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1997 DIRECTORY OF MANAGED CARE PROVIDERS ( FLORIDA)

Posted On: Dec. 28, 1997 12:00 AM CST

CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners1,607
Board-certified67.8%
Patients/practitioner9
Specialists5,208
Hospitals94
Users: Group Health
Employer/payer groups106
Employees & dependents25,343
Total Users25,343
Service area: Florida: 53 counties.
Services: General medical, mental health, workers compensation, ancillary services.
See CCN consolidated listing under California.
CCN Elect
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; fax: 619-278-1262
Staff/Facilities
Primary practitioners1,585
Board-certified67.7%
Patients/practitioner0.2
Specialists5,065
Hospitals94
Users
Employer/payer groups4
Employees & dependents288
Total288
Revenues
First-half 1997$15,887
1996$7,055Operational date: March 1996.
Service area: Florida: 52 counties.
See CCN Elect consolidated listing under California.
CNA Managed Care
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners4,754
Hospitals39
Service area: Florida: Tampa.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Florida Panhandle
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners612
Hospitals7
Service area: Florida: Florida Panhandle.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Jacksonville
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,328
Hospitals9
Service area: Florida: Jacksonville.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Miami
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners4,734
Hospitals27
Service area: Florida: Miami.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Orlando
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners2,214
Hospitals22
Service area: Florida: Orlando.
See CNA Managed Care PPO consolidated listing under Illinois.
Capital Health Plan
2140 Centerville Place, Tallahassee, Fla. 32308; 904-386-1847; fax: 904-422-3180
Staff/Facilities
Primary practitioners120
Board-certified95%
Patients/practitioner650
Specialists179
Hospitals2
Pharmacies48
Users
Employer/payer groups2,000
Single coverage16,592
Family coverage18,142
Employees & dependents73,438
Medicare3,062
Total76,500Operational date: July 1982.
Federally qualified.
Licensed in: Florida.
NCQA one year accredited.
Model type: Staff/Network.
Not for profit.
Service area: Florida: Gadsden, Jefferson, Leon, Taylor and Wakulla counties. Member of HMO Blue USA.
Services: General medical, vision, prescription drug, mental health.
Rating options: Community rating by class.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Contact: Sue Conte.
CAPP CARE Inc.
West Tower, 4000 MacArthur Blvd., Suite 10000, Newport Beach, Calif. 92660; 800-937-2277; fax: 714-251-2222
Staff/Facilities
Primary practitioners*4,403
Board-certified62.8%
Patients/practitioner68.3
Hospitals108
Service area: Florida: 42 counties.
**Includes specialists.
See CAPP CARE Inc. consolidated listing under California.
ChiroSource Inc.
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners142
Service area: Florida: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA HealthCare
of Florida Inc.-Jacksonville
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners193
Board-certified88.2%
Patients/practitioner126.4
Specialists502
Hospitals9
Pharmacies234
Users
Employer/payer groups239
Total24,398Operational date: July 1991.
Licensed in: Florida.
NCQA fully accredited.
Model type: IPA.
Service area: Florida: Baker, Clay, Duval, Nassau and St. Johns counties.
Point-of-service contracts: 43.9% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Betty Kimmel, general manager; Steve Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; William Antonello, market manager; Susan Goldman, director/manager-operations.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare
of Florida Inc.-Orlando
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners259
Board-certified77.4%
Patients/practitioner280
Specialists580
Hospitals16
Pharmacies503
Users
Employer/payer groups605
Medicare352
Total72,897Operational date: January 1984.
Licensed in: Florida.
NCQA fully accredited.
Model type: IPA/Staff.
Service area: Florida: Lake, Orange, Osceola, Seminole and Volusia counties.
Point-of-service contracts: 47% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Diane Wikosz, assistant vp-network development; Betty Kimmel, general manager/regional managed care officer; Dr. Robert Kleinigger, medical director/UM health services manager; David Weisman, regional contracting officer; Joe Gregor, sales director/manager.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare of Florida Inc.-South Florida
6700 Andrews Ave. N., Suite 300, Fort Lauderdale, Fla. 33309; 954-489-5899; fax: 954-489-1477
Staff/Facilities
Primary practitioners706
Board-certified75.4%
Patients/practitioner158.8
Specialists1,907
Hospitals36
Pharmacies1,262
Users
Employer/payer groups640
Total112,146Operational date: July 1974.
Licensed in: Florida.
NCQA fully accredited.
Model type: IPA.
Service area: Florida: Broward, Dade and Palm Beach counties.
Point-of-service contracts: 48.6% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Diane Wikosz, assistant vp-network development; Betty Kimmel, general manager/regional managed care officer; Stephen Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; Susan Goldman, director/manager-operations.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare
of Florida Inc.-Tampa
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners565
Board-certified75.1%
Patients/practitioner262.5
Specialists1,514
Hospitals27
Pharmacies620
Users
Employer/payer groups959
Medicare3,184
Total151,639Operational date: July 1981.
Licensed in: Florida.
NCQA fully accredited.
Model type: IPA/Staff.
Service area: Florida: Hardee, Hernando, Hillsborough, Manatee, Pasco, Pinellas and Polk counties.
Point-of-service contracts: 24.3% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Diane Wilkosz, assistant vp-network development; Stephen Harris, executive director; Betty Kimmel, general manager/regional managed care officer; Dr. Robert Kleinigger, medical director/UM health services manager; David Weisman, regional contracting officer.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA Managed Care Network-Cocoa Beach
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners81
Board-certified86.4%
Patients/practitioner124.1
Specialists142
Hospitals3
Pharmacies58
Users
Employer/payer groups98
Total10,060Operational date: September 1992.
Licensed in: Florida.
Model type: IPA.
Service area: Florida: Brevard County.
Point-of-service contracts: 77.1% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Betty Kimmel, regional managed care officer/general manger; Dr. Robert Kleinigger, medical director/UM health services manger; Diane Wilkosz, assistant vp-network development; Stephen Harris, executive director; Karen Comes, director-quality management.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA Managed Care Network-Fort Myers
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners167
Board-certified83.3%
Patients/practitioner38.7
Specialists513
Hospitals6
Pharmacies102
Users
Employer/payer groups136
Total6,474Operational date: January 1993.
Licensed in: Florida.
Model type: IPA.
Service area: Florida: Charlotte, Lee and Sarasota counties.
Point-of-service contracts: 51.1% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Betty Kimmel, regional managed care officer/general manger; Dr. Robert Kleinigger, medical director/UM health services manager; Diane Wilkosz, assistant vp-network development; Stephen Harris, executive director; Karen Comes, director-quality management.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA Managed Care Network-Ocala
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners68
Board-certified86.2%
Patients/practitioner72.3
Specialists303
Hospitals2
Pharmacies98
Users
Employer/payer groups151
Total4,923Operational date: July 1991.
Licensed in: Florida.
Model type: IPA.
Service area: Florida: Alachua, Citrus and Marion counties.
Point-of-service contracts: 80% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Betty Kimmel, regional managed care officer/general manger; Dr. Robert Kleinigger, medical director/UM health services manager; Diane Wilkosz, assistant vp-network development; Stephen Harris, executive director; Karen Comes, director-quality management.
Contact: Vicky Delaney.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Cocoa Beach5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners86
Board-certified85.9%
Patients/practitioner32
Specialists263
Hospitals4
Users: Group Health
Employer/payer groups143
Total Users2,757
Operational date: September 1992.
Service area: Florida: Brevard, Charlotte, Lee, Orange and Sarasota counties.
Officers: Diane Wilkosz, assistant vp-network development; Betty Kimmel, regional managed care officer/general manager; Stephen Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; Susan Goldman, director/manager-operations.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Daytona
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners45
Board-certified68.9%
Patients/practitioner15.5
Specialists147
Hospitals6
Users: Group Health
Employer/payer groups43
Total Users700
Operational date: April 1995.
Service area: Florida: Alachua, Citrus, Marion and Volusia counties.
Officers: Diane Wilkosz, assistant vp-network development; Betty Kimmel, regional managed care officer/general manager; Susan Goldman, director/manager-operations; Dr. Robert Kleinigger, medical director/UM health services manager; Stephen Harris, executive director.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Fort Myers
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners181
Board-certified86.5%
Patients/practitioner23.2
Specialists609
Hospitals7
Users: Group Health
Employer/payer groups186
Total Users4,217
Operational date: January 1993.
Service area: Florida: Charlotte, Lee and Sarasota counties.
Officers: Diane Wilkosz, assistant vp-network development; Betty Kimmel, regional managed care officer/general manager; Stephen Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; Susan Goldman, director/manager-operations.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Jacksonville
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners256
Board-certified87.8%
Patients/practitioner64.4
Specialists832
Hospitals9
Users: Group Health
Employer/payer groups275
Total Users16,489
Operational date: July 1991.
Service area: Florida: Duval, Nassau and Saint Johns counties.
Officers: Diane Wilkosz, assistant vp-network development; Betty Kimmel, regional managed care officer/general manager; Stephen Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; Susan Goldman, director/manager-operations.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Ocala
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners66
Board-certified87.5%
Patients/practitioner52
Specialists4
Hospitals131
Total Users3,434
Operational date: July 1991.
Service area: Florida: Alachua, Citrus and Marion counties.
Officers: Diane Wilkosz, assistant vp-network development; Betty Kimmel, regional managed care officer/general manager; Stephen Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; Susan Goldman, director/manager-operations.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-South Florida
6700 Andrews Ave. N., Suite 300, Fort Lauderdale, Fla. 33309; 954-489-2899; 954-489-1477
Staff/Facilities
Primary practitioners1,562
Board-certified74.4%
Patients/practitioner39.2
Specialists3,442
Hospitals66
Users: Group Health
Employer/payer groups507
Total Users61,380
Operational date: October 1984.
Service area: Florida: Broward, Dade, Martin and Palm Beach counties.
Officers: Betty Kimmel, regional managed care officer/general manager; Stephen Harris, executive director; Dr. Robert Kleinigger, medical director/UM health services manager; Susan Goldman, director/manager-operations; Joe Gregor, sales director/manager.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Tampa
5404 Cypress Center Drive, Tampa, Fla. 33609; 813-281-1000; fax: 813-282-0356
Staff/Facilities
Primary practitioners682
Board-certified78%
Patients/practitioner55
Specialists2,073
Hospitals47
Users: Group Health
Employer/payer groups440
Total Users37,552
Operational date: January 1988.
Service area: Florida: Hardee, Hernando, Hillsborough, Manatee, Pasco, Pinellas and Polk counties.
Officers: Diane Wilkosz, assistant vp-network development; Betty Kimmel, regional managed care officer/general manager; Stephen Harris, executive director; Susan Goldman, director/manager-operations; Elizabeth Serena, director-client services.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners4,346
Board-certified95%
Specialists23,946*
Hospitals145
Service area: Florida.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.