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Provider Directory

McLaren Health Plan Provider Directory

1-888-327-0671www.mclarenhealthplan.org

Welcome to McLaren Health Plan! This directory lists all participating hospitals, doctors, and ancillary healthcare 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, NursePractitioners, and Physician Assistants. Your PCP will help to coordinate all your health care needs. Thisdirectory lists whether the PCP is taking new patients, their office practice hours, and if the doctor speaks alanguage 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 aMember Service Representative at 1(888) 327-0671.

Specialty Care ProvidersWhen your PCP needs to send you to a specialty care provider, they can select one from this directory and notifyMcLaren 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 1(888) 327-0671You can also access our website at www.mclarenhealthplan.org

Please use this directory as a reference when you need to refer your patients for care, or visit our website atwww.mclarenhealthplan.org.

McLaren Health Plan can assist you and your office staff in caring for your McLaren Health Plan patients. Pleasecall our toll free number at 1(888) 327-0671 to reach:

Member Services Eligibility, PCP verification, and provider inquiry Utilization and Case Management Authorizations; referrals and community support services Provider Services Contracting, office orientations, and education

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

McLaren Health PlanP.O. Box 1511

Flint, MI 48501-1511

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

McLaren Health Plans transaction or payer ID number is 38338

Netwerkes(262) 523-3600

http://www.netwerkes.com

Provider Information

Member Information

TABLE OF CONTENTS

PRIMARY CARE PROVIDERSALLEGAN..........................................................................................................................................................................................................................................................................................................6

ANTRIM.............................................................................................................................................................................................................................................................................................................6

ARENAC............................................................................................................................................................................................................................................................................................................6

BAY...................................................................................................................................................................................................................................................................................................................7

CALHOUN.........................................................................................................................................................................................................................................................................................................8

CASS.................................................................................................................................................................................................................................................................................................................8

CHARLEVOIX...................................................................................................................................................................................................................................................................................................9

CHEBOYGAN....................................................................................................................................................................................................................................................................................................9

CLARE............................................................................................................................................................................................................................................................................................................10

CLINTON.........................................................................................................................................................................................................................................................................................................10

EATON............................................................................................................................................................................................................................................................................................................11

EMMET............................................................................................................................................................................................................................................................................................................12

GENESEE.......................................................................................................................................................................................................................................................................................................13

GLADWIN........................................................................................................................................................................................................................................................................................................17

GRATIOT.........................................................................................................................................................................................................................................................................................................18

HURON...........................................................................................................................................................................................................................................................................................................18

INGHAM..........................................................................................................................................................................................................................................................................................................19

IONIA...............................................................................................................................................................................................................................................................................................................28

IOSCO.............................................................................................................................................................................................................................................................................................................29

ISABELLA........................................................................................................................................................................................................................................................................................................29

JACKSON........................................................................................................................................................................................................................................................................................................31

KALAMAZOO..................................................................................................................................................................................................................................................................................................31

KALKASKA......................................................................................................................................................................................................................................................................................................33

KENT...............................................................................................................................................................................................................................................................................................................33

LAPEER..........................................................................................................................................................................................................................................................................................................34

LIVINGSTON...................................................................................................................................................................................................................................................................................................35

MACOMB........................................................................................................................................................................................................................................................................................................35

MASON...........................................................................................................................................................................................................................................................................................................41

MIDLAND........................................................................................................................................................................................................................................................................................................41

MONTCALM....................................................................................................................................................................................................................................................................................................41

OAKLAND.......................................................................................................................................................................................................................................................................................................42

OGEMAW........................................................................................................................................................................................................................................................................................................53

OSCODA.........................................................................................................................................................................................................................................................................................................54

PRESQUE ISLE..............................................................................................................................................................................................................................................................................................54

ROSCOMMON................................................................................................................................................................................................................................................................................................55

SAGINAW........................................................................................................................................................................................................................................................................................................55

SAINT CLAIR..................................................................................................................................................................................................................................................................................................56

SAINT JOSEPH...............................................................................................................................................................................................................................................................................................57

SANILAC.........................................................................................................................................................................................................................................................................................................58

SHIAWASSEE.................................................................................................................................................................................................................................................................................................58

TUSCOLA........................................................................................................................................................................................................................................................................................................59

VAN BUREN....................................................................................................................................................................................................................................................................................................60

WAYNE...........................................................................................................................................................................................................................................................................................................61

BI-LINGUAL PRIMARY CARE PHYSICIANSARABIC...........................................................................................................................................................................................................................................................................................................65

ARMENIAN......................................................................................................................................................................................................................................................................................................65

ENGLISH.........................................................................................................................................................................................................................................................................................................65

FRENCH..........................................................................................................................................................................................................................................................................................................65

GERMAN.........................................................................................................................................................................................................................................................................................................66

GUJARATI.......................................................................................................................................................................................................................................................................................................66

McLaren Health Plan CommercialDecember 05, 2011

TABLE OF CONTENTS

BI-LINGUAL PRIMARY CARE PHYSICIANS (CONTINUED)BI-LINGUAL PRIMARY CARE PHYSICIANSHEBREW.........................................................................................................................................................................................................................................................................................................66

HINDI...............................................................................................................................................................................................................................................................................................................66

KANNADA.......................................................................................................................................................................................................................................................................................................67

KOREAN.........................................................................................................................................................................................................................................................................................................67

MALAYALAM...................................................................................................................................................................................................................................................................................................67

POLISH...........................................................................................................................................................................................................................................................................................................67

RUSSIAN.........................................................................................................................................................................................................................................................................................................67

SERBIAN.........................................................................................................................................................................................................................................................................................................67

SINDHI............................................................................................................................................................................................................................................................................................................67

SPANISH.........................................................................................................................................................................................................................................................................................................67

SWAHILI..........................................................................................................................................................................................................................................................................................................68

TAGALOG.......................................................................................................................................................................................................................................................................................................68

TAMIL..............................................................................................................................................................................................................................................................................................................68

TELUGU..........................................................................................................................................................................................................................................................................................................68

TURKISH.........................................................................................................................................................................................................................................................................................................69

URDU..............................................................................................................................................................................................................................................................................................................69

SPECIALTY CARE PROVIDERSALCONA..........................................................................................................................................................................................................................................................................................................70

ALLEGAN........................................................................................................................................................................................................................................................................................................70

ALPENA..........................................................................................................................................................................................................................................................................................................71

ARENAC..........................................................................................................................................................................................................................................................................................................71

BARRY............................................................................................................................................................................................................................................................................................................72

BAY.................................................................................................................................................................................................................................................................................................................72

BENZIE...........................................................................................................................................................................................................................................................................................................77

BERRIEN.........................................................................................................................................................................................................................................................................................................77

BRANCH.........................................................................................................................................................................................................................................................................................................78

CALHOUN.......................................................................................................................................................................................................................................................................................................78

CASS...............................................................................................................................................................................................................................................................................................................80

CHARLEVOIX.................................................................................................................................................................................................................................................................................................80

CHEBOYGAN..................................................................................................................................................................................................................................................................................................81

CHIPPEWA.....................................................................................................................................................................................................................................................................................................82

CLARE............................................................................................................................................................................................................................................................................................................82

CLINTON.........................................................................................................................................................................................................................................................................................................82

CRAWFORD....................................................................................................................................................................................................................................................................................................84

DELTA.............................................................................................................................................................................................................................................................................................................84

DICKINSON.....................................................................................................................................................................................................................................................................................................85

EATON............................................................................................................................................................................................................................................................................................................85

EMMET............................................................................................................................................................................................................................................................................................................87

GENESEE.......................................................................................................................................................................................................................................................................................................89

GLADWIN......................................................................................................................................................................................................................................................................................................108

GRAND TRAVERSE......................................................................................................................................................................................................................................................................................108

GRATIOT.......................................................................................................................................................................................................................................................................................................109

HILLSDALE...................................................................................................................................................................................................................................................................................................111

HOUGHTON..................................................................................................................................................................................................................................................................................................111

HURON.........................................................................................................................................................................................................................................................................................................111

INGHAM........................................................................................................................................................................................................................................................................................................112

IONIA.............................................................................................................................................................................................................................................................................................................135

IOSCO...........................................................................................................................................................................................................................................................................................................137

ISABELLA......................................................................................................................................................................................................................................................................................................138

JACKSON......................................................................................................................................................................................................................................................................................................141

McLaren Health Plan CommercialDecember 05, 2011

TABLE OF CONTENTS

SPECIALTY CARE PROVIDERS (CONTINUED)SPECIALTY CARE PROVIDERSKALAMAZOO................................................................................................................................................................................................................................................................................................143

KALKASKA....................................................................................................................................................................................................................................................................................................149

KENT.............................................................................................................................................................................................................................................................................................................149

LAPEER........................................................................................................................................................................................................................................................................................................152

LEELANAU....................................................................................................................................................................................................................................................................................................156

LENAWEE.....................................................................................................................................................................................................................................................................................................156

LIVINGSTON.................................................................................................................................................................................................................................................................................................156

MACKINAC....................................................................................................................................................................................................................................................................................................158

MACOMB......................................................................................................................................................................................................................................................................................................158

MANISTEE....................................................................................................................................................................................................................................................................................................184

MARQUETTE................................................................................................................................................................................................................................................................................................184

MASON.........................................................................................................................................................................................................................................................................................................185

MECOSTA.....................................................................................................................................................................................................................................................................................................185

MENOMINEE.................................................................................................................................................................................................................................................................................................185

MIDLAND......................................................................................................................................................................................................................................................................................................186

MONROE......................................................................................................................................................................................................................................................................................................187

MONTCALM..................................................................................................................................................................................................................................................................................................188

MUSKEGON..................................................................................................................................................................................................................................................................................................190

NEWAYGO....................................................................................................................................................................................................................................................................................................190

OAKLAND.....................................................................................................................................................................................................................................................................................................190

OCEANA.......................................................................................................................................................................................................................................................................................................257

OGEMAW......................................................................................................................................................................................................................................................................................................257

OSCEOLA.....................................................................................................................................................................................................................................................................................................259

OSCODA.......................................................................................................................................................................................................................................................................................................259

OTSEGO.......................................................................................................................................................................................................................................................................................................259

OTTAWA.......................................................................................................................................................................................................................................................................................................260

PRESQUE ISLE............................................................................................................................................................................................................................................................................................261

ROSCOMMON..............................................................................................................................................................................................................................................................................................261

SAGINAW......................................................................................................................................................................................................................................................................................................261

SAINT CLAIR................................................................................................................................................................................................................................................................................................268

SAINT JOSEPH.............................................................................................................................................................................................................................................................................................270

SANILAC.......................................................................................................................................................................................................................................................................................................271

SHIAWASSEE...............................................................................................................................................................................................................................................................................................272

TUSCOLA......................................................................................................................................................................................................................................................................................................275

VAN BUREN..................................................................................................................................................................................................................................................................................................276

WASHTENAW...............................................................................................................................................................................................................................................................................................277

WAYNE.........................................................................................................................................................................................................................................................................................................278

WEXFORD....................................................................................................................................................................................................................................................................................................306

HOSPITALSALLEGAN......................................................................................................................................................................................................................................................................................................307

ARENAC........................................................................................................................................................................................................................................................................................................307

BAY...............................................................................................................................................................................................................................................................................................................307

CASS.............................................................................................................................................................................................................................................................................................................307

CHARLEVOIX...............................................................................................................................................................................................................................................................................................307

CHEBOYGAN................................................................................................................................................................................................................................................................................................307

CLINTON.......................................................................................................................................................................................................................................................................................................307

EATON..........................................................................................................................................................................................................................................................................................................307

EMMET..........................................................................................................................................................................................................................................................................................................307

GENESEE.....................................................................................................................................................................................................................................................................................................307

HURON.........................................................................................................................................................................................................................................................................................................307

McLaren Health Plan CommercialDecember 05, 2011

TABLE OF CONTENTS

HOSPITALS (CONTINUED)HOSPITALSINGHAM........................................................................................................................................................................................................................................................................................................307

IONIA.............................................................................................................................................................................................................................................................................................................307

IOSCO...........................................................................................................................................................................................................................................................................................................307

ISABELLA......................................................................................................................................................................................................................................................................................................308

KALAMAZOO................................................................................................................................................................................................................................................................................................308

LAPEER........................................................................................................................................................................................................................................................................................................308

LIVINGSTON.................................................................................................................................................................................................................................................................................................308

MACOMB......................................................................................................................................................................................................................................................................................................308

MONTCALM..................................................................................................................................................................................................................................................................................................308

OAKLAND.....................................................................................................................................................................................................................................................................................................308

OGEMAW......................................................................................................................................................................................................................................................................................................308

SAGINAW......................................................................................................................................................................................................................................................................................................308

SAINT CLAIR................................................................................................................................................................................................................................................................................................308

SANILAC.......................................................................................................................................................................................................................................................................................................309

SHIAWASSEE...............................................................................................................................................................................................................................................................................................309

TUSCOLA......................................................................................................................................................................................................................................................................................................309

WAYNE.........................................................................................................................................................................................................................................................................................................309

AMBULATORY SURGERYGENESEE.....................................................................................................................................................................................................................................................................................................310

INGHAM........................................................................................................................................................................................................................................................................................................310

KENT.............................................................................................................................................................................................................................................................................................................310

LAPEER........................................................................................................................................................................................................................................................................................................310

MACOMB......................................................................................................................................................................................................................................................................................................310

OAKLAND.....................................................................................................................................................................................................................................................................................................310

CHIROPRACTORS * PLEASE CALL 888-327-0671 TO VERIFY YOUR CHIROPRACTIC BENEFITSALLEGAN......................................................................................................................................................................................................................................................................................................311

ARENAC........................................................................................................................................................................................................................................................................................................311

BARRY..........................................................................................................................................................................................................................................................................................................311

BAY...............................................................................................................................................................................................................................................................................................................311

CALHOUN.....................................................................................................................................................................................................................................................................................................311

CHARLEVOIX...............................................................................................................................................................................................................................................................................................311

CHEBOYGAN................................................................................................................................................................................................................................................................................................311

CLARE..........................................................................................................................................................................................................................................................................................................311

CLINTON.......................................................................................................................................................................................................................................................................................................312

CRAWFORD..................................................................................................................................................................................................................................................................................................312

EATON..........................................................................................................................................................................................................................................................................................................312

EMMET..........................................................................................................................................................................................................................................................................................................313

GENESEE.....................................................................................................................................................................................................................................................................................................313

GLADWIN......................................................................................................................................................................................................................................................................................................314

HURON.........................................................................................................................................................................................................................................................................................................314

INGHAM........................................................................................................................................................................................................................................................................................................314

IONIA.............................................................................................................................................................................................................................................................................................................315

IOSCO...........................................................................................................................................................................................................................................................................................................315

ISABELLA......................................................................................................................................................................................................................................................................................................316

JACKSON......................................................................................................................................................................................................................................................................................................316

KALAMAZOO................................................................................................................................................................................................................................................................................................316

LAPEER........................................................................................................................................................................................................................................................................................................316

LIVINGSTON.................................................................................................................................................................................................................................................................................................316

MACOMB......................................................................................................................................................................................................................................................................................................316

McLaren Health Plan CommercialDecember 05, 2011

TABLE OF CONTENTS

CHIROPRACTORS (CONTINUED)CHIROPRACTORSMIDLAND......................................................................................................................................................................................................................................................................................................318

MONTCALM..................................................................................................................................................................................................................................................................................................318

OAKLAND.....................................................................................................................................................................................................................................................................................................318

OGEMAW......................................................................................................................................................................................................................................................................................................320

OSCODA.......................................................................................................................................................................................................................................................................................................320

OTSEGO.......................................................................................................................................................................................................................................................................................................320

PRESQUE ISLE............................................................................................................................................................................................................................................................................................320

SAGINAW......................................................................................................................................................................................................................................................................................................320

SAINT CLAIR................................................................................................................................................................................................................................................................................................320

SANILAC.......................................................................................................................................................................................................................................................................................................321

SHIAWASSEE...............................................................................................................................................................................................................................................................................................321

TUSCOLA......................................................................................................................................................................................................................................................................................................321

WASHTENAW...............................................................................................................................................................................................................................................................................................321

WAYNE.........................................................................................................................................................................................................................................................................................................321

PHYSICAL AND OCCUPATIONAL THERAPYALLEGAN......................................................................................................................................................................................................................................................................................................323

ARENAC........................................................................................................................................................................................................................................................................................................323

BAY...............................................................................................................................................................................................................................................................................................................323

CALHOUN.....................................................................................................................................................................................................................................................................................................323

CHARLEVOIX...............................................................................................................................................................................................................................................................................................323

CHEBOYGAN................................................................................................................................................................................................................................................................................................323

CLARE..........................................................................................................................................................................................................................................................................................................323

CLINTON.......................................................................................................................................................................................................................................................................................................323

EATON..........................................................................................................................................................................................................................................................................................................324

GENESEE.....................................................................................................................................................................................................................................................................................................324

GLADWIN......................................................................................................................................................................................................................................................................................................325

GRATIOT.......................................................................................................................................................................................................................................................................................................325

HILLSDALE...................................................................................................................................................................................................................................................................................................325

INGHAM........................................................................................................................................................................................................................................................................................................325

IONIA.............................................................................................................................................................................................................................................................................................................326

IOSCO...........................................................................................................................................................................................................................................................................................................326

ISABELLA......................................................................................................................................................................................................................................................................................................326

JACKSON......................................................................................................................................................................................................................................................................................................326

KALAMAZOO................................................................................................................................................................................................................................................................................................326

KENT.............................................................................................................................................................................................................................................................................................................326

LAPEER........................................................................................................................................................................................................................................................................................................327

LENAWEE.....................................................................................................................................................................................................................................................................................................327

LIVINGSTON.................................................................................................................................................................................................................................................................................................327

MACOMB......................................................................................................................................................................................................................................................................................................327

MASON.........................................................................................................................................................................................................................................................................................................328

MECOSTA.....................................................................................................................................................................................................................................................................................................328

MIDLAND......................................................................................................................................................................................................................................................................................................328

MISSAUKEE..................................................................................................................................................................................................................................................................................................329

MONROE......................................................................................................................................................................................................................................................................................................329

MONTCALM..................................................................................................................................................................................................................................................................................................329

MUSKEGON..................................................................................................................................................................................................................................................................................................329

NEWAYGO....................................................................................................................................................................................................................................................................................................329

OAKLAND.....................................................................................................................................................................................................................................................................................................329

OGEMAW......................................................................................................................................................................................................................................................................................................331

OSCEOLA.....................................................................................................................................................................................................................................................................................................331

McLaren Health Plan CommercialDecember 05, 2011

TABLE OF CONTENTS

PHYSICAL AND OCCUPATIONAL THERAPY (CONTINUED)PHYSICAL AND OCCUPATIONAL THERAPYOSCODA.......................................................................................................................................................................................................................................................................................................331

OTSEGO.......................................................................................................................................................................................................................................................................................................331

OTTAWA.......................................................................................................................................................................................................................................................................................................331

SAGINAW......................................................................................................................................................................................................................................................................................................331

SAINT CLAIR................................................................................................................................................................................................................................................................................................332

SANILAC.......................................................................................................................................................................................................................................................................................................332

SHIAWASSEE...............................................................................................................................................................................................................................................................................................332

WASHTENAW...............................................................................................................................................................................................................................................................................................332

WAYNE.........................................................................................................................................................................................................................................................................................................332

WEXFORD....................................................................................................................................................................................................................................................................................................333

MENTAL HEALTHALCONA........................................................................................................................................................................................................................................................................................................334

ALLEGAN......................................................................................................................................................................................................................................................................................................334

ALPENA........................................................................................................................................................................................................................................................................................................334

ANTRIM.........................................................................................................................................................................................................................................................................................................334

BAY...............................................................................................................................................................................................................................................................................................................334

BENZIE.........................................................................................................................................................................................................................................................................................................336

BRANCH.......................................................................................................................................................................................................................................................................................................336

CALHOUN.....................................................................................................................................................................................................................................................................................................336

CASS.............................................................................................................................................................................................................................................................................................................336

CHARLEVOIX...............................................................................................................................................................................................................................................................................................336

CHEBOYGAN................................................................................................................................................................................................................................................................................................336

CLARE..........................................................................................................................................................................................................................................................................................................336

CLINTON.......................................................................................................................................................................................................................................................................................................337

CRAWFORD..................................................................................................................................................................................................................................................................................................337

EATON..........................................................................................................................................................................................................................................................................................................337

EMMET..........................................................................................................................................................................................................................................................................................................339

GENESEE.....................................................................................................................................................................................................................................................................................................339

GLADWIN......................................................................................................................................................................................................................................................................................................345

GRAND TRAVERSE......................................................................................................................................................................................................................................................................................345

GRATIOT.......................................................................................................................................................................................................................................................................................................345

HILLSDALE...................................................................................................................................................................................................................................................................................................346

HURON.........................................................................................................................................................................................................................................................................................................347

INGHAM.....................................................................................................................................................................................................................................................................................................