Provider Directory TNgov




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Provider Directory TNgov

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Provider Directory  TNgov 35904_7directory_bc_p_2022.pdf

Provider Directory

Blue Network P

SM

STATE OF TENNESSEE 2022

For services in the following categories, reference the provider type shown:

CategoryReference

Impacted Teeth and Accidental

Injury to Teeth (other than by

eating or chewing)These are considered medical conditions. To receive in-network benefits, please search for a surgeon within the “Oral & Maxillofacial Surgery" specialty category.

Ear and Throat See Otolaryngology

Ear, Nose and Throat See Otorhinolaryngology

Family PhysicianSee General Practice, Family Practice, Internal Medicine Independent Lab SuppliesSee Acute Care Facilities and Durable Medical Equipment

Oral Surgery Prosthetic

and Orthotic Sleep DisorderSee Oral & Maxillofacial Surgery, Durable Medical

Equipment and Acute Care Facilities

Table of Contents

Important Information........................................................................ ........................................2

Facilities

........................................................................ .................... ........................................3

Acute Care Hospitals

........................................................................ ...................................4

Ambulatory Surgical Facilities........................................................................

......................4 Birthing Centers ........................................................................ ..........................................5 Skilled Nursing Facilities ........................................................................ ..............................5 Rehabilitation ........................................................................ .....................................................9 Inpatient Rehabilitation ........................................................................ ..............................10 Outpatient Rehabilitation ........................................................................ ...........................10 Audiology........................................................................ ...................................................11

Occupational Therapy

........................................................................ ................................12 Physical Therapy ........................................................................ ........................................14

Physical Medicine and Rehabilitation ........................................................................

........25

Speech Pathology/Speech Therapy ........................................................................

..........26

Urgent Care Centers

........................................................................ .......................................29

Retail Convenient Care Clinics ........................................................................

.........................31

Physicians and Health Professionals ........................................................................

...............35 Medical Service Suppliers ........................................................................ .............................187 Immunizing Pharmacists ........................................................................ ...............................209 Provider Index ........................................................................ ................................................213 NOTE:

For information

regarding the

Employee Assistance

Program, mental

health and substance use providers, please contact Optum

Health Services at

1-855-437-3486

.

For information

regarding pharmacy benefits, please contact CVS Caremark at

1-877-522-8679.

1 2

Important Information

This book lists the providers who were in Blue Network P SM at the time the book was published. A provider's status may change at any time. This list is as correct as possible at the time of publication. Please keep in mind that you won't be able to change your enrollment mid-year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. • You can create an online personalized directory by scrolling to the bottom of the page and clicking

Share. Then, type in your email and

click Send Email. Your directory will be emailed to you. You can also copy the directory link by clicking

Copy Link.

›Download the BCBSTN SM app on your smartphone from the Apple ®

App Store or Google Play

® , then enter the information from your

BlueCross BlueShield of Tennessee Member ID card.

If you receive a bill from a provider for emergency services or services from an out-of-network provider that you received at an in-network hospital, call customer service. Be prepared to provide a copy of the provider bill you received, and ask for a review of your claim to see if the provider is owed additional payment.

Facilities

(Listed alphabetically by county)

What you'll find in this section:

›Acute Care Hospital ›Ambulatory Surgical Facility ›Skilled Nursing Facility ›Birthing Center

NOTE: Many acute care clinics offer:

›Independent Laboratory ›Rehabilitation ›Sleep Disorder Services

An acute care clinic can be an emergency room,

ambulatory care clinic or other short-term stay facility.

Remember

A provider's status may change at any time. This list is as correct as possible at the time of publication. Please keep in mind that you won't be able to change your enrollment mid-year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App Store or Google Play ® , then enter the information from your BlueCross BlueShield of Tennessee Member ID card. 3

Facilities

Check our Web site @ bcbst.com for current listing. 4 +RVSLWDO//&

Acute Care Hospital

Check our Web site @ bcbst.com for current listing.

Facilities

5

Skilled Nursing Facility (SNF)

Facilities

Check our Web site @ bcbst.com for current listing. 6

Skilled Nursing Facility (SNF)

Check our Web site @ bcbst.com for current listing.

Facilities

7

Skilled Nursing Facility (SNF)

Rehabilitation

(Listed alphabetically by county. Specialties are listed alphabetically under each county.)

Providers and services in this section:

›Inpatient Rehabilitation ›Outpatient Rehabilitation ›Occupational Therapy ›Audiology Physical Therapy ›Physical Medicine and Rehabilitation ›Speech Pathology/Speech Therapy Please look at the Facilities section of this handbook for more health care professionals who offer rehabilitation services.

Remember

A provider's status may change at any time. This list is as correct as possible at the time of publication. Please keep in mind that you won't be able to change your enrollment mid-year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App Store or Google Play ® , then enter the information from your BlueCross BlueShield of Tennessee Member ID card. 9

Rehabilitation

Check our Web site @ bcbst.com for current listing. 10

Inpatient Rehabilitation

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Rehabilitation

11

Audiology

Rehabilitation

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Audiology

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Rehabilitation

13

Occupational Therapy

Rehabilitation

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Occupational Therapy

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Rehabilitation

15

Physical Therapy

Rehabilitation

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Physical Therapy

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Rehabilitation

17

Physical Therapy

Rehabilitation

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Physical Therapy

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Rehabilitation

19

Physical Therapy

Rehabilitation

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Physical Therapy

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Rehabilitation

21

Physical Therapy

Rehabilitation

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Physical Therapy

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Rehabilitation

23

Physical Therapy

Rehabilitation

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Physical Therapy

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Rehabilitation

25

Physical Medicine and Rehabilitation

Rehabilitation

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Speech Pathology / Speech Therapy

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Rehabilitation

27

Speech Pathology / Speech Therapy

Rehabilitation

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Speech Pathology / Speech Therapy

Urgent Care Centers

(Listed alphabetically by county. Specialties are listed alphabetically under each county.) At times you may need health care at night or on weekends. You might need to go to an Urgent Care Center. Urgent care is care that is important, but not life-threatening. Urgent care health problems are usually marked by rapid start of constant or unusual pain linked to an illness. If you need urgent care, call your doctor or specialist. Many doctors' offices use an answering service after hours. When you call after normal office hours, be ready to explain your symptoms. Leave a number where the doctor can call you back.

Urgent care situations include:

›Hard time breathing ›Nose bleed that lasts for a long time ›Short-term high fever ›Cuts needing stitches ›Strains, sprains and fractures

Remember

A provider's status may change at any time. This list is as correct as possible at the time of publication. Please keep in mind that you won't be able to change your enrollment mid-year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App Store or Google Play ® , then enter the information from your BlueCross BlueShield of Tennessee Member ID card. 29

Urgent Care

Check our Web site @ bcbst.com for current listing. 30

Urgent Care Center

Retail Convenient

Care Clinics

There are health clinics located in some pharmacies in Blue Network P. These clinics are quick and conveniently located, and they're less expensive than a hospital ER. These clinics are usually staffed by nurse practitioners and physicians' assistants. They give fast care for common conditions like sinus infections, sore throats, urinary tract infections and minor illnesses or injuries.

Remember

A provider's status may change at any time. This list is as correct as possible at the time of publication. Please keep in mind that you won't be able to change your enrollment mid-year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App Store or Google Play ® , then enter the information from your BlueCross BlueShield of Tennessee Member ID card. 31

Retail Convenient Care Clinics

Check our Web site @ bcbst.com for current listing. 32

Anderson County

Check our Web site @ bcbst.com for current listing.

Retail Convenient Care Clinics

33

Wilson County

Physicians and

Health Professionals

(Listed alphabetically by county. Specialties are listed alphabetically under each county.) For ear and throat care, see Otolaryngology. For family doctor services, see General Practice,

Family Practice and Internal Medicine.

In the directory, the doctor's area of specialty helps you pick the right doctor for you. However, we don't endorse a doctor's education, skill or experience in a special area of medical practice. Network doctors have agreed to give their patients services 24 hours a day, seven days a week. If you call the office and your doctor is out, he or she will have another doctor available to care for you. Some doctors will have “extended hours available" listed after their names. This shows whose offices are open past normal business hours. Please check with the doctor's office for details.

Remember

A provider's status may change at any time. This list is as correct as possible at the time of publication. Please keep in mind that you won't be able to change your enrollment mid-year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App Store or Google Play ® , then enter the information from your BlueCross BlueShield of Tennessee Member ID card. Doctors join and leave the network from time to time. Also, hospital-based doctors aren't in this directory because of their internal non-credentialed status. Credentialing of hospital-based doctors is the duty of the facility where they practice. Be sure to check to see if the doctors and facilities are still in the network when you call the office to get care. 35

Physicians

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Davidson County Check our Web site @ bcbst.com for current listing.

Physicians

37

Anderson County

Physicians

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Anderson County

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Physicians

39

Blount County

Physicians

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Blount County

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Physicians

41

Blount County

Physicians

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Blount County

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Physicians

43

Bradley County

Physicians

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Bradley County

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Physicians

45

Carter County

Physicians

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Carter County

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Physicians

47

Chester County

Physicians

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Chester County

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Physicians

49

Coffee County

Physicians

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Coffee County

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Physicians

51

Extended Hours Available

Crittenden County (AR)

Physicians

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Crittenden County (AR)

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Physicians

53

Davidson County

Physicians

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Davidson County

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Physicians

55

Davidson County

Physicians

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Extended Hours Available

Davidson County

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Physicians

57

Davidson County

Physicians

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Davidson County

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Physicians

59

Davidson County

Physicians

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Davidson County

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Physicians

61

Davidson County

Physicians

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Davidson County

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Physicians

63

Davidson County

Physicians

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Davidson County

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Physicians

65

Davidson County

Physicians

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Davidson County

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Physicians

67

Davidson County

Physicians

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Davidson County

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Physicians

69

Davidson County

Physicians

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Davidson County

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Physicians

71

Extended Hours Available

Extended Hours Available

Extended Hours Available

Extended Hours Available

Davidson County

Physicians

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Davidson County

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Physicians

73

Davidson County

Physicians

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Davidson County

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Physicians

75

DeSoto County (MS)

Physicians

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DeSoto County (MS)

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Physicians

77

Dickson County

Physicians

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Dickson County

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Physicians

79

Fayette County

Physicians

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Fayette County

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Physicians

81

Extended Hours Available

Gibson County

Physicians

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Extended Hours Available

Gibson County

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Physicians

83

Greene County

Physicians

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Extended Hours Available

Greene County

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Physicians

85

Extended Hours Available

Hamilton County

Physicians

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Hamilton County

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Physicians

87

Hamilton County

Physicians

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Hamilton County

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Physicians

89

Hamilton County

Physicians

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Hamilton County

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Physicians

91

Hamilton County

Physicians

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Hamilton County

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Physicians

93

Hawkins County

Physicians

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Extended Hours Available

Hawkins County

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Physicians

95

Henry County

Physicians

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Henry County

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Physicians

97

Jefferson County

Physicians

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Jefferson County

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Physicians

99

Knox County

Physicians

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Knox County

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Physicians

101

Knox County

Physicians

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Knox County

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Physicians

103

Knox County

Physicians

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Knox County

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Physicians

105

Knox County

Physicians

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Knox County

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Physicians

107

Extended Hours Available

Knox County

Physicians

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Knox County

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Physicians

109

Extended Hours Available

Knox County

Physicians

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Knox County

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Physicians

111

Lee County (VA)

Physicians

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Lewis County

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Physicians

113

Loudon County

Physicians

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Extended Hours Available

Loudon County

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Physicians

115

Madison County

Physicians

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Madison County

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Physicians

117

Madison County (AL)

Physicians

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Madison County (AL)

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Physicians

119

Maury County

Physicians

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Extended Hours Available

Maury County

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Physicians

121

Maury County

Physicians

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Maury County

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Physicians

123

McMinn County

Physicians

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McMinn County

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Physicians

125

Montgomery County

Physicians

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Montgomery County

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Physicians

127

Montgomery County

Physicians

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Montgomery County

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Physicians

129

Overton County

Physicians

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Overton County

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Physicians

131

Putnam County

Physicians

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Putnam County

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Physicians

133

Roane County

Physicians

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Roane County

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Physicians

135

Rutherford County

Physicians

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Rutherford County

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Physicians

137

Rutherford County

Physicians

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Rutherford County

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Physicians

139

Rutherford County

Physicians

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Rutherford County

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Physicians

141

Sevier County

Physicians

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Sevier County

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Physicians

143

Shelby County

Physicians

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Extended Hours Available

Shelby County

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Physicians

145

Shelby County

Physicians

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Shelby County

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Physicians

147

Shelby County

Physicians

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Shelby County

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Physicians

149

Shelby County

Physicians

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Shelby County

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Physicians

151

Extended Hours Available

Shelby County

Physicians

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Shelby County

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Physicians

153

Shelby County

Physicians

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Shelby County

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Physicians

155

Shelby County

Physicians

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Shelby County

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Physicians

157

Sullivan County

Physicians

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Sullivan County

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Physicians

159

Sullivan County

Physicians

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Sullivan County

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Physicians

161

Sumner County

Physicians

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Sumner County

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Physicians

163

Extended Hours Available

Sumner County

Physicians

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Sumner County

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Physicians

165

Tipton County

Physicians

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Tipton County

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Physicians

167

Washington County

Physicians

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Extended Hours Available

Washington County

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Physicians

169

Washington County

Physicians

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Washington County

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Physicians

171

Washington County

Physicians

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Washington County

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Physicians

173

Wayne County

Physicians

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Wayne County

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Physicians

175

Whitfield County (GA)

Physicians

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Whitfield County (GA)

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Physicians

177

Extended Hours Available

Williamson County

Physicians

Check our Web site @ bcbst.com for current listing. 178

Williamson County

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Physicians

179

Williamson County

Physicians

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Williamson County

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Physicians

181

Williamson County

Physicians

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Williamson County

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Physicians

183

Wilson County

Physicians

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Wilson County

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Physicians

185

Wilson County

Physicians

Check our Web site @ bcbst.com for current listing. 186

Wilson County

Medical Service Suppliers

Providers found in this section:

›Dialysis Centers ›Durable Medical Equipment ›Specialty Durable Medical Equipment ›Home Health Agencies ›Home Infusion Therapy ›Hospices ›Prosthetics and Orthotics ›Independent Laboratories For medical supplies, see Durable Medical Equipment. The Specialty DME section lists non-motorized equipment only. This includes canes, walkers, crutches and other similar items.

Remember

Medical service suppliers may change at any time. This list is as correct as possible at the

time of printing. Providers listed in this directory are verifiable only up to the time the directory

was published. Please keep in mind that you won't be able to change your enrollment mid- year if there are changes to your network. To make sure a doctor or facility is in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App Store or Google Play ® , then enter the information from your BlueCross BlueShield of Tennessee Member ID card. 187

Medical Services Suppliers

Check our Web site @ bcbst.com for current listing. 188

Alachua County (FL)

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Medical Services Suppliers

189

Cherokee County (NC)

Medical Services Suppliers

Check our Web site @ bcbst.com for current listing. 190

Christian County (KY)

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Medical Services Suppliers

191

Davidson County

Medical Services Suppliers

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Davidson County

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Medical Services Suppliers

193

Gibson County

Medical Services Suppliers

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Gibson County

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Medical Services Suppliers

195

Harris County (TX)

Medical Services Suppliers

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Hawkins County

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Medical Services Suppliers

197

Knox County

Medical Services Suppliers

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Lafayette County (LA)

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Medical Services Suppliers

199

McMinn County

Medical Services Suppliers

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McMinn County

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Medical Services Suppliers

201

Putnam County

Medical Services Suppliers

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Putnam County

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Medical Services Suppliers

203

Shelby County

Medical Services Suppliers

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Shelby County

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Medical Services Suppliers

205

Sullivan County

Medical Services Suppliers

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Sullivan County

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Medical Services Suppliers

207

Williamson County

Medical Services Suppliers

Check our Web site @ bcbst.com for current listing. 208

Williamson County

Immunizing Pharmacists

You have two network options for obtaining covered immunizations and vaccines at a pharmacy: ›BlueCross BlueShield of Tennessee ›CVS Caremark

BlueCross BlueShield of Tennessee

BlueCross' Immunizing Pharmacists network includes pharmacists certified to give shots. These pharmacists will give the shot and send us the bill for the service. To find an up-to-date listing of immunizing pharmacists in Blue Network P: ›Call us at 1-800-558-6213. ›Go to bcbst.com/members/TN_state. Log in with your username and password. Select

Find Care, then click Find a Doctor. Search for

your provider by specialty, name or procedure, or browse providers by category. ›Download the BCBSTN SM app on your smartphone from the Apple ® App

Store or Google Play

® , then enter the information from your BlueCross

BlueShield of Tennessee Member ID card.

CVS Caremark*

Visit a participating vaccine network pharmacy and present your Caremark prescription card. A complete vaccine network pharmacy list is available once you log in at info.caremark.com/stateoftn (scroll down the page and look under the “Network Lists" heading). You may also call

1-877-522-8679 and speak to a CVS Caremark representative who

can direct you to a vaccine network pharmacy. Please note, this pharmacy list is different from the 30- and 90-day networks. Not all pharmacies participate in the vaccine network.

Remember

You can also visit your regular doctor or convenience clinic and present your medical card.

Call us at

1-800-558-6213 to find a participating doctor or clinic. There's no copay.

Both options give you and your covered dependents covered vaccinations for free. * Pharmacy benefits are managed by CVS Caremark. Please contact CVS Caremark at

1-877-522-8679 for pharmacy-related questions and coverage information.

209

Pharmacist

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Anderson County

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Pharmacist

211

Wilson County

Provider Index

213

Index by Name214

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180 Medical Inc

Index by Name215

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Anderson, Cynthia G, CRNA

Index by Name216

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Anderson, Daniel M, DO

Index by Name217

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Bales, Katelyn, NP

Index by Name218

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Bali, Indu, MD

Index by Name219

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Benningfield, Margaret M, MD

Index by Name220

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Benrashid, Ehsan, MD

Index by Name221

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Boston, Benjamin Lee, DC

Index by Name222

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Boston, Lawanda R, PT

Index by Name223

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Browning, Matthew F, MD

Index by Name224

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Browning, Thomas A, MD

Index by Name225

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CareSouth HHA Holdings of

Index by Name226

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Carey, Amanda Ruth, CRNA

Index by Name227

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Christian Care Center of Bristol

Index by Name228

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Christian Care Center of McKenzie

Index by Name229

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Cook, William Gregory, MD

Index by Name230

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Cooke, Alexandria S, MD

Index by Name231

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Dale, Joanne A, MD

Index by Name232

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Dale, Jonathan Smith, DO

Index by Name233

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Dickerson, Traci, LPC

Index by Name234

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Dickert, Amanda B, CRNA

Index by Name235

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Ebersole, April D, NP

Index by Name236

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Ebersole, Luke A. DPT

Index by Name237

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Fendley, Leanna Rushin, NP

Index by Name238

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Feng, Yi, MD

Index by Name239

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Fresenius Medical Care New Market

Index by Name240

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Fresenius Medical Care of East

Index by Name241

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Gipson, Patricia Jane, PharmD

Index by Name242

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Gipson, Stephen L, MD

Index by Name243

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Guess, Emily Rebecca, APRN

Index by Name244

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Guess, Pamela E, PHD

Index by Name245

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Harris, Troy Daniel, MD

Index by Name246

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Harris, Wesley J, MD

Index by Name247

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Hightower, Angela Gail, FNP

Index by Name248

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Hightower, Denise Michele, MD

Index by Name249

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Hudak, Deborah K, MD

Index by Name250

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Huddleston, Barton W. MD

Index by Name251

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Jeffries, Ivy Y, LPC

Index by Name252

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Jeffries, Sterling D. DPT

Index by Name253

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Kannankeril, Prince J, MD

Index by Name254

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Kanner, Elliott Makary, MD

Index by Name255

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Knoer, Lindsey PT

Index by Name256

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Knoll, David Andrew, MD

Index by Name257

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Ledlow, Grace E, APRN BC

Index by Name258

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LeDoux, Anna Caroline, NP

Index by Name259

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Lovely, Brian K, PA C

Index by Name260

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Loven, Keith H, MD

Index by Name261

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Martinez, Jesus Felix, MD

Index by Name262

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Martinez, Jose A, MD

Index by Name263

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Mclaughlin, Amy, BS

Index by Name264

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McLaughlin, Kristy A, LPC

Index by Name265

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Mioton, Guy Britton, Jr, MD

Index by Name266

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Miracle, Chyrl A. OT

Index by Name267

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Mundy, Laura K, FNP

Index by Name268

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Munekata, Cara G. PT

Index by Name269

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Nolte, Christopher Michael, MD

Index by Name270

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Nooe, Roger M, Jr, LCSW

Index by Name271

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Parish, Dorothy E, PA

Index by Name272

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Park, Ashley L. MD

Index by Name273

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Phillips, John H, Jr, MD

Index by Name274

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Phillips, Jordan E, MD

Index by Name275

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Quality First Home Care

Index by Name276

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Qualls, Adrian, PA C

Index by Name277

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Richardson, Kimberly R, PharmD

Index by Name278

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Richardson, Laken H. PT

Index by Name279

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Rush, Katlyn J. DPT

Index by Name280

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Rushing, Angela L, FNP

Index by Name281

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Seay, Hope Craig, LPC

Index by Name282

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Seay, Jessica R, PA

Index by Name283

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Simpson, Mary Kathleen, FNP BC

Index by Name284

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Simpson, Misty, FNP

Index by Name285

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Speck, James K, APRN

Index by Name286

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Speckman, Jennifer A. PT

Index by Name287

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