MONROE REGION HOSPITAL-BASED PHYSICIANS

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MONROE REGION HOSITAL-BASED HYSICIANS Use the chart below to see whether a hospital-based physician or group participates in Blue Cross and Blue Shield of Louisiana O and/or HMO The Monroe Region consists of Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and West Carroll arishes This chart is for informational purposes only and may have changed since it was last updated on March 31, 2017 Click Here - For instructions on reading this chart or for more information HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Advanced Surgery Center of Northern La 1601 Louisville Ave (318) 998-5555 Delta athology Group LL Lagniappe Anesthesia 443 Fiddlers Creek 1-800-444-6110 Arklamiss Surgery Center LLC 210 Layton Ave, Ste 10 (318) 807-0206 This facility does NOT have ER or radiology services Arklamiss Surgery Center LLC 210 Layton Ave Ste 10 (318) 807-0206 Delta athology Group LL Broussard Surgery Institute Inc 1250 ecanland Rd, Ste E 1 Monroe, LA 71203 (318) 387-2015 This facility does NOT have ER, radiology or pathology services David S King, CRNA 1125 Maruerite St Morgan City, LA 70381 (985) 384-2200 Caldwell Memorial Hospital 411 Main St Columbia, LA 71418 (318) 649-6111 This facility does NOT have ER services 788 ony Greer Rd Delta athology Group LL articipates in Blue Cross and/or HMO networks For more information on reading the chart, please refer back to the Find a Doctor web page at www.bcbsla.com/hbp/. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 18NW1703 R03/17 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. 1 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL Citizens Medical Center 7939 Hwy 165 South Columbia, LA 71418 (318) 649-6106 788 ony Greer Rd Citizens Medical Center ER 7939 Hwy 165 Columbia, LA 71418 (318) 649-6106 Citizens Medical Center Medical Staff Svcs 7939 Hwy 165 Columbia, LA 71418 (318) 649-6106 Delta athology Group LL East Carroll arish Hospital 336 North Hood St Lake rovidence, LA 71254 (318) 559-4023 788 ony Greer Rd East Carroll arish Hospital ER hysicians 336 North Hood St Lake rovidence, LA 71254 (318) 559-4023 Endoscopy Center of Monroe Inc 316 South 6th St (318) 325-2634 This facility does NOT have anesthesia, ER or radiology services Miraca Life Sciences 6655 N MacArthur Blvd Irving, Tx 75039 1-800-979-8292 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 2 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL recision Radiology Management of Louisiana 201 W Vermillion Ste 200 Lafayette, LA 70501 (337) 704-0415 Franklin Medical Center 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Riverside Anesthesia LLC 241 Aimee Dr Ferriday, LA 71334 (318) 757-6371 Turn Row Emergency hysicians 2106 Loop Rd Winnsboro, LA 71295 (318) 435-9411 Virtual Radiologic rofessionals LLC 2106 Loop Rd Winnsboro, LA 71295 (952) 595-1100 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 3 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL (318) 323-1834 ED hysicians of West Louisiana LLC 503 McMillan Rd (318) 329-4200 Glenwood Regional Medical Center 503 McMillan Rd West Monroe, LA 71294 (318) 329-4200 Ouachita Anesthesia Services 503 McMillian West Monroe LA 71291 844-565-6472 Neonatology Assoc Inc 309 Jackson St (318) 327-4917 Radiology Consultants 105 McMillan Rd Ste B (318) 325-3838 Green Clinic Surgical Hospital LLC 1118 S Farmerville St Ruston, LA 71270 (318) 232-7700 This facility does NOT have ER services Delta athology Group LL (318) 323-1834 Green Clinic LLC 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 4 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL (318) 323-1834 318 Durham St Bastrop, LA 71220 Jackson arish Hospital 165 Beech Springs Rd Jonesboro, LA 71251 (318) 259-4435 University Health-Shreveport Dept of Anesthesia 1501 Kings Hwy Shreveport, LA 71103 (318) 675-5000 Jackson arish Hospital Emergency Room hysicians 165 Beech Springs Rd Jonesboro, LA 71251 (318) 259-4435 Winn arish Medical Center 301 W Boundary Ave Winnfield, LA 71483 (318) 648-3000 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 5 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL (318) 323-1834 Madison arish Hospital 900 Johnson St Tallulah, LA 71282 (318) 574-2374 1240 Richardson Rd Calhoun, LA 71225 Madison arish Hospital Emergency Room hysicians 900 Johnson St Tallulah, LA 71284 (318) 574-2374 Delta athology Group LL Monroe Surgical Hospital 2408 BRdmoor Blvd (318) 410-0002 This facility does NOT have ER services Fontenot & McIntoch LLC 503 McMillan Rd (318) 388-5149 Radiology Associates 1601 Lamy Ln (318) 387-3453 E Edward Worley, MD 1601 Lamy Lane (318) 387-3453 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 6 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK 1240 Richardson Rd Calhoun, LA 71225 Ouachita Anesthesia Services 323 West Walnut Ave Bastrop LA 71220 844-565-6472 General Hospital 323 West Walnut Bastrop, LA 71220 (318) 281-2431 Delta athology Group LL Morehouse General Hospital 323 West Walnut Bastrop, LA 71220 (318) 283-3600 Northeast Louisiana Radiology Associates 320 Durham St Bastrop, LA 71220 (318) 281-0663 Delta athology Group LL (318) 323-1834 Diagnostic Imaging Associates 1800 Buckner St, Ste B 100 Shreveport, LA 71101 (318) 221-3529 Center 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2100 Sehon and Arena Anethesia 401 E Vaughn Ave Ruston, LA 71270 (660) 826-5960 Northern Louisiana Emerg Rm hysicians 401 E Vaughn Ave Ruston, LA 71270 (318) 254-2100 Radiology Consultants 105 B McMillan Rd -5319 (318) 325-3838 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 7 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Northern Louisiana Medical Center 1118 S Farmerville St Ruston, LA 71270 (318) 232-7700 This facility does NOT have ER services Delta athology Group LL (318) 323-1834 Green Clinic LLC 1200 S Farmerville St Ruston, LA 71270 (318) 255-3690 & S Surgical Hospital 312 Grammont St, Ste 101 (318) 388-4040 This facility does NOT have ER services Delta athology Group LL Radiology Associates 1601 Lamy Ln (318) 387-3453 SMSO Anesthesia LLC 312 Grammont Ste 101 B (318) 998-6138 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 8 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK 788 ony Greer Rd Reeves Memorial Medical Center (formerly Tri Ward General Hospital) 409 First St Bernice, LA 71222 (318) 285-9066 Delta athology Group LL Reeves Memorial Medical Center Emergency Room hysicians 409 First St Bernice, LA 71222 (318) 285-9066 Delta athology Group LL Richardson Medical Center 254 Hwy 3048 (318) 728-4181 788 ony Greer Rd Emergency Staffing Solutions 254 Hwy 3048 (318) 728-4181 Riverside Anesthesia LLC 241 Aimee Dr Ferriday, LA 71334 (318) 336-9370 Richardson Medical Center 1012 Louisana (318) 728-2046 This facility does NOT have ER services Delta athology LL 788 ony Greer Rd articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 9 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL Richland arish Hospital 407 Cincinnati St Delhi, LA 71232 (318) 878-5171 788 ony Greer Rd Richland arish Hospital Delhi Emergency Room hysicians 407 Cincinnati St Delhi, LA 71232 (318) 878-6435 Delta athology Group LL Neonatology Associates Inc 309 Jackson St 4th Fl NICU (318) 966-4917 St Francis Medical Center-Downtown Campus 309 Jackson St Monroe, LA 71210 (318) 327-4000 arish Anesthesia of Monroe 309 Jackson St Monroe, LA 71210 (504) 779-5515 Radiology Associates 1601 Lamy Ln (318) 387-3453 egasus Emergency Group S, LLC 309 Jackson St Monroe, LA 71210 (318) 966-4171 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 10 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Delta athology Group LL Neonatology Associates Inc 309 Jackson St 4th Fl NICU (318) 966-4917 St Francis Medical Center 3421 Medical ark Dr Monroe, LA 71203 (318) 388-7946 arish Anesthesia of Monroe 309 Jackson St Monroe, LA 71210 (504) 779-5515 Radiology Associates 1601 Lamy Ln (318) 387-3453 egasus Emergency Group S, LLC 3421 Medical ark Dr (318) 966-1946 Surgery Center of West Monroe 102 Regency St West Monroe, LA 71222 (318) 325-2610 LabCorp 788 ony Greer Rd (866) 694-3440 This facility does NOT have ER or radiology services Surgery Center of West Monroe 102 Regency St (318) 325-2610 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 11 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Brown Folse Radiology 788 ony Greer Rd Union General Hospital 901 James Ave Farmerville, LA 71241 (318) 368-9751 Delta athology Group LL Mid Louisiana Anesthesia Consultants 1444 eterman Dr Alexandria, LA 71307 (318) 442-5399 Union General Hospital Emergency Room hysicians 901 James Ave Farmerville, LA 71241 (318) 368-9745 University Health- Shreveport Anesthesiology 1501 Kings Hwy Shreveport, LA 71130 (318) 675-5000 University Health-Conway 4864 Jackson St (318) 388-7000 Conway Emergency Group, LLC 4864 Jackson St (318) 388-7000 University Health- Shreveport athology 1501 Kings Hwy Shreveport, LA 71130 (318) 675-5000 articipates in Blue Cross and/or HMO networks Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 12 of 14

Monroe Region Hospital-Based hysicians articipating in the Blue Cross and Blue Shield of Louisiana O and/or HMO This region consists of Caldwell, E Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, and W Carroll arishes HOSITAL OR AMBULATORY O NETWORK HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Mid South Radiology artners LLC 1310 West Seventh St Kaplan, LA 70548 (337) 643-8300 West Carroll Health Systems 706 Ross St Oak Grove, LA 71263 (318) 428-3237 This facility does NOT have anesthesiology or pathology services West Carroll Health Systems Emergency Room hysicians 706 Ross St Oak Grove, LA 71263 (318) 428-3237 West Monroe Endoscopy Center LLC 102 Thomas Rd, Ste 506 (318) 388-8878 This facility does NOT have ER, radiology or pathology services Riverside Anesthesia LLC 241 Aimee Dr Ferriday, LA 71334 (318) 336-9370 articipates in Blue Cross and/or HMO networks End More u Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 13 of 14

Hospital-Based hysician Chart Instructions This is a list of the hospitals and ambulatory surgery centers in this region that participate in the Blue Cross networks Follow these steps to get the information you need: 1 Find the facility where you will be receiving care They are in alphabetical order 2 Next to each facility, you will see a list of the hospital-based physicians/groups who practice at that facility 3 The next five columns of the table represent the specialties that are considered hospital-based and include: Anesthesiology, emergency medicine, neonatology, pathology and radiology There will be a checkmark () in the appropriate specialty column for each physician or group who participates in the Blue Cross networks If there is no, it means that the facility does not have that hospital-based physician specialty or the facility has not reported data to Blue Cross (Data Not Received) 4 The two columns in blue show whether the physician or group is articipating in Blue Cross O network; articipating in the HMO network (if applicable) 5 The last column will be highlighted in red if the physician or group is Not participating in any Blue Cross network and therefore considered out-of-network What you can do with this information: If you are planning to have a medical procedure or service at a network facility that has one or more out-of-network hospital-based physician(s), you may be balanced billed for the difference between the Blue Cross allowable charge and the provider s billed charge You may consider asking your doctor whether you can have your procedure at another hospital If that is not possible, you may be balance billed by a out-of-network (non-contracted) provider In that case, call the out-of-network provider s office and ask whether they will accept Blue Cross allowable charge as full payment for their services If you have questions, call Customer Service at the number on your member ID card, or use the secure online inquiry form to send us your question articipates in Blue Cross and/or HMO networks For more information on reading the chart, please refer back to the Find a Doctor web page at www.bcbsla.com/hbp/. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 18NW1703 R03/17 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. 14 of 14