Tufts Medicare Preferred HMO Care Management List
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- Angela Montgomery
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1 HMO Care Management List Bolded medical groups are externally managed and nonbolded medical groups are internally managed. The HMO Care Managers are assigned by medical group. In some cases, due to geography, medical group size and/or volume, there may be up to three care managers assigned to each medical group. Each medical group also has a designated primary care manager (PCM) who can be contacted for members who are not presently receiving acute care (CNL), extended care (CCP) or home care services (HC). In all cases, except groups 135 and 301, the acute care manager is also the medical group s PCM. Please note that externally managed medical group care management assignments may differ from this format. Please contact the administrative assistant for groups 009 and 064. Group 001 Mt. Auburn Med. Assoc. MACIPA 003 Belmont Medical Associates MACIPA ADMIN: Patrick Hart 1 st CALL Susan Sullivan (CNL/UM) Irene Signorello (CCM) Claudia DeLucia (CCM) ADMIN: Patrick Hart 1 st CALL Susan Sullivan (CNL/UM) Kristy Blaisdell (CCM) Holly Willis (Complex/Chronic CM) Mt. Auburn Healthcare MACIPA ADMIN: Patrick Hart 1 st CALL Susan Sullivan (CNL/UM) Meaghan Flanigan (CCM) Family Medicine Assoc. MACIPA 007 Reservoir & Cambridge Medical Associates MACIPA 011 Harbor Medical PCPO ADMIN: Patrick Hart 1 st CALL Susan Sullivan (CNL/UM) Laura Hogan (Complex/Chronic CM) ADMIN: Patrick Hart 1 st CALL Susan Sullivan (CNL/UM) Lee Machado-Dunham (Complex/Chronic CM) Tara Cunningham (ALL) Marianne Molina (CM) Revised 02/08/ HMO Care Management List
2 014 Riverside Primary Care Specialists Lowell General Hospital Kendra Guthrie (CNL) Cristina Murray (Inpatient CCP) Amy Price (Community Karen Jones (Community CCP/ CCM) Pamela Aho (Community ext ext ext ext ext Puritan Medical Group PCPO Marianne Molina (CM) Peabody Medical Group PCPO Chris Harris (All) North Shore Medical Group PCPO Chris Harris (All) Signature Healthcare Denise Daly (CNL) Kathy Stevens (Inpatient CCP) Kim McCarthy (CCM) Christina Sawelsky (CCM) ext ext ext ext Alliance for Quality Care, LLC NEQCA Nancee Miller (PCM/CNL/UM) Mt. Auburn Primary Care Associates MACIPA ADMIN: Patrick Hart 1 st CALL Susan Sullivan (CNL/UM) Laura Pearson (Complex CCM) Mystic Valley Karen Sandberg-Couture (CNL/Community ) Diane Hibbard (Inpatient CCP) ext ext Southcoast Kerry St. Don (CCM) Karen DaSilva (CNL) Leanne Rosario (Community CCM) Karen DaSilva (Inpatient CCP) ext ext ext ext CAP Doctors Jeannine Cormier (CNL) Maria Stanley (CCP) Michelle Antonelli (CCP/CNL) Susan Templeton (CCM) Jill McDowell (CCM) Jennifer Murray (CCM) Whittier Street Health Mary Finn (CCM) Revised 02/08/ HMO Care Management List
3 Merrimack Valley Regional Medical Group Community Health Ctr of Cape Cod Acton Medical Associates Emerson Hospital Medical Group Framingham 085 South Shore Medical Associates Southboro Medical Associates Metrowest Framingham Plymouth Bay Primary Medical Associates 45 Resnick Road, Suite 202 Plymouth, MA Iora Health Malden 094 Iora Health Hyde Park 099 Primary Care Medical Associates/Norwood, Southwood, Inc. Riverside Sandra Ghom (CNL) Dianne Hibbard (Inpatient CCP) Dorothy DiBlasi (Community Amy Price (Community Mary Finn (Community Sandra Ghom (CNL) Diane Hibbard (Inpatient CCP) Karen Sandberg-Couture (Community ext ext ext ext ext ext ext ADMIN: Amy Nussey 1st CALL Denise Daly (CNL) Kathleen Stevens (Inpatient CCP) Patricia McCluskey (CCM) Kathy Finn (CCM) ADMIN: Amy Deb Sabatalo 1 st CALL Cheryl Flynn Lauren Goellner ext ext ext ext NEQCA Debra Zona (PCM/CNL/UM) Karen Sandberg-Couture CNL/Community Diane Hibbard (Inpatient CCP) Karen Sandberg-Couture (CNLCommunity Diane Hibbard (Inpatient CCP) ext ext ext ext NEQCA Patricia Kenney (PCM/CNL/UM) Revised 02/08/ HMO Care Management List
4 101 Hallmark Health Systems NEQCA Lincoln Bedford Medical Associates Tri County Medical Associates Boston University Affiliated Physicians Harbor Health Community Health Center Hyannis Harbor Health Community Health Ctr. Neponset (Geiger Gibson) 114 IPC Hospitalist of New England 115 IPC Charles River Medical Framingham Charles River Medical Natick Charles River Medical Marlborough 127 Needham Family Practice First Contact ADMIN: Donna Dineen Mary Kelly Beirne Lynda Chase Barbara DeMatteo Lisa Flanagan Jean Holden Laurie Lakin Emmet Sutera Mary Williams PCPO Liz Cronin (all) PCPO Harbor Health Harbor Health CRMA Diana Haynes Cindy Creely Mary Finn (Community JoAnn Ogilie (CNL) Mary Finn (Community JoAnn Ogilie (CNL) Mary Finn (Community Chris Ryan (CNL/Inpatient CCP) No Community CCM Chris Ryan (CNL/Inpatient CCP) No Community CCM Judith Rossi (CNL) June O Brien (CCM) Peggy Levas (CCM) Cathy Iadarola (CCM) ext ext ext ext ext ext CRMA Peggy Levas (all) CRMA Judith Rossi (all) ext Mary Finn (Community Revised 02/08/ HMO Care Management List
5 Family Care Center Winchester Hospital Middlesex Community Physicians Winchester Hospital James D Ambrosio (CNL) Lisa D Amico (Inpatient CCP) Elizabeth Curran (Community James D Ambrosio (CNL) Lisa D Amico (Inpatient CCP) Colleen Murphy (Community Elizabeth Curran (Community ( ext ext ext ext ext ext ext Middlesex Medical Organization (MMO) Winchester Hospital James D Ambrosio (CNL) Lisa D Amico Inpatient CCP) Jennifer Modiszewski (Community ext ext ext Highland Health NEQCA Nancy Barry (CM) Community Internists Winchester Hospital 191 Family Practice (NEPHO) 192 North Shore Primary Care James D Ambrosio (CNL) Lisa D Amico (CCP) Jennifer Modiszewski (Community Christine Lee (CNL) Jodi Shaw (Inpatient CCP) Pam Hannon ( Christine Lee (CNL) Jodi Shaw (Inpatient CCP) Charles Bertoli (Community ext ext ext ext ext ext ext ext ext ext ext North Shore Health Systems PCPO Chris Harris (all) Family Doctors PCPO 196 North Shore Physician Group Rowley PCPO Chris Harris Tara Cunningham Chris Harris (all) Marianne Molina (CM) Revised 02/08/ HMO Care Management List
6 South Boston Community Health Center Pioneer Valley Care Alliance Practices 219 Mercy Care Alliance Mary Finn (CCM) Margaret Hebert (CNL) Linda Minor (Inpatient CCP) Gail Kowalewski (Community Karen Adamo (Community Lisa Dostaler (Community Lisa Tallman (Community Wenona Dailey (CNL) Linda Minor (Inpatient CCP) Gail Kowalewski (Community Karen Adamo (Community Lisa Dostaler (Community Lisa Tallman (Community ext ext ext ext ext ext ext ext ext ext ext ext Milton Primary Care NEQCA Debra Zona (PCM/CNL/UM) HVMA - Granite 230 HVMA Granite Weymouth 243 Boston Medical Ctr Faculty Associates CM PROGRAM ADMIN HOT LINE Laurie McPhillips Pauline Riley Mary Ellen Jordan CM PROGRAM ADMIN HOT LINE Laurie McPhillips Pauline Riley Mary Ellen Jordan Mary Finn (CCM) Revised 02/08/ HMO Care Management List
7 244 Mercy Care Alliance Delegated Contracted 245 MCA Riverbend 273 Western Mass Independent Physicians 275 Middlesex County Specialists 284 BIDCO BI Jordan BIDCO Wenona Dailey (CNL) Linda Minor (Inpatient CCP) Gail Kowalewski (Community Karen Adamo (Community Lisa Dostaler (Community Lisa Tallman (Community Wenona Dailey (CNL) Linda Minor (Inpatient CCP) Gail Kowalewski (Community Karen Adamo (Community Lisa Dostaler (Community Lisa Tallman (Community Margaret Hebert (CNL) Cheryl Duval (CCM) Diane Sweet (HC Admin) Mary Finn (CCM) Mary Curtis (CNL) Kerry Ogilvie ( ext ext ext ext ext ext ext ext ext ext ext ext ext ext ext Cape Cod Physicians, LLC NEQCA Lisa Walsh (PCM/CNL/UM) BIDCO South Cove BIDCO 287 BIDCO Bowdoin Health Center BIDCO 288 BIDCO Dimock/Joseph Smith Health Center BIDCO Lynne Lucas (CNL/CCP) Kerry Ogilvie (CCM) Lynne Lucas (CNL/CCP) Kerry Ogilvie (CCM) Lynne Lucas (CNL/CCP) Kerry Ogilvie (CCM) Revised 02/08/ HMO Care Management List
8 289 BIDCO Outer Cape Health Services BIDCO 292 BIDCO BI Deaconess BIDCO 293 BIDCO BI Needham BIDCO 294 BIDCO BI Milton BIDCO 296 BIDCO Cambridge Health BIDCO 297 BIDCO Lawrence General BIDCO 298 BIDCO Anna Jacques BIDCO Lynne Lucas (CNL/CCP) Kerry Ogilvie (CCM) Lynne Lucas (CNL/Inpatient CCP) Vanessa Barbosa (Community Lynne Lucas (CNL/CCP) Kerry Ogilvie (CCM) Mary Curtis (CNL) Sheryl Fitzgerald (Inpatient CCP) Vanessa Barboza (Community Mary Curtis (CNL) Sheryl Fitzgerald (Inpatient CCP) Vanessa Barboza (Community Mary Curtis (CNL) Katherine Giannatsis (Community Mary Curtis (CNL) Katherine Giannatsis (Community ext ext ext ext ext ext ext ext ext ext ext ext ext BIDCO Fenway Health BIDCO Lynne Lucas (CNL/CCP) Kerry Ogilvie (CCM) 300 Harvard Medical Associates Dedham Deb Girvin (CM) Janice Smith (CM) Denise Wallace (CM) Annie Fucci (Resource Specialist) ext ext ext ext Revised 02/08/ HMO Care Management List
9 Harvard Medical Associates Norwood Assoc. Copley 165 Dartmouth Street, Boston, MA Assoc. Kenmore 133 Brookline Avenue, Boston, MA Assoc. PO Square 147 Milk Street, Boston, MA Assoc. Braintree 111 Grossman Drive, Braintree, MA Assoc. Burlington 20 Wall Street, Burlington, MA Assoc. Cambridge 1611 Cambridge Street, Cambridge, MA Assoc. Chelmsford 228 Billerica Road, Chelmsford, MA Assoc. Medford 26 City Hall Mall, Medford, MA Harvard Vanguard Med Assoc. Peabody/Lynnfield 2 Essex Center Drive, Peabody, MA Marita Tympanick (CM) Ellen Pothier (CM) Annie Fucci (Resource Specialist) Eileen Jenkins Mary Boike Pauline Riley Chris Roddy Eileen Jenkins Kathy Costello Kathy Grennon Teen Perron Maria Barranco Paula Keefe-Tyrrell Maryann Kane Kathy Boyd Gianna Regan Barbara Sullivan Helen Donato ext ext ext Revised 02/08/ HMO Care Management List
10 Assoc. Quincy Presidents Place South Tower 1250 Hancock Street, Quincy, MA Assoc. Somerville 40 Holland Street, Somerville, MA Assoc. Watertown 485 Arsenal Street, Watertown, MA Assoc. Wellesley 230 Worcester Street, Wellesley, MA Assoc. Chestnut Hill, 291 Independence Drive, West Roxbury, MA Assoc. Concord 86 Baker Avenue Extension. Concord MA Assoc. Beverly 320 HVMA Billerica Maureen Briggette Pat Ialuna Pat Costello Terry Scafati Deborah Girvin Tricia Sawyer Teen Perron Melissa Moulaison Shelly Ludwick, RN (CCM) Midge Belyea, Manager HVMA Needham 322 Atrius Plymouth SSTAR Stanley St. HC Medical Group Specialist Francine Shelly (CCM) Lynne Tinkham (CCM) Mary Finn (CCM) Dawn Richer ext ext Revised 02/08/ HMO Care Management List
11 Medical Group, Inc. at Auburn Medical Group, Inc. at Fitchburg Medical Group, Inc. at Holden Medical Group, Inc. at Leominster Medical Group, Inc. at Milford Medical Group, Inc. at Millbury Medical Group, Inc. at Spencer Medical Group, Inc. at Webster Medical Group, Inc. at Westboro Medical Group, Inc. at Worcester May Street Medical Group, Inc. at Worcester Lake Ave Medical Group, Inc. at Worcester Plantation Street Medical Group, Inc. at Worcester Medical Center Loretta Dyer, RN (Chronic CM) Diane Aubin, RN (Complex CM) Kristen Gilchrist, RN (Chronic CM) Susan Lammi, RN (Chronic CM) Christine Polewarczyk, RN (Complex CM) Erin Forbes, RN (Chronic CM) Christine Polewarczyk, RN (Complex CM) Susan Lammi, RN (Chronic CM) Christine Polewarczyk, RN (Complex CM) Karen Kemp, RN (Chronic CM) Stacey Ploof, RN (Complex CM) Nicole White, RN (Chronic CM) Stacey Ploof, RN (Complex CM) Karen Kemp, RN (Chronic CM) Karen Kemp, RN (Chronic CM) Diane Aubin RN (Chronic CM) Joy Day, RN (Chronic CM) Kathy Granger, RN (Chronic CM) Linda Basner, RN (Chronic CM) Joyce Deschenes, RN (Complex CM) Revised 02/08/ HMO Care Management List
12 399 Congenial Health, LLC 400 Cooley Dickinson Mary Curtis (CNL) Katherine Giannatsis (Community Margaret Hebert (CNL) Cheryl Duval (Community ext ext ext ext ext Lahey Beverly/Danvers/Ipswich Lisa Yarrow (Community Joanne Shaw (Inpatient CCP) ext ext ext Lahey Burlington Melanie Redden (CNL) Maureen Neilly (Community Colleen Sterianos (Community Jeannie Petringa (Inpatient CCP) Beth Ducharme (Community ext ext ext ext ext Lahey North Shore Martha MacDougall (Community Jodi Shaw (Inpatient CCP) ext ext ext Lahey Arlington/Billerica Jeannie Petringa (Inpatient CCP) Rosa O Campo (CCM) Jennifer Modiszewski (CCM) ext ext ext Lahey Amesbury/Merrimac Katherine Giannatsis (Community ext ext Revised 02/08/ HMO Care Management List
13 409 Lahey Hamilton-Wenham 410 Lahey Wilmington Lisa Yarrow (Community Jodi Shaw (Inpatient CCP) Martha MacDougall (Community Jeannie Petringa (Inpatient CCP) ext ext ext ext Lahey Lexington Rosa O Campo (CCM) Jeannie Petringa (Inpatient CCP) ext ext NWPHO PCPO Patricia Corrigan (CNL) Erin Carven (Backup CNL) Jennie Wright (Backup CNL) Attention: Erin Craven 416 Lahey Lynnfield Lisa Yarrow (Community Jeannie Petrings (Inpatient CCP) Dianne Sweet (HC admin) ext ext Quincy Independent Physician Group Sabrena Worrell (CCP) Mary Finn (CCM) ext ext Lahey Lowell Jeannie Revette (CCP) Lisa D Amico (CCP) Jen Modiszewski (CCM) Beth Curran (CCM) ext ext ext ext ext Lahey Winchester Jeannie Revette (CCP) Lisa D Amico (CCP) Jen Modiszewski (CCM) Beth Curran (CCM) ext ext ext ext ext Revised 02/08/ HMO Care Management List
14 OUT-OF-AREA HMO NETWORK JoAnn Ogilvie (CNL/CCP/HC) Key HC: Home Care CNL: Acute Care (includes tertiary facilities) PCM: Group Primary Care Manager CCP: Extended Care (includes SNF & Acute Rehab) Revised 02/08/ HMO Care Management List
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