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April 2018 1 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Start by clicking on your county: Blues provider consultants are here to help you! Wayne Lenawee Monroe St. Clair Washtenaw Oakland Macomb Southeast Michigan region professional provider consultant contact list

Blues provider consultants are here to help you! - bcbsm.com · PDF fileBlues provider consultants are here to help you! Wayne Lenawee ... Washtenaw Oakland Macomb Southeast Michigan

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April 2018 1

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Start by clicking on your county:

Blues provider consultants are

here to help you! Wayne

Lenawee

Monroe

St. Clair

Washtenaw

Oakland

Macomb

Southeast Michigan region professional provider consultant

contact list

April 2018 2

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Lenawee County

Category Consultant Phone Fax

Professionals M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers

Kelly Hayes 517-896-4350 1-866-511-5022

Behavioral health Julie Steinacker 517-325-4433 1-877-484-2969

If you do not receive a response from your assigned consultant within two business days, please contact Kathryn Simon at 517-325-4590.

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 3

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Macomb County

Not sure which category you belong in? Click the category name for details.

Category Consultant Phone Fax

Primary care physicians and OB/GYNs Chenell Brown 248-508-5981 1-866-621-5004

Ancillary Candice McCoy 248-302-6713 1-866-754-4282

Specialists In the following cities:

Kelly Sims 313-348-0798 1-866-435-5599

• Armada

• Armada Township

• Bruce

• Bruce Township

• Centerline

• Chesterfield

• Clinton Township

• Eastpointe

• East Detroit

• Fraser

• Harrison Township

• Lenox

• Macomb

• Macomb Township

• Mount Clemens

• New Baltimore

• New Haven

• Richmond

• Richmond Township

• Romeo

Specialists In the following cities:

Candice McCoy 248-302-6713 1-866-754-4282

• Ray

• Ray Township

• Roseville

• St. Clair Shores

• Shelby Township

• Sterling Heights

• Utica

• Warren

• Washington

• Washington Township

If you do not receive a response from your assigned consultant within two business days, please contact Linda Lukasiewicz at 248-350-7496.

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 4

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Monroe County

Category Consultant Phone Fax

Professionals M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers

Dawn Stoner 313-549-9864 1-866-435-5608

Behavioral health Julie Steinacker 517-325-4433 1-877-484-2969

If you do not receive a response from your assigned consultant within two business days, please contact Kathryn Simon at 517-325-4590.

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 5

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Oakland County

Not sure which category you belong in? Click the category name for details.

Category Consultant Phone Fax

Primary care physicians and OB/GYNs Chenell Brown 248-508-5981 1-866-621-5004

Ancillary Geonisha Washington

313-530-4487 1-866-807-7376

Specialists In the following cities: Geonisha

Washington 313-530-4487 1-866-807-7376

• Auburn Hills

• Berkley

• Birmingham

• Bloomfield

• Bloomfield Hills

• Bloomfield Township

• Bloomfield Village

• Ferndale

• Goodison

• Hazel Park

• Highland

• Highland Township

• Huntington Woods

• Lake Angelus

• Lake Orion

• Madison Heights

• Oak Park

• Oakland

• Oakland Township

• Orion

• Orion Township

• Oxford

• Pleasant Ridge

• Pontiac

• Rochester

• Rochester Hills

• Royal Oak

• Royal Oak Township

• Troy

(Continued on next page.)

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 6

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Category Consultant Phone Fax

Specialists In the following cities:

Kelly Sims 313-348-0798 1-866-435-5599

• Beverly Hills

• Bingham Farms

• Brandon

• Clarkston

• Clawson

• Clintonville

• Commerce

• Commerce Township

• Davisburg

• East White Lake

• Elizabeth Lake

• Farmington

• Farmington Hills

• Four Towns

• Franklin

• Holly

• Holly Township

• Huron Heights

• Independence Township

• Keego Harbor

• Lathrup Village

• Milford

• Milford Township

• New Hudson

• Novi

• Novi Township

• Orchard Lake

• Ortonville

• South Lyon

• Southfield

• Southfield Township

• Springfield Township

• Sylvan Lake

• Walled Lake

• Waterford

• Waterford Township

• West Bloomfield

• White Lake

• Wixom

• Wolverine Lake

If you do not receive a response from your assigned consultant within two business days, please contact Linda Lukasiewicz at 248-350-7496.

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Southeast Michigan region professional provider consultant

contact list

April 2018 7

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

St. Clair County

Category Consultant Phone Fax

Professionals M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers

Tina Gach 810-720-6718 1-866-513-6449

Behavioral health Penny Yost 810-720-6713 1-866-410-7643

If you do not receive a response from your assigned consultant within two business days, please contact B.J. Byers at 810-720-8575.

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 8

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Washtenaw County

Category Consultant Phone and Fax Manager

ALL University of Michigan-affiliated professional and behavioral health providers

Dawn Stoner 313-549-9864 1-866-435-5608

Kathryn Simon

Non-University of Michigan-affiliated professional providers

M.D./D.O Certified Nurse Practitioners Physician Assistants Ancillary Providers

Cindy Rayburn 517-896-6478 1-866-513-6448

Kathryn Simon

Non-University of Michigan-affiliated behavioral health providers

Penny Yost 810-720-6713 1-866-410-7643

B.J. Byers

If you do not receive a response from your assigned consultant within two business days, please contact the corresponding manager at the number below:

B.J. Byers – 810-720-8575 Kathryn Simon – 517-325-4590

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 9

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Wayne County

Not sure which category you belong in? Click the category name for details.

Category Consultant Phone Fax

Primary care physicians and OB/GYNs Sonya Lewis 248-350-6272 1-866-538-5002

Ancillary Sonya Lewis 248-350-6272 1-866-538-5002

Specialists In the following cities: Pat Graziani 248-914-5037 1-866-611-3021

• Dearborn

• Dearborn Heights

• Detroit

• Ecorse

• Grosse Ile

• Grosse Ile Township

• Hickory Isle

• Highland Park

• Northville

• Northville Township

• River Rouge

• Riverview

• Southgate

• Taylor

• Trenton

• Woodhaven

• Wyandotte

Specialists In the following cities: Pat Graziani 248-914-5037 1-866-611-3021

• Allen Park

• Belleville

• Brownstown

• Brownstown Township

• Canton

• Canton Township

• Flat Rock

• Garden City

• Gibraltar

• Grosse Pointe

• Grosse Pointe Farms

• Grosse Pointe Park

• Grosse Park Shores

• Grosse Park Woods Hamtramck

• Harper Woods

• Huron Township

• Inkster

• Lincoln Park

• Livonia

• New Boston

• Plymouth

• Redford

• Redford Township

• Rockwood

• Romulus

• Sumpter Township

• Van Buren

• Wayne

• Westland

If you do not receive a response from your assigned consultant within two business days, please contact Linda Lukasiewicz at 248-350-7496.

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 10

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Primary care physicians include:

Primary care physicians Family practice General practice Geriatric medicine Gynecology Internal medicine Nephrologists acting as PCPs Nurse practitioners acting as PCPs Nurse practitioners in a PCPs office Obstetrics Pediatrics Physician assistants in a PCPs office Preventive medicine

Return to:

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Macomb County

Oakland County

Wayne County

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 11

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Specialist include:

Behavioral health specialists Allergy & immunology Cariology Dermatology Dietary management Endocrinology Gastroenterology Hematology Infectious diseases Neurology Nephrology Nurse practitioner in an office Oncology Otolaryngology Physician assistant in an office Plastic Surgery Pulmonology Psychiatry Rheumatology Sleep medicine Surgeons Transplant hepatology Undersea/hyperbaric medicine Urology

Return to:

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Macomb County

Oakland County

Wayne County

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.

April 2018 12

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Ancillary providers include:

Ambulance Anesthesiology Audiology Certified registered nurse anesthetist Chiropractic medicine Dentist Durable medical equipment Emergency Medicine Hearing aid dealer Home infusion therapy Independent physical therapy Occupational therapy Ophthalmology Optometry Orthodontist Orthopedics Pain management Pathology Prosthetist/orthotist Physical medicine and rehabilitation Radiology Speech therapy Sports medicine Podiatry Urgent care

Return to:

Note: Out-of-state billers billing for Michigan providers, including pharmacies, contact: Chevelle Harper at 313-618-0899 (fax: 1-877-378-0214)

Macomb County

Oakland County

Wayne County

Southeast Michigan region professional provider consultant

contact list

Remember: Provider Consultants are often in the field, visiting and training provider office staff. If you need immediate assistance, please contact Provider Inquiry.