................................................................................................................................................................................................................................................................................124

ISABELLA......................................................................................................................................................................................................................................................................................................124

KENT.............................................................................................................................................................................................................................................................................................................124

LAKE.............................................................................................................................................................................................................................................................................................................124

LAPEER........................................................................................................................................................................................................................................................................................................124

LIVINGSTON.................................................................................................................................................................................................................................................................................................124

MACOMB......................................................................................................................................................................................................................................................................................................125

MONTCALM..................................................................................................................................................................................................................................................................................................125

MONTMORENCY..........................................................................................................................................................................................................................................................................................125

MUSKEGON..................................................................................................................................................................................................................................................................................................126

OAKLAND.....................................................................................................................................................................................................................................................................................................126

OSCEOLA.....................................................................................................................................................................................................................................................................................................127

OTTAWA.......................................................................................................................................................................................................................................................................................................127

PRESQUE ISLE............................................................................................................................................................................................................................................................................................127

SAGINAW......................................................................................................................................................................................................................................................................................................127

SAINT CLAIR................................................................................................................................................................................................................................................................................................128

SHIAWASSEE...............................................................................................................................................................................................................................................................................................128

VAN BUREN..................................................................................................................................................................................................................................................................................................128

WAYNE.........................................................................................................................................................................................................................................................................................................128

SPECIALTY CARE PROVIDERSALCONA........................................................................................................................................................................................................................................................................................................130

ALLEGAN......................................................................................................................................................................................................................................................................................................130

ALPENA........................................................................................................................................................................................................................................................................................................133

ANTRIM.........................................................................................................................................................................................................................................................................................................136

ARENAC........................................................................................................................................................................................................................................................................................................136

BARRY..........................................................................................................................................................................................................................................................................................................138

BAY...............................................................................................................................................................................................................................................................................................................139

BENZIE.........................................................................................................................................................................................................................................................................................................144

BERRIEN.......................................................................................................................................................................................................................................................................................................145

BRANCH.......................................................................................................................................................................................................................................................................................................152

CALHOUN.....................................................................................................................................................................................................................................................................................................154

CASS.............................................................................................................................................................................................................................................................................................................161

CHARLEVOIX...............................................................................................................................................................................................................................................................................................162

CHEBOYGAN................................................................................................................................................................................................................................................................................................164

CHIPPEWA...................................................................................................................................................................................................................................................................................................165

CLARE..........................................................................................................................................................................................................................................................................................................166

CLINTON.......................................................................................................................................................................................................................................................................................................167

CRAWFORD..................................................................................................................................................................................................................................................................................................169

DELTA...........................................................................................................................................................................................................................................................................................................171

DICKINSON...................................................................................................................................................................................................................................................................................................172

EATON..........................................................................................................................................................................................................................................................................................................172

EMMET..........................................................................................................................................................................................................................................................................................................176

GENESEE.....................................................................................................................................................................................................................................................................................................181

GLADWIN......................................................................................................................................................................................................................................................................................................205

GRAND TRAVERSE......................................................................................................................................................................................................................................................................................206

GRATIOT.......................................................................................................................................................................................................................................................................................................212

HILLSDALE...................................................................................................................................................................................................................................................................................................215

HOUGHTON..................................................................................................................................................................................................................................................................................................216

McLaren Health Plan MedicaidFebruary 19, 2015

TABLE OF CONTENTS

SPECIALTY CARE PROVIDERS (CONTINUED)SPECIALTY CARE PROVIDERSHURON.........................................................................................................................................................................................................................................................................................................217

INGHAM........................................................................................................................................................................................................................................................................................................219

IONIA.............................................................................................................................................................................................................................................................................................................244

IOSCO...........................................................................................................................................................................................................................................................................................................247

ISABELLA......................................................................................................................................................................................................................................................................................................249

JACKSON......................................................................................................................................................................................................................................................................................................253

KALAMAZOO................................................................................................................................................................................................................................................................................................257

KALKASKA....................................................................................................................................................................................................................................................................................................275

KENT.............................................................................................................................................................................................................................................................................................................276

LAKE.............................................................................................................................................................................................................................................................................................................296

LAPEER........................................................................................................................................................................................................................................................................................................296

LEELANAU....................................................................................................................................................................................................................................................................................................301

LENAWEE.....................................................................................................................................................................................................................................................................................................302

LIVINGSTON.................................................................................................................................................................................................................................................................................................303

LUCE.............................................................................................................................................................................................................................................................................................................311

MACKINAC....................................................................................................................................................................................................................................................................................................311

MACOMB......................................................................................................................................................................................................................................................................................................312

MANISTEE....................................................................................................................................................................................................................................................................................................344

MARQUETTE................................................................................................................................................................................................................................................................................................345

MASON.........................................................................................................................................................................................................................................................................................................346

MECOSTA.....................................................................................................................................................................................................................................................................................................347

MENOMINEE.................................................................................................................................................................................................................................................................................................350

MIDLAND......................................................................................................................................................................................................................................................................................................350

MISSAUKEE..................................................................................................................................................................................................................................................................................................354

MONROE......................................................................................................................................................................................................................................................................................................354

MONTCALM..................................................................................................................................................................................................................................................................................................357

MONTMORENCY..........................................................................................................................................................................................................................................................................................360

MUSKEGON..................................................................................................................................................................................................................................................................................................361

NEWAYGO....................................................................................................................................................................................................................................................................................................364

OAKLAND.....................................................................................................................................................................................................................................................................................................366

OCEANA.......................................................................................................................................................................................................................................................................................................441

OGEMAW......................................................................................................................................................................................................................................................................................................442

OSCEOLA.....................................................................................................................................................................................................................................................................................................445

OSCODA.......................................................................................................................................................................................................................................................................................................446

OTSEGO.......................................................................................................................................................................................................................................................................................................446

OTTAWA.......................................................................................................................................................................................................................................................................................................448

PRESQUE ISLE............................................................................................................................................................................................................................................................................................452

ROSCOMMON..............................................................................................................................................................................................................................................................................................452

SAGINAW......................................................................................................................................................................................................................................................................................................454

SAINT CLAIR................................................................................................................................................................................................................................................................................................466

SAINT JOSEPH.............................................................................................................................................................................................................................................................................................472

SANILAC.......................................................................................................................................................................................................................................................................................................475

SHIAWASSEE...............................................................................................................................................................................................................................................................................................477

TUSCOLA......................................................................................................................................................................................................................................................................................................481

VAN BUREN..................................................................................................................................................................................................................................................................................................483

WASHTENAW...............................................................................................................................................................................................................................................................................................486

WAYNE.........................................................................................................................................................................................................................................................................................................563

WEXFORD....................................................................................................................................................................................................................................................................................................623

HOSPITALSALLEGAN......................................................................................................................................................................................................................................................................................................625

McLaren Health Plan MedicaidFebruary 19, 2015

TABLE OF CONTENTS

HOSPITALS (CONTINUED)HOSPITALSALPENA........................................................................................................................................................................................................................................................................................................625

ARENAC........................................................................................................................................................................................................................................................................................................625

BAY...............................................................................................................................................................................................................................................................................................................625

BENZIE.........................................................................................................................................................................................................................................................................................................625

BERRIEN.......................................................................................................................................................................................................................................................................................................625

BRANCH.......................................................................................................................................................................................................................................................................................................625

CALHOUN.....................................................................................................................................................................................................................................................................................................625

CASS.............................................................................................................................................................................................................................................................................................................625

CHARLEVOIX...............................................................................................................................................................................................................................................................................................625

CHEBOYGAN................................................................................................................................................................................................................................................................................................625

CLARE..........................................................................................................................................................................................................................................................................................................625

CLINTON.......................................................................................................................................................................................................................................................................................................625

CRAWFORD..................................................................................................................................................................................................................................................................................................626

EATON..........................................................................................................................................................................................................................................................................................................626

EMMET..........................................................................................................................................................................................................................................................................................................626

GENESEE.....................................................................................................................................................................................................................................................................................................626

GLADWIN......................................................................................................................................................................................................................................................................................................626

GRAND TRAVERSE......................................................................................................................................................................................................................................................................................626

GRATIOT.......................................................................................................................................................................................................................................................................................................626

HILLSDALE...................................................................................................................................................................................................................................................................................................626

HURON.........................................................................................................................................................................................................................................................................................................626

INGHAM........................................................................................................................................................................................................................................................................................................626

IONIA.............................................................................................................................................................................................................................................................................................................626

IOSCO...........................................................................................................................................................................................................................................................................................................626

ISABELLA......................................................................................................................................................................................................................................................................................................627

KALAMAZOO................................................................................................................................................................................................................................................................................................627

KALKASKA....................................................................................................................................................................................................................................................................................................627

KENT.............................................................................................................................................................................................................................................................................................................627

LAPEER........................................................................................................................................................................................................................................................................................................627

LENAWEE.....................................................................................................................................................................................................................................................................................................627

LIVINGSTON.................................................................................................................................................................................................................................................................................................627

MACKINAC....................................................................................................................................................................................................................................................................................................627

MACOMB......................................................................................................................................................................................................................................................................................................627

MANISTEE....................................................................................................................................................................................................................................................................................................627

MASON.........................................................................................................................................................................................................................................................................................................627

MECOSTA.....................................................................................................................................................................................................................................................................................................627

MIDLAND......................................................................................................................................................................................................................................................................................................627

MONROE......................................................................................................................................................................................................................................................................................................628

MONTCALM..................................................................................................................................................................................................................................................................................................628

MUSKEGON..................................................................................................................................................................................................................................................................................................628

NEWAYGO....................................................................................................................................................................................................................................................................................................628

OAKLAND.....................................................................................................................................................................................................................................................................................................628

OCEANA.......................................................................................................................................................................................................................................................................................................628

OGEMAW......................................................................................................................................................................................................................................................................................................628

OSCEOLA.....................................................................................................................................................................................................................................................................................................628

OTSEGO.......................................................................................................................................................................................................................................................................................................628

OTTAWA.......................................................................................................................................................................................................................................................................................................629

SAGINAW......................................................................................................................................................................................................................................................................................................629

SAINT CLAIR................................................................................................................................................................................................................................................................................................629

SAINT JOSEPH.............................................................................................................................................................................................................................................................................................629

SANILAC.......................................................................................................................................................................................................................................................................................................629

McLaren Health Plan MedicaidFebruary 19, 2015

TABLE OF CONTENTS

HOSPITALS (CONTINUED)HOSPITALSSHIAWASSEE...............................................................................................................................................................................................................................................................................................629

TUSCOLA......................................................................................................................................................................................................................................................................................................629

VAN BUREN..................................................................................................................................................................................................................................................................................................629

WASHTENAW...............................................................................................................................................................................................................................................................................................629

WAYNE.........................................................................................................................................................................................................................................................................................................629

WEXFORD....................................................................................................................................................................................................................................................................................................630

AMBULATORY SURGERYGENESEE.....................................................................................................................................................................................................................................................................................................631

GRAND TRAVERSE......................................................................................................................................................................................................................................................................................631

MACOMB......................................................................................................................................................................................................................................................................................................631

MIDLAND......................................................................................................................................................................................................................................................................................................631

MONROE......................................................................................................................................................................................................................................................................................................631

MUSKEGON..................................................................................................................................................................................................................................................................................................631

OAKLAND.....................................................................................................................................................................................................................................................................................................631

ROSCOMMON..............................................................................................................................................................................................................................................................................................631

SAGINAW......................................................................................................................................................................................................................................................................................................631

WAYNE.........................................................................................................................................................................................................................................................................................................631

CHIROPRACTORS * PLEASE CALL 888-327-0671 TO VERIFY YOUR CHIROPRACTIC BENEFITSALCONA........................................................................................................................................................................................................................................................................................................632

ALLEGAN......................................................................................................................................................................................................................................................................................................632

ALPENA........................................................................................................................................................................................................................................................................................................632

ANTRIM.........................................................................................................................................................................................................................................................................................................632

ARENAC........................................................................................................................................................................................................................................................................................................632

BARRY..........................................................................................................................................................................................................................................................................................................632

BAY...............................................................................................................................................................................................................................................................................................................632

BENZIE.........................................................................................................................................................................................................................................................................................................632

BERRIEN.......................................................................................................................................................................................................................................................................................................632

BRANCH.......................................................................................................................................................................................................................................................................................................633

CALHOUN.....................................................................................................................................................................................................................................................................................................633

CASS.............................................................................................................................................................................................................................................................................................................633

CHARLEVOIX...............................................................................................................................................................................................................................................................................................633

CHEBOYGAN...........................................................................................................................................................................................................