plus network provider directory - health benefits

10
Allergy & Immunology Kern County Medical Clinic Inc Kitt MD, See-Ruern S 2323 16 th St Ste 108 (661) 325-2448 Bakersfield CA 93301 Allergy & Immunology Alan Gorenberg, Md Gorenberg MD, Alan 1314 N Norma (760) 446-2935 Ridgecrest CA 93555 Bariatric Surgery John Garcia, MD In Garcia MD, John 8311 Brimhall Rd Bldg 1900 Ste 1901 (661) 638-0601 Bakersfield CA 93312 Cardiac Electrophysiology Western Cardiology Medical Group Nair MD, Shyam K 2007 17 th St Ste 201 (661) 663-1983 Bakersfield CA 93301 Gopal MD, Raj Raj Gopal MD 2828 H St Ste E (661) 716-1200 Bakersfield CA 93301 Hwang MD, Inyoung Vascular Health 5020 Commerce Dr (661) 324-4100 Bakersfield CA 93309 Kumar MD, Vinod The Heart Center 5020 Commerce Dr (661) 324-4100 Bakersfield CA 93309 Puga MD, Leopoldo Leopoldo Puga Md Inc 8327 Brimhall Rd Ste 701 (661) 327-7842 Bakersfield CA 93312 Nair MD, Shyam K Western Cardiology Medical Group 2007 17 th St Ste 201 (661) 663-1983 Bakersfield CA 93301 Cardiovascular Disease & Interventional Cardiology Cardiovascular Disease & Interventional Cardiology Cardiovascular Disease & Interventional Cardiology Cardiovascular Disease & Interventional Cardiology Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone SPECIALISTS BARIATRIC SURGERY - 20% Coinsurance Cardiovascular Disease & Interventional Cardiology Listed by: City | Specialty | Specialist Name | Group/Practice/Facility | Location | Phone Plus Network Provider Directory Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone BAKERSFIELD CARDIAC ELECTROPHYSIOLOGY - 20% Coinsurance BAKERSFIELD BAKERSFIELD Consults and follow-up office visits with a listed specialist do not require prior approval from the Plan. Most treatment, procedures, and surgeries will still require authorization. Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met. Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone ALLERGY & IMMUNOLOGY - 20% Coinsurance BAKERSFIELD RIDGECREST CARDIOVASCULAR DISEASE & INTERVENTIONAL CARDIOLOGY - 20% Coinsurance Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 1

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Page 1: Plus Network Provider Directory - Health Benefits

• Allergy & Immunology Kern County Medical Clinic Inc Kitt MD, See-Ruern S 2323 16th St Ste 108 (661) 325-2448

Bakersfield CA 93301

• Allergy & Immunology Alan Gorenberg, Md Gorenberg MD, Alan 1314 N Norma (760) 446-2935Ridgecrest CA 93555

• Bariatric Surgery John Garcia, MD In Garcia MD, John 8311 Brimhall Rd Bldg 1900 Ste 1901 (661) 638-0601

Bakersfield CA 93312

• Cardiac Electrophysiology Western Cardiology Medical Group Nair MD, Shyam K 2007 17th

St Ste 201 (661) 663-1983

Bakersfield CA 93301

• Gopal MD, Raj Raj Gopal MD 2828 H St Ste E (661) 716-1200

Bakersfield CA 93301• Hwang MD, Inyoung Vascular Health 5020 Commerce Dr (661) 324-4100

Bakersfield CA 93309• Kumar MD, Vinod The Heart Center 5020 Commerce Dr (661) 324-4100

Bakersfield CA 93309• Puga MD, Leopoldo Leopoldo Puga Md Inc 8327 Brimhall Rd Ste 701 (661) 327-7842

Bakersfield CA 93312• Nair MD, Shyam K Western Cardiology Medical Group 2007 17th St Ste 201 (661) 663-1983

Bakersfield CA 93301

Cardiovascular Disease & Interventional

Cardiology

Cardiovascular Disease & Interventional

CardiologyCardiovascular Disease & Interventional

CardiologyCardiovascular Disease & Interventional

Cardiology

Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

SPECIALISTS

BARIATRIC SURGERY - 20% Coinsurance

Cardiovascular Disease & Interventional

Cardiology

Listed by: City | Specialty | Specialist Name | Group/Practice/Facility | Location | Phone

Plus Network Provider Directory

Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

CARDIAC ELECTROPHYSIOLOGY - 20% Coinsurance

BAKERSFIELD

BAKERSFIELD

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

ALLERGY & IMMUNOLOGY - 20% Coinsurance

BAKERSFIELD

RIDGECREST

CARDIOVASCULAR DISEASE & INTERVENTIONAL CARDIOLOGY - 20% Coinsurance

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 1

Page 2: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Samarany MD, Samir The Heart Center 5020 Commerce Dr (661) 324-4100

Bakersfield CA 93309• Singh MD, Sarabjit Kern Cardiology Medical Group Inc 4000 Physicians Blvd Ste E-101 (661) 327-0807

Bakersfield CA 93301• Thatipelli MD, Mallik California Vascular Vein Center 2828 F St Ste A (661) 873-4216

Bakersfield CA 93301

• Chiropractic Aguilera DC, Frank Town And County Chiropractic 2031 17th St (661) 833-1111

Bakersfield CA 93301• Chiropractic Bonnet DC, Bridgette E Bridgette E Bonnett DC 2109 19th St (661) 325-6325

Bakersfield CA 93301

• Chiropractic Dodenhoff DC, Bradley A Bradley A Dodenhoff DC 2001 19th St (661) 663-2386

Bakersfield CA 93301

• Chiropractic Hoffman DC, Grant Hoffman Chiropractic 2140 Brundage Ln (661) 873-4742

Bakersfield CA 93304

• Chiropractic Jackson DC, Rand Rand Jackson DC 2015 Westwind Dr Ste 11 (661) 396-1111

Bakersfield CA 93301

• Chiropractic Lozano DC, David Lozano Chiropractic 9500 Brimhall Rd Ste 704 (661) 829-2008

Bakersfield CA 93312

• Chiropractic Randolph DC, Scott A Scott A Randolph DC 2540 F St (661) 324-2020

Bakersfield CA 93301

• Chiropractic Ryan DC, James D Ryan Chiropractic Inc 2701 Calloway Dr 402 (661) 589-3427

Bakersfield CA 93312

• Chiropractic Wright DC, Vernon S Vernon S Wright DC 3401 Chester Ave Ste J (661) 873-1600

Bakersfield CA 93301

• Gastroenterology Rahal MD, Paramvir S 9802 Stockdale Hwy Ste 102 (661) 323-1200

Rahal MD, Simrita Bakersfield CA 93311• Gastroenterology Nandakumar Ravi, Md Inc Ravi MD, Nandakumar 9870 Brimhall Rd Ste 100 (661) 588-8725

Bakersfield CA 93312• Gastroenterology Rajeev Krishan Md Krishan MD, Rajeev 9900 Stockdale Hwy Ste 208 (661) 735-3915

Bakersfield CA 93311

Cardiovascular Disease & Interventional

CardiologyCardiovascular Disease & Interventional

Cardiology

BAKERSFIELD

GASTROENTEROLOGY - 20% Coinsurance

Listed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

Institute of Advanced Gastroenterology

CHIROPRACTIC - 20% Coinsurance (max 20 visits/per year)

Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

Cardiovascular Disease & Interventional

Cardiology

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 2

Page 3: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Gastroenterology Rajeev Manu, Md Inc Manu MD, Rajeev R 9870 Brimhall Rd Ste 100 (661) 587-7611

Bakersfield CA 93312

• Gastroenterology Institute of Advanced Gastroenterology Rahal MD, Paramvir S 1205 Garces Hwy Ste 101 (661) 721-1200

Rahal MD, Simrita Delano CA 93215

• Gastroenterology Adventist Health Tehachapi Perumalsamy MD, Kumaravel 105 West E St (661) 823-7070

Suraweera MD, Duminda Tehachapi CA 93561

Tyagi MD, Vivaik• Gastroenterology Nandakumar Ravi, Md Inc Ravi MD, Nandakumar 20041 Valley Blvd Unit 4 (661) 822-0377

Tehachapi CA 93561

• General Surgery Gurmant P Singh Md Inc Singh MD, Gurmant P 8307 Brimhall Rd Ste 1706 (661) 467-1477► Bakersfield CA 93312

• General Surgery John Garcia, MD In Garcia MD, John 8311 Brimhall Rd Bldg 1900 Ste 1901 (661) 638-0601► Bakersfield CA 93312

• General Surgery Moon MD Incorporated Moon MD, Cyrus 8311 Brimhall Rd Bldg 1900 Ste 1901 (661) 638-0601► Bakersfield CA 93312

• General Surgery Roland Rodriguez Md Rodriguez MD, Roland 2521 G St (661) 327-2544► Bakersfield CA 93301

• General Surgery Selwyn Kay Md Kay MD, Selwyn 2521 G St (661) 327-2544► Bakersfield CA 93301

• General Surgery Valley Advanced Surgical Naik MD, Nirav 4817 Centennial Plaza Way Ste B (661) 447-4559► Bakersfield CA 93312

• General Surgery Delano Surgical Group Zahriya MD, Karim 1205 Garces Hwy Ste 303 (661) 725-4847

Delano CA 93215

• Infectious Disease Franco Antonio B Felizarta Felizarta MD, Franco Antonio B 3535 San Dimas St Ste 24 (661) 324-3128► Bakersfield CA 93301Not currently taking new patients. Existing patients only.

INFECTIOUS DISEASE - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

(Adventist Health Bakersfield hospital privileges)

(Adventist Health Bakersfield hospital privileges)

(Adventist Health Bakersfield hospital privileges)

(Adventist Health Bakersfield hospital privileges)

(Adventist Health Bakersfield hospital privileges)

(Adventist Health Bakersfield hospital privileges)

Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

DELANO

GENERAL SURGERY - 20% Coinsurance

DELANO

TEHACHAPI

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 3

Page 4: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Nephrology Baer MD, Harold 5030 Office Park Dr (661) 323-2847Bhardwaj MD, Rahul Bakersfield CA 93309Khanna MD Apurv

Mokri MD, Parham

Mubin MD, Tariq

Varanasi MD, Uma R• Nephrology Nephrology Medical Group, Inc Brar MD, Harjeet S 5401 White Ln (661) 396-7100

Bakersfield CA 93309• Nephrology William N Bichai, Md Inc Bichai MD, William N 3900 San Dimas St (661) 327-8000

Bakersfield CA 93301

• Nephrology Bhardwaj MD, Rahul 1980 Cecil Ave (661) 323-2847

Dumlao MD, Melody Delano CA 93215Mubin MD, Tariq

Varanasi MD, Uma

• Neurological Surgery Benjamin Serxner MD Inc Serxner MD, Benjamin 3838 San Dimas St Ste A-140 (661) 632-7126

Bakersfield CA 93301• Neurological Surgery Liker MD, Mark A 8307 Brimhall Rd Ste 1706 (661) 414-9100

Bakersfield CA 93312

• Ophthalmology Central Valley Eye Care Banihashemi MD, Ali R 5000 Physicians Blvd Ste 100 (661) 846-4985

Mohammadi MD, Hoseen Bakersfield CA 93301• Ophthalmology Kai W Wong Md Wong MD, Kai W 2323 16th St Ste 501 (661) 327-4484

Bakersfield CA 93301• Ophthalmology Retina Institute Of California Chang MD, Tom 9500 Stockdale Hwy Ste 108 (661) 663-8500

Chawla MD, Anuj Bakersfield CA 93311

NEPHROLOGY - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

Neurosurgical Associates of Los Angeles,

Inc

Central Kern Nephrology Medical Group

Central Kern Nephrology Medical Group

OPHTHALMOLOGY - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

DELANO

NEUROLOGICAL SURGERY - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 4

Page 5: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Ophthalmology Richard Ling MD Ling MD, Richard 2325 17th

St (661) 321-9633

Bakersfield CA 93301• Ophthalmology Roger A Kohn Kohn MD, Roger 2920 F St Ste C-17 (661) 322-5435

Bakersfield CA 93301• Ophthalmology Steven Leibowitz MD Inc Leibowitz MD, Steven 5301 Truxtun Ave Ste 200 (661) 412-2322

Bakersfield CA 93309

• Orthopedics Albert R Swafford, MD Inc Swafford MD, Albert R 2731 H St (661) 742-1940

(Hand Surgery) Bakersfield CA 93301• Orthopedics Kern Bone And Joint Specialist Inc Grimes MD, James B 9330 Stockdale Hwy Ste 600 (661) 324-2491

Bakersfield CA 93311

• Orthopedics Pramod Kumar Sricastava MD Srivastava MD, Pramod K 432 Lexington St Ste C (661) 725-0713

Delano CA 93215

• Orthopedics Valley Orthopedic Institute Inc Shah MD, Anand M 1533 N Downs St (760) 446-2900

Taylor MD, Mehul Ridgecrest CA 93555

• Otolaryngology Edmund Fisher Md, Inc Fisher MD, Edmund 5301 Truxtun Ave Ste 200 (661) 323-6200

Bakersfield CA 93309• Otolaryngology Victor Kitt Md Kitt MD, Victor 2701 16th St Ste A (661) 322-1258

Bakersfield CA 93301

• Pain Management Fischer MD, Carmen I 9802 Stockdale Hwy Ste 105 (661) 665-7880

Palencia MD, Arturo E Bakersfield CA 93301• Pain Management Premier Pain Management Khoury DO, Philip G 3850 Riverlakes Dr Ste B (661) 241-9330

Bakersfield CA 93312

Pain Management Of Central California

PAIN MANAGEMENT - 20% Coinsurance Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

DELANO

OTOLARYNGOLOGY - EARS, NOSE, AND THROAT (ENT) - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

ORTHOPEDICS - 20% Coinsurance

RIDGECREST

Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 5

Page 6: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Physical Medicine & Rehabilitation Chris Yoon Md Yoon MD, Chris 5001 Commerce Dr Ste 100 (661) 325-8375

Bakersfield CA 93309• Physical Medicine & Rehabilitation Hassanali Mohamedali Md Hassanali MD, Mohamedali 8228 Sheffield Ln (661) 664-4838

Bakersfield CA 93311• Physical Medicine & Rehabilitation Dr. Yoo's Rehab And Pain Clinic Yoo MD, Jay H 5251 Office Park Dr Ste 120 (661) 336-0700

Bakersfield CA 93309

• Plastic/Reconstructive Surgery Gordon Mitts Md Inc Mitts MD, Gordon M 2525 H St (661) 324-7208

Bakersfield CA 93301• Plastic/Reconstructive Surgery Silhouette Plastic Surgery Daneshmand MD, Hootan M 1801 16

st Ste A (661) 535-1490

Bakersfield CA 93301

• Podiatry Sinaie DPM, Moshe 500 Old River Rd Ste 185 (661) 832-3600

Bakersfield CA 93311• Podiatry Brenda K Barnes DPM Barnes DPM, Brenda K 2227 19

th St (661) 327-3205

Bakersfield CA 93301• Podiatry Brett V Kesler DPM Kesler DPM, Brett V 2201 19th St (661) 323-0403

Bakersfield CA 93301• Podiatry Gurmant P Singh MD Inc Nguyen DPM, Anthony 8307 Brimhall Rd Ste 1706 (661) 467-1477

Bakersfield CA 93312

• Podiatry Nguyen DPM, Huy 1541 N China Lake Blvd (760) 446-3800

Ridgecrest CA 93555

• Pulmonology/Critical Care Alpha J Anders Md Anders MD, Alpha J 2828 H St Ste D (661) 633-5474

Bakersfield CA 93301

PULMONOLOGY/CRITICAL CARE - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

Bakersfield Foot And Ankle Surgeons A

Podiatry Group Inc

PHYSICAL MEDICINE & REHABILITATION - 20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

RIDGECREST

Huy David Nguyen DPM

BAKERSFIELD

PLASTIC/RECONSTRUCTIVE SURGERY - 20% Coinsurance Listed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

BAKERSFIELD

PODIATRY - $20% CoinsuranceListed by: City | Specialty | Group/Practice/Facility | Specialist Name | Location | Phone

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 6

Page 7: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Pulmonology/Critical Care Amy K Mehta Md Mehta MD, Amy K 3838 San Dimas Ste A-250 (661) 323-5300

Bakersfield CA 93301• Pulmonology/Critical Care Hany S Aziz Md, Inc Aziz MD, Hany S 3805 San Dimas St Ste B (661) 326-9999

Bakersfield CA 93301• Pulmonology/Critical Care Premier Medical Associates Inc Hansa MD, Sahaphun N 3838 San Dimas St Ste A-250 (661) 323-5300

Laughlin MD Robert L Bakersfield CA 93301

• Pulmonology/Critical Care Robert Laughlin MD Inc Laughlin MD Robert L 3838 San Dimas St Ste A-250 (661) 323-5300Bakersfield CA 93301

• Pulmonology/Critical Care San Joaquin Valley Pulmonary Group Ahmed MD, Mushtaq 5801 Truxtun Ave (661) 327-3747

Desai MD, Kusum Bakersfield CA 93309

• Ambulatory Surgery Center Advanced Endoscopy Center 9802 Stockdale Hwy Ste 101 (661) 616-5300

Bakersfield CA 93311• Ambulatory Surgery Center Apple Surgery Center 9870 Brimhall Rd Ste 200 (661) 587-4173

Bakersfield CA 93312• Ambulatory Surgery Center Healing Arts Surgery Center 2700 F St Ste 101 (661) 322-4325

Bakersfield CA 93301• Ambulatory Surgery Center Oaks Surgical Center 4500 Trade Center Dr Ste B (661) 381-7222

Bakersfield CA 93311• Ambulatory Surgery Center Stockdale Surgery Center 9802 Stockdale Hwy Ste 104 (661) 665-7885

Bakersfield CA 93311

• Ambulatory Surgery Center Pacific Coast Surgical Center 1519 Garces Hwy Ste 101 (661) 721-2020

Delano CA 93215

• Home Health 1400 Easton Dr Ste 141 (661) 322-9207

Bakersfield CA 93309

HOME HEALTH - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

Gifted Arms Home Healthcare Services

FACILITIES/HOSPITALSAMBULATORY SURGERY CENTER - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

DELANO

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 7

Page 8: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Home Infusion Coram Specialty Infusion Services 3101 Sillect Ave Ste 109 (661) 325-8326

Bakersfield CA 93308

• Hospice Optimal Hospice Care 1675 Chester Ave Ste 401 (661) 716-4000

Bakersfield CA 93301

• Hospital 400 Old River Rd (661) 663-6000

Bakersfield CA 93311

• Laboratory Comprehensive Medical Laboratories 1824 Norris Rd Ste 200 (661) 399-5301

Bakersfield CA 93308

• Laboratory Comprehensive Medical Laboratories 640 High St (661) 399-5301

Delano CA 93215

• Occupational Therapy Glinn & Giordano Physical Therapy 3700 Gosford Rd Ste G (661) 832-9737

Bakersfield CA 93309

• Pathology Aw Pathology Medical Group 2215 Truxtun Ave (661) 632-5483

Bakersfield CA 93301

OCCUPATIONAL THERAPY - 20% Coinsurance

BAKERSFIELD

BAKERSFIELD

Listed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

PATHOLOGY - 20% Coinsurance

HOSPITAL - Inpatient Maternity Care Only - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

No coverage for non-maternity care or outpatient breastfeeding classes at facility.Mercy Southwest Hospital - Birthing Center

HOSPICE - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

HOME INFUSION - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

Listed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

DELANO

BAKERSFIELD

LABORATORY - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 8

Page 9: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Laboratory High Desert Pathology Medical Group 1081 N China Lake Blvd (805) 578-8300

Ridgecrest CA 93555

• Laboratory 115 W E St (805) 578-8300

Tehachapi CA 93561

• Physical Therapy Aum Physical Therapy 1002 Calloway Dr (661) 588-4286

Bakersfield CA 93312• Physical Therapy 3500 Coffee Rd Ste A (661) 589-6700

Bakersfield CA 93308• 4300 Stine Rd Ste 108 (661) 834-2300

Bakersfield CA 93313• Physical Therapy Central Valley Physical Therapy 8200 Stockdale Hwy Ste B1 (661) 827-8959

Bakersfield CA 93311• Physical Therapy 1201 23rd St (661) 327-4357

Bakersfield CA 93301• 200 China Grade Loop (661) 615-6150

Bakersfield CA 93308• 9501 Flushing Quail Rd Ste 10 (661) 589-9066

Bakersfield CA 93312

• Physical Therapy Montoya Physical Therapy & Wellness 8501 Brimhall Rd Ste 201 (661) 679-6238

Bakersfield CA 93312

• Physical Therapy Lamont Physical Therapy 10130 Main St Ste A (661) 845-0600

Lamont CA 93241

• Physical Therapy 459 S China Lake Blvd Ste H (760) 371-1606

Ridgecrest CA 93555• Physical Therapy 935 E Ridgecrest Blvd (760) 371-1411

Ridgecrest CA 93555

• Physical Therapy Glinn & Giordano Physical Therapy 701 Central Valley Hwy Ste B (661) 237-6100

Shafter CA 93263

Select Physical Therapy

PHYSICAL THERAPY - $20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

LAMONT

Glinn & Giordano Physical Therapy

Ridgecrest Physical Therapy

RIDGECREST

SHAFTER

RIDGECREST

TEHACHAPI

High Desert Pathology Medical Group

Bakersfield Sports Medicine And Rehabilitation

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 9

Page 10: Plus Network Provider Directory - Health Benefits

Plus Network Provider Directory

Consults and follow-up office visits with a listed specialist do

not require prior approval from the Plan. Most treatment,

procedures, and surgeries will still require authorization.

Plus Benefit Tier (Non-Preferred Tier) - Deductible: $250/Individual | $500/Family Coinsurance applies after deductible is met.

• Physical Therapy Stone Mountain Physical Therapy 21628 Golden Star Blvd (661) 823-8101

Tehachapi CA 93561

• Radiology Advanced Imaging Center 900 Heritage Dr Bldg B (760) 446-1999

Ridgecrest CA 93355

• Skilled Nursing Facility Bakersfield Healthcare Center 730 34th St (661) 327-7687

Bakersfield CA 93301

• Sleep Lab Apne Quest Sleep Center 6001-B Truxtun Ave Ste 260 (661) 323-8100

Bakersfield CA 93309

Listed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

SLEEP LAB - 20% Coinsurance

RADIOLOGY - 20% CoinsuranceListed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

TEHACHAPI

Listed by: Facility Type/Specialty | City | Company Name and/or Facility | Location | Phone

BAKERSFIELD

RIDGECREST

SKILLED NURSING FACILITY - 20% Coinsurance

Plus Network - Kern Legacy Network Plus (Revised 04.18.2022) 10